EL-7-1271CCO
AkX
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
C 5 . 55,E __lie
BUILDING j�.`�
+ y =OM Permit No ! t
PERMIT APPLICATIO r �i�I joi E Master Permit No.
C 2004
Permit Type: Electrical
Owner's Name (Fee Simple 'Titleholder) 'N v\,4 CA W\IA Z We 1 t1,Y Phone # 305 ® 95E
Owner's Address t 5 N
City MA SAA C) at-5 State - Zip 1
Tenant /Lessee Name Phone # -Q5 75n I �11C�
E -MAIL:
Job Address (where the work is being done) Y S i �1 s °
City Miami Shores Village County Miami -Dade Zip -SS i
FOLIO / PARCEL #
Is Building Historically Designated YES
NO
Contractor's Company Name ra' c K Cce . 141Q. Phone # -SO S - r1 (91
Contractor's Address '9 <U.) .
City W1 1i rii/1 1. State ea. •
Zip '5-S
Qualifier Name ---?.C.)' 4. Cc. i..,� r � 1� Phone # 1 rtq 1i
State Certificate or Registration No. Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name if applicable) Phone #
Value of Work For this Permit $
Square / Linear Footage Of Work:
Type of Work: ❑Addition ['Alteration ['New ❑ Repair /Replace ❑ Demolition
Describe Work: l S .('it, Pi
******* x*** xxwx xxxxx*ww *ww**x ** ***Feesxxxxrrxwxxrxrrxx 3cxre* *Icwx**** * *x********* ***
Submittal Fee $ Permit Fee $ e"-'- CCF $ '' CO /CC
Notary $ Training /Education Fee $ 0 • Technology Fee $ x .75
Scanning $ 5. Radon $ DPBR $ Zoning $
Double Fee $ JUN Structural Review. $ Total Fee Now Due $ 159. 15 JUN 2 2 PAID
See Reverse side -* fQ 115(
Bond $ Code Enforcement $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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
COM MENCEMENT."
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.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 _, by , day of ' , 20 by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Sign:
Print:
My Commission Expires:
***************************************************** xxxxx* x***** * *x* * ** * ** * *xxxxx * ** * * *aYstsY***** ** * *e:******
APPLICATION APPROVED BY:
(Revised 02 /08/06)
- 9 /-,„M- Plans Examiner
Engineer
Zoning
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 he absence of such posted notice, the
inspection will not bbe'proved and a reinspection fee will be charged.
Signature A g Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 12__
day ofJQ(\Q. , 201 , byP0ii'I"1 a- 01 C11/67/f) ,
who is personally known to me or who has produced ✓i ceA 3
As identification and who did take an oath.
NOTARY P
NO
Sign: .i "'
Print:
My C
®f
Contractor
The foregoing instrument was acknowledged before me this 12_
day of , 20 e ; by
who is ersonally known o me or who has produced
as identification and who did take an oath.
NOTARY PUBLI
Sign q,,,,,
sr
Prim.
Myg
•
ATE OF FLORIDA
`I ql ,;•1
**************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
State Certificate or Registration No.
(Certificate of Competency Holder)
* * * * * * **
5, 2010
LNG CO., INC.
Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 10/14/03
Plans Examiner
Engineer
Zoning
06/07/2011 11:10 FAX 3056335650 ROADSAFE TRAFFIC SYSTEMS II001/001
Pamela W Marmin
315 NE 101st St
Miami Shores, FL 33138 -2424
305 -758 -1370 home
Miami Shores Village Code Enforcement
10050 NE 2nd Ave
Miami Shores, FL 33138 -2382
305 -795 -2204
Permit EL6- 071271
Please cancel Permit EL6- 071271
We never performed the work. The FP &L power line is still aerial
and not underground
Any questions please do not hesitate to contact me.
My cellular number is 1 -305 -797 -7677.
Sincerely,
Pamela W Marmin