RC-07-22-1679Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:10/11/2022
Permit NO.: RC-07-22-1679
Permit Type: Building (Residential)
Work Classification: New
Permit Status: Approved
Expiration: 04/11/2023
Location Address Parcel Number
1030 NE 99TH ST, Miami Shores, FL 33138 1132050320010
Contacts
CAROLYN MCKERLY Owner ALL QUALITY ELECTRICAL SERVICES, INC Contractor
1030 SAMUEL LIGHTBOURNE
14750 S RIVER DR, MIAMI, FL 33167
Business: 3057905899 allqualityelec@att.net
Inspection Requests:
Description: CONCRETE SLAB NEW 22 KW WHOLE HOUSE Valuation: $ 500.00 ---
GENERATOR WITH 200 AMP AUTOMATIC TRANSER SWITCH 305-762-4949
Total Sq Feet: 15.00
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Fees
Amount
Application Fee- Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.30
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
510.00
Total:
$123.90
Payments Date Paid Amt Paid
Total Fees $123.90
Credit Card 10/11/2022 $123.90
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 all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
re ulahn c stru ion and zoning. Futhe , I authorize the b ve named contractor to do the work stated.
r
Authorized Signature: Owner / Applicant I Contractor / Agent Date
October 11, 2022 Page 2 of 2
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
JUL 0 Z9Zd
BY: —AWL
FBC 202bn
BUILDING Master PermitNo� IIO-75
PERMIT APPLICATION Sub Permit No. — —1b79
QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1030 NE 99 St., Miami Shores, FL. 33138
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3295-032-0010 Is the Building Historically Designated: Yes NO X
Occupancy Type: SF Load: Construction Type: CBS Flood Zone: N BFE: 8. FFE: 10.09
OWNER: Name (Fee Simple Titleholder): Carolyn MCKerley Phone#:802-238-7779
1030 NE 99 St.
City: Miami Shores
Tenant/Lessee Name: N/A
Email: N/A
State: FL
33138
CONTRACTOR: Company Name: All Quality Electrical Services Inc. Phone#: 305-968-7832
Address: 14750 S. River Drive
City: Miami
FL
33167
Qualifier Name: Samuel Lightbourne Phone#: 305-968-7832
State Certification or Registration M EC13009246 Certificate of Competency #:
DESIGNER: Architect/Engineer: N/A Phone#: N/A
Address: N/A City: N/A State: N/A zip: N/A
Value of Work for this Permit:
Type of Work: ❑ Addition
❑ Alteration ❑■ New
r Footage of Work: 15
❑ Repair/Replace
Ft.
❑ Demolition
Description of work: Concrete Slab for new 22kw whole house generator with 200 AMP Automatic Transer Switch
Specify color of color thru tile:
Submittal Fee $� Permit Fee $� CCF $g� co/cc ;
Scanning Fee$ Radon Fee$ 4.ial DBB/PR'$ 2)•W Notary
Technology Fee $ I� Training/Education Fee $ 3 • LV Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $
1,;P
Bonding Company's Name (if applicable)
Bonding Company's Address
City Sl
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
aE.
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.
Sign at a C..
W N E L rAG T
The foregoing instrument was acknowledged b ore me this
079"
/} day of _�(1P �
20 � by
l'1_ 4 Vl 10ult who is personally known to
me or who has produced as
identification and who did take an oath.
Signature jaw-V/4-&'rQ-,
CONTRACTOR
The foregoing instrument was acknowledged before me this
day f 20 9 by
�Whd' personally known to
me or who has produced_ v` as
identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: ��—tlT�A /' I Sign: -0&cd
1
Print: bKhNUA M. TI Print: l lil G S
Seal: NOTARY PUBLIC Seal: YPVBrH KETLIE K. DANIELS
State of Maine �' • Commission # GG 926487
My Commission Expires . c� Expires November 4, 2023
Nevem1W 20, 9026 ''c0', 8-40Tmea uEge,Nabry Services
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APPROVED BY ��ti Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)