ELC-16-1572 Permit No. ELC-6-16-1572
`sN REs y Miami Shores Village 04 Pefmit Type:Electrical -Commercial
10050 N.E.2nd Avenue NE Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000 Perlillt— Permit Status:APPROVED
Phone: (305)795-2204
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Issue Date: 11/2912016 F7Expiration: 05/28/2017
Project Address Parcel Number Applicant
9501 NE 2 Avenue 1132060133920
Miami Shores, FL 33138- Block: Lot: DVS LLC
Owner Information Address Phone Cell
DVS LLC 9400 NE 2 Avenue (305)756-3711
MIAMI FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 8,977.50
DOLCHE INC (786)399-1900
____. �. ...... _ _.._. Total Sq Feet: 00
Type of Work:INSTALL NEW 2Y J BOX FOR CEILING LA Available Inspections:
Additional Info:INSTALL NEW 2Y J BOX FOR CEILING LA 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 $5.40
DBPR Fee Invoice# ELC-6-16-60086
$4.04 06/06/2016 Credit Card $50.00 $244.81
DCA Fee $4.04
Education Surcharge $1.80 11/29/2016 Credit Card $244.81 $0.00
Permit Fee $269.33
Scanning Fee $3.00
Technology Fee $7.20
Total: $294.81
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 29, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 29, 2016 1
Mid1111 al lUl eb V ilidgC -
Building Department RFc"R,T'\7F1�JUN062016
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
y
BUILDING Master Permit No. CSC/� - ��"6�
PERMIT APPL ATION Sub Permit No.
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
+ �_�Q �( CONTRACTOR DRAWINGS
JOB ADDRESS: 211 MC _I nn✓A 001.
City: Miami Shores County: Miami Dade ZiP:--731:3
Folio/Parcel#: 1 l-32 D&- 0/3-31,V Is the Building Historically Designated:Yes NO
Occupancy Type: Load: �C/o�nstrucction Type: Flood Zone: BFE: FFFE:
AVJ
OWNER: Name(Fee Simple Titleholder): .0 . 4-Lc Phone#:3o5 --?s)- 2-7-Zfl
Address: q S O i //C 21,d Ae - r^ f�
City: �i•C!'mi �`i ✓�S State' /—� Zip: 3-5y3d �7
Tenant/Lessee Name: r V2 L oeer qn L/r iu Phonee#30S-/ &S-GS7
Email:`1 ut-,eSR ✓ '-y-t 4 •Cu U C� CQ21 on .rnaA'A9ZCd rI1G ZI,Can(W'74,,��
CONTRACTOR:Company Name: bolchw_ '-MIC Phone#:18to-3q9-/goo
Address: 25,3r 1-72. .A &i 2—Re
City;Ju�j1 /MCPS �?e th State: tom[_ Zip: -3-3/60-3�60
Qualifier Name: Ifi 7 �
-%S-b I�DAX-✓ Phone#:
State Certification or Registration#: &C 130 O Y_ /9 Certificate of Competency#:
V
DESIGNER:Architect/Engineer: I (+N- j7.__9 Phone#: 3o5,3/o--5630
Address: -,_70 A/F /0 21 City:/-14,91n, tate: 1=2 Zip:33)3e
Value of Work for this Permit:$ 2-'Alteration9 Square/Linear Footage of Work:
Type of Work: El Addition .- u ❑ New ❑ Repair/Replace ❑ Demolition
Description of W/ork67
�fi) �/l / l Mrd LSD ✓ ( ih7, � .d ._J� �
/t t iej d�ryZTr,(.�P b,.y a�i2.s✓.h.eo2 14r �n/t,Q,r.� � rs•y
Specify color of color thru tile:
Submittal Fee$ - Permit Fee$ ?I X3.
CCF$J5. ( (� CO/CC$
Scanning Fee$ _�Z �1"Radon Fee$ 0 D?B�PR$ � ��t Notary$
Technology Fee$ !� Training/Education Fee$ r < � ) Double Fee$
Structural Reviews$ 0 Bond$ 0
TOTAL FEE NOW DUES 2
Bonding Company's Name(if applicable)
Bonding Company':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
O NER or AGENT CONTRACTOR
The foregoing instrument was acknowledge efore me this The foregoing instrument was acknowledged before me this
b q4 day of 120 / & by ' l�LL Tda-y'Iof ��\�re— ,20 1 b by
who is personally known to tT►' 40 Lri�ITC�►�h of ,who is personally known to
me or who has produced as me or who has produced-Q)
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUB IC:
41AA
SHARON FELDMAN
MY COMMISSION#FF902928
EXPIRES July 23.2019
Sign: Sign: 0
Print: r Print:
Seal: ;; ELIZABETH ELORRIAGA Seal:
•e MY COMMISSION#FF9535M
EXPIRES January 25.2020
************ ****************************************************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ttr
ELECTRICAL CONTRACTORS LICENSING BOARD
IV,_
EC 13004399 i
The ELECTRICAL CONTRACTOR
Named below IS CERTIFIED F i E;4sY
Under the provisions of Chapter 489 FS.
Expiration date AUG 31, 2018
DOLTCHINKOV, HRISTO D
DOLCHE INC
253 172ND STREET APT 216
SUNNY ISLES BEACH FL 33160 f ♦'
ISSUED 06/15/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1606150001624
Local Business Tax Receipt i
Miami—Dade County, State of Florida a
-THIS IS NOT A BILL-DO NOT PAY
6573787 LBT !:z 2:. , 0
BUSINESS NAME/LOCATION RECEIPT NO. 7
EXPIRES tq"
2
44
DOLCHE INC RENEWAL SEPTEMBER 30, 2017 „
OPERATING IN DADE COUNTY 6844436 Must be displayed at place of business =_ !
m
MIAMI FL 33999 Pursuant to County Code z I
Chapter BA-Art.9&10op
m �w
OWNER SEC.TYPE OF BUSINESS
DOLCHE INC 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED
EC13004399 BV TAX COLLECTOR
Worker(s) 1 875.00 07/09/2016
CREDITCARD-16-037453
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit,or a certification of the holder's qualifications,to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec Ba-176.
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