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EL-12-568 Miami Shores Village MCM97mr APR 0 3 Z Building Department ^612 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 B Y:- -- -------- Tel: (305)795.2204 Fax: (305)756.8972 -� INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 20 BUILDINGPermit No. ..I I,2.' PERMIT APPLICATION Master Permit No. 12' p�,� Permit Ty : Electr(,ical JOB ADDRESS: �%� ��% ' 'S — City: Miami Shores County: Miami Dade Zip: � -' 003 Folio/Parcel#: ,U0C Ov 3 C2� Is the Building Historically Designated: Yes �I Flood Zone: OWNER:Name Fee Simple Titlehol der): ��Li�/�� LL� pp//___ 2/ (y p Phone#: Oct''A6 Address: �T ��6'& rcAj City: ��C�n2�` State: Zip: "7 Tenant/Lessee Name: Phone#: Email: 000 CONTRACTOR: Company Name:ZZ&0W4oeG Phone#:MG Address: G ,! .)City: / State: Zip: ��V Quilizf'if r�Name.: . - Phone#:7i State-Certification or Registration#G�'� ��b Certificate of Competency#: Contact Phone#: 04 0 email A^ddfn ess: p p DESIGNER:Architect/Engineer: t,�ei"A_ Phone#: � Value of Work for this Permit:$ � i �� qAj�ear Footage of Work: Type of Work: PAddress ❑A1te�ation ❑Repair/Replace ❑Demolition Description of Work: MA MIS "C-v ***************************************Fees******************************************** Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) Bonding Company's Address City u 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 s t. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first in ection hick occurs sev (7) days after the building permit is issued. In the absence of such posted notice, the inspection will t a rei pection fee will be charged. i Signature Signature A2:;�&v O er or Agen Contractor The foregoing instrument was acknowledged be re me his 11 C The foregoing instrument was acknowledged before me this day of ,)?'i ,20 g,by �-L-f e CQt 0&-gaay of -1201%-,by" wh 's personally kno to me or who has produced 0�0�e4 ho is personally known tome or who has produced F ?Zr,�6v As identification and who ke an oath.LJ ON a 1 CR SYRIAN GRILLO NOTARY P LI NOTARY PU :�� MY C MISSION#EE098903 C_.._ IRE ay 1,2015 Sign: AJ Sign: Print: l _' " Print: Com: S My Commission Expires: wt,, ;�+r6 JULIA AM "DD9, My Commission Expires: MY COMMISSION#00913804EXPIRES August 04,2013 service 2 Fl0,i .Notary APPROVED BY /2-. X111°0 Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) .r �ECFIV ED SEP 2 4 2013 ALL PHASE ELECTRIC, CORP BY: 1 1899 NW 91st Ave, Bay E -- Hialeah Garden, FL 33018 786-657-6653 September 20, 2013 Miami Shores Village Building Department 10050 NE 2nd Ave, Miami Shores, FL 33138 Re: 941 NE 91St Terr, Miami Shores - Place hold on Permit# EL-4-12-568 I, Pedro Lopez, qualifier of the company ALL PHASE ELECTRIC, CORP would like to ask the City of Miami Shores to please put a hold on my permit# EL-4-12-568. There have been some misunderstanding with the owner of the property during the time of me working on the job site and therefore I would like to stop working on this property and want no one to be able to call for any inspections under my permit. My Best Regards, j Pedro L. Lopez ej Ala'a JULIA AMOSOVA :o y: MY COMMISSION#FF047280 EXPIRES August 21,2017 (407)398-0153 FloridallotaryService.com ,sum s,4 Miami Shores Village **ftM-PA$k� 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000jR �R'OIGeI NAprt Phone: (305)795-2204 " � V© h `3=s .�- t a �'tORtOP' - � I Expiration: 02/20/2013 Project Address Parcel Number Applicant 941 NE 91 Terrace 1132060030050 l Miami Shores, FL 33138-3219 Block: Lot: HUGO&ERIN CORRALES Owner InformationAddress phone Cell HUGO&ERIN CORRALES 490 NE 102 Street MIAMI SHORES FL 33138-3219 Contractor(s) Phone Cell Phone $ 12,000.00 ALL PHASE ELECTRIC CORP 305-345-6480 Valuation: ITotal Sq Feet: 939 Type of Work:ELECTRICAL Available Inspections: Additional Info:NEW ADDITION&INT.REMODEL Inspection Type: Classification:Residential Scanning: 1 Final Meter Box Alteration Relocation Fire Alarm Service Change Underground W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $7.20 DBPR Fee Invoice# EL-4-12-43811 $6.30 04/03/2012 Credit Card $50.00 $404.80 DCA Fee $6.30 Education Surcharge $2.40 09/14/2012 Credit Card $404.80 $0.00 Permit Fee-Additions/Alterations $420.00 Scanning Fee $3.00 Technology Fee $9.60 Total: $454.80 Applicant Copy For Inspections, Call(305) 762-4949 or Log on at https://bldg.miamishoresvillage.conVcap/. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. September 14,2012 2