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EL-17-1661�SNOR;S L,� " Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 FCort Phone: (305)795-2204 Permit NO. EL-6-17-1661 Permit Type: Electrical - Residential Perlill't Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 6/30/2017 ] Expiration: 12/27/2017 Project Address Parcel Number Applicant 89 NE 102 Street 1132060131690 Miami Shores, FL 33138-2322 Block: Lot: PALOMA TEPPA Owner Information Address Phone Cell PALOMA TEPPA 89 NE 102 Street MIAMI SHORES FL 33138-2322 89 NE 102 Street MIAMI SHORES FL 33138-2322 Contractor(s) Phone Cell Phone SHINE ELECTRICAL ENGINEERING (305)688-2000 of Work: ELECTRICAL INSTALLATION FOR KITCHEN itional Info: ELECTRICAL INSTALLATION FOR KITCHEN ,sification: Residential nning: 1 Fees Due Amount CCF $1.60 DBPR Fee $2.25 DCA Fee $2.25 Education Surcharge $0.60 Permit Fee - Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $162.30 Valuation: $ 2,150.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL-6-17-64403 06/30/2017 Credit Card $ 112.30 $ 50.00 06/26/2017 Credit Card $ 50.00 $ 0.00 Hvauaoie inspections: Inspection Type: Final Relocation Fire Alarm Service Change Review Electrical W. W. Underground 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 of all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and/onirtg. Futherria6re, I authorize the above -named contractor to do the work stated. June 30, 2017 Authorize Sign ure:Owner / Applicant / Contractor / Agent Buildi D partment Copy une su, BUILDING PERMIT APPLICATION Miami Shores Village `VEo Building Department JUN 26 7017 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949� FBC 2 )JL. Master Permit No. f)e— 1-- — 13 11 Sub Permit No. 0 _ I 1 ❑ BUILDING ❑E ELECTRIC ❑ ROOFING F-IPLUMBING MECHANICALPUBLIC WORKS JOB ADDRESS: 89 NE 102 Street ❑ REVISION ❑ EXTENSION RENEWAL CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-1690 Is the Building Historically Designated: Yes NO Occupancy Type: Residential Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Paloma Teppa Phone#: l i Z0 ?Ag- 400S Address: 89 NE 102 Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: N/A Phone#: Email: Yair@plantthefuture.com CONTRACTOR: Company Name: Shine Electrical Engineering Address: 3876 NW 125 Street 305-688-2000 City: Opa Locka State: FL Zip: 33054 Qualifier Name: Francisco E. Santos Phone#: 305-688-2000 State Certification or Registration #: EC0001514 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Z, i St7 • 00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: Electrical Installation for Kitchen Remodeling (Master Permit # RC-1-17-131) Specify color of ,color thru tile: Submittal Fee $ Permit Fee $ ��m ima CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ I I '11j\1J (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City N/A 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 seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reins ection fee will be charged. Signature ©fYl da Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of-V ice, 120 by �Q ja V►�lsA� '1y who is personally known to me or who has produced lJ` '�100`f�©JJ�?)-a The foregoing instrument was acknowledged before me this Z6-th day of Zane 20 1- by Tyane 5Co E. SM405 , who is ersonally known to me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI Sign: Sign: Print: Print: of Seal: Notary Public State of Florida p jig HueZo Elizabeth Yelin Seal: ,�,��V di/�,, Bey < My Commission FF 063558 '�q yr'= Commission # FF976254 OF Expires 1011612017 Expires: June 24, 2020 APPROVED BY 31?-A �Z4l s'%/YPlans Examiner Zoning Structural Review Clerk (Revised02/24/2014)