EL-01-22-77Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: EL-01-22-77
hermit Type: Electrical - Residential
Work Classification: Service Change
Permit Status: Approved
Issue Date: 01/12/2022 Expiration: 07/11/2022
Location Address Parcel Number
305 NE 91ST ST, Miami Shores, FL 33138 1132060136490
Contacts
ALFRED DOWSON Owner TEAC ELECTRIC Contractor
305 NE 91 ST, MIAMI SHORES, FL 331383129 CARLOS MARTINEZ
1900 NW 16 TERR, MIAMI, FL 33125
Home: 7864262094
WF
Description: replace service Valuation: $ 2,400.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
I i ___ __ _ __ A
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
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$117.90
Cash
01/12/2022 $117.90
Amount Due:
$0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I
that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
!-¢$hermore, I authorize the above named contractor to do the work stated.
Agent
Date
January 12, 2022 Page 2 of 2
Miami Shores Village
r IVF.D
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
FBC 202D
Master Permit No. R-a 1-7,1-1-1
Sub Permit No.
❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: 30S' AI,C 41 S t-
City Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: AD I:S Load: Construction Type: Flood Zone: BFE: FFE: gg
OWNER: Name (Fee Simple Titleholder): &I ///Q Do w s O 1� Phone#: -7S6 ` 5�6.109f,
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Tia4c A54,CG 1 k;C Phone#: '� g�'- y2� -ZC)94�'
Address:
City: AA jAcAAj
State:
zip: 3312 S
Qualifier Name:
CAdos
Phone#:IB6-(f2,(,
State Certification or Registration #: F f^ -onvI3 3fl Certificate of Competency #:
DESIGNER: Architect/Engineer:
Zip:
Value of Work for this Permit: $ Z I d0• 00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New M Repair/Replace ❑ Demolition
Description of Work: leER1Aerz SrrViCr
Specify color of color thru the:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
CCF $ CO/CC $
DBPR$ Notary:
Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ 11 t •(� C)
Bonding Company's Name (if applicable)
Banding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
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 reinspNjon fee will be charged.
or AGENT
Signature & vK A
CONTRACTOR
The foregoingMstrument was acknowledged before me this The foregoing instrument was acknowledged before me this
L day of —JA�N J 20 Z 2 by "t� day of U 20 2 2 , by
1 T O 7o1N SIN who is personally known to ��� �. (���ho its personally known to
toy
me or who has produced as me or who has produced rc— lx?�
and who did take an oath.
NOTARY
Print: �o P,-� Ak;1C---T2
identification and who did take an oath.
NOTARY PU LIC:
Sign:
Print: N� 1 �c lJ f�
Seal: Seal:
":�+ SINDIA ALVAREZ
"✓:[? SINDIA ALVAREZ "P•'�_ MY COMMISSION # GG 238273
"R ` MY COMMISSION # GO 238273
'. ;==;•r,3j EXPIRES: September J, 2022
************** sK @�`** +Il ****************** *IrSAE,f.`a ➢wwad;
pr n, Bonded Rru Ndwy uNie Unde re
APPROVED Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
ADDRESS 305" /VC 9, / Sf A,A-Mi SA046rg
CONTRACTOR OR OWNER � �� ea6't21C
TYPE OF SERVICE: ZUNDERGROUND ❑ OVER SAD
ALL CONDUCTORS SIZED PER NEC ARTICLE 220
ALL UNDERGROUND SERVICE CONDUCTORS MUST HAVE A WARNING RIBBON 12 "ABOVE CONDUIT
300.5 (D) (3)
SERVICE ENTRANCE CONDUIT AND WIRE SIZ &OR ALUMINIUM
OVERHEAD SERVICE CONDUCTORS SHALL
COMPLY WITH NEC 230 PART B
SERVICE
DISCONNECI'
0 WITH OR
WITHOUT
BRANCH
CIRCUIT
METER OR BREAKERS
METER
MAIN
COMBO
COLDYVATERBOND
SIZE !I CIA
NEC TABLE 250.66
SE„RV E RATED PANEL
O VOLTAGERATING
10p AMPRATING
7_9U MAINBREAKER SIZE
JOK A.I.C. RATING
250.94
AN EXTERNAL MEANS FOR
INTERSYSTEM BONDING CONNECTIONS
GROUNDBNGELECT O E
CONDUCTORSIZE G Li
NEC TABLE 250.66
Ir `ii7xfl81
-------------------- _--------------------
APPROVED WS
ELECTRICAL DIVISION'
;
------------------------ yy
SUB PANEL SIZE
l76i24/J VOLTAGERATING
20y AMPRATING
A-vc? MLO
MCB
SUBPANEL
NEW OR
11EXISTING
SUB FEEDER:
CONDUIT t, SIZE
CONDCIT TYPE
WIRE SIZE f
EQUIP: Ev QUI>DWIRE
S i�i��N
WIRE TYP RALUMINIUM
NEW P OR O
-_________________________________________________,
i APPROVED BY LICENSE E�j'{'RICAL i
CONTRACTOR: OPg6`'^Ir ;
i OR
i
� Q �-
NOTARY SEAL:
:DATE:
;•: rc ARLENIS Sill ERA
W COMMISSION# GG950477
EXPIRES: March 6, 2024
'•',e0,—W Bonded Dru Notary Public Undemiters
CITY
COPY
d�:�'� . ,