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EL-18-3747Location Address Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 01/02/2019 Parcel Number 1548 NE 105TH ST, Miami Shores, FL 33138 1122300530080 ontacts Permit NO.: EL -12-18-3747 Permit Type Electrical - Residential work Classification: Alteration Permit Status: Approved Expiration: 06/18/2019 ARNOLD WESTBERRY Owner MOODY ELECTRIC INC Contractor 1548 NE 105 ST B-8, MIAMI SHORES, FL 33020 JOHN MOODY Home: 3052181005 3812A N 29 AVE, hollywood, FL 33020 Business: 3057582000 Description: NEW 50 AMP CIRCUIT FOR BOAT FOR MAIN PANEL Lvaluation: $ 2,400.00 Ins ection Requests: IN HOUSE TO DOCK 305-762-4949 Feet: 0.00 Fees Amount Application Fee - Other 50.00 CCF 1.80 DBPR Fee 2.00 DCA Fee 2.00 Education Surcharge 0.60 Permit Fee 50.00 Scanning Fee 3.00 Technology Fee 2.50 Total: 111.90 Payments Date Paid Amt Paid Total Fees 111.90 Credit Card 12/20/2018 $50.00 Credit Card 01/02/2019 $61.90 Amount Due: 0.00 Building Department Copy 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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulgJifZ co uctiop.And zoning. FAermore, I authorize the above named contractor to do the work stated. Signature: Owner / / Applicant / Contractor / Agent / Date January 02, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING ELECTRIC ROOFING V-PITNIFID EC 2 2018 BY U, FBC 20('4 Master Permit No.z', 3 y Sub Permit No. REVISION EXTENSION RENEWAL PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP pCONTRACTOR DRAWINGS ADDRESS: 7I O E City: Miami Shores County: Miami Dade Zip: 3 13 Fob ho V G p / Parcel#: ( Is the Building Historically Designated: Yes NO ,/ Occupancy Type:l S_ t Construction Type: Flood Zone: BFE: FFE• ro—WNER: Name (Fee Simple Titleholder):-hyno w 4 Phone#:_ 3 IDS ^ 11 - 1 005Address: I Vol L4 8 A P— I © 61y) City: 1AW,.M I C Wn Y -e S State: _ F 1 Zip: 3 3 O 2 d Tenant/Lessee Name: YYl ©1 d 1/ C fib / y- SAPhone#: - 2,., ` j - ,)_3 C) 5 Email- ?)1 l 1 1 I 6) k A a] l7 M rl 'I \ ( IF) Yv) CONTRACTOR: Company Name: _ M Phone#: 3 05 - 1 cj BZ (© l 2-R N • ll+h_ Address: ,n U,. City: Iy W_,^ Y - State: El Zip: 33 O 2 n Qualifier Name: V r ' 1 1 . O (y Phone#: State Certification or Registration #: E O t V t R Certificate of Competency #: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ Type of Work: Addition Description of Work: go . C -U City: State: Zip: Square/Linear Footage of Work: Alteration New iro.,.•f9a. 41,....1 .,.k.. 71 Specify co% of co%r ttiru ti% Submittal Fee Scanning Fee $ Technology Fee Structural Reviews It Permit Fee $ 1045"',e 04'P CCF Radon Fee $ Training/Education Fee $ Repair/Replace Demolition CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Revised02/24/2014) FGr, 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 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 of the job siteforthefirstinspectionwhichoccursseven (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. ' The foregoing instrument was acknowledged before me this 2 O day, of 10C..CR-Y!q)D& `/ . 20 1 U , by 11()l d 1 Q Sa(who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: h P1 UC `o" Commission. = GG 265581 oc rt;: My Comm. Expires Oct 7, 2022 C ri_a C0_JCCI Print: Bonded through National Notary Assn. Ford° Commissior # GG 265581 Seal: My Comm. Expires Oct 7, 2022 Borded through National Notary Assn. The foregoing instrument was acknowledged before me this 2. day of Q ec,uvi fU 'eiV , 20 by o " , . R O C7 , who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Print: h P1 UC `o" Commission. = GG 265581 oc rt;: My Comm. Expires Oct 7, 2022co1t^ r 1 Seal: Bonded through National Notary Assn. as C l/l. v CA TbTt--V (- s*s*s*s****s*******s*s*s**s*s*ss*s*s******s*s****s************s**s*s****s*s**s**s**s**s*sssss*s***ss** APPROVED BY PlansExaminer Zoning Structural Review Revised02/24/2014) Clerk