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EL-15-814PrOjeCt Address Parcel Number Applicant 429 NE 99 Street 1132060170400 Miami Shores, FL 33138-2461 Block: Lot: JULIA NEGREVERGNE Owner Information Address Phone Celt JULIA NEGREVERGNE 429 NE 99 Avenue MIAMI SHORES FL 33138- 429 NE 99 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone ALL YEAR ELECTRIC INC (954)566-4644 of Work: RENEWAL OF PERMIT NUMER EL 14-2109. onal Info: kation: Residential Fees Due Amount CCF Miami Shores Village 10050 N.E. 2nd Avenue NE DBPR Fee Miami Shores, FL 33138-0000 DCA Fee Phone: (305)795-2204 PrOjeCt Address Parcel Number Applicant 429 NE 99 Street 1132060170400 Miami Shores, FL 33138-2461 Block: Lot: JULIA NEGREVERGNE Owner Information Address Phone Celt JULIA NEGREVERGNE 429 NE 99 Avenue MIAMI SHORES FL 33138- 429 NE 99 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone ALL YEAR ELECTRIC INC (954)566-4644 of Work: RENEWAL OF PERMIT NUMER EL 14-2109. onal Info: kation: Residential Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee - Additions/Alterations $100.00 Scanning Fee $3.00 Technology Fee $0.60 Total: $108.60 Valuation: $ 500.00 Total Sq Feet: 0 Pav Date Pav Tvpe Amt Paid Amt Due I Invoice # EL -4-15-55129 04/13/2015 Check #: 8170 $ 108.60 $ 0.00 Available Inspections: Inspection Type: Review Electrical :j 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 theplans, dr wings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all w one by ei r myself, my agent, servants, or employes. 1 understand that separate permits are required for ELECTRI L ING, MECHANIC , IN[ I DORS, ROOFING and SWIMMING POOL work. OWNERS AFF AVI . I certify that all the fore ng info of n is ac an that all work will be done in compliance with all applicable laws regulating construction 2nd z ing. Futhermore, I autho ' e ove-nam contractor to d the work stated. April 13, 2015 Signature: Owner / Applicant / Contractor / Agent Building Department Copy April 13, 2015 1 W Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 X Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING FN -1 ELECTRIC ❑ ROOFING ❑PLUMBING ❑MECHANICAL ❑PUBLICWORKS JOB ADDRESS: 429 NE 99 ST APR 0 7 2015 F°°BC 20 l � Master Permit No. 1��--I.- B- / r e[ Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11 -3206-017-0400 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): JULIA CECILE E NEGREVERGNE Phone#: (786) 282-8558 AAA --429 NE 99 ST City: MIAMI SHORES State: FL Tenant/Lessee Name: Phone#: Email: p: 33138 CONTRACTOR: Company Name: ALL YEAR ELECTRIC INC. Phone#: 954-566-4644 Address: 1345 NE 4TH AVE City: FT LAUDERDALE State: FL Zip: 33304 Qualifier Name: THOMAS A. SMITH Phone#: 954-566-4644 State Certification or Registration #: ER0012903 Certificate of Competency #: 94 -CME -1506 X DESIGNER: Architect/Engineer: Address: � ,�,..,, City: State Value of Work for this Permit: $ �//v • (S -N Square/Linear Footage of Work: _ Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: RENEWAL OF PERMIT NUMBER EL 9 142109 Zip: ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ 60101 �® CCF $ CO/CC $ Scanning Fee $ Technology Fee $_ Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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. Signa Signature �� AGENT ONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 7 day of APRIL 20 15 by 7 day of APRIL JULIA CECILE E NEGREVERGNE who is personally known to RANDY E. MILLER me or who has produced as me or who has produced 20 15 by who is personally known to identification and who did take an oath. identification and who did take an oath. as NOTARY P LIC: NOTARY P LIC: o Sign: d� � Si n: PriPrint: DIMIT Sea (� �. P MY COMMISSION #FF173128 +i s. • Seal: ) MY COMMISSION #FF172190 !� EXPIRES October 30, 2018 u EXPIRES October 30, 201slao7j 3 01 13 FloHdnNOfaryService.com 67 ilC+ ti3 Com APPROVED BY MIR AO/ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)