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EL-02-22-497Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 441 NE 101ST ST, Miami Shores, FL 33138 Contacts Permit NO.: EL-02-22-497 Permit Type: Electrical - Residential Work Classification: Service Change Permit5tatus: Approved Issue Date: 03/01/2022 Expiration: 09/01/2022 Parcel Number 1132060170660 Michael Obregon Owner LONGMAN ELECTRIC INC 441101 MICHAEL LONGMAN 95 NE 166 ST, Miami, FL 33162 Business: 3057581211 longmanelectric@bellsouth.net Description: MOVE SERVICE UNDERGROUND Valuation: $ 4,900.00 Insection Requests Total SQ Feet: 0.00 ni Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.57 DCA Fee $2.00 Education Surcharge Permit Fee $121.50 Scanning Fee $9.00 Technology Fee 54.29 Total: $193.36 Payments Date Paid Amt Paid Total Fees $193.36 Credit Card 03/01/2022 $193.36 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 1 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 regulating construction and zoning. Futhermore, I authorize the above named contractor to do t12e work staled. 41 . I. / Authorized Signature: Owner / Applicant / Contractor / Date March 01, 2022 Page 2 of 2 Miami Shores Village RECEIVED 21 z�l z2 Building Department FEB 24 Z02Z 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Mir I Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 w�* BUILDING Master Permit No:E(--6Z-Z-Z- 491 PERMIT APPLICATION Sub Permit No. ❑BUILDING 1`'jELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Folio/Parcel#: l 13 2�o Lp 01 —T O Ce(v 0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titlehol City: zo: /V/ c/ /�2L'S� State: Tenant/Lessee Name: Email: �'%')iL?,��'6f /B leaot�Q/C CONTRACTOR: Company Nartfe: Address: City: M State:. qualifier Name: i b'!�/1 State Certification or Registration : bOMo 3 71 DESIGNER: Architect/Engineer: of Competency #: p: , 547-' Zip: -:zF1L' L 36S 7.Sg -/7il/ Address: �7 City: State: _Zip: Value of Work for this Permit: $ / 1OV12 � Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �%de �iE�/�/�L%/./�i�.�i�I G.�✓ J(/,2�� Specify color of color thru Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $_ DBPR $ CO/Cc $ Notary Double Fee $ Bond $ � r r, TOTAL FEE NOW DUE $ i I 3 (Revised02/24/2014) 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 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. OWNER or AGENT The foregoingii 0?.7P day me or who has produced was acknow#8ged before me this 20 02 --, , by no is personally known to s identification and who did take an oath. NOTARY PUBLIC: Print: A/I I N Q / W'r h,, Notary Public State of Florida Seal: F 4; Michelle Perez y Yc • My Commis HH 093257 •�,,, E.pres 0W0812025 Signature'Y' I`^ al,' �rIl. C6dTRACTOR The foregoing instrument was acknowledged before me this e/ day of e u 20 O%A . by who is personally know to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as .,O Notary Put*c State of Florida 4: Michelle Perez mmig HH E• 0vas p4/0�2025093257 ago• APPROVED BY l� �J' —!/, Plans Examiner Zoning Structural Review Clerk (ReAsed02/24/2014) `f nG(d I/Ale rC! t ri '. "- -- / V iA 10aj ov'9e�Y-Im4er- Cw, mules i�✓auyG� �ra SSy ar c . '� -X�lack liMe s�oWS exls- ['Oy FPL 10Cc--i©0 `:h✓IVED CITY FL.B 2 4 2022 BY: 'y ELECTRICAL APPROVE4Xg�p STATE OF FLORIDA COUNTY OF D77, The foregoing instrumcn: W2S acknowledged befom me thus N7 Or by Notary Publie State of Florida ��%Y; Michelle Perez y c My Ccwnraiaebn HI 093257 ?an Ertives D4108/2025 pyre ,IT i z= f- OR Produced ld:n_:fication Type of Identification Produced gwe Z x F STATE OF FLORIDA r kh COUNTY OF _) The foregoing instmmmtwas acknowl edbefo ethis 2J by (name of person acknowledging). „AWN .� My Notary PuMie State of 4P �` Michelle Perez ;s r My Commisegn HH 0 T� Ezpire.P0410812025 Produced ELECT kICAL REVIEW 2y- APPROVED/ DATE I Grnd. Rods I Overhead FPL Riser to become underground FPL riser. Grnd. Block (D 200 amp, Single Phase Meter Can, r C, (3)W- 2/0 THHN (1) # 4 Ground, 120/240 volt, 22KAIC rated, existing, overhead to underground conversion, meter can to remain with new underground conduit to be installed under permit in cooperation with FPL. Cold Water Longman Electric, Inc. 95 NE 1661h Street Miami, FL 33162 EC13003713 lobslte Address: Michael Obregon 441 NE 101 ST Miami Shores, FL 33138