ELC-16-3116 Permit NO. ELC-11-16-3116
`SORES t� Miami Shores Village Permit Type: Electrical -Commercial
10050 N.E.2nd Avenue NE
Perill 'it wo►1cCfass/�carion:Addition/Alteration
Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
F`oR`°P F��on:
Issue Date: 1211/2016 05/30!2017
Project Address Parcel Number Applicant
9501 NE 2 Avenue 1132060133920
DVS LLC
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
DVS LLC 9400 NE 2 Avenue (305)756-3711
MIAMI FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 3,000.00
INDUSTRIAL ELECTRICAL SYSTEM C 305/228-1384
- --•- Total Sq Feet: 0
Type of Work:OFFICE REMODELING ACCORDING TO APPR Available Inspections:
Additional Info:OFFICE REMODELING ACCORDING TO APPR Inspection Type:
Classification:Commercial Final
Scanning: 1 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W.W.
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80 Invoice# ELC-11-16-62063
DBPR Fee $3.38 12/01/2016 Credit Card $ 189.56 $50.00
DCA Fee $3.38
Education Surcharge $0.60 11/15/2016 Credit Card $50.00 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $2.40
Total: $239.56
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.
December 01, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
December 01,2016 1
Miami Shores Village RECEIVED
g NOV 15 2016
Building Department By:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
SZ Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 (4`
BUILDING Master Permit No.(_C16--153101
PERMIT APPLICATION Sub Permit No. Vli. l\Ib-516
❑BUILDING ■❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF CANCELLATION SHOP
! ,p�
CONTRACTOR DRAWINGS
JOB ADDRESS:- 2_AVe � e -
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#:11-3206-013-3920 Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 1JV I L—�-�l/'. Phone#: 50S 7 It
Address: qW
_ 3313
City: Q �'State: zip:
` lGtMc
Tenant/Lessee Name: m,( 1 Q �(� Phone
Email:
CONTRACTOR:Company Name: Industrial Electrical Systems, Corp Phone#: 305-388-4648
Address: 14050 SW 84 STREET SUITE 206 `Z�(� 2-1-19 — 1075
City: MIAMI State: FL Zip: 33183
Qualifier Name: Nestor I COrvea Phone#:
State Certification or Registration#: EC13002182 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$3,000.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ■❑ Repair/Replace ❑ Demolition
Description of Work: Office remodeling according to approved plans.
Specify color of color thru tile:
Z ZOG� 3`/'LSP.
Submittal Fee$ t Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$_ Q
TOTAL FEE NOW DUE$ U
(Revised02/24/2014)
1
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 n will not be op p�d and a rein`spection fee will be charged.
S' nature Signature �--
OW R or A NT CONTRACTOR
The foregoing instrunm nt was acknowledged before me this The foregoing instrument was acknowledged before me this
`
-day of 1\�(�e(� 20 _ ,by 15th day of November 20 2016 by
i'PS l"l�C )Y11`� .wko.�s personally known to Nestor I Corvea who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and whoZtakanFRANCISCO P. MORALES
NOTARY PUBLIC: NOTARY PUBLIC: = Notary Public-State of Florida
Commission#FF 39767
My Comm.Exp.November 17 2017
onded Thru National Assocation-Florida
Sign: Sign: —
Print: Print: Francisco P Morales
' ELIZABETH ELORK
Seal: ;. SAY COMMISSION 0 FF953M Seal:
EXPIRES ArAlew 25.2020
Not
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)