EL-18-2039Kevin O'Connor
1520 NE 103rd Street
4
. QP.
Exisitng panel
120/240 volt
Boat Lift
Controller
20
4412 THHN wire
GFCI
Motor
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ELECTRICAL REYJEW
APPROVED DATE
Longman Electric Inc.
EC 13003713
95 NE 166th Street
Miami, FL 33162
Kevin O'Connor
1520 NE 103rd Street
Exisitng panel
120/240 volt
20
Longman Electric Inc.
EC 13003713
95 NE 166th Street
Miami, FL 33162
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Motor
ELECTRICAL REVIEW
APPROVE
�ATE,._----
Miami Shores Village RECEIVED
Building Department JUL 312018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
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FBC 2on
BUILDING Master Permit No � kA<.I y -?x3 fa
PERMIT APPLICATION Sub Permit No. F'l_I y-203`1
❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I S' ? V (C t t O 7 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: ((- 3a� ,-- O 31— a Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �W`'� 0/ �UM'w� Phone#:
Address: [5"c1d W / v 3 S'r
City:State: /CI Zip
Tenant/Lessee Name:
Email:
CONTRACTOR:: Company r�N/ame:
Address: `Y ,7 / V F—
,33 ew
3o5--7 5,$ —ZA G/
City: M l "ry /V)-/ ` State: Zip: J �P
Qualifier Name: M ! C- e -T./f Phone#: 36,
State Certification or Registration #: 7 ` 3 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City:
Value of Work for this Permit: $ T Square/Linear Footage of Work:
Zip:
Type of Work: ❑ Addition -1 Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: e"y / ec [ Cj,� 1 �L eon bro � nj d"IK
Specify color of color thru tile;
Submittal Fee $ 5 •QD4 Permit Fee $ rfm/Dl> CCF $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CO/CC $
Notary $
Double Fee $
Bond S // p�
TOTAL FEE NOW DUE $ VJV �C-tiJ
(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 wil&n6approvedand a reinspection fee will be charged.
Signature Signatu
OWNE NT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of ��� �� , 20 by
Yl gt �ho is personally known Abe
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: /
Print: 'V%J -P v1A
Seal
• : ••,, NAYAIARA FUENTES
4 My COAMWAM t FF 210714
EXPIRES: July 10, 20ig
Bonded Thru Notary Pubk Urge, .tiers
The foregoing instrument was acknowledged before me this
P day of Tun e— 20 by
M l j' �i e. t L nn 6m who ism sonally kno o
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal: Ow Notary Public SEMa of Florida
MICWIe Perez
My Corronlasion GO 084089
o, E*m 04/08/2021
*s*sssssssssssssssss*s*s**s��syysssssss*sssss*ssssssssssss*ss**ssssssssssssssss*ssss**ssssssssssssssssss*sss****
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)