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EL-19-2981Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 flj Issue Date: 01/07/2020 Location Address Parcel Number 165 NW 96TH ST, Miami Shores, FL 33150 1131010250130 Contacts Permit No.: EL-12-19-2981 Permit Type: Electrical - Residential Work Clossifaccadon: Alteration Permit Status: Approved Expiration: 06/ 16/2020 LISETTE JACOBO Owner NOVOA ELECTRICAL CONTRACTOR Contractor 165 NW 96 ST OSVALDO MONIER Home: 3055099474 6625 SW 79 ST, S MIAMI, FL 33143 Business: 7862874220 NOVOAELECTRIC@YAHOO.COM Other: 3058242858 Description: INTERIOR AND EXTERIOR LIGHTS Valuation: $ 300.00 Inspection Requests: 30 -ectiti4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $110.30 Building Department Copy Payments Date Paid Amt Paid Total Fees $110.30 Credit Card 01/07/2020 $110.30 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 AFFID : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constr c n anqz6hing. Futhermore, I authorize the above named contractor to do the work stated. Authorized SignaKre: Owner / Applicant / Contractor / Agent Date January 07, 2020 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 BUILDING PERMIT APPLICATION ❑BUILDING ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: St a DEC, �g� 19 FBC 20h Master Permit No. WJ 09 •. .2 1(/,S-- Sub Permit No. I I % �d/ ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: '3IJy Folio/Parcel#:1/3 10 16 ZSo13c� Is the Building Historically Designated: Yes NO Occupancy Type:4oad: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Z /�-Q77'4— d a'e'o6o Phone#: Address: /(05' ZULL) City: /77/~/ StfUrGE3 State: PL Zip: 3%ice Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: r)1 7 1 /VW "u St IM City: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ 3Db one#: 301Y- /42,-56 State: 1_ ( . Zip: Certificate of Competency #: City: Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ElDemolition Description of Work: /rn-'PR. e'1A eple✓ the h ['ds . Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee $ Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ k I O ' 3O 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 reinspection fee will be charged. 4N-A-k 0;\r LN� Signature OWN or AGENT The foregoing instrument was acknowledged beforemethis day of 1-2CJt.M\0QVL 20 j'1 by who is personallyknown to me or who has produced P tQ '4x A/ as identification and who did take an oath. NOTARY PUBLIC: Sign: 1 . 1/,fnt Print- apt. oB;,. UEL A. SCARBOROUGH Seal: �a -r ` Notary Public -State of Florida Commission c GG 347361 of My Comm. Expires Oct 18, 2023 Bonded through National Notary Assn. Signature CONTRACTOR The foregoing instrument was acknowledged before me this 167 day of (^p1✓I 6-ell 20 , by who is personally known to me or who has produced Ai561b �M �_'OoLU as identification and who did take an oath. NOTARY PUBLIC: Sign: Seal: ANA MARIA MUNOZ MY COMMISSION k GG199201 EXPIRES: March 21, 2022 APPROVED BY j****************^***********//****************************************************** �! &i C l "�" �%2. �©� Plans Ex a mer Zoning Structural Review Clerk (Revised02/24/2014)