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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