EL-19-1722Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Hate:
Location Address Parcel Number
1201 NE 94TH ST, Miami Shores, FL 33138 1132050100010
Contacts
Permit NO.: EL-07-19-1722
Permit Type: Electrical - Residential
Work Clussijicatian: Generator
Permit status: Approved
Expiration: 02/12/2020
BERNARD & DEMETRIO LORIS LEE Owner LONGMAN ELECTRIC INC Contractor
1201 NE 94 ST, MIAMI SHORES, FL 33138 MICHAEL LONGMAN
Other: 9546736513 95 NE 166 ST, Miami, FL 33162
Business: 3057581211 longmanelectric@bellsouth.net
ti
Description: ELECTRICAL ALTERATION NEW ATS & FEED TO Valuation: $ 9,500.Requests:
00 Ins 1305-762-4949e tion Re Re
NEW GENERATOR
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$6.00
DBPR Fee
$4.99
DCA Fee
$3.33
Education Surcharge
$2.00
Notary Fee
$5.00
Permit Fee
$282.50
Scanning Fee
$9.00
Technology Fee
$8.31
Total:
$371.13
Payments
Date Paid Amt Paid
Total Fees
$371.13
Credit Card
08/16/2019 $371.13
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 al the foregoing information is accurate and that all work will be done in compliance with all applicable laws
reg/ulatinstruction and zoning. F h more, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner ! Applicant / Contractor / Agent Date
August 16, 2019 Page 2 of 2
Miami Shores Village
State: FL Zip: 33138
Tenant/Lessee Name: n/a Phone#: 5,4 44 E
Email: dt1162@gmail.com
CONTRACTOR: Company Name: Longman Electric, Inc. Phone#: 305.758.1211
Address: 95 NE 166th Street
City: Miami State: FL
Qualifier Name: Michael Longman
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 AELECTRIC ❑ ROOFING
JUL 252019
FBC 2011 1'
Master Permit No. 0"^0 1—t I -41217
Sub Permit No
❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS: 1201 NE 94th Street
❑ CANCELLATION ❑ SHOP
DRAWINGS
Folio/Parcel#: 1 I " 3 20 Sr " 0/ 0 " 0 D / 6 Is the Building Historically Designated: Yes
Occupancy Type: Load:
Construction Type:
Flood Zone: BFE:
33/ 38
NO
FFE:
OWNER: Name (Fee Simple Titleholder): Demetrio Loris Phone#: 7865129771
Address:1201 NE 94th Street
City. Miami
Phone#:
State Certification or Registration #: CG 1500 3 7/ 3 Certificate of Competency #:
p: 33162
DESIGNER: Architect/Engineer: Phone#:
/V `V Address: !
City: State: Zip:
Value of Work for this Permit: $ J (-9 Square/Linear Footage of Work:
Type of Work: ❑ Addition! Alteration ❑ New ❑ Repair/Replace F-1 Demolition
Description of Work: Gj 1 �-Q,t� j a h (�� NPiw 7t / S t !�"�
7� A P w G �et, "Jo)e
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
DBPR $ Notary
Double Fee $
Structural Reviews
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ �� 1
Bonding Company's Name (if applicable)
,1sN r .
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
� 1A
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 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.
Signature
NER or GENT
The foregoing instrument was acknowledged before me this
day of Jlfi� , 20 I by
L C � -'�5 " Lryl who ispersonallyknown to
me or who has produced K�DV -4ec-- as
identification and who did
take an
NOTARY PUBLIC:
•*
••y�
1
Sign:
Print:
• 0T P,
�'�i �•
s
Seal:
Signatur Z_
CONTRACTOR
The foregoing instrument was acknowledged before me this
r day of T f / 20_, by
�/I(� ael l o who is personally known to
� vl
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
cn
o:
�4,3a Sign:
Print:
40r.,
Notary Public State of FloridaSeal: Michelle Perez
MY Commission GG 084089
Expires04/08/2021
y� v�
APPROVED BY }� /plans Examiner Zoning
/ 4, X/I 6I Review
(Revised02/24/2014)
Clerk