ELC-17-2944•
1
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. ELC-12-17-2944
Permit Type: Electrical - Commercial
Work Classification.: Low Voltage
Permit Status: APPROVED
Issue Date: 12/18/2017
Expiration: 06/16/2018
Parcel Number
Applicant
9537 NE 2 Avenue
Miami Shores, FL 33138-
1132060133910
Block: Lot:
DVS LLC
Owner Information
Address
Phone
Cell
Contractor(s) Phone
INDUSTRIAL ELECTRICAL SYSTEM C 305/228-1384
Cell Phone
Valuation:
Total Sq Feet:
$ 800.00
0
Type of Work: LOW VOLTAGE
Additional Info: LOW VOLTAGE
Classification: Commercial
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.25
$2.00
$0.20
$150.00
$3.00
$0.80
$158.85
Pay Date Pay Type Amt Paid Amt Due
Invoice # ELC-12-17-65905
12/14/2017 Check #: 1105 $ 50.00 $ 108.85
12/18/2017 Credit Card $ 108.85 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
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 above-named contractor to doobe.work tate .
,..------December 18, 2017
Authorized Signature: Owner / Applicant / Contractor /
Building Department Copy
Date
December 18, 2017 1
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
..SS v,3
BUILDING
PERMIT APPLICATION
❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION
RECEIVED
DEC 14 2017
hQ
FBc Zo tut
Master Permit No. CC -2-17-386
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS: 9537 NE 2 AVENUE
❑PUBLIC WORKS
Sub Permit No. '1G -z91414.
❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
County: Miami Dade
Zip:
Folio/Parcel#:11-3206-013-3910
Occupancy Type:
Load: Construction Type:
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): DVS LLC Phone#: 305-756-3711
Address: 9400 NE 2 AVENUE
city: MIAMI
Tenant/Lessee Name:
Email:
State: FL
CONTRACTOR: Company Name:
Address: 14050 SW 84 ST SUITE 206
City: MIAMI State: FL
Zip: 33138
• Phone#: �_ ,//1
04VC6 C,,�s 1 Co -u8Co- Cam2.
INDUSTRIAL ELECTRICAL SYSTEMS, CORP
Qualifier Name: NESTOR I CORVEA
Phone#:
305-388-4648
Zip: 33183
Phone#: 305-388-4648
State Certification or Registration #: EC 13002182 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City:State: Zip:
Value of Work for this Permit: $ e00- Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ Demolition
Description of Work: LOW VOLTAGE.
❑ New ❑ Repair/Replace
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
CCF $ CO/CC $
DBPR $ Notary $
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $ 10 8 . 8s
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 a . roved and a r- nspectio - . ill be charged.
Signa
ER or AGENT
The foregoing instrument was acknowledged before me this
��
day of : (tmLer , 20 % `� , by
e/ P1M(f who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
•
f --
***************
APPROVED BY
(Revised02/24/2014)
ELIZABETH ELORRIAGA
'c MY COMMISSION # FF953536
EXPIRES January 25. 2020
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
12thday of DECEMBER 17
, 20 by
NESTOR 1 CORVEA
, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Aeiti2?-
Print:
-7/Z4V(4aCo
Seal:
FRANCISCO P. MORALES
Notary Public - State o' Florida
• Commissior # GO 158509
My Comm. Expires Nov 17. 2021
Bonded [hroogh Najora No:ary Assn.
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/y Plans Examiner Zoning
Structural Review Clerk