EL-18-3210Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:10/24/2018
Location Address Parcel Number
1490 NE 101ST ST, Miami Shores, FL 33138 1132050350030
Contacts
Permit NO.: EL-10-18-3210
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 04/17/2019
LUMA SHORES LLC Owner SHINE ELECTRICAL ENGINEERING Contractor
3128 DOWNS COVE RD, WINDERMERE, FL 34786 FRANCISCO SANTOS
Other: 8635577629 MALLEGRE@ME.COM 3876 NW 125 ST, OPALOCKA, FL 33054
Business: 3056882000
Description: NEW POOL TO REPLACE EL17-1541 Valuation: $ 1,500.00 Ins ecdon Requests:
305-762-4949
TotalSq Feet: 374.00
Fees
Amount
Application Fee - Other
$50.00
Permit Fee
$100.00
Total:
$150.00
Payments Date Paid
Amt Paid
Total Fees
$150.00
Check # 2609 10/24/2018
$100.00
Check # 2595 10/19/2018
$50.00
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 t# foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating cons tru i n a zoning. uther ore, I authorize the ibove named contractor to do the work stated.
/ 7 /o I Z 11 11 fr
Authorized SigkiaVe: Owner / Applicant / C/Ontradtor / Agent
Date
October 24, 2018 Page 2 of 2
�- Miami Shores Village RECEIVED
OCT 19 1018
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 Q ELECTRIC ❑ ROOFING
FBC 201=* _ 32dV2--)
Master Permit No. BPP 11rr,,
Sub Permit No. ELF N
16 —3Z
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1490 NE 101 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3205-035-0030 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): LUMA SHORES LLC
Address:3128 DOWNS COVE RD
hone#: 863-557-7629
City: WINDERMERE State: FLORIDA Zip: 34786
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING
Address: 3876 NW 125 ST
City: OPA-LOCKA State: FLORIDA
Qualifier Name: FRANCISCO SANTOS
EC0001514
Phone#:
Phone#: 305-688-2000
Phone#:
State Certification or Registration #: Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
Zip: 33054
Address: City: State: Zip:
Value of Work for this Permit: $ S Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alterat-;-o
r�❑nNew r n El Repair/Replace❑ Demolition
Description of Work: 1 W IQ L1 eA — 7u U I
ELECTRICAL FOR NEW POOL
Specify color of color thru tile:,
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $ ,� m CCF $_
Radon Fee $ DBPR $
Training/Education Fee $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(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 A�l
OWNER or AGENT
The foregoing instrument was acknowledged before me this
19 day of OCTOBER 20 18 by
MARC ALLEGRE who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY P
L
Signatu
CONTRACTOR
The foregoing instrument was acknowledged before me this
19 day of OCTOBER 20 18 by
FRANCISCO SANTOS , who is personally known to
as me or who has produced
identification and who did take an oath.
as
A? •.
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Seal: �i�••.• �•: 04��9� Seal: i•.• Off`
OIL \```` Z/0.•STAO %N%%```
111111111/
APPROVED BY ,,XZlg-e--�J,6'Plans Examiner Zoning
iELIA Go-4 /// NOTARY PUBLIC:
kELLA •
odSSlop- �
p i
41
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#GG 182101 � �5rint•
(Revise d02/24/2014)
Structural Review Clerk