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EL-19-1442Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Ir�"i f�f1JIJfL Issue Date:10/15/2019 Parcel Number 304 NE 105TH ST, Miami Shores, FL 33138 1121360130070 Contacts Permit No.: EL-06-19-1442 Permit Type: Electrical - Residential Work Classification: Pool Permit Status: Approved Expiration: 04/13/2020 ROCCO MARANDO Owner 304 NE 105 ST, MIAMI SHORES, FL 331382022 roccoml3@aol.com LONGMAN ELECTRIC INC Contractor MICHAEL LONGMAN 95 NE 166 ST, Miami, FL 33162 Business: 3057581211 longmanelectric@bellsouth.net Description: POOL ELECTRICAL Valuation: $ 1,500.00 1305-762-4949 Inspection Requests: TotalSq Feet: 450.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.10 Building Department Copy Payments Date Paid Amt Paid Total Fees $111.10 Credit Card 10/15/2019 $111.10 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 recMirq for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. FMAVIT: I certify that all thpoMfegoing information is accurate and that all work will be done in compliance with all applicable laws nstruction ; zoning. Futhety I authorize the above named contractor to do the work stated. rized Signature: Owner / Applicant / Contractor / Agent Date October 15, 2019 Page 2 of 2 Miami Shores Village 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 FBC 201� BUILDING Master Permit No.T� f —c)L _jq ^jq4 I PERMIT APPLICATION Sub Permit No. iZ(_-Cj<D'1cl - HLiz ❑BUILDING X ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 304 N l City: Miami Shores County: Miami Dade Zip: 3 Folio/Parcel#: % k 2-0,11L% "' b \ ' GC- 10 Is the Building Historically Designated: Yes NO ✓ Occupancy Type:_ Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Rnec c H A 2arj i>y Phone#: V - SY 7 Address: j o 5 City: 'H� •'�'1 'S fl,.� G; , r State: Ji-C, Zip: 3 Tenant/Lessee Name: Phone#: Email: HOC' C, /A j h L r CONTRACTOR: Company Name: Address: v/ 5_ /Vc i City: W1.4 Qualifier Name: X x/ G /'k L ne#: 36-- 7,5 - it, rG Zip: z e#: State Certification or Registration #: �/ 04V7 / l 7 Certificate of Competency #: DESIGNER: Architect/Engineer: Ibmwyk _-��r (A Atj Phone#: 5 G 2 Address: LL S :1 k W A -A 2 C -, I de- ti if City: tcic.n %3 State: Zip: 3 3 ' L � Value of Work for this Permit: $ S i7 Square/Linear Footage of Work: q S l7 jz �- Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: :Pnn L '�f" rt' c t i C L-- , )u r' � �-L- Specify color of color thru tile: Submittal Fee $ 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 $ I (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 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 /2/— k�� 6� — OWNER or AGENT The fore oing instrummeent was acknowledged before me this day of _ ly t�'�i . 20� by � c h who is personally known to me or who has produced � ' (V I�L— as identification and who did take an oath. NOT Sign Print Seal Signature 9Z CONTRACTOR The foregoing instrument was acknowledged before me this day)of �/ G���1Z �r 20 /9 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: ,pl'N Notary Pubk slate of Florida Micheue Perez MY Commission GG 084089 p Expires 04108=21 APPROVED BY �5oYl r/Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)