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ELC-17-121 Ls p# ,; Miami Shores Village P � �" A00 lttlCla ;', 10050 N.E.2nd Avenue NE 0_47A 241, Pi rm VtjCIaS� at ) � + 11eatlgllMiami Shores,FL 33138-0000 .i .00R l!VED g Phone: (305)795-2204 V2012 X17 Expiration: 07/1912017 Project Address Parcel Number Applicant 1700 NE 105 Street 1122300500001 SHORES CONDOMINIUM Miami Shores, FL Block: Lot: Owner Information Address Phone Cell SHORES CONDOMINIUM 1700 NE 105 ST MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone Valuation: =2,000.00JPH OF BROWARD INC (954)968-3750Total Sq Fee Type of Work:REPAIR ELECTRICAL ON 25 EXHAUST FAN Available Inspections: Additional Info:REPAIR ELECTRICAL ON 25 EXHAUST FAN Inspection Type: Classification:Commercial Final Scanning:3 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 $1.20 Invoice# ELC-1-17-62634 DBPR Fee $3.38 DCA Fee $3.38 01/17/2017 Check#:6907 $50.00 $187.96 Education Surcharge $0.40 01/20/2017 Check#:6981 $ 187.96 $0.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $237.96 In consideration of the issuance to me of this permit, 1 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 assumere n ibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLU IN HANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I rtify all t e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning/Fu ore,I u horize the above-named contractor to do the work stated. January 20,2017 Autho ' ed Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy January 20,2017 1 Miami Shores Village `{ Building DepartmentJA�\l 17 2011 B Y 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 20) --A BUILDING Master Permit No. -b4 t l 33 PERMIT APPLICATION Sub Permit No. F_- I&i/ 1—a _ t 7 l ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1700 NE 105th St City Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-2230-050-0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 3� Phone#: Address: t j City: State: Zip: Tenant Lessee Name: Phone#: Email: CONTRACTOR:Company Name: JPH OF BROWARD INC Phone#: 954-968-3750 Address: 952 NW 66th Ave 494k ®n s City: Margate State: FL Zip: 33063 Qualifier Name: Eric F Beyer Phone#: 954-448-3164 State Certification or Registration#: EC13003482 Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: as� Value of Work for this Permit:$ s Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: Repair Electrical on 25 Exhaust Fans Specify color of color thru tile: Submittal Fee$ snn Permit Fee$ CO/CC$ Scanning Fee$�3 Radon Fee$ �! . � _ DBPR$ Notary$ Technology Fee$ �( _Training/Education Fee$ © _ 40 Double Fee$ Structural Reviews$ Bond$A$ 1 j TOTAL FEE NOW DU { (Rev1sed02/24/2014) i 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 �'.:;:` �.. •. �:'�4 �- Signature 101NER or A N��v °r-'`� &:, CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of %J Fw)VAW 20 l7 , by _ao-t day of CCM Qf- ,20 I( by Beyer F B ic e t�d,Be,,tl,3 �°�tio.►.S ,who is-personally known to ErY who is personally known to me or who has produced as _ mgor who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: l7 E �G Seal: =0.l m A MY COMMISSION#FF i 9326 Seal EXPIRES:rebruary 21,2015 Pie. JU(vE R.KC!9CNAhi Bonded Thru Notary i':biir 1 ro :i a MY COMMISSION A FF 02:,703 ;e�wrtte.°� , y'•. EX?IRES:July 14,2017 o:1y 9undtd Thar fb"PuNr:�Yeerc aofs � APPROVED BY �' }°T�tsf Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ♦5�''ORES Miami Shores Village i� .�� got Building Department FN � ��OR1U� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: J"PN- al ('o .� n,fZr� _-r:w C i BUSINESS ADDRESS:�` Nj (o c", II b--e- CITY e- STATE Fz ZIPS'Da BUSINESS PHONE: (YS )�T�� rT `� FAX NUMBER(%5y ) CELL PHONE 66-Y WS-316, y QUALIFIER'S NAME: EQ i C- E QUALIFIER'S LIC NUMBER: E C' j 3 ®03 C/J42, J;; BROWARD COUNTY LOCAL BUSINESS 'TAX RECEIPT I 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2016 THROUGH SEPTEMBER 30,2017 DBA: Receipt#:"181-3078 Business Name:JPh OF BROWARD INC ELECTRICAL/ALARMS/CONTRACT R Business Type: (ELECTRICAL CONTRACTOR) Owner Name:ERIC F BEYER Business Opened:03/15/2007 Business Location:952 NW 66 AVE State/Cou nty/Cert/RO9:EC 13 0 0 3 4 8 2 Business Phone:MARGATE Exemption Code: Rooms Seats Employees Machines Professionals 10 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection CostTotal Paid 00 7 27.00 0.00 0.00 0.00 0.00 0. 2 .00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: ERIC F BEYER 952 NW 66 AVE Receipt #ICP-15-00010255 MARGATE, FL 33063 Paid 07/11/2016 27.00 2016 - 2017 ®f PARTWILENT OF BUSINESS AND PROFESS0FMAL REGULATION ` a ELECTRICAL CONTRACTORS LICENSING BOARD (950) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 BEYER, ERIC F JPH OF BROWARD INC 1630 RIVERWOOD LN CORAL SPRINGS FL 33071 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses rangeSTATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque DEPARTMENT OF BUSINESS AND restaurants,and they keep Florida's economy strong. Qv* PROFESSIONAL REGULATION Every day we work to improve the way we do business in order EC13003482 ISSUED: 06/21/2016 to serve you better. For information about our services,please log onto myflor'idelloonse.com. There you can find more CERTIFIED ELECTRICAL CONTRACTOR information about our divisions and the regulations that impact BEYER,ERIC F you,subscribe to department newsletters and learn more about JPH OF BROWARD INC the Department's initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS and congratulations on your new license! EXpvetiondate AUG31.2018 L1606210MIS24 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EC13003462 Y .fj r The ELECTRICAL CONTRACTOR Named below IS CERTIFIED ` ..,..' ° Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 BEYER, ERIC F ° ° JPH OF BROWARD INC ° 952 NW 66 AVENUE MARGATE FL 33063 ° ISSUED: 06/21/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1606210001524