ELC-17-2569•
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Pe
mit
Permit NO. ELC-10-17-2569'
Permit Type: Electrical - Commercial
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date:11/7/2017
Expiration: 05/06/2018
Parcel Number
Applicant
9537 NE 2 Avenue
Miami Shores, FL 33138-
1132060133910
Block: Lot:
DVS LLC
Owner Information
Address
Phone
Cell
DVS LLC
9400 NE 2 Avenue
MIAMI FL 33138-
(305)756-3711
Contractor(s) Phone
INDUSTRIAL ELECTRICAL SYSTEM C 305/228-1384
Cell Phone
Valuation:
Total Sq Feet:
$ 18,000.00
2000
Type of Work: INTERIOR BUILD OUT OF DUNKIN DONUTS
Additional Info: INTERIOR BUILD OUT OF DUNKIN DONUTS
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
'Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$10.80
$8.10
$5.40
$3.60
$540.00
$3.00
$14.40
$585.30
Pay Date Pay Type Amt Paid Amt Due
Invoice # ELC-10-17-65487
11/07/2017 Credit Card $ 535.30 $ 50.00
10/30/2017 Credit Card $ 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:certify that all •e forego' • information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio d z n. g. they author a above-named contractor to do the work stated.
ontra . r
A orized Sit.• ure: Own / Applicant /
Building Department Copy
/ Agent
November 07, 2017
Date
November 07, 2017
1
BUILDING
PERMIT APPLICATION
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
EIVED
f) T301017
FBC 201
Master Permit No. CC -2-17-386
Sub Permit No. t C 1 7-1 _ ZS Co' 9
❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION DRENEWAL
El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9537 NE 2 AVENUE
City:
Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-013-3910 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): DVS LLC Phone#: 305-756-3711
Address: 9400 NE 2 AVENUE
City: MIAMI State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: INDUSTRIAL ELECTRICAL SYSTEMS, CORP phone#: 305-388-4648
Address: 14050 SW 84 ST SUITE 206
City: MIAMI State: FL Zip: 33183
Qualifier Name: NESTOR 1 CORVEA
Phone#: 305-388-4648
State Certification or Registration #: EC 13002182 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: /l 2 p City: State:Zip:
Value of Work for this Permit: $ , 0 OD Square/Linear Footage of Work: -2a70
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work: INTERIOR BUILD OUT OF DUNKIN DONUTS.
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ ,5—x/0/ aG CCF $ CO/CC $
Scanning Fee $ Radon Fee $ 5 ' q'<) DBPR $ a . K.-) Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE$ S3. •W
(Revised02/24/2014)
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.
Signature
/9'-
NER or AGE
Signature
CONTRACTOR
The foregoing instrument was acknowledged • - ore me this The foregoing instrument was acknowledged before me this
5()—day of OeUr. r , 20 / % , by 20th day of OCTOBER 20 17 by
%LQYh 6 eateoQii1 /. se ,.wlio is personally known to NESTOR I CORNEA
i or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
ELIZABETH ELORR GA
MY COMMISSION # PF953536
EXPIRES January 25.2020
ton 3911-0* 53 HOlidaNnte SillenCe Corr
, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print: 724/c,UJco /`� i%pe'Notary PulilIc - State of WO
� •: �..._..,..�,,.,,�rsoaa7
Seal:
: µl1 Cook Exp. Novembpr17,2017
4Sonapi ThruNalloisIMSOUSaa - lorOO ,
************************************************************************************************************
APPROVED BY
(Revised02/24/2014)
7 2. )14 -GAG- ) kans Examiner
Zoning
Structural Review Clerk