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EL-18-3405Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 G'��1nPJJtS Issue Date:11/21/2018 Location Address Parcel Number 1037 NE 91ST TER, Miami Shores, FL 33138 1132050010050 Contacts Permit NO.: EL-11-18-3405 Permit Type: Electrical - Residential Work Classiffcatfon: Pool Permit Status: Approved Expiration: 05/07/2019 ALISON HARKE Owner SUNSHINE ELECTRICAL CONTRACTORS Contractor 1037 NE 91 TERR, MIAMI SHORES, FL 331383401 CORP MARIANO SANTIESTEBAN 1300 SW 85 CT, MIAMI , FL 33144 Business: 3052654958 Other:7862736194 Description: SWIMMING POOL AND SPA HOOK UP Inspection Requests: Valuation: $ 1,200.00 LJ Total Sq Feet: 525.00 Amt Paid Fees Amount Payments Date Paid Application Fee - Other $50.00 Total Fees $150.00 Permit Fee $100.00 Credit Card 11/21/2018 $150.00 Total: $150.00 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 AFFID�VIT: I ce that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constYuct:6 &nd zon Futhermore, I authorize the above named contractor to do the work stated. Authorized SigWturejQMner / Applicant / Contractor / Agent Date November 21, 2018 Page 2 of 2 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 RECEIVED NOV 0 8 1018 S +-I la__� FBC 20 IA BUILDING Master Permit No.B�n — iT- I, PERMIT APPLIC TION Sub Permit No. . — '-_ ❑BUILDING LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [qR'ERIEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: O i )� �J f r�f Pity• RAi—i Chnro rniintw Minmi rhrio 7in• l Ti A Folio/Parcel#:��2c1S —� ©oS7 O Is the Building Historically Designated: Yes NO Occupancy Type:5�_ Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): fi—I� ' Phone#: SQ �70 Address: L Q n NE Ch City: I"l wm_` State: F1 Zip: l� Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: \VA Q ,f' D� C�`�L�c i ��1� "�(ione#: (2 i 1 �YY Address: 13 DOf City: MJCtY)q State: t-1 Zip: 33n -I�u Qualifier Name: A-A.� Q .� `41` & S � if SAAJ Phone#:( 3n c) L Z20 �G State Certification or Registration Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: Phone#: _State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: ❑ Demolition 'gay ."r,. a"...F"�. •,., w:. ,.. �.. s'+. Specify color of color thru tile: - I(S 0 Submittal Fee $ Permit Fee $ 'CCF.$ CO/CC Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 1 5;d ` 0O 7 0 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name ('if applicable) 6 Mortgage Lender's Address -City State y i ) 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 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. n Signature IV OWNER or AG NT The foregoing instrument was /acknowledged before me this �L day of e2y., ,1G 20 % d' by Ta ;'VOn�� who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Signature CONTRACTOR The foregoing instrument was acknowledged before me this [0 day of j �t� 20 lV0J by me or who has produced as identification and who did take a NOTARY PU Sign• Sign:_ Pr' t: ,r A-- Print: Seal: Seal: MICHELLE ESPINOSA-CL#RK �#0 0%. North Public Stets of pWW8 _: MY COMMISSION #GG22H09 seal Pam EXPIRES: MAY 29, 2022 • My Commistw GG 244913 Bonded through 1 st State Insurance �j Expires OW2812022 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)