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EL-19-2854Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address ;D' Issue Date: Parcel Number 299 NE 99 ST, Miami Shores, FL 33138-2434 1132060134580 Contacts Permittio.: EL-11-1$ 2864 Permit Type: Electrical - Residential Work Classification: Service Change Permit Status: Approved Expiration: 06/08/2020 TREVOR & KRYSTLE HAGUE Owner TREVOR & KRYSTLE HAGUE Applicant 299 NE 99 ST, MIAMI SHORES, FL 33138 299 NE 99 ST, MIAMI SHORES, FL 33138 Other:3053934461 krysbar@aol.com Other:3053934461 krysbar@aol.com BALLAD ELECTRIC INC Contractor HENRY NIGEL Business: 7544008588 BALLADELECTRIC@YAHOO.COM Mobile: 8133626161 Description: CHANGE OF EXISTING ELECTRICAL SERVICE FROM Valuation: $ 500.00 Inspection Requests: OVERHEAD TO UNDERGROUND 305-762-4949 Total Sq Feet: 1,393.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $116.30 Payments Date Paid Amt Paid Total Fees $116.30 Credit Card 11/27/2019 $50.00 Credit Card 12/10/2019 $66.30 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 tha III foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constru a.aad-zonin�F hermore, I authorize the above named contractor to do the work stated. r Authorized Signature: Owner / Applicant / Contractor 1 Agent Date December 10, 2019 Page 2 of 2 Miami Shores Village ENTERED 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 NOV 2 7 2019 BY:XV_ FBC 20 / 7- (0k BUILDING Master Permit No. RC-4-18-984 PERMIT APPLICATION Sub Permit No. E L - I I — I q- �s`f ❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION Lj SHOP CONTRACTOR DRAWINGS JOBADDRESS: 299 NE 99th Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: is the Building Historically Designated: Yes NO x Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Trevor and Krystle Hague Phone#: 305-613-5978 Address:299 NE 99 Street City: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: NA Phone#: Email: krysbar@aol.com CONTRACTOR: Company Name: Ballad Electric Inc Phone#: (754)400-8588 Address: 4725 Monroe Street City: Hollywood State: FL Zip: 33021 Qualifier Name: Nigel Henry Phone#: ( 813) 362-6161 State Certification or Registration #: Certificate of Competency M) 4 F b b O o 2 0 DESIGNER: Architect/Engineer: Ralph Tait Phone#: 954-592-2841 Address:11820 Miramar Parkway, S 121 City: Miramar State: FL Zip: 33025 Value of Work for this Permit: $ 500.00 Square/Linear Footage of Work: 90' linear Type of Work: ❑� Addition ❑ Alteration El New ' ElRepair/Replace ❑ Demolition Description of Work: Change of existing electrical service from overhead to underground Specify color of color thru tile: Submittal Fee $ SC) � ('4 Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $. DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ // TOTAL FEE NOW DUE $ b (Revised02/24/2014) Bonding Company's Name (if applicable) NA Bonding Company's Address City State Mortgage Lender's Name (if applicable) NA 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. 1 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. l Signature (fe,Q Signature OWNER or AGENT The foregoing instrument was acknowledged beforemethis day of Nrn �%20 I by rtZfzV02 /-/AU �who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: as CONTRACTOR The f oregoing instrument Nov acknowledged before me this day of ► �Y oy 20 � � by I V 1 W l .J • n I'( whoispersonally known to me or w ss produced T L as identific tion and who diif take an oath.-I'm1111111 111111////0 \ wc�A,�FZ'�', Sign._ ra7�f :. Print: Seal: 'r :9 �� et, ^;<'. t w Seal: APPROVED BY l V. - - , ILI�IC:��\\OPY yissio R/fir VpH25,O / _r •� o _ .� •fit_ OW 287268 a G '2'O o w�":;!F nd = Q� j9'Py •J.pvblic STAM- ************************************************** Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk 00bL\r- „ D"IC7 OVERHEAD TO UNDERGROUND CONVERSION SKETCH FORM Customer Name: Daytime Phone:nta ` I � V �--- Service Address: O� ! ! l 1 � City: ! Sip: 3.1M— ' EXAMPLE INSTRUCTIONS: 1. BUILDING ADDRESS I 2. POLE LOCATION I 3, INDICATE METER ON YOUR HOME j ( ADDRESS (ex. 123) 4. EXISTING OVERHEAD WIRE TO PROPERTY (INDICATE WITH SOLID LINE) i 5. TRENCH ROUTE FOR NEW UNDERGROUND CONDUIT #3I WITH DASHED LINE, SHOW TRENCH ROUTE _ (INDICATE 1 r� FOOTAGE) a• •% j #5 ' ;' 6. STREET NAME • • • (60')i 7. INDICATE. HOW MANY UNDERGROUND RISERS ••• • 0••,•0 I ; / #4 ARE ON POLE: 0 _ (SEE FAQ #10 fdRCETAILO ..•• . •• #6 STREET NAME (ex. First St.) • • • • i • • • INSTRUCTIONS: •• •• ► 1pa) 5w, Vt r� Au35 5'-VjA- �- ____ �I •� sue. _ ; � �--- c7 1. BUILDING ADDRESS 2. POLE LOCATION 3, INDICATE METER ON YOUR HOME 4. EXISTING OVERHEAD WIRE TO PROPERTY (INDICATE WITH SOLID LINE) 5, TRENCH ROUTE FOR NEW UNDERGROUND CONDUIT (INDICATE WITH DASHED LINE, SHOW TRENCH ROUTE FOOTAGE) 6. STREET NAIViE 7. INDICATE HOW MANY UNDERGROUND RISERS ARE ON POLE:0_ (SEE FAQ rr10 FOR DETAIL) hgA-=-1f E D- '�F-pT I — I r T ;n rr,lr�l., �Nc,F -;I r-a A! El hN, MIAMI SHORES VILLA( PUBLIC WORKS REVI APPROVED CM DAT �� PAYMENT COUPON /4115006400596800061273180019627490000065149 Your payment may be eligible to be paid online. Visit Cust. No.:6800061273 Bill No.:1800196274 www.fpi.com/construction to learn more. You can also mail a check Payment Due Upon Amount Due payable to FPL in USD to the FPL address listed below right. Please Receipt This Bill mail the top portion of the coupon with your check. $ 651.49 Reference# D00009009866 TREVOR HAGUE 299 NE 99TH ST FPL MIAMI SHORES FL 33138 General Mail Facility Miami FL 33188-0001 --------------------------------------------- Please retain this portion for your records. Florida Power & Light Company Customer Number: Federal Tax Id.#: 59-0247775 Customer Name and Address Reference Number: TREVOR HAGUE Bill Number: 299 NE 99TH ST Bill Date: MIAMI SHORES FL 33138 CURRENT CHARGES AND CREDITS Customer No: 6800061273 Bill No: 1800196274 Description OH TO UG CONV/299 NE 99TH ST For Inquiries Contact: Piacquadio, Miguel (305) 626-2794 6800061273 • • •• • D00009009866 1800196274 •.•••• 08/26/2019 ��•� • • •••••• • • • • • • • •• • Amount 651.49 Total Amount Due $651.49 Payment Due Upon Receipt • to • • . ••• 1800196274 1 of 1 1� 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 SMo �'---I REQUISITION ON STOREROOM WO soosess or EJ �— -'1 MATERIAL RETURNED MEMO WT �— PAYMENT PAID YES XL.J CUSTOMtn REOUIREDREOUIRED NO ❑ NAME INSTRUCTIONS TO PICK UP @ WEO - 6195 NW 82ND AVE STOREROOM SYMBOL I LOON CODE NEO 875 TRUCK NO DATE PREPARED PREPAREDBV 8/2612019 Miguel Piacquadio t"`AT'°"°�'°� OH TO UG CONV - 299 NE 99TH ST APPROVER (PRINT Miguel Piacquadio TRANSM;T L BATCH MONTH DAY NUMBER PROJECT --- Miguel Piacquadio PHONE 3056262794 ROS I ACCOUNT TRANSFER � 11 MR / ACCOUNT TRANSFER 012 RUS / STURES COUNT ❑19 SLR DESCRIPTION ACCOUNT DISTRIBUTION M S S NO. Unit of Issue QUANTITY S L I COST IWR Account No. Loc'n Actual Issue IWR ER Code CLASS ITEM CD UNIT TOTAL 2" PVC -SCHEDULE 40 9009866 875 164 133100 6 FT 100 . Its 2" 90° 24" R BEND SCHED 80 9009866 875 164 23890 0 EA 2 • + • • • • • `• 2" 90' 24" R BEND UX 611 9009866 875 164 23800 6 EA • • • • • • 2"90* 36"R BEND 9009866 875 164 123901 11 EA I• • • • • • • • • • • 2"45* 36"R BEND 9009866 875 164 123945 21 EA I• • • • • • • 2" 45* 24"R BEND 2" PVC COUPLING z^ PVC PLUG 9009866 9009866 9009866 875 875 875 164 164 164 23900 47000 54800 2 61 51 EA EA EA 0 2 • goes • Is • • • : ' • • • Is "' • • • i PVC CEMENT 9009866 875 522 WOO 7 EA i TWINE - PULL STRING 9009866 875 542 21800 5 EA 2 • • • FI 2" ADAPTER BOOT 9009866 675 164 166300 9 EA • • • • 6" PVC -TYPE DB 9009866 874 164 134000 5 EA • • • • • • • 15' PVC - TYPE DB 9009866 875 164 33800 1 EA • • • 5' 90 36"R BEND 9009866 875 164 25250 5 EA i 5' 90 48"R BEND 9009866 875 164 25200 9 EA i 5' 45 48"R BEND 9009866 875 164 61400 8 EA 5' 22 12.5'R SWEEP 9009866 875 164 13000 1 EA S 5" 5 BEND SEGMT 9009866 875 164 56100 1 EA 15' PVC COUPLING 9009866 875 164 44900 7 EA ) 5" PVC PLUG 9009866 875 164 53500 1 EA I CONCRETE PAD 9009866 875 162 24800 4 EA t 5" ADAPTER BOOT 9009866 875 164 66810 8 EA 3 5' U-GUARD (10') 9009866 875 164 66510 9 EA 1 17" HANDHOLE W/ COVER 9009866 875 162 30400 1 EA 5 24" HANDHOLE W/ COVER 9009866 875 162 12000 8 EA 5 EMD FULL RANGE MARKER 9009866 875 590 61601 5 EA 7 6" 45 60"R BEND 9009866 875 164 61500 4 EA FLINECT. s 6" PVC COUPLING 9009866 8751 164 45000 5 EA D 6" PVC PLUG 9009866 875 164 53600 7 EA D 48" HANDHOLE W/ COVER 9009866 875 162 12100 4 EA LOCATION MATERIAL PLACED TOTALS QUANTITY MATERIAL RECEIVED CUSTOMER SIGNATURE LINE CT. CK I CK CVCKT AU I UAL liiue Yunn III 1 11 "1"