EL-19-517Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 05/02/2019
Location Address Parcel Number
Permit NO.: EL-03-19-517
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 10/29/2019
1167 NE 99TH ST, Miami Shores, FL 33138 1132050180080
i
Contacts
YOHIR AKERMAN Owner
1167 NE 99 ST, MIAMI SHORES, FL 33138
SHINE ELECTRICAL ENGINEERING Contractor
FRANCISCO SANTOS
3876 NW 125 STREET 125 Street, OPA LOCKA, FL 33054
Business: 3056882000
Inspection Requests:
Description: NEW SWIMMING POOL, DECK, HEATER, AND SPA Valuation: $ 2,500.00 305-762-4949
Total Sq Feet: 1,384.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.90
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.90
Check # 3010
05/02/2019 $111.90
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 AFFIDAVIT: I certify th�t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating coptrucon and zoning. uthermore, I authorize the above named contractor to do the work stated.
t I t� LZ *
Authorized ta re: Ow r / Applicant / Contractor / Agent Date
May 02, 2019 Page 2 of 2
Miami Shores Village RECEIVED
Building Department MAR 08 2019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 /
Tel: (305) 795-2204 Fax: (305) 756-8972 / 1
INSPECTION LINE PHONE NUMBER: (305)762-4949 (�(li
FBC 20_ S
BUILDING Master Permit No. "� 3" Ivl S I
PERMIT APPLICATION Sub Permit No. I " 03 - IG — SI
❑BUILDING !.�fl ELECTRIC ❑'ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING F-1 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑!SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
'U
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFFE: Q
OWNER: Name (Fee SimpleoTieholder): ) \ `t— Phone#:0 (1' � 1 ✓� LV
Address:
City: (T) I %D re State Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING Phone#: 305-688-2000
Address: 3876 NW 125 ST
OPA-LOCKA State: FL Zip; 33025
City: .
Qualifier Name: FRANCISCO SANTOS Phone#:
State Certification or Registration M EC0001514 Certificate. of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ �� G b Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolit) n
D scription of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ —
CCF $_
DBPR $
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
Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
commenced prior to the issuance of a permit and that all work will be performed to meet the standaApplication lis hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
rds 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 bG�approved and a reinspection fee will be charged.
Signature
Signature �
V0%WER or AGENT CONTRACTnR
The foregoing instrument was acknowledged before me this
_�11 _day of_ 20 by
who ispersonally known to
me or who has produced as
Identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:_
Seal:
APPROVED BY
(Revised02/24/2014)
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a .--,NOTARYS.
•' •,'Y�
�' ' PUBLIC
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MY COMMISSION : N
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O '•
The foregoing instrument was acknowledged before me this
':)' day of f-G'/O 20 -� `J by
FRANCISCO SANTOS -t-ow
who is personally known to
me or who has produced PERSONALLY KNOWN
as
identification and who did take an oath.
EXPIRES
N�9'• 11/01/2021.0' C
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NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
Structural Review
*:k:k
Zoning
Clerk