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EL-20-859Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 D @ F f Ifl-ru IiLc Issue Date: 05/12/2020 Location Address Parcel Number 17 NW 110TH ST, Miami Shores, FL 33168 1121360030630 Contacts Permit NO.: EL-04-20-869 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: Approved Expiration: 11/09/2020 Luc Pierre Owner SPECTRUM ELECTRICAL CONTRACTORS Contractor 17 110 INC MICHAELALLEN RADD 4401 CHARLOTTE ST, LAKE WORTH, FL 33461 Business: 7862108170 eric.thorsen.ideas@gmail.com Description: SERVICE UPGRADE TO 200 AMPS. KITCHEN Valuation: $ 8,000.00 Inspection Requests: RECEPTACLES TO BRING UP TO CODE 305-762-4949 REPLACING 18-872 TotalSq Feet: 100.00 Fees Amount Application Fee - Other $50.00 CCF $4.80 DBPR Fee $4.20 DCA Fee $2.80 Education Surcharge $1.60 Permit Fee $230.00 Scanning Fee $3.00 Technology Fee $7.00 Work Without Permit Fee $280.00 Total: $583.40 Payments Date Paid Amt Paid Total Fees $583.40 Credit Card 05/12/2020 $583.410 Amount Due: $0.00 COVID 19 Applicant Copy For Inspections, Call (305) 762-4949 or Log on at hops://bidg.miamishoresvillage.com/cap/. Requests must be received by 3pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES. May 22, 2020 Page 1 of 2 mill DECEIVED Miami Shores Village A R 3 0.020 Building Department PO 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 t` ` FBC 20 �� BUILDING Master Permit No�k - Cal' %- I Ll 2 PERMIT APPLICATION Sub Permit No. t (-y Lf — 2KJ 1 eS I ❑BUILDING M ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 17 NW 11 OTH ST City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): LUC PIERRE Phone#: Address: 17 NW 11TH ST City: MIAMI SHORES State: FLORIDA Zip: 33158 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: SPECTRUM ELECTRICAL CONTRACTORS Phone#: 786 210 8170 Address: 4401 CHARLOTTE ST. SUITE F City: LAKE WORTH State: FLORIDA Zip: 33431 Qualifier Name: MICHAEL RADD Phone#: 786 210 8170 State Certification or Registration #: EC0001545 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 8,000.= Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: SERVICE UPGRADE TO 200 AMPS. KITCHEN RECEPTACLES TO BRING UP TO CODE Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ /l TOTAL FEE NOW DUE $� `� 1 (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 toning. "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 on estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien low 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 oQd a rp ec ' fee will be charged. Sign ER or The foregoing instrum t was acknowledged before me this f I'Q day of off 20 2,n� by who is personally known to me or who has produced?Q)6`5,%bLfa-d1q LIZ) -as identification and who did take an oath. NOTARY PUBLIC: Si \\ Print: ton Seal: ♦rrssswtarrTJ. G�i-'ir siiY w✓�/++ '?a �°�'rdod in ��.•�• una. APPROVED �"i_ is ' • ' nC (Revise002124/2014) ,47 Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of F-jppA �f' If—i �- 20 -7iby D , Li ytoi r (r • who s personally known to me or who has produced as identification anc wno did take ar oath. NOTARY PUBLIC: _ y Print: ate of Florida-KIntapt Pu1+u =* *= Commission N GG 213326 11 Seal: My My Commission Expires `'"��h , November 01, 2022 fttt/+!!!ttlititfltittits#iiififliftt!!ft/if#tfft/tftttlilt!/t##t/!#/ftf As Ex©ff7'-rim Zoning Structural Review Clerk