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ELC-18-1520 { I � t Permit N©. ELC-6-18-1520 �sH°1tES y,� Miami Shores Village Permit type:Electrical-Commercial 10050 N.E.2nd Avenue Per, '�� Work Classification:Addition/Alteration Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 to4W issue oat e:6f6f2018 Expiration: 12/03/2018 Project Address Parcel Number Applicant i 9190 BISCAYNE Boulevard 1132060100030 ` Miami Shores, FL Block: Lot: BRITE STONE INVESTMENT LL( Owner Information Address Phone Cell BRITE STONE INVESTMENT LLC 1160 KANE Concourse (786)340-7513 BAY HARBOR ISLANDS FL 33154- 1160 KANE Concourse BAY HARBOR ISLANDS FL 33154- Contractor(s) Phone Cell Phone Valuation: $ 7,500.00 FINE LINE CONSTRUCTION &ELECTI (404)593-6897 Total Sq Feet: 16 _,.. .....,.. __,M_ _ K... _,.. .,.._ .,. ,... . Type of Work:REMOVE EXISTING ATM AND TOPPER MODI Available Inspections: Additional Info:REMOVE EXISTING ATM AND TOPPER MODI Inspection Type: Classification:Commercial Final Scanning: 1 t Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical- W.W. I r Underground I { Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4,80 DBPR Fee Invoice# ELC-6-18-67789 $3.38 06/06/2018 Credit Card $521.43 $50.00 DCA Fee $2.25 Education Surcharge $1.60 06/04/2018 Credit Card $50.00 $0.00 Penalty Fee $100.00 i Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $6.40 Work without Permit Fee $225.00 Total: $571.43 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. l June 06, 2018 1 Authorized S} ature. wner / Applicant / Contractor / Agent Date Building Department Copy June 06,2018 i 1 �\ RECEIVED Miami Shores Village i Building Department JUN 042018 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 Master Permit No. l� I� -� zz- PERMIT APPLICATION sub Permit No. ,� A - t52c) ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: 9190 BISCAYNE BLVD City: Miami Shores County: Miami Dade Zia: 33138-3224—� Folio/Parcel#:11-3206-010-0030Is the Building Historically Designated:.Yes NO Occupancy Type: B Load: Construction Type: 2 Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):BRITE STONE INVESTMENT LLC Phone#: Address:1160 KANE CONCOURSE#202 City: BAY HARBOR ISLANDS, State: Florida Zip: 33154 Tenant/Lessee Name: Bank of America Phone#:' e M Email: / CONTRACTOR:Company Name: �i 1 MA 1,z"t fzpc•�IiC 7� Phone#: 9S 1- 796 -8 Address: L�-) City:_?gyhq�tNO state: r° - Dom- Zip: 3 30lO q 1 Qualifier Name: 1 1.0!38-Qh flumm L Phone#": State Certification or Registration#: rC lqdo,�2 yl q Certificate of Competency#: DESIGNER:Architect/Engineer: Prizm Arch Phone#: Address:580 Decker Dr. Suite 170 City: Irving State: tx Zip: 75062 Value of Work for this Permit:$7,500.00 -1S uare'Linear Footage of Work:- 6.Sq. Type of Work: El Addition ❑■ Alteration ❑ New ! t.,.S❑Repair/Replace2; s ❑ Demolition pp Description of Work: Remove existingATM and topper , Modi olslaa-tb�beg-4'iriches ;'install new traffic and security bollards. sup-,:.-��. �. Specify color of color thru tile: i., Submittal Fee$' - - kPermit Fee,$,, a,1-70b CCF$ CO/CC$ Scanning Fee$ Radon Fee$' DBPR$ 2>5 Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ 22 JG 1 M Structural Reviews$ Bond$ TOTAL FEE NOW DUE (Revised02/24/2014) S21 • `-� 3 Bonding Company's Name(if applicable) Banding Company's Address ' City State Zip Mortgage Lender's Name(if'applicable) Mortgage Lender's Address City ".j 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure ill be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commence t must be posted at the job site for the first inspection which occurs seven (7) day after the building permit is issued. In the ence of such posted notice, the inspection will not be approved and a reinspection a will be charged. Signature Signature OWNERorA NT CONTRACTOR The foregoing instrument was acknowl ged before me this The foregoin ument was acknowledged before me this Z.� day of Pmeig 20 1$ by ult ,ay of M 20 ,by WA, J,who is personally known to 6s MM who is personally known to me or who has produced �L 04LIt: f (/Q&- I1f as me or who has produced as identification and who did take an oath. identification and who did take an oath. 20<tRvr�erc ROBERT PHIWPUSMAN NOTA P B C: *1i1YC0MMjSS�I(,G064799 NOTARY PUBLIC: EXPIRES:hlerr 20,2021 OF F��Q BOMW Tlvu Budget Notary Sanbes Sign Sign. ' Q Y1 Print: h Print: Seal: Seal: ;,sY'pU•., STACE AGNON Notary Public-State of Florida •= Commission, GG 112128 My Comm.Expires Jun 6,2021 r 9 OFF;�` Wdedthrcu5hhatioralhotaryAssr. APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)