CC-18-1336 i
Permit No. CC-5-181336'
5NO1 S i� Miami Shores Villagew Permit'7ype:Commercial Construction
10050 N.E.2nd-Avenue NE Work Classification:Alteration Miami Shores,FL 33138-0000
Per Phone: (305)795-2204 Permit Status:APPROVED
i
Issue Date:6#11#201Expiration:p�
Project Address Parcel Number Applicant
602 NE 96 Street 1132060141410
MIAMI SHORES PRESBYTERIAN
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
MIAMI SHORES PRESBYTERIAN 601 NE 96 ST (305)751-5917 1
- -- MIAMI 38 FL 33138-2741
Contractor(s) Phone Cell Phone Valuation: $ 32,000.00
J. CROMPTON ELECTRIC INC (561)588-6559 Total Sq Feet: ` p
Approved:In Review Available Inspections:
Comments:
Inspection Type:
Date Approved::In Review
Window Door Attachment
Date Denied: Tie Beam
Type of Construction:VERIZON WIRELESS TO INSTALL Occupancy Load: Slab
Stories: Exterior: Termite Letter
Front Setback: Rear Setback: Framing
Left Setback: Right Setback: Store Front Attachment
Plans Submitted:Yes Certification Status: Insulation
Certification Date:
Additional Info:VERIZON WIRELESS TO INSTALL F Drywall Screw
Bond Return: Classification:Commercial Final PE Certification
Window and Door Buck
Scannin :5
Gelling Grid
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Fill Cells Columns
CCF $0.00 Review Building
DBPR Fee $0.00 Invoice# CC-5-18-67585 Review Planning
DCA Fee $0.00 06/11/2018 Credit Card $433.00 $50.00 Review Electrical
Education Surcharge $0.00 05/17/2018 Credit Card $50.00 $0.00 Review Plumbing
P&Z Review Fee $0.00 Review Structural
Permit Fee $480.00 Review Mechanical
Scanning Fee $3.00
Technology Fee $0.00
Total: $483.00
}
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for E CTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS A IDAVIT: etr2 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio nd zonin uther ore,I authorize the above-named contractor to do the work stated.
cj>_11 June 11, 2018
Au horized Signature:Owner / Applicant / Contractor / Agent Date
B ild ng Department Copy _
June , 2018 1
Miami Shores Villages
AY 7 201 1
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ' —
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No.CC-5-1$-113310
PERMIT APPLICATION Sub Permit No.
FE_jBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 602 NE 96 Street
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:1132060141410 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Miami Shores Presbyterian Church Phone#:305-745-9541
Address:602 NE 96 ST
City. Miami Shores State: FLZip: 33138'
Tenant/Lessee Name: Verizon Wireless Phone#:561-226-9516
Email:
CONTRACTOR:Company Name: J. Crompton Electric Phone#: 561-588-6559
Address: 1290 Old Congress Ave
City: West Palm Beach State: FL Zip; 33409
Qualifier Name: Brad Schehr Phone#:
State Certification or Registration#: CGC1504970 Certificate of Competency#:.
DESIGNER:Arch itect/Engineer: KimleyHorn &Associates Phone#: m
Address: 1920 Wekiva Way City: WPB State: FL Zip: 33411
Value of Work for this Permit:$_ 2)2,Q on Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration Q New ❑ Repair/Replace ❑ Demolition
Description of Work: Installation of Verizon Wireless Antennas, Cabinets & Generator {
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Ii y I,ry �A7� �' w `� +� ,�.'. ..
90!3
Specify
�_ t I•
Specif y color of color.thru(tile:
Submittal Fee$Y SO j ___g._Permit Fee$., - CCF$ y µ � CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ 00
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 r 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 JMPROVEMENTS 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$1500, 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 a charged.
Signature Signatur
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this777�ay
g instrument was acknowledged before me this
L day of� 20 l f� by of 20 I ,by
who is personally known to Brad Schehr who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC: ,
Sign: Sign:
_ i �J�44J _
Print: vO-0—nila, Print:
ONO a
Seal: ,._. ts- 'IEAIrhIE8APP Seal: ........... CLAUDETTE MARIE SABOL
••
: r_ W C SSION OF I)WIS C;mmissfon#GG 198270
= EXPIRES:December 20,2019 I•:
Bonded Tluu Notary Pudic Underwriters "a ' FApires May 14,2022 Tote
Bonded Ttuu Troy Fsln Insurance 800.385
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APPROVED BY y� Plans Examiner Zoning
r .
Structural Review Clerk
(Revised02/24/2014)