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ELC-17-2820 Permit NO. ESC-11-17-2820 Miami Shores VillagePermit Type:Electrical-Commercial10050 N.E.2nd Avenue NE '�P Um Work Class fieation:Addition/Alteration Miami Shores,FL 3313&0000 Permit Status:APPROVED Phone: (305)795-2204 GORiDp' Issuet7ate: 1/2312018 Expiration: 07/22/2018 Project Address Parcel Number Applicant 9999 NE 2 Avenue 1132060134490 Miami Shores, FL 33138- Block: Lot: CITY NATL BNK OF FLA TRU Owner Information Address Phone Cell CITY NATL BNK OF FLA TRU 25 W FLAGLER Street MIAMI FL 33130-1718 25 W FLAGLER Street MIAMI FL 33130-1718 Contractor(s) Phone Cell Phone Valuation: $ 750.00 DEPOT ELECTRIC CORP (305)992-4202 - - Total Sq Feet: 0 Type of Work:ENTRY DOOR HOOK UP 2 DOORS TOTAL Available Inspections: Additional Info:ENTRY DOOR HOOK UP 2 DOORS TOTAL Inspection Type: Classification:Commercial Final 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 $0.60 DBPR Fee Invoice# ELC-11-17-65767 $2.25 11/29/2017 Credit Card $50.00 $108.85 DCA Fee $2.00 Education Surcharge $0.20 01/23/2018 Credit Card $ 108.85 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $158.85 a 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 an;onin u her I authorize the above-named contractor to do the work stated. a( January 23, 2018 Aurhign ure:Owner / Applicant / Contractor / Agent Date Buil artment Copy January 23, 2018 1 Miami Shores Village RECEWED Building Department WV 29 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 ��---IYY✓��111 INSPECTION LINE PHONE NUMBER:(305)762-4949 S �1 ,, II FBC 20tq BUILDING Master Permit No. ISIS � - 1 PERMIT APPLICATION Sub Permit No.� "z8zo ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zi folio/Parcel#:J,L- 2fl 6-0 13-4 qqo Is the Building Historically Designated:Yes NO Occupancy Type: Load: Con uc�fionXpe:ate' n BAllobd Zone: F LA B k' FFE: OWNER:Name(Fee Simple Titleholder): AqL eAALI hone#: 6 ?3 Address: A 3313 City: lAwl State: �— Zip: 0 53 Tenant/Lessee Name: Phone#: Email: UW �' 0 `J I r QOM CONTRACTOR:Company Name dg4dL COX Phone#: 3 .5-9151--2-o Address: tst)n l L. City: St e: 40— Zip: I $c� Qualifier Name: a` G0f1 4 C Phone#: 3©S -wI 1,10 State Certification or Registration#: G.000t7IS q1j Certificate of Competency#`. DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 9�s 10 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: S O c k Specify color of color thru tile: rea' Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ 2 ' a DBPR$ 2. 25 Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ IQ)E3 . 8 J (Revised02/24/2014) a 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. 1 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 attaiialunt. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection whi h occur seven (7) days after the building permit is issued. in the Bence of such osted notice, the inspection will not be appy ed and a einspection fee will be charged. Signature Signature or AGENT " C RACTOR The foregoing instr�un t was ackln�o�wll�edged before me this The foregoing instrument was acknowle ge efore me this a"& day of I V 01/� 6eL .20 ]- by _day of 1201 -7 by opally knw " plsonally known to 0 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: 100- Print: Print: Seal: Commissan#GG 137334 Seal: T JORGE J.JIMEN P; Expires November 21,2021 EZ Bonded filo Tiny Fain Inwiva 8003857019 MY COMMISSION#FF 181212 EXPIRES:February I6,2019 APPROVED BY �� v!/Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)