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EL-19-623Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: Location Address Parcel Number 970 NE 94TH ST, Miami Shores, FL 33138 1132060350030 Contacts Permit NO.: EL-03-19-623 Permit Type: Electrical -Residential Work Classification: Pool Permit status: Applied Expiration: 09/18/2019 DAVID & MELINA ROBINSON Owner 970 NE 94 ST, MIAMI SHORES, FL 33138 Other: 3052130319 STATE ELECTRICAL CONTRACTOR LLC Contractor ARMANDO CATO 1100 SW 97 AVE, MIAMI, FL 33174 Business: 7862567068 Description: ELECTRICAL HOOK UP FOR NEW POOL Valuation: $ 2,000.00 Inspection Requests: 305-762-4949 Total Scl Feet: 648.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.10 Building Department Copy Payments Date Paid Amt Paid Total Fees $111.10 Check # 15220 04/15/2019 $61.10 Credit Card 03/22/2019 $50.00 Amount Due: $0.00 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 A ID IT: I certi tall the foregoing information is accurate and that all work will be done in compliance with all applicable laws re�yi�tin c0'rst ction a zo ;Futhefer�nore, I authorize the above named contractor to do the work stated. Signature:'Owner'— // ' Applicant / Xontractay' / Agent Date April 15, 2019 - Page 2 of 2 Miami Shores Village ..CEIVED Building Department MAR 22 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY:_W10 INSPECTION LINE PHONE NUMBER: (305) 762-4949 kA BUILDING PERMIT APPLIC ION F-IBUILDING LECTRIC ROOFING FBC 201-4 Master Permit No.Q"� Sub Permit No. REVISION EXTENSION RENEWAL F-IPLUMBING MECHANICAL PUBLIC WORKS 0 CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: _-) 1'y dt " - City: Miami Shores County: Miami Dade Zip: �3130 Folio/Parcel#: 1I - 30-%Qu ` 35"C�0-.'Iyo Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): l0 F-00 i11:71W Phone#:3 ' -a'%:�' 0319 Address: -IN N .-C , City: rAtGlflik %—JOres State: �1.. Zip: a6139 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Addrpw / / / „v , 1 G C phone#: City: �� % Li !�� State: Zip: 3!' 3 I / Qualifier Name: �Q�(/i9 !�C/� �'�' ,LC ' - Phone#: - S - d G State Certification or RegistrationA1f#: 4!F(! l 3U®/ S 40 3 Certificate,I of Competency #: /' " t DESIGNER: Architect/Engineer:.1ti .� 110 asC � IL� Phone#. WARI'd24�i ` Wk) CaW o'-• '56t 11 .NLCifrStaIte: Zip:J� 'Address: ty Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑. Allt�te''ratio1n_,,�.�' New-(1,, ❑ Repair/Replace ❑ Demolition Description of Work: � 10-W 11 X� \7� r -' 0 14nu •�0 l Specify color of color thru tile: Submittal Fee $ Scanning Fee $ _. . A ...-L-..tY.v e�a.tCfP..-0`a M„�.....I•. .. ,..'1 ..-....-....s a a . Permit Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF - •� CO/CC •$ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Addre/� City r `' State Zi 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. + •,►� r ° . "WARNING TO' -OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR "PRtOPERTY. r-IF'YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE, OF COMMENCEMENT." f ,41 r . 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 - su /ect to attachment. Also, a certified copy of thetr'ecorded notice of commencement must be posted at the job site k c 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�� �--- L �, Signature �� — / OWNER or AGENT The foregoing instrument was acknowledged before me this _day of �0110arA 20 11 by h is;personally known to, me or who.has produced��/J as identification and who did take an oath. NOTARY PUB Sign: ' /• a` Print: Seal: _�, , DORIS AN, MARTINE2 y"• T P Notary Public State of Florida �� �`�;• Commission # GG 250751 My Comm. Expires Feb 14, 2021 ************* APPROVED BY CONTRACTOR The foregoing instrument was acknowledged before me this day of °R"f 1"' 20/ 2 by who i ersonally know to me or -who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: A. DIANA Seal: c' U My Commission GG112857 ' Comm. Expires Dec 15. 2019 •''.FcP'�:•' BcrdedthrcughhatioralNotary Assr. *************************************************************** I) It I Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014)