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EL-19-460Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: EL-0-19-460 Permit Type: Electrical - Residential Work Classification: Arbon/Alteration Permit status: Approved Issue Date: /21/2019 Expiration:08/28/2019 Location Address Parcel Number 10504 NW 2ND AVE, Miami Shores, FL 33150 1121360020010 Contacts f NORMA CHACON Owner METRO ELECTRIC SERVICE, INC Contractor 10504 NW 2 AVE, MIAMI SHORES, FL 33150 OMAR R HERNANDEZ Other: 7862522232 15050 NE 20th Ave, North Miami, FL 33181 Business: 3059451991 Other:3059451991 Description: LEGALIZE ELECTRICAL TO REPLACE EL17-287 Valuation: $ 500.00 Inspection Requests: 305-762-4949 TotalSq Feet: 150.00 Fees Amount 100% Permit Renewal Fee $175.00 Application Fee - Other $50.00 Total : $225.00 Payments Date Paid Amt Paid Total Fees $225.00 Credit Card 03/01/2019 $50.00 Credit Card 03/21/2019 $175.00 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 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. Futhermore, I authorize the above named contractor to do the work stated. Signature -'Owner / Applicant / Contractor / Agent Date March 21, 2019 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 BUILDING PERMIT APPLICATION ❑BUILDING *LECTRIC ❑ ROOFING PLUMBING ❑ MECHANICAL ❑PUBLICWORKS Master Permit No. RECEIVED QMA 019 Q fi FBC 201� RC Icl-Q5C, Sub Permit No. � ( I"I _ "I u O ❑ REVISION ❑ EXTENSION ERENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /0 S 04 �,/�, A�e- City: Miami Shores �v County: Ir(— Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): / " p—WoL if h Phone#: 7� �L� 2.5-2 Z 2 3 Address: / ©S o L-r - f 4,-- /- e-- q t,,e City �r State: T--1 0— p:�� 5 O Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Phone#: -3af ,86-.2-1 Address: 152yeo P'5 ze)'41J 11 ati City: �� State: �� Zi Qualifier Name: -��� /�� %,fi_Zi Phone#:30% J- z r�� State Certification or Registration #: 300 r32:� Certificate of Competency#:, ~ DESIGNER: Architect/Engineer: s „ Phone#: . Address: City: State: Zip: Value of Work for this Permit: $ e l Ln Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace` El Demolition .. Ls 1% O Description of Work: Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ IDS (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 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 on estimated value exceedin 2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law br r be elivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of c m ment t e posted t the job site for the first inspection which occurs seven (7) days after the building permit is iss d. n the absent su posted notice, the inspection will not be approved and a reinspection fee will be charged. ^ SignaSignature ry: OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrum t as acknowledged before me this G day of 20, by 7� day of ✓� 20 9 by rd Dtil'� . GA9-�ho is p/errsonallyy known to MA6? . f<�vho is per�son_a Iv known to me or who has produced C�Ga2D �7 91 UD as me or who has produced as identification a an oat identification and who did take an oath. NOTARY L NOTARY PUBLIC: Sign:_ Print: Seal: ���—� yn Notary Public State of Florida Karen I Duarte My Commission GG 194420 or n� Expires 06MM022 *********:yam APPROVED BY (Revised02/24/2014) Notai blic of'Flori Y Sign: Jorge on Print: E=Pi 2 Seal: ***************************************************************** Plans Examiner Zoning Structural Review Clerk