EL-16-32061
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -11-16-3206
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 11/28/2016
Expiration: 05/27/2017
Parcel Number
Applicant
422 NE 93 Street
Miami Shores, FL 33138-
1132060140211
Block: Lot:
SHAWN AND MELANIE ORELL
41111111111111,
Owner Information
Address
Phone
CeII
SHAWN AND MELANIE ORELL
422 NE 93 Street
MIAMI SHORES FL 33138-
422 NE 93 Street
MIAMI SHORES FL 33138-
Contractor(s)
ATLANTIS ELECTRICAL CORP
Phone CeII Phone
(305) 551-4043
Valuation:
Total Sq Feet:
$ 900.00
0
Type of Work: ADD 12 NEW RECESSED LIGHTS AND 1 SW
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
$0.60
$2.25
$2.25
$0.20
$150.00
$3.00
$0.80
$159.10
Pay Date Pay Type
Invoice # EL -11-16-62164
11/23/2016 Credit Card
11/28/2016 Credit Card
Amt Paid Amt Due
$ 50.00 $ 109.10
$ 109.10 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
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 28, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
November 28, 2016 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
RECEIVED
NOV 232016
714
FBC 20 [I
BUILDING Master Permit No.QI b -3,266
PERMIT APPLICATION Sub Permit Notj, -`.%
❑BUILDING ❑■ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS n CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 422 NE 93 Street
City:
Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-014-0211 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Shawn & Melanie Orell Phone#: 305498-7627
Address:422 NE 93 Street
City: Miami Shores
State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Atlantis Electrical Corp Phone#: 786-395-6790
Address: 12803 SW 20 Terrace
City: Miami
Qualifier Name: Francisco Perez
State: FL
Zip: 33175
Phone#: 786-395-6790
State Certification or Registration #: EC13001914 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: (-� City: State: Zip:
C
Value of Work for this Permit: $ lGw'
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alterationn New I Repair/Replace n Demolition
Description of work: Add (12) new recessed lights and (1) switch for living room ceiling
n
1
•
Specify color of coloi. thru„tile: ,,- Y. :t.
"� ' ..1z' (k.i ._.I .)••, .hi.f
Submittal Fee $ .0.0'3' t . Permit Fee'$•j / 5";:30'di CCF $ `}•” C'CD'to/CC $ a�
Scanning Fee $ Radon Fee $ 2 • 25 DBPR $ 2. ZS Notary $
Q
Technology Fee $ " C3 0 Training/Education Fee $ s 2_0 Double Fee $
Structural Reviews $ Bond $ G
TOTAL FEE NOW DUE $ 1®-1 •
1.1
(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 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
OWNER or AGENT
SignatureAJ,
R
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
11 day of Nove rnb-er , 20 1 , by 1 1 day of Rove nn bey- , 20 1(0 , by
S*0% , who is personally known to
me or who has produced DL -4: 0 (940:-1411* -It. ilk.°
identification and who did take an oath.
Sign:
Print:
Seal:
rrcncsco reZ , who is personally known to
me or who has produced PL oy,
identification and who did take an oath.
NOTARY PUBL
Sign:
Print:
Seal:
Suyapa . Vasquez 44.10% Suyapa t. Vasquez
Commission # FF942611 - = Commission # FF942611
Expires: December 9, 2019 �•"''= Expires: December 9, 2019
,Igr,ola�! 'F'o�''� Bonded thru Aaron Notary
APPROVED BY
(Revised02/24/2014)
G1"/‘ Plans Examiner
Structural Review
as
Zoning
Clerk