ELC-19-840Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 06/13/2019
Parcel Number
9636 NE 2ND AVE, Miami Shores, FL 33138 1132060132500
Contacts
Permit No.: ELC-04-19-W
Permit Type: Electrical - Commercial
Work Ctassifica tion. Alteration
Permit .Status: Approved
Expiration: 12/16/2019
Palazzo Leoni Inc. Owner CRESS LLC Contractor
PO BOX 381703 GARY HAIGHT
Business: 4074769473
Description: INSTALL NEW PENDANT, DATE CONDUIT AT NEW
DAB LOCATION. RELOCATE 0/H LIGHTING ALONG TELLER LINE
INSTALL NEW ELECTRICAL RUNS FOR VE WALL, FROM
WELCOME WALL, CAFE AND BOOTH AREA. NEW WALK OVER,
FLUSH FLOOR BOX COVER, POSSIBLE RELOCATING OF T -STAT
AND FRE ALARM PROPOSED CAFE AREA. ADD DATA BOXES AT
NEW AV LOCATIONS WHERE DIRECTED.
Fees Amount
Application Fee - Other 50.00
CCF 18.00
Change of Contractor 110.00
DBPR Fee 13.50
DCA Fee 9.00
Education Surcharge 6.00
Permit Fee 850.00
Scanning Fee 42.00
Technology Fee 22.50
Total: 1,121.00
Valuation: $ 30,000.00
Inspection Requests:
Total Sq Feet: 2,150.00
Payments Date Paid Amt Paid
Total Fees 1,121.00
Credit Card 06/19/2019 $110.00
Credit Card 06/13/2019 $1,011.00
Amount Due: 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: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
requlatingl u *n ar d`zoning. Futhermore, I authorize the above named contractor to do the work stated. ,
r / Applicant / Contractor / Agent
June 19, 2019 Page 2 of 2
Miami Shores Village
I \ ED
Building DepartmentIUN19209
10050 N.E.2nd Avenue
BY: Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
IELt— by—lI`'}0:HANGE OF CONTRACTOR/ ARCHITECT
Permit N. CC -04-19-837
Owner's Name (Fee Simple Title Holder): Palazzo Leoni, LLC
Owner's Address: PO Box 381703
City: Miami State : FL
Job Address (Of where work is being done): 9636 NE 2nd Ave
Phone #:
Zip Code: 33138
City: Miami Shores State:—Florida Zip Code: 33138
Contractor's Company Name: A&W Electric of Hollywood, Inc. Phone # 954-27-5599
Address: 3100 SE 4th Ave
City- Ft. Lauderdale FLFL Zip Code: 33316
Qualifier's Name: Lic. Number. EC13001990
Architect/ Engineer of Record Name: BDG Architects
Address: 400 N Ashley Drive, Ste 600
City Tampa State: FL
Phone ##- 813-323-9233
Zip Code: 33602
Describe Work Install new pendant, relocate light, data conduit relocate, flush floor box cover
1 hereby certify that the work has been abandoned and/or the contractor/architect
is unable or unwilling to complete the contract. 1 hold the Building Official and the
M'ami Shores harmless of all legal involvement.
Signature d L Signature
OI")
Owner or Agent
J
Contractor or Architect
The foregoing instrument was aknowledged before me The foregoing instrument was aknowledged before me
this 1q day of U/! 201?by ( G/c'jI? r this /0 day of , 20 /4by J;m / r -k
Who is personally known to me or who has produced who is personally known to me or who has produced
1 = as indentification.
Notary Publi . Notary
Sign:PSign
Seal: Seal:
P""' CEDRIC 0. IQNS
MY COMMISSIONO FF 929571
PXPIRES: October 21. 2019
as indentification.
T
40 u Notary Publffstate of Florida
Lode Wasteney
v My Commission FF 956724
or rti
Expires 0211912020
Miami Shores Village
Building Department JUN 9 £}
q
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 $Y:
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
BUILDING 0 ELECTRIC [:] ROOFING
PLUMBING MECHANICAL [:]PUBLICWORKS
JOB ADDRESS: 9636 NE 2ND AVE
FBC 20
Master Permit No. CC -04-19-837
Sub Permit No 1= o 9 —t i - d
REVISION E] EXTENSION RENEWAL
CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-013-2500 Is the Building Historically Designated: Yes NO
Occupancy Type:
N/A Load: N/A Construction Type: N/A Flood Zone: X BFE: N/A FFE: N/A
OWNER: Name (Fee Simple Titleholder): PALAZZO LEON LLC Phone#: N/A
Address: PO BOX 381703
City:
MIAMI State: FL Zip: 33238
Tenant/Lessee Name: JP MORGAN CHASE Phone#: N/A
Email: N/A
CONTRACTOR: Company Name: Cress LLC Phone#: 407-476-9473
Address: PO BOX 781764
City. Orlando State: FL Zip: 32878
Qualifier Name: Gary R. Haight Phone#: 407-948-1576
State Certification or Registration #: EC0001584 Certificate of Competency #:
DESIGNER: Architect/Engineer: BDG Architects Phone#: 813-323-9233
Address:400 N Ashley Dr, Ste 600 City. Tampa State: FL Zip: 33602
Value of Work for this Permit: $ Q 000 Square/Linear Footage of Work:
Type of Work: Addition Alteration New Repair/Replace Demolition
Descriotion of Work: Install new pendant, data conduit at new DAB location, Relocate O/H lighting along teller line. Install new
for VE wall from Welcome Wall, Cafe and Booth area, Provide and install new walk over, flush floor box cover,
proposed cafe area, add data boxes at new AV locations where directed
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Revised 02/24/2014)
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $ _
DBPR $ 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
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.
u f
Signature v V
OWNER or AGENT
The foregoing instrument was acknowledged before me this
M day of ,Lrr e 20 , by
r
2C4(eQK LPai7 / who is personally known to
me or who has produced r—
as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:"' ri' CEDRIC 0. JENIQNS
MY COMMISSION # FF 929571
0 EXPIRES: October 21. 2019
Sign7, CONT C O
The foregoing instrument was acknowledged before me this
13TH day of JUNE 20 19 by
GARY R. HAIGHT who is personally known to
me or who has produced NSA as
identification and who did take an oath.
NOTARY PUBLIC:
D
Sign:
NBERG
Print: B N° 41 ,
G
Seal:
AU '
S Commission # GG 021769
N
IAF OF FL pO`, My Comm. Expires Sep 13, 2020
Bonded through National Notary Assn.
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
Revised02/24/2014)
Permit NO.: ELC-04-194M
Miami Shores Village - N Permit Type: Electrical-COMmerclal
10050 NE 2 Ave
Miami Shores FL 33138 Work Uassyiwtir n: Alteration
305-795-2204 Aarmiv.40ntrir- Annrnimel
issue Datea-06/13/2419 I Expiration: 12/10/2019
Location Address Parcel Number
9636 NE 2ND AVE, Miami Shores, FL 33138 1132060132500
Contacts
Palazzo Leoni Inc. Owner A&W ELECTRIC OF HOLLYWOOD, INC Contractor
PO BOX 381703 JIMMY ARTIGAS
3100 SE 4 AVE, FT LAUDERDALE, FL 33316
Business: 9545275599 JARTIGAS@AOL.COM
Description: INSTALL NEW PENDANT, DATE CONDUIT AT NEW
DAB LOCATION. RELOCATE 0/H LIGHTING ALONG TELLER LINE.
INSTALL NEW ELECTRICAL RUNS FOR VE WALL, FROM
WELCOME WALL, CAFE AND BOOTH AREA. NEW WALK OVER,
FLUSH FLOOR BOX COVER, POSSIBLE RELOCATING OF T -STAT
AND FRE ALARM PROPOSED CAFE AREA. ADD DATA BOXES AT
NEW AV LOCATIONS WHERE DIRECTED.
Fees Amount
Application Fee - Other 50.00
CCF 18.00
DBPR Fee 13.50
DCA Fee 9.00
Education Surcharge 6.00
Permit Fee 850.00
Scanning Fee 42.00
Technology Fee 22.50
Total: 1,011.00
Building Department Copy
Valuation: $ 30,000.00
Inspection Requests:
305-762-4949
Total Sq Feet: 2,150.00
Payments Date Paid Amt Paid
Total Fees 1,011.00
Credit Card 06/13/2019 $1,011.00
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 aur elmcl that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above naccd gon'tpSOLlo-do44e-work-stated
Authorized Signature: Owner / Applicant / Contractor /"-'Agent Date
June 13, 2019 Page 2 of 2
Miami Shores Villager,
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 /IJV
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 p
FBC ton
BUILDING Master Permit No. e C-04--lq —&31
PERMIT APPLICATION Sub Permit No f uai- iq-40
F-] BUILDING 0 ELECTRIC ROOFING REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL F-] PUBLIC WORKS
JOB ADDRESS: 9636 NE 2 AVE
F] CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11-3206-013-2500 _— Is the Building Historically Designated: Yes NO _
Occupancy Type: N/A Load: N/A Construction Type: N/A Flood Zone: X BFE: N/A FIFE: N/A
OWNER: Name (Fee Simple Titleholder): PALAZZO LEONI LLC _ Phone#:.__
Address: PO BOX 381703
City:
MIAMI State: FL Zip:
33238
Tenant/Lessee Name: JP MORGAN CHASE
Email: N/A
ne#:
N/A
CONTRACTOR: Company Name: A & W Electric of Hollywood Phone#: 954-444-8362
Address:
15000 Foxheath Drive
City: _ Southwest Ranches FL 33331Cit _..__.--...._._......._State: --.—Zip .._..._...._....---...._........... -
Qualifier Name: Jim Artigas SAO-Ti(.P-3 Q4:L-. C% -V" Phone#: 954-444-8362
State Certification or Registration #:
EC13001990
Certificate of Competency #:
DESIGNER: Arch itect/Enginee r:.__ BDG ARCHITECTS _ _ _ Phone#: (81.3)323_9233
Address: 400 N ASHLEY DR STE 600 City: TAMPA State: FL Zip: 33602
Value of Work for this Permit: $ $30K Square/Linear Footage of Work: 2567.0
Type of Work: Addition N Alteration New Repair/Replace Demolition
Description of Work: Install new pendant, data conduit at new DAB location. Relocate O/H lighting along teller line. Install new electrical runs for VE wall, from
Welcome Wall, Cafe and Booth area. Provide and install new walk over, flush floor box cover, possible relocating of t -stat and fire alarm
proposed Cafe Area. Add data boxes at new AV locations where directed
Specify color of calor thru tile: N/A
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
Revised 02/24/2014)
CCF $_
DBPR $
CO/CC $
Notary $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable) N/A
Bonding Company's Address
City
N/A
N/A State N/A
Mortgage Lender's Name (if applicable) N/A
Mortgage Lender's Address
City
N/A
N/A State N/A
Zip N/A
E N/A
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 — Signature
OWNER or AGENT
The foregoing instrument w s acknowledged before me this
day of 20 by
who is personally known
me or who has produced
identification and who did take an oath.
NOTi PUBLI ANDREW VOGEL
MY COMMISSION # FF919 893
EXPIRES: November
Sign:
a~
Print:
U
CONTRACTOR
The foregoing instrument was acknowledged before me this
day ofn', 20 19' by
7#415 who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:.....................................(c.C.
Print:
Seal: Seal: ;a•: TIM07NYMCNAB
MY COMMISSION # FF 942014
a EXPIRES: December%2019
q.q F Bonded Thru Notary Public Underwriters
as
APPROVED BY JJ Plans Examiner Zoning
Structural Review Clerk
Revised 02/24/2014)