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ELC-19-137Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: ELC-01-19-137 Permit Type: Electrical - Commercial work Classification: Temp for Construction Permit Status: Approved Issue Date:01/25/2019 1 Expiration: 07/17/2019 Parcel Number 415 NE 1 0 5 T H ST, Miami Shores, FL 33138 1122310430010 Contacts ED H OLLIE JR &W & MARCIA OLLIE Owner EDW MCCARTHY-ARCH BISHOP 9401 BISCAYNE BLVD, MIAMI, FL 331382970 Other: 3057597750 MOODY ELECTRIC INC Contractor JOHN MOODY 3812A N 29 AVE, hollywood, FL 33020 Business: 3057582000 Description: TEMPORARY ELECTRIC FOR 24 CARNIVAL TENTS! Valuation: $ 850.00 Ins ection Requests: 05-762-4949 Total 5q Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $110.30 Building Department Copy Payments Date Paid Amt Paid Total Fees $110.30 Credit Card 01/25/2019 $110.30 Amount Due: $0.00 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 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 and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date January 25, 2019 Page 2 of 2 Miami Shores Village RECEIVEID Building Department JA 18 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: -j&rJA/2- INSPECTION LINE PHONE NUMBER: (305) 762-4949 V/-TA FBC 20 C� BUILDING Master Permit No._� I CT - 0'0 PERMIT APPLICATION Sub Permit No. zfa— �� 1 ❑ BUILDING �-ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL Ej PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores Countj, : Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): OE MIAMI _Phone#(— 3 tcity: M (IAld 1 S 8dPAr-5 State: — Zip: �I 3f� Tenant/Lessee�N�am�e:.�_,---�T�y(�5y- 0r L,(M L(C19 Jp� Phone#: Email: - r---t��J� 1 R ' l 74F—A)aA -OVA I CONTRACTOR: Company Name: 6 / r Phone#: � - 7S�'- � Address: ��i� �T /�% ,� � �,r_o City: o!/ k'v State: � /�-- � Zip: Qualifier Name: Jo /1 ( '` �3� - 7 P oAe#1: State Certification or Registration #: Certificate of Competericy #: DESIGNER: Architect/Engineer: Address: City: State: Zip; Value of Work for this Permit: $�� Cif/A„r/JP� Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ N w ❑ Repair/Replace ❑ Demolition Description of Work: - _"07 .Specb co%r of colvr ihih; tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ . Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ L* T • -CO/CC $ DBPR $ Notary $ !` Double Fee $ Bond $ TOTAL FEE NOW DUE $ t 30 : IBonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 ci ctipdition to the issuonbe o ,a,building permit,w�th_„ an.estimated:value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and Construction;Ifen.daw-brochure• will be dellbered 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 gbsence of such posted notice, the inspection will not be approved and a reinspection fee will be thotged: Signature Signature OWNER rAGENT 7 CONTRACTO The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20by day of 20 1 °! by �if4•? ` r Wally kno to xi cl • 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: Sign: 1 Print: Seal: ti;'p�• CARLOSSANABRIA Notary Public - State of Florida Commission 4 GG 099886 My Comm. Expires Jul 18, 2021 +****++***+***+s4.�,47r�**bd`RAtlRKftly+R3Ktht�'►tltar,� APPROVED BY (Revised02/24/2014) identification and who did take an oath. NOTARY PUBLIC: Sign: C O r CARLA COL:JCCI Print:Florida Commission ;: GG 265581 Seal: '` or fl My Comm. Expires Oct 7, 2022 Bonded through National Notary Assn. ++*+s++*+*++*++*+s+**++s*++**+*s++*+ss+ss++s+*+*+s+*+++*+ Plans Examiner Structural Review Zoning Clerk 1/16/2019 Detail by Entity Name D.vaion c:r Coppr� .RAT--) - r '4US,' �'�Org C all follClul ;1f;.'P o f"10fiYP,t' Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Not For Profit Corporation ARCHBISHOP EDWARD A. MCCARTHY HIGH SCHOOL, INC. Filing Information Document Number N00000006763 FEI/EIN Number 65-0787338 Date Filed 10/11/2000 State FL Status ACTIVE Principal Address 5451 S FLAMINGO RD SOUTHWEST RANCHES, FL 33330 Changed: 02/05/2013 Mailing Address 5451 S FLAMINGO RD SOUTHWEST RANCHES, FL 33330 Changed: 02/05/2013 Reaistered Aaent Name & Address FITZGERALD, J PATRICK 110 MERRICK WAY, SUITE 3-B CORAL GABLES, FL 33134 OfFcer/Director Detail Name & Address Title President JEAN, RICHARD P 5451 S FLAMINGO RD SOUTHWEST RANCHES, FL 33330 Title VP MOLINA, KEVIN 5451 S FLAMINGO RD SOUTHWEST RANCHES, FL 33330 I Title Treasurer. Director I http://search.sunbiz.org/Inquiry/Corporaf onSearciVSearchResultDetail?i nqui rytype=Ert4N ame&directionType=lnibal&searchNam eOrder=ARC H BISH OPED... 1/3 1/16/2019 Detail by Entity Name CASCIATO, MICHAEL A 9401 WSCAYNE BLVD Y MIAMI SHORES, FL 33138 Title Director EDWARDS, DONALD, Dr. 9401 BISCAYNE BLVD MIAMI SHORES, FL 33138 Title Director WORLEY, SISTER ELIZABETH, SSJ 9401 BISCAYNE BLVD MIAMI SHORES, FL 33138 Title Secretary Pryzbylski, Kim, Phd 9401 Biscayne Boulevard Miami Shores, FL 33138 Annual Reports Report Year Filed Date 2016 03/23/2016 2017 02/08/2017 2018 01 /25/2018 Document Images 01/25/2018 —ANNUAL REPORT View image in PDF format 02/08/2017 —ANNUAL REPORT View image in PDF format ............. ... 03/23/2016 —ANNUAL REPORT View image in PDF format ................... 01/0812015—ANNUAL REPORT -........................ ......__......_.......................................... .-._...... 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