Loading...
ELC-18-1961Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Permit No. ELC-7-18-1' 961 Permit Type: Electrical - Commercial ' Work Classification: Temp for Test Permit Status: APPROVED Issue Date: 7/2312018 ] Expiration: 01/19/2019 Applicant 11300 NE 2 Avenue Number: Garner Buildin 1121360000050-25 Miami Shores, FL 33138-0000 Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 Contractor(s) Phone Cell Phone INDUSTRIAL ELECTRICAL SYSTEM C rpe of Work: TEMPORARY FOR TEST dditional Info: TEMPORARY FOR TEST lassification: Commercial -annina: 1 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 Valuation: $ 100.00 Total Sci Feet: p j— Pay Date Pay Type Amt Paid Amt Due Invoice # ELC-7-18-68299 07/20/2018 Check #: 1106 $ 50.00 $ 58.60 07/23/2018 Credit Card $ 58.60 $ 0.00 Available Inspections: Inspection Type: Final Review Electrical 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 AFFID IT: I qgLdik that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a zo ng/ Futh re, thorize the a4M-named contractor to do the work stated. July 23, 2018 Authorized Signat wner / .KK]icant / Contractor / Agent Building Department Copy July 23, 2018 1 BUILDING PERMIT APPLICATION Miami Shores Village Building Department JUL 20 2018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: -- Tel: (305) 795-2204 Fax: (305) 756-8972 74 INSPECTION LINE PHONE NUMBER: (305) 762-4949 __ FBC 20 Master Permit No. CC-1217-2849 Sub Permit No. ( 9 ` 1 16 1 ❑ BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1130ONE 2nd Ave City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11 -2136-000-0050 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Barry College Phone#: 305-586-5109 Address:11300 NE 2nd AVe City: Miami Shore State: FL Zip: 33161 Tenant/Lessee Name: Dunkin Donuts Phone#: Email: CONTRACTOR: Company Name: INDUSTRIAL ELECTRICAL SYSTEMS, CORP phone#: 305-388-4648 Address: 14050 SW 84 ST SUITE 206 City: MIAMI State: FL Zip: 33183 Qualifier Name: NESTOR I CORVEA Phone#: 305-388-4648 State Certification or Registration #: EC 13002182 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: (( /� Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Temporary for test. Specify color of color thru tile: Submittal Fee $ Permit Fee $ 1,9& - ®d CCF $ CO/CC $ Scanning Fee $ Radon Fee $ CZ Q DBPR $ aZ 5� Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ _ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ �� �D Q (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 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 reinspect' fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this e day ofJ�` 20 00 by 20th day of July 20 18 by 5vs4a OS 1, who is personally k nvun t� NESTOR I CORNEA , who is personally known to me or who has produced as me or who has produced identification and who did take an oath. identification and who did take an oath. as NOTARY PUBLIC: NIIIIIIIIINN� NOTARY PUBLIC: T RAC rriii���� Sign: : o� a�Y I� ?o �9'• n: Print: 1 ,� , 1��' l :••� c'_mt: �2At)0&1 /\,I�YCd �1 g _-� •__ ....... Seal: �2 � �jo dal: ;. .....FRANCISCO P. MORALES Bonded 4; �t h,,�'. Notary Public -State of Florida O wn �;: (3� NCommission GG 158509 -ilicN1I \\\ `y' ° ©o deemm. gn plaeol Nov 17. 021 ****************************************************************** ********** 1 APPROVED BY �J ,�'!pd C Plans Examiner Zoning Structural Review (RevfsedO2/24/2014) Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY -ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary -electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: Building Permit N: CC-1217-2849 Electrical Permit N: ELC-218487 At Address: 11300 NE 2nd Ave Miami Shores, FL For Owners: Berry college , and is being given only for construction purpose or for testing the following equipment in said structure: The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and nancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of ie building concerned is occupied before final inspections are approved and/or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Test permits. I, , beingfirst worn, depose and say that I am the owner of the � a����►�ii p Y above described property, and that I agree that, Utgr,�pvered in this agreement shall not be occupied until the building contractor has obtained app aVal 15*es 400* ions and or obtained a Certificate of Occupancy of Completion. N : Failure to 6a Vtf� •,pr6visio f this affidavit will result in your bei g unable o obtain re emporary �Qe rmi o :• #FF 954799 Signature of Owner �� •. -� Si r4Qture of Notary i I, Nestor I. Corvea , bei the above -described property and that if�_4 - - s� iU is6_ ectees 0Nestor 1. Co Signature of Electrical Contractor duly and say that I am the Electrical Contractor for R OP w existing will not create a safety hazard -, Notary Public - State of Florida • Commission # GG 158509 My Comm. Expires Nov 17, 2021 Bonded:hroichNa:iona No:aryAssn. nature of Notary Francisco P. Morales I, M I , being first duly sworn, depose and say that I am the Building Contractor of a bove descr' ed pr erty and that I will not permit occupancy of this building until final inspections have been call d for by s and sub -contractors concerned and final approval by the inspection division ob ined d t ve the aut rity insofar as the owner of said pr'ope i concerned to prohibit occupancy un j syic j i I ' p tigns are o tained and/or a %ft"Occupanc r pmpletion is issued. �� - fir•- .... •-'iY9 %i ••aOSS/pN�. ri,ng Contrac o _ :* #FF 954799 QQ of I spector Signa4rL of Notary Signature of Notary Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795,2204 Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY -ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary -electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: Building Permit N: CC-1217-2849 Electrical Permit N: ELC-218-487 At Address: 11300 NE 2nd Ave Miami Shores, FL For Owners: Barry College , and is being given only for construction purpose or for testing the following equipment in said structure: The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and (-ancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of ie building concerned is occupied before final inspections are approved and/or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Tess emits. I, being I l�vfjfn, depose and say that I am the owner of the above described property, and that I agree tt ;9K leered in this agreement shall not be occupied until the building contractor has obtained apfo**i eigions and/or ob fined a Certificate of Occupancy of Completion. Note: Failure t&-colmoy with°i,prilvisions of hi affidavit will result in your bei�unablebtain f ture emporarAfir;Test�p'g�rmits: Q_ o : #FF'95�793 Signature 8ftw000 - IZI�0 NV W A of Owner '%;9� ::yFai ;��: ������` Signat r Notary 1, Nestor I. Corvea , being duly swo'rri;'8epose and say that I am the Electrical Contractor for the above -described property and t now existing will not create a safety hazard if„tpmpgrary servic is connected. °" FRANclsco P. MORALES 11 t 77��'''' _�� r. Notary Public —Slate of Florida Two I) Francisco P. Morales Nestor �d .: Commission # GG ' 58509 Signature of Electrical Contractor =`s>.� �f: hw Comm. Expires Nov ». 2oz, Signature of Notary F f ",,,, E3Jr,CeC ;hrJ��ch Na:iOna. Nc cN Assn. of the above desc been called for by obtainedtand tbef nature Signature of being first duly sworn, depose and say that I am the Building Contractor d p party and that I will not permit occupancy of this building until final inspections have �etn ractors d sub -contractors concerned and fin I approval by the inspection division ,ve the authori insofar as the owner of said prop is concerned to prohibit occupancy tipns acre opjai ed and/or aLjp ##�,Occupar cc ompletion is issued. ;MISSIONF •• Xi in g Contracor _ •� �,:*_ Sig o Nbtary r O : YFF 954799 �Q` lctor q9y ;royFain -q;:�'��� Signature of Notary