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EL-17-1872 �\\ Miami Shores Village RECEIVED �ti � g EOVE® Building Department Jul 20 2017 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 201Q BUILDING Master Permit No. 61 PERMIT APPLICATION Sub Permit No. ❑BUILDING rffi� ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9401 BISCAYNE BLVD 2 City Miami Shores County: Miami Dade Zip: �J J ✓� Folio/Parcel#: 11-3206-049-0010 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):EDWARD A MCCARTHY ARCHBISHOP phone#:305-762-1032 Address:9401 BISCAYNE BLVD City: MIAMI SHORES State: FL Zip: 33138-2970 Tenant/Lessee Name: Phone#: Email: kbost@theadom.org CONTRACTOR:Company Name: HAIRSTON-STEVENS ELE CONST INC Phone#: 954-587-7335 Address: 7441 NW 11TH PLACE City: PLANTATION State: FL Zip: 33313-5915 Qualifier Name: JAMES M HAIRSTON Phone#: 954-587-7335 State Certification or Registration#. EC0000957 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address City: State: Zip: Value of Work for this Permit:$ )L a 0 Square/Linear Footage of Work: Type of Work: F-1Addition [:1 Alteration F-1NewRepair/Replace ❑ Demolition Description of Work: Replace existing parking lot fixtures to LED lighting with same effect. Specify color of color thru tile: Submittal Fee$ Permit Fee$ 0 6 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ Z�k DBPR$ 7 Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE (Revised02/24/2014) Bonding Company's Name(if applicable) AJ 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 41a 11,L Signature 0 NER or AGENT 0ONTRA OR The foregoing instrument was acknowledged beforre�me this The foregoing instrument was acknowledged before me this _ day of 20 I ,by day of 20 by �• ���Z ,be*A VV94��P� who is perso y known to �� "` �k�.ct< sem' ,who is personally known to me or who has produced as me or who has produced as r-- identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: 9 ` Sign Print: 0. (e,&A tvl• Tao J Print: Seal: :, `•:; KATHL.EEN M� ,, •= MYCgy1b9ISSlONt FF216826 Seal: �q�• 4g JtJANBAUZA .; My COMMISSION#GG 103217 EXPIRES Apri102.2018 EXPIRES;Maly 13,2021 •, qra,•` FWWaNO,a'Y� ''.,J►' g`` BMtdBd Thru NOffify Publtc URderwAters 1407)3W 0'61 •n,ua� k k*°k+kffik+k k k k k k k+k k k k°k k k*k4k°k*+kNe+k*°k*4k+kk°kB°k°k°k*°kik°k k k k k°k°k k°k4k*k+k*°k*4 APPROVED BY i~ A YPIans Examiner Zoning Structural Review Clerk (Revised02/24/2014) t c POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the most Reverend Thomas Wenski, as Archbishop of the Archdiocese of Miami, his successors in office,a corporation sole,has made,constituted and appointed,and by these presents does hereby make, constitute and appoint Sister Elizabeth A. Worley, C.O.O.,his true and lawful attorney for him and in his name,place, and stead. Giving and granting unto Sister Elizabeth A. Worley, C.O.O., his said attorney full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises as fully, to all intents and purposes, as he might or could do if personally present,with full power of substitution and revocation,hereby ratifying and confirming all that Sister Elizabeth A. Worley, C.O.O.,his said attorney or his substitute shall lawfully do or cause to be done by virtue hereof. In Witness Whereof, I have hereunto set my hand and seal this 8 day of March, A.D., 2017. Signed, sealed and delivered in the presence of- Witness: fWitness: Witness Siknature The Most Reverend Thomas Wenski t���j , As Archbishop of the Archdiocese of ,a 11 t '�'�� Miami his successors in office, a Printed Name corporation sole Witnes Signature }Mo;,r I+2—a (-V7G 5�1 io Printed Name STATE OF FLORIDA ) SS: COUNTY OF DADE ) I hereby certify that on this day,before me,an officer duly authorized to administer oaths and take acknowledgements, personally appeared The Most Reverend Thomas Wenski, as Archbishop of the Archdiocese of Miami, his successors in office, a corporation sole, known to me to be the person described in and who executed the forgoing instrument,who acknowledged before me that he executed the forgoing ins�ument,who acknowledged before me that he executed the same,and an oath was not taken. ✓ Said person is personally known'to me -- Said person provided the following type of identification: Witness my hand and official seal in the County and State last aforesaid this 8 day of March,A.D., 2017. My Commission Expires: jj°"` " blyk swe a Fww ��«notiiazo,F ' n t L CF" 2010R1041104Z7 W 54 2M As 0713, tits I PrqwvdbyWWRW=1W IVAWM 1 NlNit{ O W" J.PaWc k Fita$=K Esq. `A$fi —BA IAWYR FLD$jOA J.Patrick Fhgp"&AasoaWo,P.A. PAK 110 Merrick'Way,Suite 3-B Cont Cnbks,FL 33134 AFMAViT OF ARCHBISHOP'S SUCCESSION STATE OF FLORIDA ) SS; COUNTY OF MIAMI DARE ) Before me,the undersigned authority,personally appeared The Most Reverend Thomas G.WeasK who being duly mom according to law,deposes and says as follows: 1, a that on June 1,2010,1 was installed as the Archbishop of the Archdiocese of Miami,succeeding The Most Reverend John C.Favalora. 2. that effective June 1, 2010, 1 am the Metropolitan Archbishop of the Archdiocese of Miami which embraces the counties of Miami-Dade,Broward and Monroe in the State of Florida 3. that pursuant to the Canon Law of the Roman Catholic Church, I have all rights of succession to The Most Reverend John C. Favalora. 4. that under the doctrine of corporation sole,the title to all property in the Archdiocese of Miami, which encompasses the counties of Miami-Dada,Broward and Monroe,was held by The Most Reverend John C. Favalora, as Archbishop of the Archdiocese of Miami, his successors in office, a corporation sole,w of December 20, 1994 through April 20,2010,and as the Apostolic Administrator from April 20, 2010 through June 1,2010. - 5. that under the doctrine of coipmration sole,the title to all property in the Archdiocese of Miami, which encompasses the counties of Mismi-Dade, Broward and Monroe, is held by The Most Reverend Thomas G.Wenski,as Archbishop of the Archdiocese of Mlan4 We successors in office,a corporation sole,as of June 1,2010. b. That under penalties of perjury,l deckare that I have examined this certification and to the best of my knowledge and belief it is true,correct,and complete. FURTHER AFFIANT SAYETH NOT. The Most Reverend Thomas G.Wensld The foregoing instrument was acknowledgebefore tris this-, of June, 2010, by The Meg Reverend Thomas G.Wenski. {Cleak One) els personally known to me or [ ]He has produced" .as identification. r.ar.n■■anuu.r+a«►er �ui■ I JAWETt1 . cor„r�t�asrseat fm or ,w r■r-'- ary M ■ ■ ■ ■■ ■ 1i1�'1TtlIM.�MIHMORY7�ItlfUC�D?6APpDAVR 1 06!06116 W-14 Coasumer's Certificate of Exemption R.1o/15 Issued Pursuant to Chapter 212,Florida statutes IDA _ 85-80170182920-9 �ML_05/18/2016 05/31/2021 RELIGIOUS-PHYSICAL PLACE Gertrircate N Dat® EXpWiW—Date 6c iiPum cmam This certifies that ARCHDIOCESE OF MIAMI INC 9401 RISCAYNE BLVD MIAMI SHORES FL 33138-2970 Is exempt from the payment of Florida sales and use tax on real property rented,transient rental property rented,tangible personal property purchased or rented,or services purchased. J' jj Important Information for Exempt Organizations R.10/15 1. You must provide all vendors and suppliers with an exemption certificate before making tax-exempt purchases. See Rule 12A-1.038,Florida Administrative Cade(FA.C.). 2. Your Consumer's Certificate of Exemption Is to be used solely by your organization for your organization's customary nonproflt activities. 3 Purchases made by an indlvidual on behalf of the organization are taxable,even if the Individual will be reimbursed by the organization. 4. This exemption applies only to purchases your organization makes. The sale or lease to others of tangible personal property,sleeping accommodations,or other real property Is taxable. Your organization must register, and collect and remit sales and use tax on such taxable transactions. Note: Churches are exempt from this requirement except when they are the lessor of real property(Rule 12A-1.070,F.A.C.). 5 it Is a criminal offense to fraudulently present this certificate to evade the payment of sales tax. Under no circumstances should this certificate be used for the personal benefit of any individual. Violators will be liable for payment of the sales tax plus a penalty of 200%of the tax,and may be subject to conviction of a third-degree felony. Any violation will require the revocation of this certificate. 61 If you have questions regarding your exemption certificate, please contact the Exemption Unit of Account Management at 800-352-3671. From the available options,select"Registration of Taxes,"then"Registration information,"and finally"Exemption Certificates and Nonprofit Entities." The malling address Is PO Box 6480, Tallahassee, FL 32314-6480. Aug 21 17 08:19p Debbie 00000 p.7 ji Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-288211 Permit Number: EL-7-17-1872 Scheduled Inspection Date:August 21,2017 Permit Type: Electrical -Residential Inspector: Devaney, Michael Inspection Type: Rough Owner: MCCARTHY ARCHBISHOP,EDWARD A Work Classification: Ad ditio nWte ration Job Address:9401 BISCAYNE Boulevard Miami Shores,FL Phone Number Project: <NONE> Parcel Number 1132060490010 Contractor: HAIRSTON-STEVENS ELE CONST INC Phone: (954)587-7335 Building Department Comments REPLACE EXISTING PARKING LOTTO LED LIGHTING Passed Comments WITH SAME EFFECT INSPECTOR COMi1lIENTS False Inspector Comments Passed [LET � � 7 Failed < yL tv( a- I Correction Needed a �. Re-inspection �a Fee No Addlilonal Inspect;ons can be scheduled until re-inspeClon fee Is paid. August 18,2017 For Inspections please call: (305)762-4949 Page 25 of 28 Aug 21 17 08:19p Debbie 00000 p.6 r/ Certification of Compliance with Parking Lot Illumination Standards in Chapter 8C of the Code of Miami-Dade County Date: kj ( S ,zo t 7 Property Address: 9401 BISCAYNE BLVD, MIAMI SHORES, FL 33138 Folio No.: 11-3206-049-0010 Building Description: ADOM PASTORAL CENTER Bldg.: The undersigned states the following: 1. I am a Florida registered professional engineer or architect with an active license. 2. On ��k„s� l�t z(> t-7 , 20 D, I measured the level of illumination in the parking lot(s) serving the above referenced building. 3. Maximum 13-0 foot candle per SF, Minimum •32 loot candle per SF, Maximum to Minimum ratio 2.4 .1.1 , foot candle 2.92 average per SF. 4. The level of illumination provided in the parking lot "✓°` meets does not meet the minimum standards for the occupancy classification of the building as established in Section §8C-3 of the Code of Miami-Dade County. 'tqS and al o Print lame al Engineer or Architect _ - ........ _. . _.. -.. ............................. --- - _ _. _..... .._RevisedAugust 2014 itNO- EL872 Miami Shores Village Pp ryg:T'ype:Electrical-lkliiiondal 10050 N.E.2nd Avenue r 0e, 1 � tassnication-ACfdltiion/A "' 00t1.. •••• Miami Shores,FL 3313&0000 PenWt Status.APPRC?�6 Phone: (305)795-2204 Issuei a :� 134 017 Expiration: 0 1/27/2018 Project Address Parcel Number Applicant 9401 BISCAYNE Boulevard 1132060490010 Miami Shores, FL Block: Lot: EDWARD A MCCARTHY ARCHB Owner Information Address Phone Cell EDWARD A MCCARTHY ARCHBISHOP FL Contractor(s) Phone Cell Phone Valuation: $ 2,400.00 HAIRSTONSTEVENS ELE CONST INC (954)587-7335 Total Sq Feet: p Type of Work:REPLACE EXISTING PARKING LOT TO LED Available Inspections: Additional Info:REPLACE EXISTING PARKING LOTTO LED Inspection Type: Classification:Residential Final Scanning:3 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Review Electrical W.W. Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# EL-7-17-64650 DBPR Fee $5.27 07/31/2017 Credit Card $325.34 $50.00 DCA Fee $5.27 Education Surcharge $0.60 07/20/2017 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $351.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $375.34 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 zoning. u I authorize the bove-named contractor to do the work stated. July 31,2017 Author' ignat e:0 / Applicant / Contractor / Agent Date Building Department Copy July 31,2017 1 Itelecom USA Purchase Order 14333 Commerce Way Miami Lakes,FL 33016 Date P.O. No. 7/24/2017 2126521 Vendor Ship To HAIRSTON/STEVENS ELECTRICAL CONTRACTORS, ADOM Pastoral Center Jim Hairston 9401 Biscayne Blvd 1520 NW 65th Ave. Miami Shores,FL Plantation,FL 33313 Item Description Qty Rate Amount GO+ REPLACE EXISTING POLE MOUNTED 250 HID 25 75.00 1,875.00 LUMINAIRES WITH NEW 80 WATT LED GO+ REPLACE EXISTING CEILING MOINTED CANOPY 6 87.50 525.00 175 HID LUMINAIRES WITH NEW 45 WATTS LED FIXTURES 0 Total $2,400.00