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ELC-18-1569Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address errnit Issue Date: 812 Permit NO. ELC-6-18-1569 Permit Type: Electrical - Commercial Work Classification: Addition/Alteration Permit Status: APPROVED 2018 Expiration: 02/18/2019 Parcel Number Applicant 370 GRAND Concourse Miami Shores, FL 33138-2747 1132060136040 Block: Lot: MIAMI SHORES BAPTIST CHURI Owner Information Address Phone CeII MIAMI SHORES BAPTIST CHURCH 401 NE 95 ST Miami Shores FL 33138 (305)758-0559 Contractor(s) LONGMAN ELECTRIC INC Phone (305)758-1211 CeII Phone Valuation: Total Sq Feet: $ 2,300.00 0 Type of Work: INSTALL OF EXIT AND EMERGENCY LIGHT Additional Info: INSTALL OF EXIT AND EMERGENCY LIGHT Classification: Commercial Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $2.25 $2.00 $0.60 $150.00 $3.00 $2.40 $162.05 Pay Date Invoice # 06/07/2018 08/22/2018 7 Pay Type ELC-6-18-67842 Credit Card Credit Card Amt Paid Amt Due $ 50.00 $ 112.05 $ 112.05 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W. W. Underground 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 oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructioj�. zoning. Futhermore aut rize the above -named contractor to d the work stated. / Contractor / Agent Authorized Signature: Owner / Applicant August 22, 2018 Date Building Department Copy August 22, 2018 1 BUILDING PERMIT APPLICATION Miami Shores Village 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 RECEIVED JUN 07 2018 4-1 Cs h FBC 20 }1-4. Cp Master Permit No. € ` C v _ I S - Sub Permit No. BUILDING El ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 3 70 Grand Coy-,cows-e City: Miami Shores County: Miami Dade Zip: 3 3 13 V Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): M A* S!oreS F3aph s-{ C rJ Address: 3-10 (9rail d Ci>ru--'s‘.ru ' City: NU cum' S'k -,-ei State: FL Tenant/Lessee Name: r 4 r Email: reC_e,p6`cThnifi 200-t� �e1'Sowt-In.n2�- CONTRACTOR: Company Name: Longman Electric Address: 95 NE 166th Street Phone#: 3b5 767 CJS S9 Phone#: Zip: 331 jg Phone#: 305-758-1211 City: Miami State: FL Zip: 33162 Qualifier Name: Michael Longman Phone#: 305-758-1211 State Certification or Registration #: EC13003713 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ $2,300.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration CI New Description of Work: Install of exit and emergency lights ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ /✓r0 `a6 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ 2 .t0S — TOTAL FEE NOW DUE $ I (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 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 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 WNER or AGENT Signatu CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 IS/ , by day of J (, n e, , 20 ) £ , by who is personal) nown to M ! C h cg e l L vn5rjgn, who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: r-.)/V Print: Pea i I (Q. ►Z� Seal: Notary Public State of Florida Pearlie Gray it My Commission GG 169691 'if Expires 04/15/2022 APPROVED BY identification and who did take an oath. NOTARY PUBLIC: Seal: ************************ fans Examiner Zoning Structural Review (Revised02/24/2014) Clerk 6/7/2018 Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-3206-013-6040 Property Address: 370 GRAND CONC Miami Shores, FL 33138-2747 Owner MIAMI SHORES BAPTIST CHURCH Mailing Address 370 GRAND CONCOURSE MIAMI SHORES, FL 33138-2747 PA Primary Zone 1300 SGL FAMILY - 2801-3000 SQ Primary Land Use 7144 RELIGIOUS - EXEMPT : RELIGIOUS Beds / Baths / Half 0/0/0 Floors 1 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 29,145 Sq.Ft Lot Size 23,695 Sq.Ft Year Built 1949 Assessment Information Year 2017 2016 2015 Land Value $834,064 $758,240 $521,290 Building Value $1,252,244 $1,192,613 $1,073,352 XF Value $159,375 $161,250 $163,125 Market Value $2,245,683 $2,112,103 $1,757,767 Assessed Value $2,126,897 $1,933,543 $1,757,767 Benefits Information Benefit Type 2017 2016 2015 Non -Homestead Cap Assessment Reduction $118,786 $178,560 Religious Exemption $2,126,897 $1,933,543 $1,757,767 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 ALL BLK B LOT SIZE IRREGULAR Generated On : 6/7/2018 Taxable Value Information 1 2017 2016 2015 County Exemption Value $2,126,897 $1,933,543 $1,757,767 Taxable Value $0 $0 $0 School Board Exemption Value $2,245,683 $2,112,103 $1,757,767 Taxable Value $0 $0 $0 City Exemption Value $2,126,897 $1,933,543 $1,757,767 Taxable Value $0 $0 $0 Regional Exemption Value $2,126,897 $1,933,543 $1,757,767 Taxable Value $0 $0 $0 Sales Information Previous Sale Price OR Book -Page Qualification Description The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: 6/7/2018 Detail by Entity Name Department of State / Division of Corporations / Search Records / DelBy Document Number / Detail by Entity Name Florida Not For Profit Corporation MIAMI SHORES BAPTIST CHURCH, INC. Filing Information Document Number 717306 FEI/EIN Number 59-0700565 Date Filed 10/06/1969 State FL Status ACTIVE Principal Address 370 GRAND CONCOURSE MIAMI SHORES, FL 33138 Changed: 05/05/1999 Mailing Address 370 GRAND CONCOURSE MIAMI SHORES, FL 33138 Changed: 05/05/1999 Registered Agent Name & Address Mitchell, Anthony D., Mr. 125 N.E. 86th St. Miami Shores, FL 33138 Name Changed: 04/30/2018 Address Changed: 04/30/2018 Officer/Director Detail Name & Address Title President MITCHELL, ANTHONY D 125 N. E. 86TH STREET MIAMI, FL 33138 Title Officer LUC. MARCEL http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail7i nquirytype=EntityName&di rectionType=Initial&searchNameOrder=M IAM ISH OR ESBA... 1/3