ELC-19-1679Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
T�IA;-']Irs
Issue DDate:
Location Address Parcel Number
602 NE 97TH ST, Miami Shores, FL 33138 1132060171700
Contacts
Permitnro.: ELC-07-19-1679
Permit Type. Electrical - Commerchd
Work^C7assiftfon: Alteration ,
Permit Status: Approved
Expiration: 01/20/2020
MIAMI SHORES PRESBYTERIAN CHURCH Owner
MIAMI SHORES PRESBYTERIAN CHURCH
601 NE 96 ST, MIAMI 38, FL 331382741
Other: 3057515917
DOUGS INDUSTRIAL REFRIGERATION Contractor
INC
CAL KEMP
188155 SE RIDGEVIEW DR, TEQUESTA, FL 33469
Business: 5613080595
Description: INSTALLING UNDERGROUND CONDUIT FOR Valuation: $ 2,257.00 Inspection Requests:
FUTURE DARK FIBER
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$117.90
Payments
Date Paid Amt Paid
Total Fees
$117.90
Credit Card
07/31/2019 $67.90
Check # 2479
07/23/2019 $50.00
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 rmity wi the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In acce is permit I assu esponsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are r ired fo LECTRIC LUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNEVS AFFIDAVIT: ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulap ng construc on an4 Apning. Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor / Agent
July 11, 2019
Date
Page 2 of 2
Miami Shores Village )
�v,► Building Department BY:
tl, .
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (30S) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FB nC 20
BUILDING Master Permit No. ZU.- 01— 1 Ip(
471
PERMIT APPLICATION Sub Permit No.
BUILDING 0 ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 602 NE 97th Street
City: Miami Shores County Miami Dade Zip:
Folio/Parcel#: 11 -3206-017-1700 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee simple Titleholder): Miami Shores Presbyterian Church Phone#: (305)754-9541
Address:601 NE 96th Street
City: Miami Shores State: FL Zio: 33418
Tenant/Lessee Name: _
Email: MSPC@mspc.net
one#:
CONTRACTOR: Company Name: Doug's Industrial Refrigeration Inc. _Phone#: (561)308-0595
Address: 18155 SE Ridgeview Drive
City. Tequesta State: FL Zip: 33469
Qualifier Name: C. Bruce Kemp Phone#: ( 561) 308-0595
State Certification or Registration #: EC13004086 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $ 5 6 U Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration N New ❑ Repair/Replace
Description of Work: Installing underground conduit for future dark fiber.
Specify color of color thru tile:
Submittal Fee $ -S0 1 OI Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $
Structural Reviews $
Training/Education Fee $
❑ Demolition
CCF $ CO/CC $
DBPR $ Notary!
Double Fee $
Bond $ I
77��
TOTAL FEE NOW DUE $ 0 - �V
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City 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 o 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.
Signat r
0 0r ENT
The foregoing instrument was cknowledged before me this
IS day of . 7�u�/
- 7 20 19 by
'Lf 0,4S Ill (G144CL 11 wtVO . who is personally known to
/
me or who has produced X?4 i' L f eg;y S t'L- as
identification and who did take an oath.
NOTARY PUBLIC:
Print:rl�--SE`t9-tt� `!—"r;.
Seal: #M; W COMMISSION Ii FF 982378
�c�EXPIRES: August 13, 2020
OF f`o,P Bonded Thru Budget Notary Services
Signature ko
CONTRA OR
The foregoing instrument was acknowledged before me this
18th day of June 20 19 by
C. Bruce Kemp who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sig .
Print: Kathe
Seal: �= My COMMISSION it FF970504'
%,,fin,,• EXPIRES March 10. 2020
rM1,3Sa4t51 MitiNavySawc�rwr
as
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APPROVED BY FAA'dl? Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Not For Profit Corporation
MIAMI SHORES PRESBYTERIAN CHURCH
Filing Information
Document Number
713938
FEI/EIN Number
59-0689708
Date Filed
01/15/1968
State
FL
Status
ACTIVE
Last Event
AMENDMENT
Event Date Filed
06/28/2019
Event Effective Date NONE
Principal Address
602 N E 96 ST
MIAMI, FL 33138
Changed: 05/04/2001
Mailing Address
602 N E 96 ST
MIAMI, FL 33138
Changed: 05/04/2001
Registered Agent Name & Address
MIDDLETON, J. LANE, III
2121 PONCE DE LEON BLVD - STE 600
CORAL GABLES, FL 33134
Name Changed: 04/28/2003
Address Changed: 01/10/2014
Officer/Director Detail
Name & Address
Title PT
TIMKO, THOMAS
Title VT
McARDLE, PETER
3536 NE 168th ST
APT # 501
NORTH MIAMI BEACH, FL 33160
Title ST
WALLACE, LESLIE
518 NE 106TH STREE T
MIAMI SHORES, FL 33138
Annual Reports
Report Year Filed Date
2017 04/25/2017
2018 02/26/2018
2019 04/22/2019
Document Images
06/28/2019 -- Amendment
04/22/2019 ANNUAL REPORT
02/26/2018 ANNUAL REPORT
04/25/2017 --ANNUAL REPORT
04/11/2016 Amendment
04/04/2016 ANNUAL REPORT
04/20/2015 -- ANNUAL REPORT
04/14/2014 -- ANNUAL REPORT
01/10/2014 -- Reg. Agent Change
04/15/2013 -- ANNUAL REPORT
02/21/2012 -- ANNUAL REPORT
03/14/2011 --ANNUAL REPORT
04/20/2010 --ANNUAL REPORT
03/10/2009 -- ANNUAL REPORT
03/27/2008 -- ANNUAL REPORT
03/19/2007 -- ANNUAL REPORT
04/13/2006 -- ANNUAL REPORT
02/10/2005 -- ANNUAL REPORT
04/29/2004 -- ANNUAL REPORT
04/28/2003 ANNUAL REPORT
05/16/2002 -- ANNUAL REPORT
05/04/2001 --ANNUAL REPORT
03/31/2000 --ANNUAL REPORT
03/09/1999 -- ANNUAL REPORT
08/26/1998 -- ANNUAL REPORT
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Address Owner Name Folio
SEARCH:
602 NE 97
Back to Search Results
PROPERTY INFORMATION
Folio: 11-3206-017-1700
Sub -Division:
MIAMI SHORES SEC 4 AMD
Property Address
602 NE 97 ST
Owner
MIAMI SHORES PRESBYTERIAN CHURCH
Mailing Address
601 NE 96 ST
MIAMI, FL 33138-2741
PA Primary Zone
6800 COMMERCIAL - PROFESS OFFI
Primary Land Use
7144 RELIGIOUS - EXEMPT: RELIGIOUS
Beds / Baths / Half
0/0/0
Floors
1
Living Units
0
Actual Area
Living Area
Adjusted Area
4,643 Sq.Ft
Lot Size
56,553 Sq.Ft
Year Built
1965
CASCADE: MI03XCO65
November 20, 2018
Miami Shores Presbyterian Church
Attn: Financial Secretary
602 Northeast 96 h St.
Miami, FL 33138
With a copy to:
Pearson & Mayer, P.A.
2474 Southwest 27`' Terrace
Miami, FL 33133
RE: PCS Site Agreement between Miami Shores Presbyterian Church, a Florida not -for -profit
corporation ("Landlord"), and Sprint Spectrum Realty Company, LLC (formerly a limited
partnership), a Delaware limited liability company, successor in interest to Sprint Spectrum L.P.
("Sprint"), dated March 1, 1999 ("Site Agreement"), with respect to the real property located at
602 NE 96ih St., Miami Shores, FL 33138, Cascade No. MI03XCO65 ("Site")
Dear Sir or Madam:
This letter is to advise you that it will be necessary within the near future for Sprint to make
certain physical modifications to equipment within Sprint's premises at the Site. These
improvements are being undertaken in order to ensure the continued technical and economic
feasibility of Sprint's facility, and are needed for Sprint to make optimal use of the Site for the
purposes intended by the Site Agreement. As described below, these modifications should have
no significant impact on Landlord's property or operations. However, in accordance with the Site
Agreement, Sprint requests that Landlord acknowledge notice of, and consent to, the following
modifications which are specifically described below and in the Construction Drawings dated
September 24`h, 2018 annexed hereto:
Installing new fiber lines through existing and new conduit along existing utility
routes and installing a small router and network panel in existing equipment
enclosures within existing leased space. See attached site sketch.
Initial Here: t
site develohmerst, ar,:hitt,taure & engineering, Construction
540 West Madison Street, 8' Floor, Chicago, IL 60661 1 312.895.4977 F 312.895.4971
CASCADE: MI03XCO65
Please indicate the Landlord's acknowledgement, consent and approval for Sprint to proceed
with the modifications outlined above by signing below and returning one copy of this letter to
me via fax to the attention of Emily Petty at (312) 895-4977 or scan and email the Consent Letter
to Emily.petty@sacw.com. Alternatively, the letter can be returned by regular mail to Emily
Petty at 540 W. Madison, 8' Floor, Chicago, IL 60661.
Thank you in advance for your prompt attention to this matter.
Regards,
By:
Emily Petty U
SAC Wireless, an authorized representative of Sprint
Emily Petty I Specialist Site Development 1 O: 312-895-4977
SAC Wireless, 540 West Madison Street, 811 Floor, Chicago, IL 60661
emily.petty@sacw.com I www.sacw.com
ACKNOWLEDGED AND AGREED TO:
Miami Shores Presbyterian Church, a Florida not -for -profit corporation
Printed Namen: 1 �� ►� �--t�
Title:? n) J,t t ,MESS 5
Date: 1 201
Landlord Contact Email address: A L, &2 GR CE:7x) o-m 5 (C- . N•G-T
Landlord Contact Name and Number for Access and/or work scheduling:
Access Contact Name: )b K oc
Access Contact Number: 30.5- 7:j�4 96 5--D/`/
site development, architecture & engineering, construction
540 West Madison Street, &' Floor, Chicago, IL 60661 T 312.895.4977 F 312.895,4971a,or-
�-
VOL
SPRINT AUGMENT ID:
SPRINT SITE CASCADE:
SPRINT SITE NAME:
TOWER TYPE:
C
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F
SITE INFORMATION
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