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EL-20-103Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 issue Date: 01/24/2020 Location Address Parcel Number 960 NE 95TH ST, Miami Shores, FL 33138 1132050070130 Contacts Permit NO.: EL-01-20-103 Permit Type: Electrical - Residential Work Classification: Temp for Test Permit Status: Approved Expiration: 07/22/2020 PAUL WEIMER Owner MOODY ELECTRIC INC Contractor 960 NE 95 ST, MIAMI SHORES, 33138 JOHN MOODY 3812A N 29 AVE, hollywood, FL 33020 Business: 3057582000 barney@moodyelectric.com Description: 30 DAY TEMPORARY ELECTRIC SERVICE Valuation: $ 150.00 Requests: Inspection 305-4949 Total Sq Feet: 0.00 11 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 01/24/2020 $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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construefi n and zoning. Futhermore, I authorize the above named contractor to do the work stated. Owner / Applicant / Contractor / Agent Date January 24, 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 ❑BUILDINGELECTRIC ❑ ROOFING ENTERZD JAN 16 2020 �Yz FBC 2011- Master Permit No. aO- -" (JJ - 2 Sub Permit No._ L- 0 k - 2-0 ` l C)3 ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ` C4� City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: //J 02 Z-S i3 C) Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): \ a, C�(/ �E� Phone#: Address10c /1%� 2s= CET_� _t City: AAA "L- ti ' �{(Oq_E5 State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: %� City: Phone#:"J.,/Odd �L� • Zip: '9 Qualifier Name: -_/4211A) -/ /'!� Phone#: State Certification or Registration #: DGt^J Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: Staie: Zip: /� Value of Work for this Permit: $ ` 5 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: t Spe�* color of color thru tile:, Submittal Fee $ ~4 "" Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $_ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ � 16 ' 30 (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 sevet*(7) days after the building permit is issued. In the absence of such posted notice, the inspection will not bVapproved and a reinspection fee will be charged. Sign OWNER or The foregoing instrument was acknowledged before me this day of a A►' 20 20 by L w o personally known _q Gm or who has produced as identification and who did take an oath. Signatu Lj:; CONTRACTOR The foregoing instrument was acknowledged before me this day of J QJ3 U 20 -If) by Jobn Jo o is personally known tom. _Me -or who has produced t b9 identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: —:T� Sign: Sign: Print: � U'�� ('/ �Q Print: ft� Seal: Seal: kBY4 F47Z-A4�� APPROVED Plans Examiner Structural Review RE8KA MUNOZ Notary Public - State of Florida Commission tf GG 366700 My Comm. Expires Sep 8, 2023 Bonded through National Notary Asw ********************************** Zoning Clerk (Revised02/24/2014) Building MIAMFDiADE 11805 SW 26th Street Miami, Florida 33175-2474 786-315-2100 I miamidade.gov AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE ELECTRICAL CATEGORY 26 ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED OR CERTIFICATE OF OCCUPANCY OBTAINED. P'I�A�1 sift � It is understood that the temporary electrical approval by the Miaff444a4e•-Buildin Department is given in connection with the building being constructed under the Building Permit # - �- - and Electrical Permit# at address for owner: AL,_( and is being given only for construction purposes or for testing the following equipment in said structure: 40— The owner does hereby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the Building Official and will be disconnected if the building concerned is occupied before final inspections are approved and/or a Certificate of Occupancy or Completion is obtained. t being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and/or obtained a Certificate of Occupancy or Completi n. No : Failure th comply with the provisions of this affidavit wi I result in your be in unable to obtain future mpo f r st permit natur of Owne�7�1`laea2lv, Signa ure of Notary MyC`ommissionExpires:�t!'i,���t 3� I, �JQX AIbeing duly sworn, depose and say that I am the Electrical Contractor for the above -described property and thaf the electrical installations as now existing will jLgLjWAt�La_safety hazard if to aq service is c nnected. �'jr'd"•..• REBECAMUNOZ otary Public - State of Florida �• Commission x GG 366700 Signature of Electrical Contractor Signature of ary "So ded hrough Nat ai eP fn. My Commissi n Expire I, being first duly sworn, depose and say that I am t e Building Co tractor of the above described property and that I will not permit occupancy of this building until final inspections have been called for by the contractors and sub -contractors concerned and final approval by the inspection division obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy until such final inspections are obtained and/or a Certificate of Occupancy or Completion is issued. Signature of Building Contractor Signature of Electrical Inspector 123_01-124 6/06 Signature of Notary My Commission Expires: Date: Date released to FPL: �s�'"�Q"��� SANDRA OTERO MY COMMISSION k GG276021 orc d� EXPIRES. November 13, 2022