EL-17-1541 (2)Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. EL-6-17-1541
Permit Type: Electrical - Residential
Per m' Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 7/12/2017 1 Expiration: 01/08/2018
Project Address Parcel Number Applicant
1490 NE 101 Street 1132050350030
LUMA SHORES LLC
Miami Shores, FL 33138-2613 Block: Lot:
Owner Information Address Phone Cell
LUMA SHORES LLC 3128 DOWNS COVE Road (863)557-7629
WINDERMERE FL 34786-
3128 DOWNS COVE Road
WINDERMERE FL 34786-
Contractor(s) Phone Cell Phone
SHINE ELECTRICAL ENGINEERING (305)688-2000
ype of Work: ELECTRICAL FOR NEW POOL
dditional Info: ELECTRICAL FOR NEW POOL
lassification: Residential
canning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$4.50
$4.50
$0.40
$300.00
$9.00
$1.60
$321.20
Valuation: $ 1,500.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-6-17-64272
06/09/2017 Check #: 301579 $ 50.00 $ 271.20
07/12/2017 Check #: 301578 $ 271.20 $ 0.00
In consideration of the issuance to me of this permit, I agree to
pertaining thereto and in strict conformity with the plans, drawings
accepting this permit I assume responsibility for all work done y
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDO S
OWNERS AFFIDAVIT: I cert# that/�II
construction and zoning. Rut ermor l a
Avaname ins
Inspection Type:
Final
Lioht Niche
IReview Electrical
m the work covered hereunder in compliance with all ordinances and regulations
ents or specifications submitted to the proper authorities of Miami Shores Village. In
myself, my agent, servants, or employes. I understand that separate permits are
RS, ROOFING and SWIMMING POOL work.
accurate and that all work will be done in compliance with all applicable laws regulating
mtractor to do the work stated.
July 12, 2017
Authorized Sign#ture/Owner / Applicant / Contractor / Agent
Building Department Copy
July 12, 2017 1
Miami Shores Village
RECEIVED
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
PERMIT APPLICATION
❑BUILDING W ELECTRIC ❑ ROOFING
M(OMzff
S�
Fec zo1u
Master Permit No. P) Y9 P 1-94 5.9 V
Sub Permit No. F I (� — (S11
❑ REVISION
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
JOB ADDRESS: ILA010 NE t 01 ST
City Miami Shores County: Miami Dade Zip:
Folio/Parcel#: lk- 3ZOS--- 03 --yt 3o Is the Building Historicaiiy Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): LL-C- Phone#: ''5G3 --)-(Q Z-f
Address: 31 z 5f Qo L-, 5 i o.'c V--Oa—1
City: (O i a Ler y►.e ,e State: f1 Zip: 397 1(r("
Tenant/Lessee Name:
hone#:
Email: Nna\w`q 0
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING Phone#: 305-688-2000
Address: 3876 NW 125 ST
City: OPA-LOCKA State: FL Zip: 33025
Qualifier Name: FRANCISCO SANTOS Phone#: 305-688-2000
State Certification or Registration #:
EC0001514
Certificate of Competency #:
DESIGNER: Architect/Engineer: Vs41,1.cA�n ,"� Phone#:4-Z3S-Zy35
Address: 44T'41 sw ZoGa City: 0lz.rnn j State: ��Zip: 331 f`T
Value of Work for this Permit: $ i -d 0 - 00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration LD New ❑ Repair/Replace
Description of Work: E l cc, f G-\ 0 �r QUO
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $ _
304zO rd U CCF $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
❑ Demolition
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 20
(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
Zi
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 laves 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.
Signatur
u vv Iv tK or Hut-mr-----
The foregoing instrument was acknowledged before me this
-2� day of /1�'r r ( 20 1--7 by
who is personally known to
me or who has produced as
identification and who '
V- 'y ': LENY M. HERNANDEZ
NOT Y PUBLIC: COMMISSION # FF 022108
F , oP•,.• XPIRES: Sep tuber 27, 2017
Sign:
n ' ° Thru No Public Underwriters
J11 G
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
Z- day of 1'l a `-mil , 20 17 by
FRANCISCO SANTOS who is personally known to
me or who has produced
identification and who did take
as
NO A PUBLIC: .: YORLE NYM, HERNAND
EZ
EXPCOMMISSION # FF 022108
•Fceded ThN Not"<p� U2rbervriters
Print:
Print.
Seal: , I ( J Seal:
APPROVED BY Plans Examiner Zoning
4
Structural Review Clerk
(Revised02/24/2014)