EL-15-1449{` SHORES Yom!
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Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO -EL -6-15-1449
■ Permit Type: Electrical Residential
P G3 r' Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 717/2015 1 Expiration: 0 110 312 0 1 6
Project Address Parcel Number Applicant
10634 NE 11 Avenue 1122320280650
TUYEN TIED
Miami Shores, FL Block: Lot:
I Aw�.
Owner Information
Address Phone Cell
TUYEN TIEU
10634 NE 11 Avenue
L
MIAMI SHORES FL 33138-
*R*W� - M%Wlw%�''M�
DCA Fee
_Amw�_
10634 NE 11 Avenue
Education Surcharge
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
HI TECH ELECTRIC & FIRE CORP (786)543-5216
a of Work: NEW GFI'S KITCHEN NEW LIGHTS KITCHE
itional Info:
;sification: Residential
nning: 3
Fees Due
Amount
CCF
$1.80
DBPR Fee
$2.25
DCA Fee
$2.25
Education Surcharge
$0.60
Permit Fee - Additions/Alterations
$150.00
Scanning Fee
$9.00
Technology Fee
$2.40
Total:
$168.30
Valuation: $ 2,800.00
LTotalq Feet: 00
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL -6-15-55958
06/12/2015 Credit "ard $ 50.00 $ 118.30
07/07/2015 Credit Card $ 118.30 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
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 e?her sc !f my agent, servants, or employes I understand that separate permits are
requirea for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
thermore, I authorize the above-named contractor to do the work stated.
construction a(IVoning
July 07, 2015
Owner / Applicant / Contractor / Agent
Building Department Copy
July 07, 2015
1
Miami Shores Village,
w
Building Department JUN, 1 2-2015
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 20 ,b
BUILDING Master Permit No. &__ / _ �? , �Jp
PERMIT APPLICATION Sub Permit No.z//5
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [-] SHOP
CONTRACTOR DRAWINGS
nn� 1
qq��U U, -6q A t � � Ave—
JOB ADDRESS: IDU,-6qIy
City: Miami Shores County:
Miami Dade Zip: �)
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): R:gA6'Vnt�
rye i
em rQPhone#: Ti(� 1 2 �Lt
�//��l0",3"�
Address:I
City: roll J�1�11Y'Z-S State:
Zip:
Tenant/Lessee Name:
Phone#:
Email:
/ / / L ,
CONTRACTOR: Company Name: ! �� �� t"it.e clyz
/ d
C �l V� Phone#: ��f� � 5 _'5-Z✓%
Address: Is -a S l/
City: J" State: FL
Zip: 3 S 12-q
Qualifier Name: awlt
q
Phone#: 2Z Aa 32L Q 13
State Certification or Registration #: EC. - 0
6
Certificate of Competency #:
DESIGNER: Architect/Engineer:
,
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $_2 U Square/Linear
Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New
Repair/Replace ❑ Demolition
Description of Work: NZGt/l'1' i' fig .✓ ,(/�
/ �S L1 �J'(�"/� k'�' .
Specify color of color thru tile:.
Submittal Fee $ Permit Fee'$ �'��' �a
CCF $ CO/CC $
Scanning Fee $ Radon Fee $
DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
_A ♦ f i
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
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 iRpproved and a reinspection fee will be charged.
Signature Signature
O GENT CONTRACTOR
The foregoing instrument was acknowledged before me this
C� day of W i 20 by
0
Nr, who is personally known to
me or who has producedFL 3Ql VW_ � as
identification and who did take an oath.
NOTARY P LIC:
Sign:
The foregoing instrument was acknowledged before me this
d� day of JV 20 by
who is personally known to
t
me or who has produced [ u en *Ce- U <J�.NsLas
identification and who did take an oath.
NOTARY UBLIC:
Sig .
Print:Florida Print:
:o
Seal: Sindia Alvarez
My Commission FF 156750 Seal: o Notary Puoiic State of Florida
&F 1% p Expires 09103/2016 : Sindia Alvarez
My Commission FF 156750
Norte Expires 09/0312018
************************************************************************ **** ** * ** * ** **** ***********
APPROVED BY �!^ie- / L 4,�UA- IS Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Y
Inspection Worksheet Ipc
Miami Shores Village 1
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-240117 Permit Number: EL -6-15-1449
Scheduled Inspection Date: December 08, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: TIED, TUYEN
Job Address: 10634 NE 11 Avenue
Miami Shores, FL
Project: <NONE>
Contractor: HI TECH ELECTRIC & FIRE CORP
Building Department Comments
Inspection Type: Final
Work Classification: Alteration
Phone Number (786)218-2387
Parcel Number 1122320280650
Phone: (786)543-5216
NEW GFI'S KITCHEN NEW LIGHTS KITCHEN NEW DISH Intractio Passed comments
NEW MICROWAVE I
INSPECTOR COMMENTS False
Passed
Failed
Correction
Needed
Re -Inspection
Fee
C
C
0
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP-238511. Not ready for final.
December 07, 2015 For Inspections please call: (305)762-4949 Page 11 of 44