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EL-16-2869 i eatOwl 6- �sN°REQ , it Miami Shores Village )dehtl4l z� 10050 N.E.2nd Avenue NE ' > r � Solar '•" Miami Shores,FL 33138-0000 { j� Phone: (305)795 2204 fiioni� / 7/2017 Issue t�at�a 'I It3/2b'I Expiration: Project Address Parcel Number Applicant 987 NE 96 Street 1132060143240 Miami Shores, FL Block: Lot: ROBERT HACH Owner Information Address Phone Cell ROBERT HACH 987 NE 96 Street MIAMI SHORES FL 33138-2523 Contractor(s) Phone Cell Phone Valuation: $ 2,495.00 ALL SOLAR SOLUTIONS DBA DISCOI (954)475-6160 Total Sq Feet: 32 Type of Work:DHW SOLAR WATER HEATER Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning: 1 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# EL-10-16-61741 DBPR Fee $2.00 11/08/2016 Check#:012 $ 161.80 $50.00 DCA Fee $2.00 Education Surcharge $0.60 10/20/2016 Check#:011 $50.00 $0.00 Permit Fee-Additions/Alterations $100.00 Scanning Fee $3.00 Technology Fee $2.40 Work without Permit Fee $100.00 Total: $211.80 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. Futhermore,I authorize the above-named contractor to do the work stated. November 08,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy November 08,2016 1 ~ Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL C 1 6- Phone: (305)795-2204 Fax: (305)756-8972 I Inspection Number: INSP-269455 PermitNumber: EL-10-16-2869 Scheduled Inspection Date: December 14,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: HACH, ROBERT Work Classification: Solar Job Address:987 NE 96 Street Miami Shores, FL Phone Number Parcel Number 1132060143240 Project: <NONE> Contractor: ALL SOLAR SOLUTIONS DBA DISCOUNT POOL HEATING Phone: (954)475-6160 Building Department Comments DHW SOLAR WATER HEATER Infractio Passed Comments INSPECTOR COMMENTS False TO REPLACE PERMIT#EL-5-10-825 Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 13,2016 For Inspections please call: (305)762-4949 Page 13 of 40 Miami Shores Village O ,��, � Building DepartmentOCT 18 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION LINE PHONE NUMBER:(30S)762-4949 S FBC 2014 BUILDING Master Permit No.F—r— 16--J2-k-�v PERMIT APPLICATION Sub Permit No. CLA(A— 2n ❑BUILDING PfELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �y CONTRACTOR DRAWINGS JOB ADDRESS: -/�� /li• _ 9-4,01s - City: Miami Shores County: Miami Dade Zip: "72g l3$ Folio/Parcel#: I I - �Q�v'�i -J?Z Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: W'10 BFE: FFE: OWNER:Name(Fee Simple Titleholder): 61ZvCW 7N- ROCc14 L,✓1!s ��5� Phone#: ?N& ��gV��s Address: 0(47 4e Ct(o �t � City: fK'a veli 6kt V* S State: Zip: Tenant/Lessee Name: Phone#: Email: 0434- CONTRACTOR: Company Name: Q (4V IT cab Phone#: Address: S �/`J City: � l State: Zip: J J 3 I S QualifierName: f "clVl� i�eiV O Phone#: fli, 66-L) 3 S State Certification or Registration#: C V L Y6-?�l Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: nn Value of Work for this Permit:$ �. �`) Square/Linear Footage of Work: 5tf- Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: D AW 5j'Aa-N Oatee hecitee Specify color of color thru tile: Submittal Fee$�0'` . Permit Fee$ l� °®� CCF$ ' •g� CO/CC$ Scanning Fee$ Radon Fee$ DBPR$// Notary$ Technology Fee$ Training/Education Fee$ • 4�J® Double Fee$ .I Structural Reviews$ Bond$ TOTAL FEE NOW DUE$�� 1 8 (Revised02/24/2014) 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 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 t be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the obse e a such posted notice, the inspection will n e approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR Thefore Qing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1 dt�ay of Lk,by day of 20 14 by PFJ>ko ,who is personally known to4060 who is personally known to me or who has produced T'C'I �' as me or who has produced %foAAV � -140 as identification aVdii oath. identification and who did take an oath. NOTARY PUBLI NOTARY PUBLIC: �� Sign• la Sign: pp gib. •h: PrinPrint: Seal: ABDULA.01AWALE Seal: Comm(e 0FF961477 +:., :oma EzpitesFsbtu�t17,2020 '•',FovwQP 8WWThm7foyFe1n1nsnra800.385-7099 APPROVED BY .2 e4'0 Of/o' Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)