EL-18-1395Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit No. EL -5-18-1395
Permit Type: Electrical - Residential
tWork Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 6/2712018 1 Expiration: 17/2412018
Project Address Parcel Number Applicant
73 NW 108 Street 1121360110260
Miami Shores, FL Block: Lot:
LILIAN LIMA
Owner Information Address Phone Cell
JOAN ROMERO 73 NW 108 Street (786)231-9297
MIAMI SHORES FL 33168-4310
73 NW 108 Street
MIAMI SHORES FL 33168-4310
Contractor(s) Phone Cell Phone
SHINE ELECTRICAL ENGINEERING (305)688-2000
ype of Work: NEW SWIMMING POOL AND DECK
dditional Info: NEW SWIMMING POOL AND DECK
lassification: Residential
canning: 1
Fees Due Amount
CCF 1.20
DBPR Fee 4.50
DCA Fee 3.00
Education Surcharge 0.40
Permit Fee -Add itions/Alterations 300.00
Scanning Fee 3.00
Technology Fee 1.60
Total: 313.70
Valuation: $ 1,500.00
Total Sq Feet: p
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL -5-18-67648
06/27/2018 Check #: 2394 $ 263.70 $ 50.00
05/22/2018 Check #: 2308 $ 50.00 $ 0.00
mvauaoie mspecuons:
Inspection Type:
Final
Liaht Niche
rms
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 AFFI VIT: I certify th t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an Fu er e, I authorize the above-named contractor to do the work stated.
11"?i6io lr' 1M kA)_ June 27. 2018
Au ori ed Si Iature: Owner / Applicdnt / Contractor / Agent
Build;rag Department Copy
June 27, 2018
Miami Shores Village RECEIVED
Building Department MAY 22 2918
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING Master Permit No. FWQ 16
PERMIT APPLICATION Sub Permit No. u :S c
BUILDING ELECTRIC ['ROOFING REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL []PUBLIC WORKS CHANGE OF CANCELLATION ',SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
r
Folio/Parcel#: l 2 3 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load
OWNER: Name (Fee Simple Titlehold(
Address -:1-3 l (D
City: r" \Cl`M 1 'E-AC5
Tenant/Lessee Name:
onstruction Type:
I
G Y1 i e
s 1
State: 1 c' Zip:
Zone: BFE ' FFE
l"ACk Phone#:N3-
Email:
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING
Address: 3876 NW 125 ST
City: OPA-LOCKA State: FL
Qualifier Name: FRANCISCO SANTOS
ne#: 305-688-2000
ne#:
State Certification or Registration #:
EC0001514 Certificate. of Competency #: _
DESIGNER: Architect/Engineer:
Phone#:
p:
33025
Address: City: State: Zip:
Value of Work for this Permit: $ /5'00 Square/Linear Footage of Work:
Type of Work: Addition Alteration New
II
Repair/Replace Demolition
Description of Work:
i •4 .•: R_ r . env. + e1 L•.
Specify color of color thru.tile:
Submittal Fee $ Permit Fee $
zM0
11 4' 0 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ --3 DBPR $
sd Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $ Z'
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 madelto obtain a per to do the work and installations as indicated. I certify that no work or installation has
commenced prior td the issuance of a permit and that all work will be performed to meet the standards of all laws regulatingconstructioninthisjurisdiction. 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 allapplicablelawsregulatingconstructionandzoning.
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 RECORDINGYOURNOTICE;OF COMMENCEMENT."
Notice to Applicant:, As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant mustpromiseingoodfaiththatacopyofthenoticeofcommencementandconstructionlienlawbrochurewillbedeliveredtothepersonwhosepropertyissubjecttoattachment. Also, a certified copy of the recorded notice ofcommencement must be posted at the job siteforthefirstinspectionwhichoccursseven (7) days after the building permit is issued. In the absence of such posted notice, theinspectionwillnotbeapprovedandareinspectionfeewillbecharged.
Ir
Signature V%-- Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
l day of t4CL .( 20 (S by
MGA, who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC: A
as
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 l by
FRANCISCO SANTOS who is personally known to
me or who has produced PERSONALLY KNOWN as
identification and who did take an oath.
NOTARYPUB
Seal:
4,;di
Notary Public State of Flo a Seal: Estrella GomezMyComm'G162104Expires11/21/2021
APPROVED BY. /ut Plans Examiner
Structural Review
Revised02/24/2014)
4P" Notary Public State of FloridaEstrellaGomez
W Commission GG 162104x'+
0,1% Expires 11/21/2021
Zoning
Clerk