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REV-11-22-2859, 1020 NE 92nd StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1020 NE 92ND ST, Miami Shores, FL 33138 itacts Permit NO.: REV-11-22-2859 Permit Type: Revision Work Classification: Electric Permit status: Approved Issue Date:11/10/2022 Expiration: 05/10/2023 Parcel Number 1132050130020 1760 NE LLC Owner PREMIER ELECTRIC LLC Applicant 1020 NE 92 ST Fernando Loza Business: 305-878-9326 MANNIX7705@HOTMAIL.COM 12360 SW 132 Ct # 107 SW 132 CT 107, MIAMI, FL 33186 premierelectricllc@yahoo.com PREMIER ELECTRIC LLC Contractor FERNANDO R LOZA 4520 SW 74 AVE, MIAMI, FL 33155 Business: 3052547000 Description: - Installation Only of the Lighting Fixtures. Installation of the Ceiling Fans. Provide Gear & Feeder. Provide Grounding. - Provide Power & Connections of the Ex. Fans Bath as per plans. - Provide Power & Connections of the Air Conditioner Equipment. - Provide Thermostat Wiring for Air Conditioner Equipment Control. - Provide Power & Connections of the EWH. Provide Power & Connections of the Kitchen & Laundry p-nent. ovide Power & Connections for Garage Door Opener system. Provide Smoke & Carbon Monoxide Detectors 120 Volt. Provide Telephone & TV Terminal Cabinet with Service Empty Conduit. Provide new wiring For Telephone And Data Outlets. Provide new wiring For TV Outlets. Provide Wiring Devices (Type Decorator). Prnviria Rrinrh Wirinac Valuation: �^ Inspection Requests: $ 0.00 p305-762-4949 Total Sq Feet: 0.00 Fees Amount Payments Date Paid Amt Paid Revision: Minor Change of Plans $60.00 Total Fees $63.00 Scanning Fee (Manual) $3.00 Credit Card 11/10/2022 $63.00 Total: $63.00 Amount Due: $0.00 November 10, 2022 Page 3 of 4 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 issue Date:11/10/2022 Building Department Copy Permit No.: REV-11-22-2859 Permit Type: Revision Work Ciassification: Electric Permit Status: Approved Expiration: 05/10/2023 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. OWNE�AVon I certify regulati constructi nand zoning all the foregoing information is accurate and that all work will be done in compliance with all applicable laws hermore, I authorize theyabove/named contractor to do the work stated. (//O/Z�'Z— Signature: Owner / Applicant / Contractor" / Agent Date )vember 10, 2022 Page 4 of 4 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 ELECTRIC ❑ ROOFING Master Permit No. Sub Permit No FBC 20 y RC.r ( a 0( - ZS-51 FZREVISION EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ,4CO�NTRACTOR DRAWINGS JOBADDRESS: t[7-LC tjo q 2yj S-T— City Miami Shores tt County: Miami Dade Zip: Folio/Parcel#:_ L6 zc)5D l 00 2_0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee N Simple Titleholder): p(c)p(c)_ (5 & wC Phone#: 3o QV_ U3� Address: v) 2-, 0/ g 2- P 17 'S L,.o re-5 State: F_ L_ Zip: . I � r i enant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: � L P V, )5'- v Phone#: Address: j 3 Z t `5 CjI _ L. - I_ nj"r �t� eK c' � � �j f r Email: C)f,_P aAier, C\tc r1'r-IIC 9-`P6i�� . c©r-A Qualifier Name: �e c (p Z� Phone#: 7 State Certification or Registration #: CL�U -1 Certificate of Competency #: DESIGNER: Architect/Engineer: hone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition Description ofWork: ®® ❑ Alteration ❑ New/ ❑ Repair/Replace ❑ Demolition Specify color of color.thrultile:__ Submittal Fee $ ` Permit Fee $ _ Scanning Fee $ Technology Fee $ DCA Fee $ Training/Education Fee $ laid]; DBPR $ Notary $ Double Fee $ Structural Reviews $ In-..l--JIBA 1- M-II P&Z Review $ Bond $ TOTAL FEE NOW DUE $ a� 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 L1,glication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has inmenced 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 iss in the absen f such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature NERorAGENT NTRA The foregoing instru(m��t was acknowledged before me this The foregoing instrume t was ackn wQ ledged fore me this day of I " dJt� 20 �Z , by� �erso:nally 20 by GIB �C Y'�Z who ' personally known t �e6 L �� who is known t me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY Sign: i'� -- Print: c3 Seal: ,,t��; DAVIDPUPO MYCOMMISSI;11.1,i HH 136644 EXPIRES: Juno 2, 2025 APPROVED BY NOTARY PUBLIC: Sign: -<t—]��:� Print: a Seal: DAVIDPUPO MY COMMISSION # HH 136844 EXPIRES: June 2, 2025 •'•fcl;f�4• �° Bonded Thru Notary Pub4o Under Plans Examiner Zoning Structural Review Clerk