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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)