EL-19-2384Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
issue Date:10/15/2019
Parcel Number
1041 NE 96TH ST, Miami Shores, FL 33138 1132060143720
Contacts
Permit mo.: EL-1049-2384
Permit Type: Electrical - Residential
Work Classification: Pool
Permit Status: Approved
Expiration: 04/13/2020
VALERIE GREENBERG Owner
SHINE ELECTRICAL ENGINEERING Contractor
FRANCISCO SANTOS
3876 NW 125 STREET 125 Street, OPA LOCKA, FL 33054
Business: 3056882000 ahuezo@shinneelectric.com
Description: ELECTRICAL FOR SWIMMING POOL Valuation: $ 2,500.00 Inspection Requests:
305-762-4949
Total Scl 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 # 3285
10/15/2019 $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 ce fy that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating
ggjconsstruction and z ng. Futhermore, I authorize the above named contractor to do the work stated.
/ �—j fbll "/i11
Authofzed/5ignature:/Owner / Applicant / Contractot / Agent Date
October 15, 2019 Page 2 of 2
Miami Shores Village RECEIU "L-
Building Department ocr os zoo
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
EBC 20 F? 6}h
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.,`Z
❑BUILDING E24ECTRIC 0 ROOFING F-1 REVISION ❑ EXTENSION ❑RENEWAL
[]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
! CONTRACTOR DRAWINGS
JOB ADDRESS: j V E-I I m i�
City: Miami Shores County: Miami Dade Zip: 3313
Folio/Parcel#: �'3l b(, (7 �y 3 L D Is the Building Historically Designated: Yes NO X
Occupancy Type: )k:)_ Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): ykkCJ', Q, (4r&-r PhoneM: -V- �( �'a ova
Address: O h ti (✓ 11 4 5�'
City: & A,., ��10"-) State X Zip:
Tenant/Lessee Name: Phoned:
Email:
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING Phoned: 305-688-2000
Address: 3876 NW 125 ST
City: OPA-LOCKA State: FL Zip:
Qualifier Name: FRANCISCO SANTOS Phoned:
State Certification or Registration It: EC0001514 Certificate of Competency d:
DESIGNER: Architect/Engineer: Phoned:
33026
Address: City: State: Zip:
Value of Work for this Permit: $ �0 O Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work: 0 lrkf \ 6 tA �-o
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 1 � I - I
(Revised02/24/2014)
Bonding Company's �1ame (if applicable)
Bonding Company's I�ddress
City State Zip
Mortgage Lender's f ame (If applicable)
Mortgage Lender's Address
City State i 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 CONDIT;iQNERS, 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 T9 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOYR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FII)IANCING, CONSULT WITKYOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
t ,
Notke to Applicant, As a condition to the issuoncelof a building permit with an estimated value exceeding $2500, the applicant must
promise in good fait i that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is su ject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) ays after the building permit is issued. In the absence of such posted notice, the
inspection will not bq appr9ved and a rein ctlon fee will be charged.
�ERorAGENT
The foregoing instrument was acknowledged before me this
day of 20 by
Va Ao'% eVA i PJX who is personally known to
me or who has produced ` as
identification and Oho did take an oath,
NOTARY PUBLIC: !
Signature '
CONTRACTOR
The foregoing Instrument was acknowledged before me this
day ofJ1i'C+^ I 20� by
FRANCISCO SANTOS who is personally known to
me or who has produced PERSONALLY KNOWN as
Identification and who did take an oath.
NOTARY PUBLIC-.
,�14F/1000"
MICHgE� �.� MIC H °.
Sign: ! .•�� ��,..... °O' Sign; �. �Ft ,qF ''°°
. NOTA %
•j��•ll Print: fiPrint, •NOTARYnt$ ••••.�
Seal: : c : REG # GG 15720
v MY COMMISSION : N : Seal: : z ; REG # GG 157200' z
EXPIRES U : MY COMMISSION: N
�P;%. 10112021•.•• Off : N'.,. EXPIRES
J 11 �� % 11/01/2021,•'QP;
OF FV
APPROVED BY `l}Plans Examiner Zoning
Structural Review
(Rev1sed02/24/2014) ':
Clerk