EL-16-1296•
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NQ. EL -5-16-1296
Permit Type: Electrical - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 7/1/2016
Expiration: 12/28/2016
Parcel Number
Applicant
652 NE 105 Street
Miami Shores, FL
1122310120140
Block: Lot:
KILUAN, INC
Owner Information
Address
Phone
CeII
KILUAN, INC
652 NE 105 Street
MIAMI SHORES FL 33138-
150 SE 2 Avenue
MIAMI FL 33131-
Contractor(s) Phone
SHINE ELECTRICAL ENGINEERING (305)688-2000
Cell Phone
Valuation:
Total Sq Feet:
$ 2,000.00
0
Type of Work: ELECTRIC FOR NEW POOL AND SPA
Additional Info:
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$4.50
$4.50
$0.40
$300.00
$3.00
$1.60
$315.20
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL -5-16-59758
07/01/2016 Check #: 300694 $ 315.20
$ 0.00
Available Inspections:
Inspection Type:
Final
Light Niche
Bonding
Review Electrical
Alarms
In consideration
pertainin
acceptin
required
of the issuance to me of this pe
and in strict conformity with th
rmit I assum responsibility
TRICAL, P MBING, MEC
gree to perform the work covered hereunder in compliance with all ordinances and regulations
awings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
done by either myself, my agent, servants, or employes. I understand that separate permits are
WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
in • ation is accurate and that all work will be done in compliance with all applicable laws regulating
named contractor to do the work stated.
Auth . rized Signatur : Oer ica
Buildinb De ► a
July 01, 2016
/ Contractor / Agent
July 01, 2016
Date
1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
RRCRTVED
MAY 12 016
FBC 20'- S k
BUILDING Master Permit No.l`['� 'V12
PERMIT APPLICATION Sub Permit No. 19)C1(P
❑ BUILDING ❑� ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Z
City: Miami Shores County:
Miami Dade
Zip: , L
Folio/Parcel#: 1 1 7.7 51 01 Z 0÷4 4 . Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone:
NO
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1(:1 1 `-� �� i l G Phone#:• G � -C,
Address:
City: M i di=tot v -v--% I
State: i c►rv71
Tenant/Lessee Name:
Email:
Zip: , 31
Phone#:
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING
Address: 3876 NW 125 ST
Phone#: 305-688-2000
City: OPA-LOCKA State: FL
Qualifier Name: FRANCISCO SANTOS
State Certification or Registration #: EC0001514
Zip: 33025
Phone#: 305-688-2000
Certificate of Competency #:
DESIGNER: Architect/Engineer: � � +� n z i Phone#:-rJ Co
Address: Z75.9- SW City: • Stater Zip:
Value of Work for this Permit: $
2
Type of Work: ❑ Addition ❑ Alteration
y 1
Description of Work:
.0001
Square/Linear Footage of Work:
New ❑'Repair/Replace ❑ Demolition
!Specify color' of c,
•Submittal Fee $
Scanning Fee $
Technology Fee $
• tt
for thriutile:
Permit Fee $ Yee, e,
Radon Fee $
CCF $ 1 -
DBPR $ - 5D
CO/CC $
Notary $
0
{ - 6o Training/Education Fee $ 0 c--4 0 Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ SI S ° 26
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 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.
OWNER or AGENT
The foreg ing instrument�was acknowledged before me this
M
day of ' �' ` 4=k Yc , 20 14. , by
Mcib C_ '�—�'�+� , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print:
as
RZ
.,
F4
,
....
.ViY CO,y•
-� Septei
NZ•�
.2 ' tik:z
14_ 5 : N.
• FFCORIDP,,.•s'
CONTRACTOR
The foregoing instrument was acknowledged before me this
(—rrs day of M --� 20 1 c , by
FRANCISCO SANTOS , who is personally known to
me or who has produced as
identification and who did take an oath.
NOT,1PY PUBLIC:
Sign
Print:
Seal.
**********************************************************************************
APPROVED BY
(Revised02/24/2014)
j?,eri /7i Plans Examiner
Structural Review
YORLENYM.HERNANDEZ
MY COMMISSION # FF022108
EXPIRES: September 27, 2017
Banded Tin Notary Public Undeneners
Zoning
Clerk