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EL-15-1449{` SHORES Yom! $ � 9 `FLORLDp' 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