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EL-11-19-2683, 10928 NW 2nd AveMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 10928 NW 2ND AVE, Miami Shores, FL 33168 1121360020210 Contacts Elizabeth Whitney Owner SUNSHINE ELECTRICAL CONTRACTORS Contractor 109282 CORP MARIANO SANTIESTEBAN 1300 SW 85 CT, MIAMI , FL 33144 Business: 3052654958 Home: 7864439590 Other:7862736194 Description: ELECTRICAL WORK FOR INTERIOR RENOVATION Valuation: $ 5,100.00 Inspection Requests: 7-7 AND GARAGE CONVERSION PER PLAN RENOVATE BATH, KIT, 305-762 4943 NEW FLOORS AND CONVERT GARAGE. Total Sq Feet: 1,225.00 Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $2.68 DCA Fee $2.00 Education Surcharge $1.20 Permit Fee $128.50 Scanning Fee $3.00 Technology Fee $4.46 Total: $195.44 Total Fees Check # 35065578 Check # 5624 Amount Due: Date Paid Amt Paid $195.44 11/06/2020 $145.44 11/12/2019 $50.00 $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 ec' ications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either y If, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DO R OOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate an tat all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contra o to do thSwork stated. Authorized Signature: Owner / Applicant / Contractor / Agent ` 1 Date November 06, 2020 Page 2 of 2 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: EL-11-19-2683 Permit Type: Electrical - Residential Work Classiffcatton. Addition/Alteration Permit status: Approved Issue Date: 11/06/2020 FExpiration: 05/06/2021 Location Address Parcel Number 0• 1121360020210 Contacts Elizabeth Whitney Owner SUNSHINE ELECTRICAL CONTRACTORS Contractor 109282 CORP MARIANO SANTIESTEBAN 1300 SW 85 CT, MIAMI , FL 33144 Business: 3052654958 Home: 7864439590 Other:7862736194 Description: ELECTRICAL WORK FOR INTERIOR RENOVATION Valuation: $ 5,100.00 Inspection Requests: AND GARAGE CONVERSION PER PLAN RENOVATE BATH, KIT, 130-9-762-4949 NEW FLOORS AND CONVERT GARAGE. Total Sq Feet: 1,225.00 Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $2.68 DCA Fee $2.00 Education Surcharge $1.20 Permit Fee $128.50 Scanning Fee $3.00 Technology Fee $4.46 Total: $195.44 Applicant Copy Payments Date Paid Amt Paid Total Fees $195.44 Check # 35065578 11/06/2020 $145.44 Check # 5624 11/12/2019 $50.00 Amount Due: $0.00 For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/. Requests must be received by 3pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES. November 06, 2020 Page 1 of 2 -ECEIVED 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 V 12 2019 BY: - W� FBC 20 BUILDING Master Permit Noj5-_- l (-( l - 2 692 PERMIT APPLICATION Sub Permit No. —��" �3 BUILDING ffi-I ELECTRIC ROOFING ❑ REVISION EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL []PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10928 NW 2ND AVE City: Miami Shores County: Miami Dade Zia• Folio/Parcel#: Is the Building Historically Designated: Yes NO X Occupancy Type: S/F Load: Construction Type: CMU Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): LIZ WHITNEY Phone#: 786 355-6764 10928 NW 2ND AVE City. MIAMI SHORES state: FL 33168 Tenant/Lessee Name: N/A Phone#: N/A Email: N/A CONTRACTOR: Company Name: SUNSHINE ELECTRIC CONTRS CORP Phone#: 305 219-9791 Address: 1300 SW 85TH CT City. MIAMI State: FL Zip: 33144 Qualifier Name: MARIANO J SANTIESTEBAN phone#: 954 531-4430 State Certification or Registration #. EC 13005807 Certificate of Competency #: DESIGNER: Architect/Engineer: AVINASH THUMMADI Phone#: 786-502-2096 Address:12260 SW 8TH ST SUITE #224 City: MIAMI State: FL Zip: 33184 Value of Work for this Permit: 049- -e0 oJi 160 Square/Linear Footage of Work: 1,225 Type of Work: ❑ Addition © Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: INTERIOR RENOVATION AND GARAGE CONVERSION PER PLAN ELECTRICAL ROUGH AND TRIM AS PER PLAN... Specify color of color thru tile:, Submittal Fee $ G C) `� Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ (RevisedO2/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ t Bonding Company's Name (if applicable) N/A Bonding Company's Address N/A City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address N/A Zip City State 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 Sign ture OWNER or AGENT CONTRACTOR Th fore oing instrument Vs acknowiedg d beforemethis r day of 20 1 1 . by t= I iti who is personally known to me or who has prod cede `�"� as Identification and who did take an oath. NOTARY PUBLIC: Sign: Z�Z//, Print: OCCOU Seal: "= MY COMMISSION �r. EXPIRES November 28, 2020 The foregoing instrument was acknowledged before me this day of Av6 20 /9 by "V+�w'�� �ron ►��'�'`"'�' who is ersonally known to me or who has produced ��' "'—��' `"'� as identification and who NOTARY PUBLIC: Sign: Print: f, I° "All 44 Seal: take an oath. 7 Q7ZG' L J /1 �Vvvv..• MY COMMISSION # 131300371 EXPIRES November 28. 2020 rrrrsrrrsrrrsrrsssssrssrssrssssasssrrrrLssasrssrsasrrsssssssssssssssssssssssssssssssssssssrrrsrsrrrsrssssssss APPROVED BY A Examiner Zoning Structural Review Clerk (RevisedD2/24/2014) Sunshine Electrical Contractors Corp. Lic. Electrical Contractors. EC 13005807 1300 SW 85 Ct, Miami F133144. Tel: 786-443-9590 Em: marpa.permits@yahoo.com November 4, 2019 The Building Official Miami Shores Village Before me this day personally appeared Mariano Santiesteban who, being duly sworn,deposes That he will be the only person working on the project located at 10928 NW 2"d Ave Miami Shores 33168 Mariano Santiesteban- Qualifier Sworn to(Affirmed) and subscribed before me this 4t' da of November 2019 by Mariano Santiesteban, who is personally known by me .OPP �i� NOWY Pine state of Rmaae notaK/// j � t •er e6 05104 207i 19301 t Mootint Slooffin Vilao" Building Department 1901.01"f 7oO Afspirt , [el. 111Y*jl Ife A;M Notice to Owner - Workom' Compensation nsation Instsramo Exemption n i. I-Imida L!w triitlii" W4104CIV Ctimfirii-Al" tnool&r r co'.rYA*,r- wr0f& A_t'4d('trt 4"40, 04,464- 1 f,.10,1* Itcolo.1 14* So'o '4. tiff 1 allouN 4411::erx in tilt rrristmttion irl U4 0 to t lfttvt thrittsrisr v ii-am rhib +trill ;.rH»,t,pt, lirtrt Cttr ts�t plept, Ot' tt%i.i4nin� O t�E11t+lYntt (�'1mil. t'ut��ttt tia lilt l t,:otixl'a'F)a�r•�,�� M�# �<�31f t`x!a '� .'tf1lr e,r:ttt4ltY l Mt?ist!.yrrT l ?�tl^, tlt�r (f•fic An employer ill the CoPittrh to-V r►ist Aly WNT t111PI+Otis twa F4 #104*1 IfilO Pow, .a' till:Relit emrhlytf-_.,in lllil"Afl,4own".1"w"t+1qkAlhw.�tl,rr#`i4stT11•sr;,_Aif„�.;atRtr ttw !".fflNA:14tri%:.R�s Or 1111+ ltlt+,ers e�i b tern+rf ai ti.±h tit t:*b1i�•ariy 11 14 0 In the y.:�r, .11u+7, �ritt„+try ltt*y s104:t l" he C%enlpl if 1. `file ollh; tf tswil4 ar Itiot It, prtt o)l'wtthr slut k „K the Cprpj)t*fitnt, or in the cs :.e ux an l.1-t=. a st4ttrnls m Alti Sling ite thr nittlimoln its pricert1 U%fitthhip: 2, Tho t' (Wer it li+trd AN Alt 10111."ef rat tIW 0•164,t41iflrt in the tctrld% of the Llnrids 11Ct1.artnleilt of 4t4tt. Diviwitn W11) 3, The cimporatlon A rrktistescil atjtl Iiqej ass *aivr with the kloltdr Deprrtmitts of State, ltivisio" of t, orporatiolks, No tttttra than three t<0ri rate etilietr per cotptlrstioll rr lllrtiictl liability trtmpiuty rncrrlbets lac allowed to Ire.+ exemlW COnwtnictiOn e. rtrllliiunw me valid for a pe read of two yeart or until a voluntary re vtW atien is f7lei or the excnlption Is revoked by the Division. vi-tur Contractzr is petmit un►irr this w%rker$, compenswion exemption and has acknowledge that be or shc try not use day labor. pelt -time employe" or ftjr yFiur prt_�jci t> l ho euntr�tdr has provided an a(fdttvit antiei� tint ha tx aha "iil be the only person allowed to Work kin vnttr prc��rt,, In these circumstances. Miami Short% Village does not require verNiaeion of w-orkers' cx mpencation insurdmme c0%Tw9c 00nt the ctlnitacter's company for day labor, part-time empioyem or subconvactas• BY SIGNING BELOW VOI r ,ACKNOW1:,14WA", THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS Signature: �0*nrr State of Florida County of Miami -Dade The By Into this .�..-.,• ciay of - _ ­_ who Is personally known to sae or has produced 0% idrntRIVAtiow ; !• ' 't;. AUOCCOLI SEAL:'�' •'� M�MMISSION # C3(i050392 EXPIRES November 2a. 2o2o