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EL-16-442 Perm#NO 9L'4-1644,"'Z Miami Shores Village Pi Ty/3e:Electra!-ResiClel'��r, 10050 N.E.2nd Avenue NE 1 O# 5 etfo "P# t-PrIvat� Miami Shores,FL 3313&0000 Phone: (305)7952204 Ve � M -Statti pp`PRO%#vED ;- FCORiD4' Ex iration: 3112016 I >�. /4fZt� p� Project Address Parcel Number Applicant 149 NE 105 Street 1121360050130 Miami Shores, FL 33138-2032 Block: Lot: ZURDDO CORPORATION Owner Information Address Phone Cell ZURDDO CORPORATION 12921 S CALUSA Drive (786)231-5339 (786)239-6918 MIAMI FL 33186- 12921 S CALUSA Drive MIAMI FL 33186- Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 CPS ELECTRIC, INC. 305-607-8221 Total Sq Feet: 00 Type of Work:NEW POOL ELECTRICAL Available Inspections: Additional Info: Inspection Type: Classification:Residential Scanning: 1 Final Light Niche Bonding Review Electrical Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoke# EL-2-16-58726 $4.50 DCA Fee $4.50 03/04/2016 Credit Card $313.60 $0.00 Education Surcharge $0.20 Permit Fee-Additions/Alterations $300.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $313.60 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 regulating construction and zoning. rmore,I author' a the above-named contractor to do the work stated. March 04, 2016 Aut ature:Owner / Applicant / Contractor / Agent Date Buil ing Department Copy March 04, 2016 1 Inspection WorksheetBW I Miami Shores Village 1�— 4 `/ f E) 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-253162 Permit Number: EL-2-16-442 Inspection Date: May 06, 2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: Work Classification: Pool - Private Job Address: 149 NE 105 Street Miami Shores, FL 33138-2032 Phone Number (786)231-5339 Parcel Number 1121360050130 Project: <NONE> Contractor: CPS ELECTRIC, INC. Phone: 305-607-8221 Building Department Comments NEW POOL ELECTRICAL Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed E� Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 May 05,2016 Page 1 of 1 Miami Shores Village Jr, Building Department FEB 1s 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 I BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 „ FBC 20fq BUILDING Master Permit No /-T PERMIT APPLICATION Sub Permit NoZY /4� " �'/-/ MBUILDING ®ELECTRIC 01kO014NG ❑ REVISION ❑ EXTENSION E]RENEWAL PLUMBING `0016NANiCAI. PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADOREss: 149 NE 105th Stt et Cita Miami Shores �Gounty: Miami Dade Zio: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: ReS Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): m ��� ® hone#: -2,-�Rq`29 Address G 0 City: W& i � � State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: CPS Electric, Inc. Phone#: 3056345570 Address: 1600 NW 28th Ave City: Miami State: FI gyp: 33125 Qualifier Name: Angel Romero Phone#: 3059629742 State Certification or Registration M EC13005401 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: I City: State: Zip: Value of Work for this Permit:$1,000.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration © New ❑ Repair/Replace ❑ Demolition Description of Work: Pool Specify color of color thru tile: Submittal Fee$ " � Permit Fee$ ::E41v®ee'4' CCF$ CO/CC$ Scanning Fee$ Radon Fee$ ��® DBPR�$ ✓�,� Notary$ Technology Fee$ �� ��Training/Education Fee$ C1° �`[/ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ � � ® (Revisedo2/24/2014) 1 "r Bonding Company's Name(if applicable) J 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 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 o 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 z�""��-'6166-/-z OWNER or AGENT ANTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this -'�day of .20J by 8th day of January .20 16 ,by iwpesonalty known to Angel Romero ,who is personally known to me or who has produced as me or who has produced FDL as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sig Sign: Print: Print: 1p{lY Poe Notary public State of Florida MY COMMIS fON 8 FF147042 Seal: or! Joanna M Feliciano Seal: oa my commission FF 082753 ' . EXPIRES JOV 31, 2018 ( �a� WpQ` Expires oviV2018 (407)3989153 Florid rtJot�ry&:rviGe.COrtl APPROVED BY ��' � T/� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)