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ELC-18-1337 Permit Aro. E LC-5-1$-133? RES g� Miami Shores Village Permit Type:Electrical-Commercial 1� tri t 10050 N.E.2nd Avenue NE ''tWork Classification:Addition/Alteration Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 FtoRrvA Issuanate:6111/2018 Expiration: 12108/2018 Project Address Parcel Number Applicant 602 NE 96 Street 1132060141410 Miami Shores, FL Block: Lot: MIAMI SHORES PRESBYTERIAN Owner Information Address Phone Cell MIAMI SHORES PRESBYTERIAN 601 NE 96 ST (305)751-5917 - -- MIAMI 38 FL 33138-2741 Contractor(s) Phone Cell Phone $ 3,000.00 J CROMPTON ELECTRIC INC (561)588-6559 Valuation: - Total Sq Feet: Type of Work:VERIZON WIRELESS TO INSTALL FLUSH M Available Inspections: Additional Info:VERIZON WIRELESS TO INSTALL FLUSH M Inspection-Type: Classification:Commercial Final Scanning:3 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 $0.00 DBPR Fee Invoice# ELC-5-18-67586 $0.00 05/17/2018 Credit Card $ 50.00 $28.00 DCA Fee $0.00 Education Surcharge $0.00 06/11/2018 Credit Card $28.00 $0.00 Permit Fee $75.00 Scanning Fee $3.00 Technology Fee $0.00 Total: $78.00 Y In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent,'servants, or employes. I understand that separate permits are required for ELE T [CAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFF DAVIT: I rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a zoning. u le e,I authorize the above-named contractor to do the work stated. June 11, 2018 Auth rized Signature:Owner / Applicant / Contractor / Agent Date Buil i g Department Copy June 11,2018 1 _ r �,D MiamiShores Village AY 7 2 18 Building Department _ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 20 BUILDING Master Permit No.CC-5-1$-1336 ^� PERMIT APPLICATION sub Permit No. 4-592 �,U F-IBUILDING 0 ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL F-1 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: FLZ;p: 33138 Tenant/Lessee Name: Verizon Wireless Phone#:561-226-9516 Email: N - x CONTRACTOR:Company Name:�J. Crompton Electric Phone#: 561-588-6559 Address: 1290 Old Congress Ave City: West Palm Beach State: FL Z;p: 33409 Qualifier Name:.Jonathan Crompton Phone#: State Certification or Registration#: EC 13002872 Certificate of Competency#: DESIGNER:Architect/Engineer: Klmley Horn &Associates Phone#: Address:1920 Wekiva Way City: WPB State: FL Zip: 33411 Value of Work for this Permit:$ yb©© Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace ❑ Demolition Description of Work: Electrical work for the installation of Verizon Wireless Cell Antennas, Cabinets & Generator. ' �o r�tPlo�� cP�ce T:,,,.. ,,,�>., l'„- 10-11 --IS� Z yas<i>�?..p..;•: t..d:.rs,.. .anM1.r.•.bf„..[,'»+'4.•!rt•, tii �� "w•k, .F 'xi � y�;f: ../' 1, � i •a. ..• - i .� f f Specify color of co/0.Ord 616: w W - Submittal Fee$ °VS`� I U• •.Permit Fee.$ /y �®e> CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ fby (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 a.' »-' 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 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 71 be charged. Signature Signature OWNER or AGENT CRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument s acknowledged before me this g / t✓ day of 20 Ifs byday of 20 by who is personally known to Jonathan Crompto 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: 7— !�_e Print:' " ' 9Print:•1 t r ' ,: MYCOMM SSION M FF 945218 Seal: • `EXPIRES:December 20,2019 Seal: ;�«�:►, CLAUDETTE MARIE SABOL rfiQl Bonded Thru Notary Pudk Underndtera „Commisslon#GG 198270 f } :•� Expires May 14,2022 ro Painlnsurance8003887019 »ssssssssss»»»s»ssssssssssss»ss»»»»ssssssssssss»ss»s»»sss»s»s» ss��.rsks s » sssssssssss APPROVED BY l k IJP y /e Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)