EL-19-1817Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
'A A
Issue Date:,09/14/2019
Location Address Parcel Number
1480 NE 103RD ST, Miami Shores, FL 33138 1132050310070
Contacts
Permit NO.: EL -08-18-1017
Permit Type: Electrical - Residential
Work Uossificotion: Alteration
Permit Stoats: Approved
Expiration: 02/10/2020
RE INCEPTIO INC Owner MOODY ELECTRIC INC Contractor
1480 103 JOHN MOODY
3812A N 29 AVE, hollywood, FL 33020
Business: 3057582000
Description: RUN 30 AMP FEEDER FOR THE BOAT LIFT Valuation: $ 3,400.00 Inspection Requests:
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$69.00
Scanning Fee
$3.00
Technology Fee
$2.98
Total:
$132.18
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$132.18
Credit Card
08/14/2019 $132.18
Amount Due:
$0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS II�AVIW I certify that all the foregoi information is accurate and that all work will be done in compliance with all applicable laws
regulating ns u and zonin f p#)ermore, I ajAhorize the above named contractor to do the work stated.
Signature: Owner / Applicai Contractor / Agent
Date
August 14, 2019 Page 2 of 2
e
Miami Shores Village
RECEIVED
Building Department
.
A G 0 6 019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY.
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC i�(o
BUILDING
Master Permit No.
PERMIT APPLICATION
Sub Permit No.��6C�"
BUILDING [ELECTRIC
ROOFING ❑ REVISION ❑ EXTENSION EJRENEWAL
PLUMBING MECHANICAL
PUBLIC WORKS [:]CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
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JOB ADDRESS:/ ` ll/
City: Miami Shores
County: Miami Dade Zip:
Folio/Parcel#: // 3105- aY
0070 Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
0 Phone#: ;7,7,/0 - ;2 Tr(/ VO
Address:
Q
!
City: ��y17, �7 arc,(.
State: A Zip: 1-5p
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Name:
��^^
Phone#: ;!57-- %S�D06
0004 Gli ;b
Address: 7
/
City: c.,-# 00(
State: i Zip: c33Oo��
Qualifier Name:'
Phone#: 3U✓r�J�'' 000
State Certification or Registration #:
I
Certificate of Competency #:
-
or
DESIGNER: Architect/Engi6eer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $
00-00- Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New F-1 Repair/Replace E] Dem oli 'on
Description of Work: le� J��
'�
Specify color of color thru tile:,
Submittal Fee $ .' Permit Fee,$ ` CCF $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
r `
Bonding Company's Name (if applicable)
Bonding Company's Address
City _
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
i City State
Zip
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning:
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 'IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence -of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signat
WNER or AGENT TRACTOR
� , 7
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
(p �h day of A U 20 19 by �o*h day of . �U�`Q USif 20� by
r
who is personally known to ,1o11(� M, who is personally known to
me or who has produced as me -or who has produced I as
identification and who did take an oath.
•
Seal:
g�prr
y,•r�
APPROVED By
(Revised02/24/2014)
identification and who did take an oath.
NOTARY PUBLIC:
„YET__.
Notary Public State of Florida Seal:
Rebeca Munoz �,�R"" °b Notary Public State of Florida
Rebeca Munoz
,• My Commission FF 918344 My Commission FF 918344
Expires 09108/2019 �o d� Expires 09/08/2019
I
6', Plans Examiner Zoning
Structural Review
Clerk
M
MOODY ELECTRIC, INC.
www.moodyelectric.com
3812A N. 29th Avenue - Hollywood, FL 33020-1008
Tel: (305) 758-2000 Fax: (305) 754-1333
Proposal Submitted to:
Southern Marine Construction
6875 NE 3rd Avenue
Miami. FL 33138
Job Name:
Boat Lift
Email:
rrossi2@bellsouth.net
Attn: Robert Rossi
Location:
1460 NE 103 Street
Miami Shores. FL 33138
PROPOSAL
June 24, 2019
Job Descrit7tion:
1.) Furnish and install new dock pedestal to accommodate new boat lift.
2.) Furnish and install 3/4" conduit #8 wire to feed boat lift controller.
3.) Furnish and install stainless hardware. Reuse existing feed pipe that controls dock pedestal at this time.
Notes:
■ No plans included (Plans must be approved by city).
■ Patching and painting by others.
■ Any additional services required by the Authorities Having Jurisdiction will be considered a change to the scope and
will be quoted as a change.
WE PROPOSE hereby to furnish material and labor - complete in accordance with these specifications for the sum of
Three Thousand Four Hundred Dollars S3,400.00
Payable as follows: Progress Payments
In the event customer fails to pay this proposal when due, Moody Electric, Inc. shall be entitled to recover all costs incurred including attorney's fees for
services rendered in connection with collection of payment of the debt as evidence by this proposal or enforcement of Moody Electric Inc.'s rights provided
under law. NOTE: 'this proposal may he uithdrawo by its Wool accepted within M days.
INCREASES IN MATERIAL COST. In the event that, during construction of the improvement described herein, contractor's costs for materials used or to be
used herein.are increased by more than 10% over the contractor's costs for the same at the time this agreement was signed, for any cause(s) beyond the
control of contractor, then, and in such event(s), contractor shall have the right to pass the entire amount of material costs increase(s) along to owner by
adding the total amount(s) thereof to the Contract Price.
Mood% Electric. hu. Authorized Signature
QUOTED BY: Banner Moody- Sf.l.1C' #EC'0001 199
0131: / S131: Bro%%ard Counh Certilic
SBI: - SMN9D C'ertitied
Acceptance oProposa- T}% price . pecifications and conditions are satisfactory and are hereby accepted. You are authorized
to do the won specifi ayment y411 be made as outlined above.
Sianattue
Date_Y S Si
Date
Page 1 of I
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