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ELC-18-41Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. ELC-1-18-41 Permit Type: Electrical - Commercial Work Classification: Temp for Test Permit Status: APPROVED Issue Date: 1 /9/2018 Expiration: 07/08/2018 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 Cell Phone INDUSTRIAL ELECTRICAL SYSTEM C 305/228-1384 Valuation: Total Sq Feet: $ 500.00 0 Type of Work: TEMPORARY FOR TEST Additional Info: Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $3.00 $0.80 $108.60 Pay Date Pay Type Invoice # ELC-1-18-66061 01/09/2018 Credit Card 01/05/2018 Credit Card Amt Paid Amt Due $ 58.60 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final 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 do the work stated. January 09, 2018 Authorized Signature: Owner / Applicant / Contractor / Age Building Department Copy January 09, 2018 Date 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 BUILDING PERMIT APPLICATION ❑BUILDING • ELECTRIC ❑ ROOFING RECEIVED JAN 0 52017 FBC 2011 Master Permit No. CC -2-17-386 Sub Permit No. -%% ❑ REVISION ❑ EXTENSION ❑ RENEWAL 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 -�y�� Staatee: FL �'f� u Zip: 33138 Tenant/Lessee Name: t N .Lot 1 t t S ` 1S'i S Phone#: Email: CONTRACTOR: Company Name: INDUSTRIAL ELECTRICAL SYSTEMS, CORP phone#: 305-388-4648 Address: 14050 SW 84 ST SUITE 206 CA111 W 040105 4) ¥8(o - y - 6912 City: MIAMIState: FL Zip: 33183 Qualifier Name: NESTOR I CORVEA 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: $ �� •`� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Temporary for test. Specify color of color thru tile: Submittal Fee $ S� • ' — Permit Fee $ /0 m dp CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ • e70 (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. e Signature OWNER or AGENT The foregoing instrument was acknowle day of Ian OcZrt/ Signature vl 'L' Oc' CONTRACTOR fore me this The foregoing instrument was acknowledged before me this 20 / ? , by 02th day of January 20 18 by Qllli {, who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign Print: Seal: stz as `7>4-42-e/-11 &I)/fit ' ;.roti: ELIZABETH ELORRIA ft AI MY COMMISSION # FF953536 °ia•t�. EXPIRES January 25. 2020 (40 / 1198.0' 5 Flondallo a'ySeMCe corn ************ Meee*** sC******************************************************************************** NESTOR I CORNEA , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Iga) r' Print: Seal: FRANCISCO P. MORALES �. Nvtaiyfl,LL -.SitatoaFlorida Commission # GG 158509 °, My Comm. Expires Nov 17, 2021 Bonded through Na:ionai Notary Assn APPROVED BY (Revised02/24/2014) Plans Examiner Zoning Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY -ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary -electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: r—ill Building Permit N: CC -2-17-386 Electrical Permit N: EL -C- 10-I 7— ZS -VT At Address: 9537 NE 2 Avenue Miami Shores, FL For Owners: DVS LLC , and is being given only for construction purpose or for testing the following equipment in said structure: The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and nancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of le building concerned is occupied before final inspections are approved and/or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your bein unable to obtain future Temporary for Test permits. a I, T/ pit"A—aLeciamiIP , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and/or obtained a Certificate of c of Completion. Note: Failure to comply with the provisions of this affidavit will result in your Occu• - • ure Temporary for Test permits. # , . / X31 ;.t"'; ELIZABETH ELOR ': MY COMMISSION # FF95 EXPIRES Jan 25. 1, Nestor I. Corvea , being d1�j4 g4n, de , °at am the Electrical Contractor for the above-described property and that the electrical electrical Installations as now exis ing will not create a safety hazard if tempgrary services is connected. j t ,,,, FRANCISCO P. MORALES �- '� � ' CI -44-/- Nestor I. Cory = Notary Public - State of Florida Commission # GG 158509 Signature of ElectricI Contractor I '; moo",:' My Comm. Expires Nov 17. 2021 lignature of Notary I .. Bonded through Naiona Notary Assn. , b411171MTMITIIMIttirrngtimPid say that I am the Building Contractor re of Notary t1t V of the bove escn beer called fo •y obtained and t - I n 'I s c fin s '4 e• •roperty and that I will not permit occupancy of this building until final inspections have e contractors and sub -contractors concerned and final approval by the inspection division have the authority insofar as the owner of said property is concerned to prohibit occupancy are btained and/or a Certificate of Occupancy or Completion is issued. ELIZABETH ELORR t„ 2 iy 7 MY COMMISSION # FF • ;z.r� Francisco P. Morales gna :Te of uilding or PIM 398-0' S.3 Signatur of Inspector EXPIRES January 25. 2020 FlondallotayServlce corr ature of Notary Signature of Notary Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 AFFIDAVIT FOR 30 DAY TEMPORARY -ELECTRIC SERVICE Fax: (305) 756.8972 • NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary -electrical approval by in connection with the building being constructed under: Building Permit N: CC -2-17-386 At Address: 9537 NE 2 Avenue For Owners: DVS LLC the Miami Shores Village, Building Department given £Lc. / S'- Y / Electrical Permit N: E'L G —10 —/ 7 - 2-5-4341 Miami Shores, FL , and is being given only for construction purpose or for testing the following equipment in said structure: The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of Ie building concerned is occupied before final inspections are approved and/or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your beingunable to obtain future Temporary for Test permits. • 1, j Prete at/OA-en /`.c -e , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and/or obtained a Certificate of Occupancy o • •I •letion. Note: Failure to comply with the provisions of this affidavit will result in your bei Temporary for Test permits. AtAi#10,"1111111" li - - - /• fro e ELIZABETH ELORRIA , - MY COMMISSION* FF953536 EXPIRES January 25, 20 1, Nestor 1. Corvea , be iatq; t•1�ido�rrd,�4t say hat I am the Electrical Contractor for the above-described property and that the electrical installations as now existing will not create a safety hazard if ,pm or ry servic is connected. �'p FRANCISCO P. MORALES `" �6`- Notary Public — State of Florida Commission # GG 158509 My Comm. Expires Nov 17, 2021 Bonded through Nationai Notary Assn. mg-rlrsrtlrny-swom—asrppsL And say that I am the Building Contractor ib=d property and that I will not permit occupancy of this building until final inspections have e contractors and sub -contractors concerned and final approval by the inspection division ave the - • hority insofar as the owner of said property is concerned to prohibit occupancy ined and/or a Certificate of Occupancy or Completion is issued. re of Notary OtZt4. Nestor I. C Signature of Electrigal Contractor of the been ca ob un Francisco P. Morales ature Signature o Inspector ELIZABETH ELOR ••9 MY COMMISSION # FF EXPIRES January 25. Fwraallotaysemce coir .st i 140il� 53 ure of Notary Signature of Notary