EL-19-11Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
V'Q=tM1t
Issue: Die: 01/07/2019
Location Address Parcel Number
70 NE 99TH ST, Miami Shores, FL 33138 1132060131050
Contacts
Permit NO.: EL -01-19-11
Permit Type: Elearical - Residential
Work Classification: Service Change
Permit Status: Approved
Expiration: 07/08/2019
JAY YAGODA Owner LONGMAN ELECTRIC INC Contractor
70 NE 99 ST, MIAMI SHORES, FL 33138 MICHAEL LONGMAN
Other: 3056577859 844 NE 98 ST, MIAMI SHORES, FL 33138
Business: 3057581211
Description: OVERHEAD TO UNDERGROUND CONVERSION OF Valuation:
L$
2,400.00
Ins ection Re uests:
SERVICE
305762-4949
Total Sq Feet:0
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 9.00
Technology Fee 2.50
Total: 117.90
Building Department Copy
Payments Date Paid Amt Paid
Total Fees 117.90
Credit Card 01/02/2019 $50.00
Credit Card 01/07/2019 $67.90
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 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 zoping. Futhermore, I authorize the above named contractor to do the work stated.
i! / 1 ) a
Authorized Sioature: Owner Y Applicant / Contractor / Agent Date
January 07, 2019 Page 2 of 2
Miami Shores eVillag
A 0 2 .11
Building Department .
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
BY:
Tel: (305) 795-2204 Fax: (305) 756-8972 1J
INSPECTION LINE PHONE NUMBER: (305) 762-4949
l
FBC 20
BUILDING Master Permit NotL
PERMIT APPLICATION Sub Permit No.
BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION [:]SHOP
Q
CONTRACTOR DRAWINGS
j•
JOB ADDRESS: To HIE W, k'ee
ity• Miami Chnrac f-mintu• Miami nnria 7in- ;31-3K
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Jay V o Phone#:
Address:
qpp
City: Mla"t, %Irsc State: Zip: gir
Tenant/Lessee Name`: /
I
Phone#: / 4. ) 961- (P2-33
Email: alodi c.,
CONTRACTOR: Company Name: 011AWk h LL`Phone#. . ` 7 8
Address: r'2 , 16 6f Jr
J
City: l 10 I State: Fes-- Zips
Qualifier Name: / d Q Phone#:
State Certification or Registration #: 3(25) 7 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: Addition Alteration
p
New
p
Repair/Replace Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ZZ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ d
Revised02/24/2014)
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 approved and a reinspection fee will be charged.
Signature
OWNERr GENT
The foregoing instrument was acknowledged before me this
Q 0—t" day of hcee-' be,- , 20 li by
who is personally known to
me or who has produced as
identification and who did take an oath.
PU
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
J day of LCG'%v 20 by
who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sig agn:
P int.
N°':
11 pRAMA Print: C
Notary FuNlc tsb of Florida
Seat-. } Commission M GG OS5404 Seat -.NO" P„ bk 9Uft or FWft
My Comm. Expires Doc 25, 2020 #
0,1,
41;
Micheee Perez
oMY Commission GG 0 ore
e904roeno21
APPROVED BY / Plans Examiner Zoning
Structural Review Clerk
Revised02/24/2014)
f
STATE OF FL
COUNTY OF The foregoing in ent was
a wledge efo a this d a y/ o bY
MidteNe re
MY Commiasioiie na. %®
arm ExpiresWI081 'J 1- r/ Overhead riser to be replaced by
Personally Known OR Produced Identification
new underground service. All
installations to be to NEC
Type of Identification Produced
are up
2014 code. Meter Main Combo is
existing and is to remain
untouched.. Riser is 2" IMC/Rigid,
3) #1 THHN wires, single phase,
120/240 Volt, and shall become
same underground.
T72 lull 9'e1
LU
0SwQ
C LL-
Q
C
U } Meter Main
O M C LL Combo 150
amp Existing.
I
r' C a. k—
C UJ
LF
Longman Electric, Inc.
95 NE 1661x Street
Miami, FL 33162
EC13003713
Jobsite Address: IYY Jay Yagoda
NE 991" st..
New UG FPL feed.
70
Miami Shores, FL
4
k1 P Vvlo
33138
ow
STATE OF FLORIDA
COUNTY OF bWDg5 The foregoing instrunpit was
acknowledged befor a this ... day of.V*V20./. by
4 Q/ Jay Yagoda
70 NE 9901st.
Miami Shores, FL 33138
aW Pt& Not Pubk g, _ Convert CH service feeder to UG feeder.
i MiChANe t . Service to remain the same. Pole on same
MY Comntiss '8 t/Q side of the alley.
o. n Expires 04
Personally Known R Produced Identification
Type of Identification Produced
Existing Service to remain. New UG feeder
from FPL.
u