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ELC-18-2504Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: ELC-09-18-2504 Permit IVA Number: 100205 Permit Type: Electrical - Commercial Work Classification: Addition/Alteration Permit Status: ApprOVed Parcel Number Expiration: 03/25/2019 1530 NE 105TH ST, Miami Shores, FL 33138 1122300530001 Contacts REFERENCE ONLY 1530 105 ST Owner MOODY ELECTRIC INC JOHN MOODY 669 N W 90 Street, Miami, FL 33150 Business: 3057582000 Contractor Description: EXTEIROR LIGHTING UPGARDE Fees Amount Application Fee - Other $50.00 CCF $37.20 DBPR Fee $27.90 DCA Fee $18.60 Education Surcharge $12.40 Permit Fee $1,810.00 Scanning Fee $30.00 Technology Fee $46.50 Total: $2,032.60 Valuation: $ 62,000.00 TotalSq Feet: 0.00 v Inspection Requests: 30S-762-494g Payments Total Fees Credit Card Amount Due: Date Paid 10/16/2018 Amt Paid $2,032.60 $2,032.60 $0.00 Building Department Copy 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: regul I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws struction and zoning%Futhermore, I authorize the above named contractor to do the work stated. fiorized Signature: Owns? / Applicant / Contractor / Agent / Date October 16, 2018 Page 2 of 4 BUILDING PERMIT APPLICATION Miami Shores Village BuildingDepartment 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 SEP 2 0 2018 FBC2'Ot� bl.� Master Permit No. i Q., - 2 s I Sub Permit No. fi Q-(1 4--t ❑BUILDING 'ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS f JOB ADDRESS:`) /593Q City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: OWNER Name (Fee Simple Titleholder): Address:�r 1 N t t 11'`'(((kw( City: ( (kw ( (�A(jQtj Tenant/Lessee Name: (A Email: 17ab @ St•OQS, Cot CONTRACTOR: Company Name Address: i P) as A City: #Ol/ Qualifier Name ✓ O State Certification or Registration #: DESIGNER' Architect/Engineer: Address: 135— IkA-M /L Value of Work for this Permit: $ Type of Work: ❑ Addition Description of Work: Construction Type: Flood Zone: BFE: FFE: 15Uuf2 nWcS Phone#: 305-"15 t—Pb9Z � S'h State: aq am AA te: /rL Yfiao Phone#:, 5 257- QOQ Phone#: BIOS 32 - 3Z¢ 7 Phone#:. 5 757- as 00 Zip: 330 0.D Ei✓0 (7 /19y - Certificate of Competency #: �M �UNSuu+uj lfi..pt�e __ Phone#: 03 4`tt''` ' - Z-7 ,523 6. City: (. ``ear frc. iitit4PB State: CL- Zip: 33 (' 01, dee • Co Square/Linear Footage of Work: ❑ Alteration 'New Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) ❑ Repair/Replace ❑ Demolition Oaf . Permit Fee $ gra d0 Radon Fee $ ! Training/Education Fee $ DBPR $ CCF $ CO/CC $ Z 7 ' `Z ° Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUES 2) 03 Z me or who has produced Bonding Company's Name (if applicable) Bonding Company's Address City • 411q- 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. , Signatur OWNERorAGE The foregoing instrument was acknowledged before me this 20111 day of `-'i" rA\oer,20 l8 ,by faerA- Sj , who is personally known to /1•141 identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ******* ' MILDRED Y GOMEZ Notary Public - State of Florida Commission lt GG 124261 My Comm. Expires Aug 24, 2021 Itonded through National Notary Assn. as CONTRACTOR The foregoing instrument was acknowledged beforemethis 2* day of 1c (A'G�fT\l_V r , 20 mot' , by Ohn �•-{cod - , who is personally known_io_ me or who has produced P"//n" identification and who did take an oath. NOTARY:PUBLIC:' Sign: Print: Seal: APPROVED BY Plans Examiner (Revised02/24/2014) Structural Review MILDRED Y GOMEZ Notary Public - State of Florida Commission k GG 124261 My Comm, Expires Aug 24, 2021 Bonded through National Notary Assn. as ************* Zoning Clerk v 9/20/2018 Detail by Entity Name Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Not For Profit Corporation HARBOUR CLUB VILLAS CONDOMINIUM CORPORATION, INC. Filing Information Document Number 716710 FEI/EIN Number 59-1388694 Date Filed ' 06/10/1969 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 12/06/2013 Principal Address 1530 NORTHEAST 105TH STREET MIAMI SHORES, FL 33138 Changed: 03/13/2012 Mailing Address 1420 NORTHEAST 105TH STREET MIAMI SHORES, FL 33138 Changed: 03/13/2012 Registered Agent Name & Address ROBERT STOBS 1530 NORTHEAST 105TH STREET MIAMI SHORES, FL 33138 Name Changed: 12/06/2013 Address Changed: 12/06/2013 Officer/Director Detail Name & Address Title D/T KIEFER, RON 1442 NE 105TH STREET MIAMI SHORES, FL 33138 _ http://search.sunbiz.org/Inquiry/CorporateonSearch/SearchResultDetail?i nqui rytype= EntityN am e&di rectionType=Initial&searchNam eOrder=HAR BOU RCLU BV... 1/3 9/20/2018 Detail by Entity Name I iue u/r ' SCHOCK, KACEY M.E. 1530 NE 105TH STREET MIAMI, FL 33138 Title DNP RICH, CHRISTOPHER B 1434 NE 105TH STREET MIAMI, FL 33138 Title D/S MCADAM, KIM 1558 NE 105TH STREET MIAMI, FL 33138 Annual Reports Report Year 2016 2017 2018 Filed Date 02/17/2016 03/03/2017 02/20/2018 Document Images 02/20/2018 -- ANNUAL REPOR 1`[ 03/03/2017 — ANNUAL REPORT 02/17/2016 -- ANNUAL REPORT 04/22/2015 -- ANNUAL REPORT 03/18/2014 -- ANNUAL REPORT 1210612013 — REINSTATEMENT 03//312012 — ANNUAL REPORT 02/17/2011 -- ANNUAL REPORT 0211612010 --ANNUAL REPORT 06/0212009 -- ANNUAL REPORT 07/27/2008 — ANNUAL REPORT 04/25/2007 — ANNUAL REPORT 03/14/2006 -- ANNUAL REPORT 03/01/2005 -- ANNUAL REPORT 0210512004 -- ANNUAL REPORT 02/06/2003 -- ANNUAL REPORT 08/21/2002 — Req. Agent Change 02/11/2002 -- ANNUAL REPORT 07/03/2001 -- ANNUAL REPORT 02/17/2000 -- ANNUAL REPORT 03/01/1999 -- ANNUAL REPORT 05/11/ 1998 -- ANNUAL REPORT 01/29/1997 — ANNUAL REPORT 07/11//1996 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format ...................................................................................... View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format ...................................................................................... View image in PDF format View image in PDF format View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?i nqui rytype=EntityN ame&di rectionType= Initial&searchN ameOrder=HAR BOU RC LU BV... 2/3 (1-0(1 harbour c condominiums 1630 N.E. 1051h Street, Miami Shores, Florida 33138 • Phone 893.8178 Miami Shores Villa Building Department This will acknowledge and approve Moody Electric Company to apply for and pull a permit for Exterior lighting.