EL-19-1120Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
LrLif Ln`n�iii?
Issue Date: 05/21/2019
Location Address Parcel Number
98 NE 103RD ST, Miami Shores, FL 33138 1132060131570
Contacts
Permit NO.: EL-05-19-1120
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 11/18/2019
Gonzalo Rey Owner SHINE ELECTRICAL ENGINEERING Contractor
98 NE 103 ST FRANCISCO SANTOS
3876 NW 125 STREET 125 Street, OPA LOCKA, FL 33054
Business: 3056882000
Description: ELECTRICAL FOR POOL Valuation: $ 2,500.00 Inspection Requests:
TotalSq Feet: 712.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.90
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.90
Check # 3027
05/21/2019 $61.90
Check # 3024
05/16/2019 $50.00
Amount Due:
$0.00
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 the foregoing information is accurate and that all work will be done in compliancewith all applicable laws
regulating constru do and oning. Futhe more, I authorize the above named contractor to do the work stated.
Authorized S gnat e: Owner / Applicant / Contractor / Agent Date
May 21, 2019 Page 2 of 2
C JIF—D
Miami Shores Village
�p\ 7MAY 19
Building Department
GJ g
sY:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
\� Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
�FpBC 20
BUILDING Master Permit No.`s p OS—)
Iq
- (00
PERMIT AP PLI ATION Sub Permit No. ,—b�'M — 02,0
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
JOB ADDRESS: 177 N C 10 3 S_T_
DRAWINGS
City: Miami Shores County: Miami Dade Zip: -�3 /30
Folio/Parcel#: Z O (a 0 \ �; ) S_ L Is the Building Historically Designated: Yes NO
Occupancy Type: � Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): l9 o A -7 a." Phone#:
City: IM ( ay" I State:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING
Address: 3876 NW 125 ST
305-688-2000
City: OPA-LOCKA State: FL Zip:
Qualifier Name: FRANCISCO SANTOS Phone#:
State Certification or Registration #: EC0001514 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
33025
Address: City: State: Zip:
Value of Work for this Permit: $ 2� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ `Alteration aNew ❑ Repair/Replace ElDemolition
Description of Work: fie(. 'C.� I 1�(s y� � i 00 k-
Specify color of color tpru tile:
Submittal Fee $ I Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
DBPR $
Notary $,
Double Fee $
Bond $
TOTAL FEE NOW DUE $ tU 1
(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
commenced prior to the issuance of a permit and that all work will be performed
Application Is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
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
OWNER or AGENT
The foregoing instru ent was acknowledged befor me this
da of \
('^ � 20 by
`0rJ who is personally known to
IM
me or who has produced `\ as
Identification and who did take an oath.
NOTARY PUBLIC:
Sign: ooV
Print:
Seal:
t?�
***********
APPROVED BY
(Rev1sed02/24/2014)
Notary Public • State of Florida
Commission # GG 304504
My Comm. Expires Feb 21. 2023
ed through National Notary Assn.
Signature
CONTRACTOR
The foregoing instrument was acknowledged before a this
t day of 20 by
FRANCISCO SAN S who is personally known to
me or who has produced PERSONALLY KNOWN
as
identification and who did take an oath.
NOTARY PUBLIC:
Print: %
WEN R01
Seal: :._�°��: Notary Public • State of F orida
Commission = GG 304504
oFA My Comm. Expires Feb 21, 2023
Bonded through National Notary Assn.
S 1 1 ` I I 1 - Plans Examiner
Structural Review
Zoning
Clerk