ELC-17-599Protect Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
201 NE 95 Street
Miami Shores, FL 33138-0000
Owner Information
Address
Parcel Number
1132060133920
Block: Lot:
9400 NE 2 Avenue
MIAMI FL 33138-
Contractor(s) Phone
INDUSTRIAL ELECTRICAL SYSTEM C 305/228-1384
Cell Phone
Phone
e: Electrical -C
kation: AdditioniAlteration
Permit Status: APPROVED
Expiration: 10/03/2017
Applicant
DVS LLC
(305)756-3711
Cell
Valuation:
Total Sq Feet:
Type of Work: REPLACE AC UNIT ADD 4 SAFETY DISCO
Additional Info:
Classification: Commercial
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Amount
$4.20
$3.38
$3.38
$1.40
$225.00
$3.00
$5.60
Total: $245.96
Pay Date Pay Type
Invoice # ELC-3-17-63209
03/07/2017 Check* 9029
04/06/2017 Credit Card
7
Amt Paid Amt Due
$ 50.00 $ 195.96
$ 195.96 $ 0.00
$ 6,500.00
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W. W.
In consideration of the issuance to me of this permit, I agree to perform the work co red hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specificat�s 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,>..ervants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and�IMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work I1*ee done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated -
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
April 06, 2017
Date
April 06, 2017
1
IC.1-/ 5 9 . e ///
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING 0 ELECTRIC ❑ ROOFING
El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 209 NE 95 ST
FBC 201454
Master Permit No. MC17-50
Sub Permit No. ELC ,i q I
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#:11-3206-013-3920
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
Address:. 6/1 /V6 5
City: TY1 / Y}-44/. , r 1
Tenant/Lessee Name:
ere. ,fp r Ovne /ThJr
Is the Building Historically Designated: Yes
Construction Type: Flood Zone:
et2.00eitti/` s Phone#: , 65-75/-09
State: ,P Zip: 33/ 3 CY
Phone#:
BFE:
NO X
FFE:
Email:
CONTRACTOR: Company Name: Industrial Electrical Systems Corp.
Address: 14050 SW 84 St Suite 206
city: Miami
Qualifier Name: Nestor I. Corvea
?. Oe.) /1-7
Phone#: 305 388-4648
State: FL
Zip: 33183
Phone#: 305 388-4648
State Certification or Registration #: EC 13002182 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address:
U
—
Value of Work for this Permit: $ (p� i Square/Linear Footage of Work:
Phone#:
City: State: Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New
Description of Work: Replace NC) Pc� —
0 Repair/Replace
d'/SCCJt �i
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ e o�
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
(Revised02/24/2014)
�as> c'� SCG $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $ //,,
TOTAL FEE NOW DUE $ \`'� 5 4(r.
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appro an inspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument�was acknowledged before me this
7 day of //�l nt�a/Circe , 20 1 7 , by
.1') ere cstaLC[1Q!$/r `,s(; who is personally known to
mepr who has produced as
identification and who did take an oath.
NOTARY PUBLIC:__
CONTRACTOR
The foregoing instrument was acknowledged before me this
28thday of February 20 17 by
(z..V GA- /4, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
1,4:4 FRANCISCO P. MORALES
Moiety Pulpit - State of Florida
•': Commlaelon #FF 39787
• My Comm. Exp. November 17.2017
Seal:
(i» ELIZABETH ELORRIAGA
•': MY COMMISSION 8 FF9 3536
•�� EXPIRES January 25. 2020
********** 40/1 44• yvI�r'-1` • asam.%ay* v***************v***************�R******.YAR/�k+k�lv�P*********/�R a*
LC/ APPROVED BY � L›",4"/y/2 / i Plans Examiner Zoning
Print: Francisco P. Morales
Seal:
Structural Review Clerk
(Revised02/24/2014)