EL-19-1986Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 09/06/2019
Location Address Parcel Number
250 NW 93RD ST, Miami Shores, FL 33150 1131010331110
Contacts
Permit No.: EL-08-19-1986
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 03/04/2020
ASH LEE THOMAS Owner
25093
SHINE ELECTRICAL ENGINEERING Contractor
FRANCISCO SANTOS
3876 NW 125 STREET 125 Street, OPA LOCKA, FL 33054
Business: 3056882000 ahuezo@shinneelectric.com
Description: ELECTRICAL FOR NEW SWIMMING POOL, DECK & Valuation: $ 2,500.00 Inspection Requests:
SPA 305-762-4949
Total Sq Feet: 0.00
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
Payments
Date Paid Amt Paid
Total Fees
$111.90
Check # 3197
09/06/2019 $111.90
Amount Due:
$0.00
Building Department Copy
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 tha all t�e foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction ar Izoning. F therrlhore, I authorize the above named contractor to do the work stated. 7 i
1
Authorized Signatu
September 06, 2019
% Applicant / Contractor / Agent
Page 2 of 2
RECEIVED
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 ❑PUBLICWORKS
JOB ADDRESS: .? V O N w q 3'�
A G 2 8 2019
BY:
6T4
pFBC 20 (�
Master Permit No. -U1'-p' Q9 ( q` %ro
Sub Permit NoB�- Co- 1(:�- ( CT9,6
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑!SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/ParcelQ 1,310 1011S ` is the Building* Historically Designated: Yes NO
Occupancy Type: c"Ir Load: Construction Type: N-(AA) Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): .DfM% aN CYNQ J Phone#:23T 1
Address✓}) O NvJ q J
City:, t O&A:" State:
Tenant/Lessee Name:
Email
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING
A, dm,,z. 3876 NW 125 ST
?23 ( S C)
one#:
hone#: 305-688-2000
City: OPA-LOCKA State: FL
Qualifier Name: FRANCISCO SANTOS Phone#:
State Certification or Registration #: EC0001514 Certificate: of Competency #: _
DESIGNER: Architect/Engineer: Phone#: _
Address: City: State:
Value of Work for this Permit: $;/Syy Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New _ ❑ Repair/Replace
Description of Work:
Specify color ofhhcoloor�r thru tile:
Submittal Fee $ p • w Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
33025
Zip:
❑ Demolition
CCF $ CO/CC $
DBPR $
Notary $,
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
W
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
HE
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.
Signature k- / Signature
OWNER or AGENT
The foregoing instrument was acknowledged beforemethis
((e day of�j�i v 5 �" 20 I by
who is personally known to
me or who has produced
CONTRACTOR
The foregoing instrument was acknowledged before me this
' day of YIL, Gam)'' 120 % t by
�ru �H 1`-) , who is personally known to
as me or who has produced
as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC: ,,, 1.....
1111/1 .�
•NOTARY • •.,y
Zs
Sign: OTARY•., p Sign: PUBLIC '
• PU Z
Print:3 Giles 1572t?d•: m - Print: _ ' m
_ ;my co" SS = Z EXPIRES
Seal: U Seal:
• EyPERES :•� , : NIX %11/01/2021, *,
,mow, OF �►� '//11111111�,
APPROVED 13(���AQd4~ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)