EL-18-372�` gytOREy Y'`�
ti• i� � _ NiN�
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Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
PeiMit No. EL-2-18-372
Permit Type: Electrical - Residential
ri Work Classification: Addition/Alteration
Permit Status: APPROVED
Parcel Number
issue Date: V28/2018 I Expiration: 08/27/2018
Applicant
374 NE 104 Street 1121360130170
MARIE MYRTHA WROY
Miami Shores, FL 33138-2018 Block: Lot:
Owner Information Address Phone Cell
MARIE MYRTHA WROY 374 NE 104 Street
MIAMI SHORES FL 33138-2018
Contractor(s) Phone Cell Phone
FARADAY ELECTRICAL CONTRACTC (954)980-6128
/pe of Work: UPGRADE ELECTRICAL PANEL ACCORDING
dditional Info: UPGRADE ELECTRICAL PANEL ACCORDING
lassification: Residential
canning: 1
Fees Due
Amount
CCF
$2.40
DBPR Fee
$3.38
DCA Fee
$2.25
Education Surcharge
$0.80
Permit Fee - Additions/Alterations
$225.00
Scanning Fee
$3.00
Technology Fee
$3.20
Total:
$240.03
Valuation: $ 4,000.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-2-18-66438
02/28/2018 Credit Card $ 190.03 $ 50.00
02/13/2018 Credit Card $ 50.00 $ 0.00
Avauame inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Rough
Underground
Review Electrical
W. W.
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 AFF,F�VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction atfid zo Fi iThe nom I authorize the above -named contractor to do the work stated.
February 28, 2018
Authdrizdd Signatu- owner / Applicant / Contractor / Agent
Building Department Copy
February 28, 2018
T
Miami. Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS:
E /0
RECEIVED
�B 131018
�h
FBC 2oI1C,C-13610
Permit No. .
Master Permit No. � �' ^ 1 .36
sut)- 2.
City: Miami Shores�'� County: / Miami Dade Zip:
Folio/Parcel#: /// ` Oe (9 /3 6) ! �tO
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple Titleholder):
Address:
City:
Tenant/Lessee Name:
Email
CONTRACTOR: Company
Address: 1 n 4 G414OA 6
City: 2IA4yyt'L
Qualifier Name:
State Certification or Registration ;
Contact Phone#:
DESIGNER: Architect/Engineer:
NO
State:
Zone: /U 0
State: Zip: n�' 3 3 S
Value of Work for this Permit: $ • oo Square/Lideir Footage of Work;
Type of Work: ❑Addrreess Alteration LINeW ❑Repair/Replace: ❑Demolition
Description of Work:
• -. , . - -
Submittal Fee $ Per t Fee $ 0- CCF $ CO/CC $
Scanning Fee $ RRadanXee $_3 • �J 00PR $ 2; 25 Bond $
Notary $ Training/Education Fee $
Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ (CIO .03
,IF
Bonding Company's Name (if applicable)
Bonding Company's Address
City 1 i
I
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
I 1 ,
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 exceedi K
promise in good faith that a copy of the notice of commencement and construction lien law brochure 11 be
whose property is subject to attachment. Also, a certified copy of the recorded notice of commenceme
for the first inspection which occurs seven (7) days after the building permit is issued. I e of
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
er or Agent Contractor
The foregoing instrument was acknowledged before me this �� The foregoing inst ment was acknowl ;
day of Yb 20 JL2, by C, , 1l (ofAa , 201 Op 1 ' by
who is personally known to me or who has produced who
' personally own me o w
As identification and who did take an oath.
NOTARY PUBLIC:
Sl ,•�;� MAHARAI K. GONZALEZ Sign: "4
Myr
Print: ' EXPIRES: November 2, 2020 Print:
N•
,FOfP,`.cp: Bonded ThnJ nary
My Commission Expires: My Commission E pire
APPROVED BY a jq1W /$ Plans Examiner
Structural Review -
the applicant must
rrN to the person
sted at the job site
posted notice, the
me this
an oath.
o�Pa"°oe��,,
CALBON GAYLE
Notary Public - State of Florida
My Comm. Expires Mar 20, 2018
Commission # FF 104673
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Zoning
Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)