EL-17-485Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
�ORtDA
Permit No. EL-2-17-485
Permit Type: Electrical - Residential
Per[ iot
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 9/15/2017 1 Expiration: 03/14/2018
Project Address Parcel Number Applicant
710 N E 93 Street 1132060141470
Miami Shores, FL Block: Lot: PAUL CALLI
Owner Information Address Phone Cell
PAUL CALLI 710 n. e. 93 st. (305)401-8994
Contractor(s) Phone Cell Phone
ATLANTIS ELECTRICAL CORP (305) 551-4043
of Work: NEW ELECTRICAL AT EXPANDED BEDROOM
itional Info:
ssification: Residential
nning: 1
Fees Due
Amount
CCF
$1.80
DBPR Fee
$3.38
DCA Fee
$3.38
Education Surcharge
$0.60
Permit Fee - Additions/Alterations
$,225.00
Scanning Fee
$3.00
Technology Fee
$2.40
Total:
$239.56
Valuation: $ 2,500.00
Total Sq Feet: 403
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-2-17-63065
09/15/2017 Credit Card $ 239.56 $ 0.00
Inspection Type:
Final
Meter Box
Keiocation
Fire Alarm
Service Change
Review Electrical
Underground
W. W.
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 AFFIDIT: 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 4oing. Futhermore, I authorize the above -named contractor to do the work stated.
September 15, 2017
Authored Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
September 15, 2017 1
Miami Shores Village RECEIVED
Building Department FEB 24217
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 EVELECTRIC ❑ ROOFING
FBC 20ILA S'L\
Master Permit No.
Sub Permit No. ��I -7 �� S
❑ REVISION ❑ EXTENSION [:]RENEWAL
PLUMBING ❑ MECHANICAL Ej PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: '—I IO NE 43 Satre- -1
City: Miami Shores County: Miami Dade zip: 3313ii
Folio/Parcel#: I I�'LI.ni-Li iuo Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Bw A. 0 ra lit Phone#:'-,05 -L401• SggN
Address:'1tfJ N15 q3 S fe-4
City: Mia(Y11 SHor G--, State: L Zip: 38 8
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: A -I Ia&'s F-tw-WICA Core Phone#:-1'2(p-901s- l0-1610
t
Address: ��-�O�_ �_ \�1 2� T�rYac_e. _ i
City: M\Qn,\ State: L Zip: 33)Y
Qualifier Name: �iDir(�Isc� �fXli2_ Phone#:-1Q(a--3o1'5.061
State Certification or Registration #: CCI300 lei 1�A Certificate of Competency #:
� ��5' r7 Si 77, rchittt/Engineer:DESIGNE Phone#:e
Address: `3 fA�i: c1 2- StVI/IStT City: M-/ t Fit+4%{State: Zip: 3 71.3
�(
Value of Work for this Permit: $ Square/Linear Footage of Work: "-to 3
Type of Work: ❑ Addition Iteration ElNew ElRepair/Replacepllace ElDemolition
Description of Work: JV6,,,�
1 �/a-� /aT tKl%�i�ANN� i ,�
Specify color of collpr thru tile:
Submittal Fee $ Permit Fee $ 7-,,ZjC-1 D CCF $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
or
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
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.
e
Signature
_ �rdYl
OWNER or AGEN
The foregoing instrument was acknowledged before me this
dayof
W av LmloC r , 20 1 ko_, by
po"Ak PR. ce,\�% , who is personally known to
me or who has produced bL On -%Uas
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Signature Q1
CONTRACTOR
The foregoing instrument was acknowledged before me this
I'Z_ day of N Dyennlbi-t- 20 16 by
1'�QnUSf_ o PGrez who is personally known to
me or who has produced DL cr, G as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal: yr: Commission # FF942611 Seal:
Expires: December 9, 2019
Bonded thru Aaron Notary
********************************************************************
APPROVED BY /G /�'/ ��� Plans Examiner
Structural Review
I'= Commission # FF942611
"- Expires: December 9, 2019
Bonded thru Aaron Notary
*************************************
Zoning
Clerk
(Revised02/24/2014)