ELC-16-2534 Permit No. ELC-9-16-2534
� `SHoaes Miami Shores Village Permit Type:Electrical-Commercial
£�� �� 10050 N.E.2nd Avenue NE ' Work Classification:Addition/Alteration
'PerlMiami Shores,FL 33138-0000 Permit Status.APPROVED
Phone: (305)795-2204
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Issue Date:911912016 Expiration: 03/18/2017
Project Address Parcel Number Applicant
602 NE 96 Street 1132060141410
Miami Shores, FL Block: Lot: MIAMI SHORES PRESBYTERIAL
Owner Information Address Phone Cell
.MIAMI SHORES PRESBYTERIAN 602 NE 96 ST (305)754-9541
-- MIAMI FL 33138-2742
5 Li
Contractor(s) Phone Cell Phone Valuation: $ 14,970.00
RED HAWK FIRE&SECURITY, LLC (954)791-1313
Total Sq Feet: 0
r
Type of Work: INSTALL DEVICES TO FIRE ALARM Available Inspections:
Additional Info: Inspection Type:
Classification:Commercial
Final
Scanning:6 Meter Box
Alteration
�O Relocation
Fire Alarm
Service Change
Review Electrical
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $9.00
DBPR Fee Invoice# ELC-9-16-61333
$6.74
DCA Fee $6.74 09/19/2016 Credit Card $439.58 $50.00
'
Education Surcharge $3.00 09/14/2016 Credit Card $50.00 $0.00
Permit Fee $449.10
Scanning Fee $3.00
Technology Fee $12.00
Total: $489.58 r
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In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining`hereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting":this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for:ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
const'ruction,an�zoning. Futheruthonze bove-named contractor to do the work stated. t
�� September 19, 2016
Authorized Signa re: ner / Applic ontractor / Agent Date
Building DepartS
September 19,2016 ` 1
Miami Shores Village
g SEP 4 2016
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 _
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 1(4
BUILDING Master Permit No. o. I�-253
PERMIT APPLICATION, Sub Permit No.
QBUILDING A�ECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
F_JPLUMBING F-1 MECHANICAL PUBLIC WORKS f__j CHANGE OF E] CANCELLATION Ej SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: roo dt W E q r. 1� S.-r
City: Miami-Shores d County: Miami Dade Zip: 33 F 3$
Folio/Parcel#: 31 32 o6 01 4 ! q$0 1 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: i FFE:
OWNER: Name(Fee Simple Titleholder): WE M.2 SH09E5' PRESSYTERYAN Phone#: 30S' '7S"f _9SK1
Address: (n o oi' 1,3E 9 G kP SIr,
City: MSA MS VWoRE.5 State: Zip: 33,38
Tehant/Lessee Name: Phone#: 3 o S- ,7S'�•9$`+'1
Email:
CONTRACTOR:Company Name: PEp #AijK Phone#: q S"'Y=ir4t - 1?13
Address: 33 5 Co"vLVtzCF P,ARKwAjr
City:__-__M$2 Q r4 AR State: L Zip; 3 30 3
Qualifier Name: CA RLo3 G-44 f r P ne#: `f�Y - �t-1313
State Certification or Registration#: 00013&o Certificate of Compe ency#:
DESIGNER:Architect/Engineer: i� Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Li `I,70• oa Square/tinearaFootage°of~Work:-.f:-...a.-,,,i.-=r
-79, A��
Type of Work: ❑ Addition ❑ Alteration ❑ New , ❑ Repair/Rep{ace ❑ Demolition
Description of Work: -. IF ELJ P c R h JT AND C }''}
_57 70 F(eic- -A,�Apz"
_2
Specify color of color thru tile: r
Submittal Fee$ M 'a) Permit Fee$ /y��o/D CCF$ ( CO/CC
Scanning Fee G 6 Radon Fee$ DBPR$ � ` Notary$,
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(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.
J
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
!�day of - m r ---.20 �, by _ day of C..w-� 20/4v by
1 h omor5 A • L:e,(�who is personally known to Z who is ersonally known to
me or who has produced l 1'1'1 C110 I as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: JEANNESAPP NOTARY PUBLIC:
' MY COMMISSION AFF 945218
, =
EXPIRES:December 20,2018
Bonded TAru Notary Pudb Underwriters
Sign: Sign:
DORINDALELLO
Print: Print: _°HrP`
EXPIRES:November 15,Ent;l1i
Seal: {':;::-.
Sea I:. _ „ ;a;`' Bonded Thru Notary Public Unde
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)