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ELC-18-538Mar 0718 09:54p Debbie' 00000 p.4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-298458 Permit Number: ELC-3-18-538 Scheduled Inspection Date: March 07, 2018 Inspector: Devaney, Michael Owner: VILLAGE, MIAMI SHORES Job Address: 10021 NE 2 Avenue Miami Shores, FL Project: MIAMI SHORES VILLAGE Contractor. MOODY ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: AdditionlAlteration Phone Number Parcel Number 1132060134650 Phone: (305)758-2000 Building Department Comments INSTALL NEW DOOR BELL TO REPLACE ELC-6-17-1595 Infractlo Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Addilionat Inspections can be scheduled until re -inspection fee is paid Inspector Comments 6„1 to iP)1) March 06, 2018 For Inspections please call: (305)762-4949 Page 26 of 37 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. ELC-3-f8-538 Permit Type: Electrical - Commercial Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 3/512018 Expiration: 09/01/2018 Parcel Number Applicant 10021 NE 2 Avenue Miami Shores, FL 1132060134650 Block: Lot: MIAMI SHORES VILLAGE Owner Information Address Phone CeII MIAMI SHORES VILLAGE Contractor(s) MOODY ELECTRIC INC Phone Cell Phone (305)758-2000 Valuation: Total Sq Feet: $ 750.00 0 Type of Work: INSTALL NEW DOOR BELL Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $o.00 $0.o0 $0.00 $0.00 $50.00 $0.00 $0.00 $50.00 Pay Date Pay Type Amt Paid Amt Due Invoice # ELC-3-18-66635 03/02/2018 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: I certify that all the foregoing information is accurate and th construction and zoning. Futhermore, I authorize the above-named contractor . - • t Authorized Signature: Owner / Applicant / Contractor Building Department Copy all work ill be done in compliance with all applicable laws regulating a March 05, 2018 Date March 05, 2018 ,0-0) BUILDING PERMIT APPLICATION El BUILDING ❑PLUMBING JOB ADDRESS: City: Folio/Parcel#: Occupancy Type: 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 Master Permit No. ELECTRIC ❑ ROOFING ❑ REVISION RECEIVED MAR 0 2 2018 FBC 201-1 I�rG�7 Sub Permit No.�j� 1 s 53 5 ❑ EXTENSION ❑ RENEWAL ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS r QC I1--VVQ( A L i b rCi r i on -Z_ i 1\1-E7 ? iec) Pt ye Miami Shores County: Miami Dade Zip: 7) 1 Is the Building Historically Designated: Yes NO Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): M I o fl'1 c y ©(•r S r (1 k(Phone#: Address: "� City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: M QC(i(t EI ri+r t ( Address: �W___ N. 2_q t h Mt ncft City: \-1 L) `II \i\I red State: FL Qualifier Name: J Q Y I n .J ; M ( State Certification or Registration #: E C QG DESIGNER: Architect/Engineer: Address: Tier Phone#:':305 — 7 ZCiCO zip: 3302_0 Phone#:. 30 --7 - ZC K Certificate of Competency #: Value of Work for this Permit: $ Type of Work: ❑ Addition ❑ Alteration Description of Work: 1 n.5 t )t t City: Phone#:' State: Square/Linear Footage of Work: ®"Flew ❑ Repair/Replace r\-t_vv o Cnr bi I Qfr:(AL-.L"tt :'i (0 9t d' °,Ir{ ate, ,)re r Specify color of co/or'thr-17,:tile 'k? ii :'1,...''. -4,, ,,,, ,,, q,....... oMq...—... ✓ /.r+. " :.n • • P Grp {.ice,; uw. �,.,ry,Raw• Submittal Fee $ Permit Fee $ `�/®d' CO/CC $ Scanning Fee $ Radon Fee $ Notary $ , + Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ 10 r Zip: ❑ Demolition i 1 r'A:tt b R } t' r CCF $ DBPR,$ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address ) A City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address N 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 OWNER or AGENT CONTRAC R The foregoing instrument was acknowledged�`before me this The foregoing instrument was acknowledged before me this 2 day of `-tom (0rv►r ` , 20 1 , by % 2) rc day of i=e,10I'1JO ill , 20 i E\ , by Jahn J . M 0O , who is personally known to ��n who is per` ally known to me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: 4014, Sign:(.�.��, Sign: identification and who did take an oath. NOTARY PUBLIC: Print: Seal: MAHARAI K GONZALEZ :* MY COMMISSION # GG 044602 EXPIRES: November 2, 2020 'Fii ; d:' Bonded Thru Notary Public Underwriters i•%4. ************************************************************ **************************** Print: Seal: �0r r Notary Public State of Ft • dei a4w`4; Rebeca Munoz • My Commission FF 9163 �++ o: a/ Expires 0910612019 APPROVED BY (Revised02/24/2014) Plans Examiner Zoning Structural Review Clerk Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. ELC-6-17-1595 Permit Type: Electrical - Commercial Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 6/20/2017 Expiration: 12/17/2017 Parcel Number Applicant 10021 NE 2 Avenue Miami Shores, FL 1132060134650 Block: Lot: MIAMI SHORES VILLAGE Owner Information MIAMI SHORES VILLAGE Address Contractor(s) MOODY ELECTRIC INC Phone CeII Phone (305)758-2000 Phone CeII Valuation: Total Sq Feet: $ 750.00 0 Type of Work: INSTALL NEW DOOR BELL Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0 $1 .00 0 Pyr' � et P y Type Invoice 4VI.0-6-17-64333 Amt Paid Amt Due ,t061201° Credit Card $ 58.60 $ 50.00 06x6%01 Credit Card $ 50.00 $ 0.00 $108.60 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 AFFIDA)L f erti that all e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and�thorize the - b ; e- med contractor to do the work stated. Authorized Signature: Owner / Appf -nt / Contractor / Agent Building Department Copy June 20, 2017 Date t June 20, 2017 1 Miami Shores Village Building Department RECEIVED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUN 16 2017 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. E C VI— 15c1S PERMIT APPLICATION Master Permit No. FBC 20` Permit Type: Electrical �, d4Chone#: / /f 1.-"iiV4I2t5 OWNER: Name (Fee Simple Titleholder): Address: /610.50 A)E c'i4) e e' City: /1/ , State: f 10 2 / Zip: J (3g ' Tenant/Lessee Name: Phone#: Email: +� Nr JOB ADDRESS: City: 8,219c4 42 LSB Miami Shores County: /0011 2 ,4 Zip: Folio/Parcel#: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: /' f CAO Address: 5 ( A) L Aid 1`y/ �Qp � Sta City: / p�,/f Qualifier Name: --4e)A N ` o" GContState Certification or Registration #: 6e- Contact act Phone#: j Ema DESIGNER: Architect/Engineer: Flood Zone: `/V G Phone#: 7S8a4000 Zip: dacD Phone#: 305 7CJ U 01006 Certificate of Competency #: Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: Address Description of Work: Iteration ❑New ❑Repair/Replace it/S7A-i f e i Do ore 1g.e-G/ ❑Demolition ***************************************Fees******************************************** Submittal Fee $ Permit Fee $1 b m, 6 GS CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 5 8 ` 620 Bonding Company's Name (if applicable) Bonding Company's Address �( City State 1 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 Signat OWNER or AGENT CONTRACTOR V The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this —dayof ''Lf` -1:-._ ,20 1% ,by Ila 1 day of J()fl . ,20 I-7 ,by rCWi 0 rzAKI , who is p a�sena}F�r kin to John J Meall , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: i NNNIII 1/N0/ 11 �•i REg /yo Sign: ^��� ti` �' 's Sign: Print:" w z,= Print: Seal: •,•�F k ..��= Sea l : as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: -wain _.' IT7sr—yip onr' Noliryf ublic r tate of Florida Rebeca MunOZ r. • My Commission FF 916344 co Expires 09/08/2019 ****************************************************************** * * * ********** APPROVED BY ' % /C'G',t/ i 5Plans'Examiner (Revised02/24/2014) Zoning Structural Review Clerk