EL-18-2544 (2)Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: EL-09-18-2544
k-' •^ -II Permit Type: Electrical - Residential
UL. Work Classification: Addition/Alteration
Permit Status: Approved
Issue Date: 09/26/2018 Expiration: 03/25/2019
Location Address Parcel Number
321 NE 93 ST, Miami Shores, FL 33138 1132060136240
Contacts
ELIZABETH COWEN Owner ELIZABETH COWEN Applicant
(305)458-0120 (305)458-0120
LONGMAN ELECTRIC INC Contractor
844 NE 98 ST, MIAMI SHORES, FL 33138
(305)758-1211
Description: ADDITION OF CIRCUITS MOVEMENT OF Valuation: $ 11,000.00 Inspection Requests:
1305-762-4949
RECEPTACLES ADDITION TO EXISTING STRUCTURE
TotalSq Feet: 360.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$6.60
DBPR Fee
$5.78
DCA Fee
$3.85
Education Surcharge
$2.20
Permit Fee
$335.00
Scanning Fee
$3.00
Technology Fee
$9.63
Total:
$416.06
Permit Received By
Payments Amt Paid
Inspections:
Total Fees
$416.06
Inspection Type
Credit Card
$416.06
Electrical Final
Amount Due:
$0.00
Date
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at https:Hbidg.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 maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
September 26, 2018 Page 1 of 4
Miami Shores Village
V1 N Building Department RECEIVED
\v� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 I
2 201E
"INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
BUILDING 9 ECTRIC ROOFING
i
FBCCC20 1 c�I
Master Permit No.
Sub Permit No.��
❑ REVISION ❑ EXTENSION RENEWAL
QPLUMBING ❑ MECHANICAL - ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION E] SLOP
CONTRACTOR DRAWINGS
JOB ADDRESS: __3 z I SSE q'3 -C;5-t'
City: Miami Shores County: Miami Dade Zip: 133 6 a
Folio/Parcel#: Is the Building Historically Designated: Yes NO _ t
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): � l i LlL lJC=`M co 6v e n Phone#:
Addres
City: M—',, r`% co i � ��y'?S2/� State:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
p: A 3`6
C•,1/% xI �'t G-� � �' Phone#: J
Address: •14V s J�
City: �f r��1 / State: Zip:
Qualifier Name: �C /7 L10',A1c'j' 1",4 41 Phone#:
State Certification or Registration M e��% 3Oo 71 _�? Certificate of Competgncy #:.
DESIGNER: Architect/Engineer:
Add
City: State:
Value of Work for this Permit: $ //A Square/Linear Footage of Work:
Type of Work: `Addition El Alteration ❑ New ❑ Repair/Replace
s i � - I -
Description of Work:
Zip:
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ ra ' Notary $
Technology Fee $.
Structural Reviews $
Training/Education Fee $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ q ( 6 ` 0�
Bmwh g,Cmwpany'ss Name (ffWpikabte) —
Bondirfg Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
.City
State
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 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.
OWNER or AGENT
The foregoing instru(�ment was knowledged before me this
04-(�/ day ofJ - -? _ 20 _, by
vrw�- b t4be2 i el who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC: y��!/,do; Ismael A Pabon
'L Commission # GG082163
Expires: March 13, 2021
Sign: Q h''
Print:
as
Signature c—y-\
CONTRACTOR
The fore ing instru nt was acknowledged before a this
�4M E�%/�f// 20 / f by
�JYAI)K'M& who ispersonally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign::
Print:
Michelle Perez
Seal: Seal:_ �. My Co�nn,;<sk n r G OU089
Or���a ExpirN505/O6/�C?1
APPROVED BY 1S J���� %8 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)