ELC-17-2540Amount
$3.00
$3.38
$2.25
$1.00
$225.00
$3.00
$4.00
$241.63
i
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
9190 BISCAYNE Boulevard
Miami Shores, FL
Permit
Permit NO. E LC -10-17-2540
Permit Type: Electrical - Commercial
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 11/28/2017
Expiration: 05/27/2018
Parcel Number
1132060100030
Block: Lot:
Applicant
BRITE STONE INVESTMENT LL(
Owner Information
Address
Phone
Cell
BRITE STONE INVESTMENT LLC
1160 KANE Concourse
BAY HARBOR ISLANDS FL 33154-
1160 KANE Concourse
BAY HARBOR ISLANDS FL 33154-
Contractor(s) Phone
INDUSTRIAL ELECTRICAL SYSTEM C 305/228-1384
CeII Phone
(786)340-7513
Valuation:
Total Sq Feet:
$ 5,000.00
0
Type of Work: INTERIOR ALTERATIONS FOR ADA COMPLI
Additional Info: INTERIOR ALTERATIONS FOR ADA COMPLI
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Pay Date Pay Type
Invoice # ELC-10-17-65455
11/28/2017 Cash
10/25/2017 Credit Card
Amt Paid
$ 191.63
$ 50.00
Amt Due
$ 50.00
$ 0.00
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W. W.
Underground
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 abon .::: d contractor to do the work stated.
Authorized Signature: Owner /
Building Department C
ctor / Agent
November 28, 2017
Date
November 28, 2017
1
BUILDING
PERMIT APPLICATION
1BUILDING j ELECTRIC ❑ ROOFING 0 REVISION
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
RECEIVED
OCI 25 2017
0-441
FBC 201L1 ( �
Master Permit No. i t�^-�� 2_ OOH
Sub Permit No. CG 1 '�i - 2�� 1
0 EXTENSION 0 RENEWAL
;PLUMBING MECHANICAL PUBLIC WORKS El CHANGE OF
CONTRACTOR
JOB ADDRESS: 9190 BISCAYNE BLVD Miami Shores, FL 33138-3224
CANCELLATION 0 SHOP
DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-010-0030 is the Building Historically Designated: Yes NO X
Occupancy Type: M Load: Construction Type: 2B Flood Zone: X BFE: 8 FFE: 9
OWNER: Name (Fee Simple Titleholder): BRITE STONE INVESTMENT LLC
Address: 1160 KANE CONCOURSE #202
Phoneti:
City: BAY HARBOR ISLANDS, State: FL
Tenant/Lessee Name: Bank of America Corporation N.A.
Email: Furat.Alazzawi@am.jll.com
Zip: 33154
Phone#: (954) 540-7664
CONTRACTOR: Company Name: Industrial ELectrical Systems Corp
Address: 14050 SW 84th Street #206
Phone#: 305 388 4648 / 305 828 8979 x101
City: Miami State: FL
Qualifier Name: Nestor I Corvea
Zip: 33183
Phone#: 305 388 4648 / 305 828 8979 x101
State Certification or Registration #: EC13002182 Certificate of Competency #:
DESIGNER: Architect/Engineer: Infinity Engineering Group, LLC
Address: 1208 E. Kennedy Blvd, Ste 230 City: Tampa
Value of Work for this Permit: $ S /� O O . C) O Square/Linear Footage of Work:
Type of Work: ❑ Addition El Alteration ❑ New El Repair/Replace ❑ Demolition
Description of Work: Interior/Exterior alterations for ADA compliance: Handicap accessibility In customer
service areas and bathrooms, adjustment of ADA accessible route to parking and parking spaces.
Phone#: 813-380-6930
State: FL Zip: 33602
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ „Z Z --f---; 06 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ 2• 2- 5 DBPR $ .a• 39 Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE$ 1 rI • C:73
(RevrtedO2/24/2014)
E
J '
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 o 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 low 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 vi" and • einspection fee will be c ' . d.
. 1
Signature
OWNER or AGENT
Signature -714.4t017.. Co
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
27) day of cell/WA/ref- , 20 l'7 , by 17 day of August 20 17 by
401- /(43 * who is personally known to Nestor! Corvea , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign.
Print:
Seal:
Boris Borukhov
=a •.:,••ct:Comm ission#FF164392
•
• .% AiExpires: SEP 30, 2018
%aF0 BONDED THRU
1ST FLORIDA NOTARY, LLC
me or who has produced XXXXXXXXXXXXX
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
APPROVED BY
(Revised02/24/2014)
/' '7,..A.4--"e9"--e/ Plans Examiner
Structural Review
•,, Pia••, IRMARILIS PEREZ
MY COMMISSION # GG 027335
F' EXPIRES: October 11, 2020
';F,_ ;,F:o";' Bonded Thru Notary Public Undorwrltorn
Zoning
Clerk