ELC-16-2509 Permit No. E LC-9-16-2509
Miami Shores Village Permit Type:Electrical -Commercial
10050 N.E.2nd Avenue NE Per te ' Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
t0R1oP Expiration: 03/15/2017
Issue Date:9/1612016
Project Address Parcel Number Applicant
9475 NE 2 Avenue 1132060133760
Miami Shores, FL 33138- Block: Lot: BANK OF AMERICA NA
Owner Information Address Phone Cell
BANK OF AMERICA NA 13510 BALLANTYNE CORP Place
CHARLOTTE NC 28277-
9475 NE 2 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 5,000.00
INDUSTRIAL ELECTRICAL SYSTEM C 305/228-1384
Total Scl Feet: 0
Type of Work:ALTERATION TO BATHROOM AND CUSTOMER Available Inspections:
Additional Info:
Inspection Type:
Classification:Commercial
Final
Scanning: 1 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W.W.
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00 Invoice# ELC-9-16-61291
DBPR Fee $3.38
DCA Fee $3.38 09/16/2016 Credit Card $ 192.76 $50.00
Education Surcharge $1.00 09/09/2016 Credit Card $50.00 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology'Fee $4.00
Total: $242.76
P
r
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.
I
OWNERS AFFIDAVIT: I certify that all the foregoing information is an2arate and that all work will be done in compliance with all applicable laws regulating
construction'and zoning. Futhermore,I authorize the above-name racto work stated.
September 16, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
•---�.
Building Department Copy
September 16,2016 1
, 0,
Miami Shores Village s1-P 09 z 16
Building Department
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
SP TIO NE P NE LIMBER:(305)762-4949
FBC 20N s
V1 Z
BUILDING a Master Permit No. _C. ( �/f Y_ � ZZ 6
PERMIT APPLICATION Sub Permit No. FIL-AP -a50cj
❑BUILDING M ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICA P L SHANGE OF [:] CANCELLATION [:] SHOP
-�5 ONTRACTOR DRAWINGS
JOB ADDRESS: 94-NE 2nd Ave., Miami- horI' F0138
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:113 2060 133 760 Is the Building Historically Designated:Yes NO X
Occupancy Type: M Load: See Plans Construction Type: 11-B Flood Zone: X BFE: 81 FFE:
OWNER:Name(Fee Simple Titleholder):Bank of America Corp., National Association Phone#:(954) 541-6773
Address:101 N Tyron Street
City: Charlotte State: NC Zip: 28255
Tenant/Lessee Name: Bank Of America Phone#:(954) 541-6773
Email--Ellie.Shanchez@am.jll.com
CONTRACTOR:Company Name: Industrial Electrical Systems Corp Phone#: (305) 388-4648
Address: 14050 SW 84th Street#206
City: Miami State: FL Zip: 33183
Qualifier Name: Nestor I Corvea Phone#: (305) 388-4648
State Certification or Registration#: EC1300-2182 Certificate of Competency#:
DESIGNER:Architect/Engineer: Infinity Engineering Group, LLC (Permit Contact) Phone#: (813) 380-6930
Address:1135 Marbella Plaza Dr. city, Tampa State: FL Zip: 33619
Value of Work for this Permit:$5,000.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Alterations to bathrooms and customer service area for accessibility upgrades as per plans.
Specify color of color thru tile:
Submittal Fee$ sd" Permit Fee$�z�dd CCF$ .� • W CO/CC$
Scanning Fee$ 3 ' Radon Fee$ 3 - 3 D DBPR$ 'Cl Notary$
Technology Fee$ 00 Training/Education Fee$ CO Double Fee$
Structural Reviews$ _ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable) N/A
Bonding Company's Address N/A
City N/A State N/A Zip N/A
Mortgage Lender's Name(if applicable) N/A
Mortgage Lender's Address N/A
City N/A State N/A Zip N/A
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 inspti n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will of b ved and a r . spection fee will be charged.
Signatur Signature /� P.,", JLC
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
c2-1/0 day of 20 1/ by Qgrtday of 20 1 by
Felipe Izquierdo-SVP BOA who ersonally know to lQfz,kc ( COV-V e O, who is ersonally kno n to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Si Sign:
Prin &Z4C9 2^ Print M 1 I 1 eY P
.nnnnniv�r+n
Seal: ►Y"o . LUCY GUTIERREZ MATOS Seal: Y"`" IRVIARILIS PEREZ
* MY COMMISSION#FF127876 _
:y =�s MY COMMISSION#EES42906
�t EXPIRES June 1, 2018 EXPIRES:October 11,2016
APPROVED BY s! Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
e
5 ARES yet
Miami Shores Village
"" Building Department
�10y6
rEq 10
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305)756.8972
CHANGE OF CONTRACTOR / ARCHITECT
CC-4-16-1168
Permit N.
Owner's Name(Fee Simple Title Holder):
Bank of America Phone#: 954-541-6773
Owner's Address:
'101 N Tyron Street
City:
Charlotte State : NC Zip Code: 28255
9499 NE 2nd Ave
Job Address (Of where work is being done):
City: Miami Shores State_Florida Zip Code:
Contractor's Company Name: 3313a
Industrial Electrical System Corp Phone#. 305-388-4648
Address: 14050 SW 84th Street
City:
Miami State: FI Zip Code: 33183
Qualifiers Name: Nestor I Corvea Lic. Number. EC1300-2182
Infinity Engineering Group,LLC Phone#: 813-380-6930
Architect/ Engineer of Record Name:
Address: 1135 Marabella Plaza Dr.
Ci Tampa ty: State: FI Zip Code: 33619
Install receptacles in bathrooms,coupon booth and teller line.
Describe Work:
1 hereby certify that the work has been abandoned and/or the contractor/architect
is unablZwn
illing to omplete the contract. I hold the Building Oficial and the
Mia i Sh res harmless of all legal involvement.
Signature �� 1 ca c �— .
Signature g ss. �
Agent Contractor or Architect
The fore
Wing instrument was aknowledged before
me The foregoing instrument was aknowledged before me / n
thiso19 day o 2014,by _�W feiAb this 3�daic.o .20�(obY 2U' � ��
Who i ersonally known me or who has produced who s personally known to or who has produced
as indentification. as indentification.
Nota Pub[' - Not Public:
Sign: _ Sign:
MY COMMISSION#GG 027335
Seal: ""^ Seal: - Octobe 2020
LUCY GUTIERREZ MATOS =*: ,"� EXPIRES: rGU
'M. gppded Thru Notary Publ�Underwriters
MY COMMISSION#FF127876 '�.FOFfk,.•
' odd? EXPIRES June 1, 2018
(407)398-0153 FloridalloteryServicex