EL-20-314Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
F�-) @ I F� ri
Issue Date: 02/14/2020
Location Address Parcel Number
1490 NE 101ST ST, Miami Shores, FL 33138 1132050350030
Contacts
LUMA SHORES LLC Owner
Marc Allegre
3470 East Coast Ave East Coast Ave 1413, Miami, FL 33137
Business: 8635577629 MALLEGRE@ME.COM
Mobile: 8635577629
Home: 8635577629
Other: 8635577629
Permit NO.: EL-02-20-314
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 08/12/2020
SHINE ELECTRICAL ENGINEERING Contractor
FRANCISCO SANTOS
3876 NW 125 STREET 125 Street, OPA LOCKA, FL 33054
Business: 3056882000 ahuezo@shinneelectric.com
Inspection Requests:
Description: NEW POOL.
TO REPLACE EXPIRED PERMIT
Valuation:
$ 2,500.00
305-762-4949
EL-10-18-3210
Total Scl Feet:
0.00
Amt Paid
Payments
Date Paid
Fees
Amount
50% Renewal Fee
$75.00
Total Fees
$75.00
Check # 3530
02/14/2020
$75.00
Total:
$75.00
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 ce
regulating construction an"c
Authorized Signature
that all t e fore ing information is accurate and that all work will be done in compliance with all applicable laws
6uther ore, thonze the above ame contractor to do the work stated.
�� a
77
/ Applicant / Contractor / Agent Date
February 14, 2020 Page 2 of 2
�- Miami Shores Village RED
BUILDING
PERMIT APPLICATION
❑BUILDING ELECTRIC
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
FLU
BY:
PAA
FBC 20PA l
1 Master Permit No &' 1 W-1q -,3� Ob
E`% `� — `— � 34 Sub Permit u,8 L 10 - I
❑ ROOFING ❑ REVISION ❑ EXTENSION 'RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ` ` v NE l c)k v A
City: Miami Shores 2 County: Miami Dade Zip: ,�O
Folio/Parcel#:, Oao , I , C �.�1_JJQ Is the Building Historically Designated: Yes NO
Occupancy Type: QPS Load: Construction Type: POA10 Flood Zone: BFE: FFE::"
C
OWNER: Name (Fee Simple Titleholder): U✓ ' l�v SY \� �S Phone#:gu�
Ad
City: � 4 �� n C State:
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name
Address: M-1 U N
oc-, C+ ('t
9-SA
one#:
Phone#<2vs ( 0 0 ';� oo C)
City: UJC.i ' t--v'i State: % � Zip: �y�:I
Qualifier Name: f (X�� C\�S C'J �t d Phone#(:a��- l /JZ '�Ocx�:)
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer:
one#:
Address: City: State
Value of Work for this Permit: $ (—1 1 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 5z New ❑ Repair/Replace
Description of Work:
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
Zip:
❑ Demolition
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 occ rs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved ani a reinspection fee will be charged.
Signature / V - — V _ Signature /
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
1t day of f �Y 20 � `0 , by
6Y12fC H Y who is personally known to
me or who has produced t(��` as
identification and who did take an oath.
NOTARY PU
The foregoing instrument was acknowledged before me this
day of t re
20 -0 by
_Fy_(_AC,\oT��1CZSmia+4b s personally known to
me or who has producedas
identification and who did take an oath.
NOTARY PU
Sign: v Sign:
Print: aim Print:
Seal:I fNOW le � Seal: ILOL/tWtl a��dxy
91
i�a ExpltM 11/p114041 p "NOi
Sa
APPROVED BY _ &2��U Plans Examiner Zoning
Structural Review Clerk
(Rev1sed02/24/2014)