EL-6-18-1694, 1284 NE 94 St`SgoREV
9
4 nu
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number Applicant
1284 NE 94 Street 1132050100140
Miami Shores, FL Block: Lot: SUZANNE JACOBS
Owner Information
Address
SUZANNE JACOBS 1284 NE 94 ST
MIAMI SHORES FL 33138-2947
Contractor(s) Phone Cell Phone
AJL ELECTRIC INC 305-895-4971
ype of Work: INSTALL TANKLESS WATER HEATER REMOV
dditional Info: INSTALL TANKLESS WATER HEATER REMOV
lassification: Residential
canning: 1
Fees Due
Amount
CCF
$0.60
DBPR Fee
$2.25
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee - Additions/Alterations
$150.00
Scanning Fee
$3.00
Technology Fee
$0.80
Total:
$158.85
Phone
Cell
LValuation0l Sq Feet- 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-6-18-67995
06/21/2018 Credit Card $ 108.85 $ 50.00
06/20/2018 Credit Card $ 50.00 $ 0.00
Avarlanie Ins
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W. W.
Underground
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 t at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction ano-zoning. Faather4re, I authorize the above -named contractor to do the work stated.
June 21, 2018
l�thorized Sir4atur� Owner / Applicant / Contractor /
Building Department Copy
June 21, 2018
Miami Shores Village
RECEIVED
Building Department SUN 20��
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (30S) 79S-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 201— -7
BUILDING Master Permit No. �� 19- 2-
PERMIT APPLICATION Sub Permit No.
❑BUILDING Vt'LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
(� CONTRACTOR DRAWINGS
JOB ADDRESS: /0,' rs-�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: /FFFE:
/�
OWNER: Name (Fee Simple Titleholder): SL-l-Za4/2r (T— C DO;C`Fll / Phone#: 3o 9 I SV -V ('�
Address:
y�/ `Z�- 19 C � `-'/ V--_'� -�-
City: / ' l l ` If! _� [� carp S State: �� Zip: _
Tenant/Lessee Name:
Email: <-//>
r,
one#:
CONTRACTOR: Company Name: `� G' nL �-��"�7� C' S� C Phone#:�U� �QS
Address: �v� sS s �/ C Aylvt_� /01.,. (JZ� DwX�o
City: Al - M f A ^4 1 State: r �- O x / 00�q Zip: 3.3 / 91
Qualifier Name: '447-'f c,.Jq --r "Po Phone#: �3 4-7 f
State Certification or Registration #: E e /Soo a0 ff IF Certificate of Competency #:
DESIGNER: Architect/Engineer:
Add
one#:
City: State: Zip:
Value of Work for this Permit: $ i 6o • v v Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace
Description of Work:
❑ Demolition
�nlS'Tiac.c_ I ri•JK �cSs W L< ('-� II2 �1 e A-Ct�i2 CM o UG
(% v uv I. fi C lit C 1 l i 1
e r T>eet W n 5 4j �
Specify color of color thru tile: M L / 1-t-o aye I �� n
Submittal Fee $ Permit Fee $ ee--�' CCF $ CO/CC $
Scanning Fee $
Technology Fee $.
Structural Reviews $
Radon Fee $ 2 • C7-) DBPR $ QC Notary $
Training/Education Fee $ Double Fee $ _
Bond $
Vi
(Revised02/24/2014)
TOTAL FEE NOW DUE $
Bonding; Company's Name (if applicable)
Bonding; Company's Address
City
State
Mortgage Lenders 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 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 on estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien low 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.
ASignature "TokG�Signature
WNER or A N CO ACT R
The Foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of d ^« 20 I by (90"� day of 20 IS by
pf[�- �! �.1'�•� who is personally known to ��%���Y (.tl�u ��yho is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: <;�7;77;>1 v.4A ;�VA17
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: MY COMMISSION # FF199225
Seal: "e" ✓-V e W"W v" Seal:
�pAY Pu Notary Public State of Flonda
?° Sindis Alvarez a,
My Commis^sian/�F�Fq 158750
APPROVED BY 2d—& ✓ %g Plans Examiner Zoning
as
Structural Review Clerk
(Revisec102/24/2014)
GILLER RESIDENCE
1284 NE 94T" STREET
LOAD CALCULATION
GENERAL LIGHTING ................................. 3000 SF X 3
SMALL APPLIANCE & LAUNDRY..............3000 SF X 2
LAUNDRY................................................... 3000
►101wi
9000
6000
3000
18000 VA
REFRIGERATOR............................................................. 900
RANGE.............................................................................1150
MICROWAVE..................................................................
1000
DISHWASHER..................................................................1200
TANKLESS WATER HEATER..........................................23000
JACUZZI............................................................................
667
DEMAND FACTOR
FIRST 10,000 VA @ 100% 10000 VA
NEXT 37917 VA @ 40% 14367 VA
Total 24367 VA
A/C LOAD @ 100% 14100
38467 VA
38467/ 240 = 160.28 AMPS
0.I-k7�>�L1
DRAWN 6-30-18
AJL ELECTRIC INC.
EC 13002089
12555 BISCAYNE BLVD. #826
N MIAMI, FL 33181
PROPERTY:
1284 NE 94TM STREET
SIGNATURE:
NOTARY:
,1� MY COMMISSION # Ff 199225
__ �i,.. ,all EXPIRES: February 12, 2019
SHEET 1 OF 1
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