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REV-17-1064 Miami Shores Village g RFMVED4Pfd, �Fo ildin_ g DepartmentI. -7 . ,. lo,, 0 5 d' 1 mi Shores,Florida 33138 e: 5 x�EQS)756-8972 , N f L N :(305)762-4949 FBC 20 0 -f yr BUILDING t Master Permit No. E Lf- -3 - 17-6 2 PERMIT APPLICATION Sub Permit No.`_Ey 1-7 -- 90(,,cL1 ❑BUILDING WLECTRIC ❑ ROOFING ( REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 7,'/1 CONTRACTOR p DRAWINGS JOB ADDRESS: Ai C 2 LV _ &P�Z�3q Q_ 1�L) L I� I/\J 6- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: d FFE: OWNER:Name(Fee Simple Titleholder): R Nap-`/ D�j (/ S ( � Phone#: 7 916 -2-W - 2-3 Y Address: 2®o /i' ,\Jd "9 City: ACA( S R6 Q1 S State: F l Zip: 3 3/4 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: P�o e'oL)Aj r� J_/'-/'- C_ Phone#: 2 9 f I- Address: 1 7 A-)✓� c� ( Z� ( P� City: �c1�� f� ✓"`I dI State:_ _ r L- Zip: Qualifier Name:2i n!jrA j. - '�'(/__) `j 6i u ) Phone#: 3C)w State Certification or Registration#: 6)o06) i L Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: e �' 1001®19 Square/Linear Footage of Work: Type of Work: 19 Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: dD®(0 6- A '0 CCJ 1'l'uC C-M (7j -71°Cz �J A-U- 2"a Cil)T SH SQM N� R0 11D(A c r` P Ae Zp.t.,�U e ,(f Specify color of cfor thru tile: Submittal Fee$ Permit Fee$ > CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ �--1 TOTAL FEE NOW DUE$�G (RevisedO2/24/2014) 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. r Signatur Signature OWNER or ��l CONTRA OR Thepfor oin nstrument was acknowledged before me this The foregoing instrument was acknowledged before me this [� day of AP14 , 20 Q by e© day of 20 by -\14N MMAy who is personally known to l i who is personally known to _me or who has produced as me identification and who did take an oath. iapa* en-a nd who did take an oath. NOTj.AR'Y PU LIC: NOTARY PUBLIC: SignSign: ii Prin40 Print: �® �e 0 Seal �y� Seal: NOTARY PUBLIC , � 141 —STATE OF FLORIDA as F Comm#FF171409 ' Expires 12R/ 01, , APPROVED BY f Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) RECEIVED APR 17 2Q17 Bar Garner Multimedia e fl . 1 , Barry � oms total) Equipment to structure and cable y `; Manufacturer Model Quantity Cost Description Da-Lite 70292 6 $2,592.00 Wall mounted projection screen Crestron GLS-OIR-C-CN 6 $750.00 Room sensor for turning off equipment Chief CMS440 6 $534.00 Ceiling tile mount w/safety wire Chief CMS006009W 6 $276.00 Pipe from ceiling mount to projector mount Chief RPAAIW 6 $1,002.00 Projector mount QSC AC-C6T-WH 24 $8,256.00 Ceiling mount speakers w/safety wire Belden 1213F 600ft $488.00 CATS Plenum cable to room sensor and projector Belden 63000E 600ft $1,500.00 18/2 Plenum cable to speakers Nuetrik NE8FDY-C6-B 6 $150.00 Wall plate RJ45 connector Nuetrik NL4MP-2 6 $18.00 Wall plate Speakon connector Nuetrik NC5FD-L-B-1 6 $46.50 Wall plate XLR connector Custom lWall Plate 1 6 $42.00 Aluminum wall plate $15,654.50 0000 . . 0000 0000.. .. 0000 0000.. 0000 0000.. 0000.. 0000.. 0000 0 .0090. 0000 . 0000. 00006. ... . 0000. 0 . .. .. .. 0000.. 0000.. . 9 . . 000099 0000.. 0 . 9 . 0000.. 99 9 999 9 9 9 . 9 GI 4/10/2017 NC5FD-L-B-1-Neutrik NC5FD-L-B-1 5 pole female receptacle,solder cups,black metal housing, gold contacts Universal D-size metal body XLR panel mount series.UL recognized component. Features&Benefits • Robust"D"metal shell • Standardized D sized 24 mm panel cutout • Solder cups on 3-7 pole version Technical Information show Accessories CAS-DUMMY DBA-BL DSS-* MFD 0000 NDF SCDF SCDP-' SCDR : •'• "" "••" •• • 0000 000.0• ••.• 000.0• • .0000• • • • 0000•• 0000 • • • • • 0000•• 0000 • 000.0 60.96• ••• • •..•• •• •• 06 0..000 0000•• • 6 • • • • • 0000•• SCDX SCF SCCD-W 66•••• • • • 0 • • • 0000•• i r Certificate of Compliance e;iticate N rtb t 20100108 E135070 ac;t;1 of 2 Re}ott Ret"mmce El 35070, 1987 September 18 lirst.e gate 2010 January 8 Underwriters U0 Issued to: NEUTRIK AG IM ALTEN RIET 143 SCHAAN 9494 LIECHTENSTEIN 711iS iv ft)certify%t11at CONNECTORS FOR USE IN DATA SIGNAL, representative samples of CONTROL AND POWER APPLICATIONS. See Addendum Page Have been investigated by Underwriters Laboratories Inc (LTL) or any authorized licensee of UL in accordance with the Standards)indicated on this Certif:ate- Standards)for Sa/ety: UL 1977 -STANDARD FOR COMPONENT CONNECT.Q�KS�70R USF �N • DATA, SIGNAL,CONTROL AND POWER APPLICATIQ'y"-Edit q:.2 �•�•; 0000.. 0000.. 0000 . . 0 . .0000. 0000 0 Additional Inft)rmation: See UL On-Line Certification Directory at«nrw.UL.conf f(V&:ditionh?•. **Goo .. .. information 00 00000.. 0000.. . . 0 00000. 0000.. . . Osseo:0 0. 0 000 . • Only those products bearing the UL. Recognized Component 'lark should be considered as being covered by UL's Recognition and Follotiv-1.1p Service. The Lit.. Recognized Cornpottent Clark general!} ccrosists of the manufacturer's identiiicatior) and cataloc number, model nur;tbet or other 1'>ri_;stet desitrnation as specil'ted underr "Marking" for tl;e particttiar Rc:cogttition as published in the appri priat.i UT Directory. As a ul:plemuaary trti•atis of identifying prOducts that stave beat produced under L'l.'S Component Rect?:;nition T'ro4-rant. Ul..'s Recoen.zed Cotttroncn kkl rk: 911, tray h: sed in the required Re(-o-ized Alarhs The Reci miz:.ed Compos en: 'stark ru; irrc he;r p:, ii ed in the ui. ;3i p t he rector, reec�dtt� h recoe.n;0olls or umder-Vhl }:;nes "o"ort, it.;i id:,':tecueaittons Look for the UL Recognized Component Mark on the product William RX' rney L•nc;e'ivV t'La OMPI Cerfificate of to, iance l.ate''fuRn;+:r 20100108-E135070 rage 2 of 2 Re;?crt Rda-ior ce El 35070, 1997 September 18 b Dae 2010 January 8 Underwriters UOL Labor tort s Inc.0i This is to verify that representative samples of the product as specified on this certificate were tested according to the current UL requirements. Component Connectors, Series DL, Series DLX, Series RX, Series XX and Series X, Cat. Nos. with prefix NC followed by 3, 4, 5, 6 or 7 followed by F or M, may be followed by S, followed by D for DL series or D-LX for DLX series or followed by X for X series or XX for XX series or followed by RX for RX series, may be followed by -M3, -H, -yAU, -B, -BAG, -HE, -HA , -L-1 or -0. For RX, X and XX series only: -HD, -14, -CRYSTAL or -SPEC. • • sees ••Gess• •• • sees • • sees@* • • • 000000 see• • • • e • • •0000• 0000 • ••ser: • » •00.0• ••G • 00.00. •• •• G• ••e••s ••000• • • • • • e •seers .00-00• • • :Goose •• a see • • e• 4"€Ifi a t y Ani;,.- (.'�rtaiacatjon 1'lrogrnnv