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EL-02-22-476Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 8729 NE 4TH AVENUE RD 8729, Miami Shores, FL 33138 Contacts Permit NO.: EL-02-22-476 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: Approved Issue Date:02/28/2022 Expiration: 08/29/2022 Parcel Number 1132060460800 BLANCA CHEN Owner DOWNRITE ENGINEERING CORP Contractor 8729 NE 4 AVE RICHARD BARRON 1 Mobile: 3052322340 JAMES@DOWNRITE.COM r Ins ection Requests. Description: REPLACE PANEL AFTER FIRE i Valuation: $ 2,500.00 Total Sq Feet: 0.00 '- Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee 52.50 Total: $117.90 Payments Date Paid Amt Paid Total Fees $117.90 Credit Card 02/28/2022 $117.90 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 regyla4FKkcon;kuction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date February 28, 2022 Page 2 of 2 Miami Shores Village RECEIVED Building Department FEB 2" 02Z 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 * FBC 2�� BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING �LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [_]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 3313 CJ Folio/Parcel#: / / - 3J O 6- 04 t, _0;R,tOIs the Building Historically Designated: Yes NO Z' Occupancy Type: - `� Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): A j., V Address: �%,2� /y E � 19 t h City: lYh ( "?L� / s/m cz State: FC Tenant/Lessee Name: Email: N UM CONTRACTOR: Company Name: ram/ lA Phone#: Address: City: M ( /9Y I State: \- Zip: Qualifier Name: l c lye04 A. O � r9_,+z eo Phone#: 30S_.5aL E/b State Certification or Registration #: Fe 1 00 / 3 Certificate of Competency #: DESIGNER. Architect/Engineer: Value of Work for this Permit: $ 2 SO4D• c� Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: Specify color of color thru tile: Submittal Fee $-__6� Permit Fee $ Scanning Fee $. Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ Zip: ❑ Demolition CCF $ CO/CC $ DBPR $ Notary I Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ _ (Re i5 d02/24/2014( 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 on 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 reinspectlon fee will be charge Signature OWNER or AGENT The foregoing instrument was acknowledged before me this ZZ day of -o�rV4 20 _ ��, by who is personally known to me or who has produced k-PCO dRt l% as identification and who did take an oath. NOTARY PUBUC: Print: Seal: Mays E. Torres NOTARY PUBLIC STATE OF FLORIDA Conn# GG973697 d. i �v Signatu CONTRACTOR The foregoing instrument was acknowledged before me this 2� day of Feld rua 20 Z2_, by Ili who is peily known to� me or who has produced rso ('!© identification and who did take an oath. NOTARY PUBUC: Sign: r Print: Seal: MaM E. Torres NOTARY PUBLIC STATE OF FLORIDA • Conan# GG973697 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) LECTRI CAL KEVi EV,42 APPROVE _DATE CITY COPY •W. FEB 2 5 2022 .�%;" SINDIA ALVAREZ PAY COMMISSION � GG 236273 EXPIRES: September 3,2022 Bonded 7hu Notary Public Undewitem