EL-19-275Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 02/07/2019
Location Address Parcel Number
1260 NE 94 ST, Miami Shores, FL 33138 1132050100180
Contacts
Permit NO.: EL-02-19-275
Permit Type: Electrical - Residential
Work Classification: New
Permit Status: Approved
Expiration: 08/06/2019
MARIA ANDREINA MARTINEZ Owner MARIA ANDREINA MARTINEZ Applicant
1260 NE 94 ST, MIAMI SHORES, FL 33138 1260 NE 94 ST, MIAMI SHORES, FL 33138
Other:3054391663 Other:3054391663
LONGMAN ELECTRIC INC Contractor
MICHAEL LONGMAN
844 NE 98 ST, MIAMI SHORES, FL 33138
Business: 3057581211
Description: ELECTRICAL FOR THE REPLACEMENT OF 1 AC UNIT Valuation: $ 1,800.00 Inspection Requests:
4949
AND THE INSTALLATION OF 1 NEW ONE. TO REPLACE EL
17-2737 Total Scl Feet: 0.00
Fees
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
]Amnt
Permit Fee
Scanning Fee
Technology Fee
Total:
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$116.10
Credit Card
02/07/2019 $116.10
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 required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
:hermore. I authorize the above named contractorlto do the work stated.
M&Z����%?i2�
Signature: Owner ! Applicant / Contractor / Agent
q:C--b —1
Date
February 07, 2019 Page 2 of 2
Miami Shores Village
RECEIVED
Building Department FEB 072019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 c"
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20q
BUILDING Master Permit No. M C I _ - use
PERMIT APPLICATION Sub Permit No. E ( P w Z =�S
❑BUILDING X
LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1 � �v IT 6 "''•
City: Miami Shores County: Miami Dade Zip: 00
Folio/Parcel#: I —'3//��`~ old r 9/ y� Is the Building Historically Designated: Yes NO �L
Occupancy Type NG Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):,Iy N 14/�f 119` A"14 MA�1N��Phone#: A 1779 -0,! 7
Address:: 101P0� 7N9/ qq-M 5 2
City: fy� I 1 06,!� State: _rL__ Zip:
Tenant/Lessee Name:
Email: Gi odre
'4114
d
CONTRACTOR: Company Name:
Address: ' /"�/ 1'
City: M l N/vl /
Qualifier Name: '4 1a
Amu Il • G0k2!
S
State:
ne#:
one#:
State Certification or Registration#: �G) �l'��7 � 3 Certificate of Competency #:
�/ _
DESIGNER: Architect/Engineer: �" Phone#:
Address: City:
Value of Work for this Permit: $ 1 A43ad Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑new Repair/Replace
Desc 'ption of Work:
Specify color of color thru the:
Submittal Fee $
Scanning Fee $
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
Kip:
ADS �.� • �Z ! i
Zip:
❑ Demolition
'(1, A 16aweCcu.-?
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $ I `�
TOTAL FEE NOW DUE $ 1 l
(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 will not be approved and a ffinspection fee will be charged.
NER orAGENT
The foregoing instrfiment was acknowledged before me this
kt)day of /�, 2� " 1 by
M Y G TZ—
�" I Q ��pp � isrpeers,�o-n�alllyfkknown to
me or who has produced H I (-Q ' ;Z as
identification and wh
MAHARAI K. GONZALEZ
4NOTARYBLIC:MY COMMISSION # GG 044602EXPIRES: November 2, 2020Bonded Thru Notary Public Underwriters
Seal:
Signature r-- —
CONTRACTOR
� �
egoing instrum it was acknowledged before me this
day of 20 `� by
Rickel f who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Jef Notary le c elate of Fbrida
Michelle Perez
.p• My Commission GG 084089
or tea" Expires 04/08/2021
*******************************************************
APPROVED BY
Plans Examiner
*****************
Zoning
(Revised02/24/2014)
Structural Review
Clerk