EL-16-759Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
118 NW 103 Street
Miami Shores, FL 33150-
Owner Information
Permit
Permit NO. EL -3-1'6-759
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 3/2312016
Expiration: 09/19/2016
Parcel Number
1131010220
Block: L. ,
Applicant
EACH MORNING LLC
EACH MORNING LLC
Address
118 NW 103 Street
MIAMI FL 33150-
118 NW 103 Street
MIAMI FL 33150-
Contractor(s)
MESA BROTHERS INC
Phone
(305)345-1974
Cell Phone
Valu? tion:
Total Sq Feet:
$ 1,200.00
0
Type of Work: KITCHEN REPAIR (ELECTRICAL WORK)
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
$2.00
$2.00
$0.40
$150.00
$3.00
$1.60
$160.20
Pay Date Pay Type
Invoice # EL -3-16-59113
03/23/2016 Check #: 1021
03/22/2016 Credit Card
Amt Paid Amt Due
$ 110.20 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
1
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, PLUM CH eL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify ormation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futher the above-named contractor to do the work stated.
March 23, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
March 23, 2016 1
BUILDING
PERMIT APPLICATION
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
FBC 21314541't
Master Permit No. 2c- —
Sub Permit No. EL16 — S 1
❑ BUILDING ffi ELECTRIC 0 ROOFING 0 REVISION ❑ EXTENSION 0 RENEWAL
❑PLUMBING 0 MECHANICAL 0PUBLIC WORKS CHANGE OF E CANCELLATION 0 SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City:
Miami Shores
County:
Miami Dade ZiD:
Folio/Parcel#: N
n Is the Building Historically Designated: Yes NO
Occupancy TypeAC I /• Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ECCc-4/"✓arM/'2 p Phone#: 0-6) 2 ' !Address: .�//5Z- S W 6 S T- 4 j
City: M G A I State: zip: 33 133
Phone#: Od6) 21-11--52.Z6
Tenant/Lessee Name:
Email: 7A-tl` 1^ 2. (,P2oP-Pmts' F% , Co -f
CONTRACTOR: Company Name:
3 �-- � � �n Phone#:
Address: 1 ce)—
City: /�10 -itiState: �pv CT Zip: c'J 3 76" �S
Qualifier Name: /c1/11? et Phone#: 3e? dr"— v5. -/p. 7./
State Certification or Registration #: c` - / 34,47/,70 Certificate of Competency #:v., -.--e--,,e.
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ / 2.•c).--> ' G -z7 Square/Linear Footage of Work:
Type of Work: ❑ Addition 74[ Alteration ❑ New ❑Repair/Replace / ❑ Demolition
Description of Work: /C '4 c I( %2e ' )- (.4"../.., ° �"'�. 2) -4_ )
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ /t0-2,/" CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ t 10, 2,0
(Revised02/24/2014)
Bondidg0Company'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 Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoing instrument was ack owledged before me this
n
.9
day of �i/��L , 20 i (� , by /1 da of / 4i ' _ 20 �6, , by
` b ( -1byr, who is personally known to , who is personally known to
me or who has produced as me or who has produced as
CONTRACTOR
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: // .7 T3�
Seal:
t.> /e.
v Notary Public State or Florida
;P fir: Christopher Robert Suarez
My Commission FF 930848
*R11.9e**t, t *t* .*. *.
APPROVED BY
(Revised02/24/2014)
z
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
<L:
miwr
C3 7
ANCY TEJADA
MY 0 MMISSION #FF084758
EXPIRES: JAN 21, 2018
Bonded through 1st State Insurance
***************************************************************
Plans Examiner Zoning
Structural Review Clerk