EL-17-26Miami Shores Village LB
EC Tv -
Building Department NOV 0 017
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 : _
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 2014
BUILDING Master Permit No. RCI-7—ZS
PERMIT APPLICATION Sub Permit No.O-.-- 17''2za
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:]CHANGE OF CANCELLATION ❑ SHOP
���� //I► / CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: Z- 3O
Folio/Parcel#: r. Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: _
OWNER: Name (Fee Simple Titleholder):�7TIAk A- 'd"ok-roll Phone#: : —
Address: G2
City: IC( State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: /��� f(2G'f�t Cn C Phone#:
Address: 1 Z! S`—
CityAmIG/'t�— State: F(, Zip: � �0¢
/�,rI/
Qualifier Name: �/l 0h'-/ �-Lkp0 —To Phone#:
State Certification or Registrat7on #:
DESIGNER: Architect/Engineer:
Address:
Certificate of Competency #:
ne#:
State:
Value of Work for this Permit: $ ` � 0 0 Square/Linear Footage of Work: W Type of Work: ❑ Addition ❑ Alteration I ❑ New Repair/Replace ❑Demo
Description of Work: in 5w&� A-s` kol
Cay-C-610-VI CY)
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $ CIO CCF $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
DBPR $
CO/CC $ _
Notary $.
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding 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.....
i-
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,AF COMMENCEMENT."
Notice to A licantals a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise i oodtfaith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose, ropety Is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
f , e.,,'rst inspection which occurs seven (7) days after the building permit is issued.' In the absence of such posted notice, the
_yction will not be approved and a reinspection fee will be charged.
Signature A I• k Signature
OWNER or AG T NT ACTOR
The foregoin in trum)Q
nt was acknowl dge before me this The foregoing instrumlent was acknowledged before me this
da f 0C-Al l�C, /7 by �dayof N(lve, ,/7 20 by
Z J c) l•t J A GAm O who is per ally known to Aki%H-cstJy J Luw54io is personally known to
IF
me or who has pr ced as me or who has produced as
identificatioyr,*, did take an oath. identification and who did take an oath.
NOTA `PUBLI NOTARY PUBLIC:
Sign:
KI1W ECKH KfWECKHA
Print: my COMMiSSION # FF199225 Print: MY COMNSSION # FF199225
�` EXPIRES: February 12, 2019 EXPIRES: February 12, 201
Seal: Seal: -
APPROVED SJ �!/) Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)
AJL ELECTRIC INC.
STATE LICENSED EC13002089 & INSURED
305 895-4971, 305 891-0937 FAX
AJL826@YAHOO.COM
November 311, 2017
City of Miami Shores Building Dept.
10050 NE 2"d Avenue
Miami Shores, FL 33138
Letter of cancellation:
Reference: 1050 NE 961h Street
Sub permit: #FL 17-26
To whom it may concern:
Please cancel the above applied for electrical permit. No work has been performed by AJL
Electric Inc and we no longer have a contract with the owner.
Anthony J Lupo Jr
Owner/Qualifier AJL Elec. Inc.
Notary
INI ECKHARD
MY COMMISSION # FF199225
EXPIRES: February 12, 2019
1wP
OF
i.
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
BUILDING
PERMIT APPLICATION
❑BUILDING 0 ELECTRIC ❑ ROOFING
FBC 20 S
Master Permit No.
Sub Permit No. �" z
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10 "s0 i-7-Z-� Q I!,,T- SaC t i�
City: Miami Shores County: Miami Dade Zip: -->'7 t 3�
Folio/Parcel#:
Occupancy Type: Load: Construction Type
the Building Historically Designated: Yes NO x
Flood Zone: BFE: A FFE:
OWNER: Name (Fee Simple Titleholder): 'Tpl4%-.> A. CA%A 'P Phone#:
Address: 1050 NE7 a Llr- SA -fee r
City: R4GWli 514QrfS State: F-L Zip: 531 'S
Tenant/Lessee Name: Phone#: 3-&�—
Email: s COI tM P(d.CO�-�'� �D✓l�L ��G�`�. (ow
CONTRACTOR: Company Name: ATL 'E) e C k- , C -a,4 G. Phone#:
Address: 1Z S b`5 "g15LwrHe `oyek -BOX l3Z(o
City: ► 0 f41- M ',' cwwt% State: 'P 1— zip:A# 53
Qualifier Name: Phone#:
State Certification or Registration #: EC 130OZO f91 Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
Address: AA&AIA014 "?U City: Stat_
Value of Work for this Permit: $ 1` l . I'Do Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition
Description of Work: 1a5;-0.01 AQ-tx-� SVVI(kk\ (M'P\i4A1j e ct S fyr - OF ki4-CV
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
(Revised02/24/2014)
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $ -
Notary $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zi
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.
Signatu
OWNER or AGENT
The for oing instrument was
acknowledged%efore me this
day ofy�.�1 b r , 20 1 ( , by
Toko A, (Afn 4' who is personally known to
M�—or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: .aN E, ROCCO
�•: Notary Public - State of Florida
- • Commission # FF 228812
My Comm. Exoires Jul 7. 2019
APPROVED BY
as
Signature
CONTYC36R
The foregoing instrument was acknowledged before me this
day of 20 by
L-"1'40 44ho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
KIM ECKHARDT
Print: M
aFa_ EXPIRES: February 12, 2019
Seal:
I Y Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)