ELC-17-2903 Permjt N0. ELC42-17-2903
Miami Shores Village Permit Type:Electrical-Commercial
10050 N.E.2nd Avenue NE ' Werk Classification:Addition/Alteration
Miami Shores,FL 33138-0000 Perill 't
Phone: (305)795-2204 Permit Status:APPROVED
F�ORtDA
issue Date: 12/1412017 Expiration: 06/12/2018
Project Address Parcel Number Applicant
9705 NE 2 Avenue 1132060134230
COCHRAN MIAMI SHORES LLC
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
COCHRAN MIAMI SHORES LLC 1800 ELLER Drive
FT. LAUDERDALE FL 33316-
1800 ELLER Drive °
FT. LAUDERDALE FL 33316-
Contractor(s) Phone Cell Phone Valuation: $ 9,400.00
LONGMAN ELECTRIC INC (305)758-1211
.. Total Sq Feet: 0
Type of Work:ELECTRICAL INTERIOR REMODEL Available Inspections:
Additional Info: ELECTRICAL INTERIOR REMODEL Inspection Type:
Classification:Residential Final r
Scanning: 1 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W.W.
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $6.00
CCiF Fee Invoice# ELC-12-17-65865
DBP $4.23 12/14/2017 Credit Card $258.05 $ 50.00
DCA Fee $2.82
Education Surcharge $2.00 12/11/2017 Credit Card $50.00 $0.00
Permit Fee $282.00
Scanning Fee $3.00
Technology Fee $8.00
Total: $308.05
0
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 tha all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio d zoning. utherm , I autho ze the above-named contractor to do the work stated.
December 14, 2017
Authorized Signure:Owner / Applic / Contractor / Agent Date
Building Department Copy
December 14,2017 1
z��/NAMiami Shores Villa
e g
Building Department DEC 201
10050 N.E.2nd Avenue, Miami Shores,Florida 33138 �
2 '
Tel:(305)795-2204 Fax:(305)756-897 -� • _ --�
INSPECTION LINE PHONE NUMBER:(305)762-4949 -9+h
FBC 200
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. Cl_G 2.(103
❑BUILDING NKLECTRIC ROOFING REVISION EXTENSION [:]RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF. CANCELLATION ❑ SHOP
- CONTRACTOR DRAWINGS
ry� 1-1
JOB ADDRESS: �' t�l� " ^44 f"'c
f City: 1Miami Shores �( �JCounty: Miami Dade Zip:
Folio/Parcel#:_1 � Q-00q 2 0 Is the Building Historically Designated:Yes NO J�
Occupancy Type: Load: Construction Type: Flood Zone:, BFE: FFE:
{
OWNER: Name(Fee Simple Titleholder): 6x� lI A-6- ,i.u..Phone#:
Address: 60 OA-f -Cy,
City: State: , _Zip:
Tenant/Lessee Name: i lil c.t w t v�i,C IV (�C. Phone#: 1'jg•
Email: O(b1QjrVtR
a
CONTRACTOR:Company Nam/e:/ �`��"/�N /G /.'"� -Phone#`
Address:
City: 01AAW f State: ,I"/�r Zip:
Qualifier Name: Al/ (' a� /�.,�yy�Lf �/� Phone#: �' Z47
State Certification or Registration#: �L/l 3, 1940 � �> Certificate of Competency#F O-
DESIGNER:Architect/Engineer:' -0-A 1�1N� '' II''■■.. ' ��� Phone#: •1� 0` vl�
Address: �f7 � t3"—/ S - City:M'IA•mht) 5Clo[6 State: Zip:33137
Value of Work for this Permit:$g1,411 ' .r Square/Linear Footage of Work:
4
Type of Work: . ❑ Addition eAlteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: /���iQ��/� ��/�/�yG�� , 'L�GT/Z14-4Z,�
•��,�,yn"ar"'°,i^°":'.';�rM►�'h,''tiI "ro",�gyr+;e+,:�,u?j„• . - ,.
t C.RpP2J"X)•rw;"Nv o+r s r
Specify color of colar thru'diLin..
Submittal Fee$ i Permit Fee$ r40 G CCF$ `: f,•tc;r. r. "SCO/CC$ -''��
Scanning Fee$ Radon Fee$ a' y DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$-
Structural Reviews$ Bond$ ,
E
TOTAL FEE NOW DUE$ G-9
(Revised02/24/2014) {
f
9
Bonding Company's Name(if applicable)
Bonding Company's Address r
City State Zip
Mortgage Lender's Name(if applicable)
y
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."
I I
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 Signature
OWNER or AGENT CONTRACTOR
The foregoing-instrument was acknowledged before me this The foregoing instrument was acknowledged before
/mye this
day-of 20 1 by day of Ae4cWAP 20 / / by
�M F10WCr who is onally known o iC�IR /ovk�o is personally known o
me or who has produced as me r who has produce as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: /1 Sign:
Print: .1- °�� �} pc,n, i 1 Print:
a Mich@ge Perez
Seal: tV'¢� IsmaelA.hbon Seal: MrCommisei GG 084089;
Commission#GG082163 " f°S°'0 021 E
Expires: Mach 13, 2021
� y
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)