Loading...
EL-05-19-1112, 1420 NE 101st StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 s ri r Permit r us Wttd € Expiration: 08/19/2020 Location Address Parcel Number 1420 NE 101ST ST, Miami Shores, FL 33138 1132050230050 Contacts MATTHEW ALLENOwner RCI ELECTRIC INC Contractor 1420 NE 101 ST, MIAMI SHORES, FL 33138 HOWARD DENVER HAMILTON Other:3056732847 Business: 5617478150 Inspection Requests [ Description: ELECTRICAL HOOK UP FOR POOL, SPA, 5TON Valuation: $ 1,000.00 I{ HEATER, ALARMS a h Total Sq Feet: 0.00 ;E Fees Amount Application Fee - Other $50.00 CCF $0.60 Change of Contractor $110.00 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $220.30 Building Department Copy Payments Date Paid Amt Paid Total Fees $220.30 Check# 110068 08/01/2019 $60.30 Check # 43392 05/16/2019 $50.00 Check# 121266 11/10/2020 $110.00 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 accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant 1 Contractor / Agent Date November 10, 2020 Page 2 of 2 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 Master Permit No. [0-)1j1P-oS - � � _ 1 � � S Sub Permit Noll- 01-3 -. 101 - I I I a ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: h-0-0 City: Miami Shores T� County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): kt.allap'LAj i6A I cjf) Phone#: �_ S (413 Al Address: ILAI�Lo �j t�_ ( 0 1 'f City: V I(.(,,l' ', &\L S State: t' Zip:? ( � Tenant/Lessee Name: Email: CONTRACTOR: Company Name: K, -A Phone#: Address: { S /"�� � 1 UAl 1AA:4 "UY- -r) City: YV\(?>o \ b91C�'nS State: Zip: l-(l Qualifier Name." LA)(iiEd �- � 12 k VtcpY1 Phone#: State Certification or Registration #: � C1 =71O D (Q LA ( Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ I r J CAD Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Permit Fee $ CCF $_ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CO/CC $ - Notary $, Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ _ (Revised02/24/2014) Bonding Company's Name (if applicable) N/A 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 reinspectro will be charged. Signature Signature WNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 0 day of I v JVP ?tom 20 ZO by CIT�A C',�a>�i AlWo its personally known to me or who has produced L L L as identification and who did take an oath. NOTARY PUBLIC: The foregoing instrument was acknowledged before me this day of , 20 by �A5 16 , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Sign:_ Print: Print: Seal: ..,.r., SELENA ARANDA MY COMMISSION # GG 971705 49" EXPIRES: March 22, 2024 * * * * * * i �►':�ei;;t�{t�e * �Ilikfh'Ii�iiij M�b'l(�e'`e'�S* APPROVED BY LYNN BELLIZZI Seal: MY COMMISSION 4 GG242424 EXPIRES: July 26, 2022 as ******************************************************************** Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk r , Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. -05 - / q - i I Owner's Name (Fee Simple Title Holder): W%(�&Vjk) j t(1f,rj Phone #: Owner's Address: K4'c-�kD t U IOV`i"' '&1-YY P A City:t- o-m l Ste(-zL,3 State : e7lZip Code:3-:�t �,S Job Address (Of where work is being done):1' City: Miami Shores Contractor's Company 1 t-)A `--v VA State: —Florida Zip Code: Phone #: 01s-I-Slz� LiLAO-,-;z Address: l�-A -t �UU l -5rrl Df't V'-'- City: C( (-?�. �-f%�_ - _- State: f--L Zip I Qualifier's Name: Ewe.'Eon I-i,- IL— Lic. Number: Architect/ Engineer of Record Name: Address: City: State: L-E a CPC o�s9s� Phone #: Zip Code: _ Describe Work: OA/)/-A ( f , 6_1 e Lli- i Cn (`br47 Y, C :k� r P 01 Cp s L,!�770CY-\ I hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami S ores harmless of all legal in vemen . Signature �' Signature Owner or Agent Contractor o Architect The foregoing instrument was aknowledged before me The for oing instrument was aknowledged before me this'�) ( day of ,2¢�,by this day of G _. 2ti by �� dr1 C t f Who is personally kirtow�n�to/me or who has produced ,z /�/ /� (ilfll��/1/fs as indentification. No;tt Public: Sig Seal: YEE ate of Florida amberlain HH 011108 024 who is personally known to me or who has produced as indentification. Nota Public: Sign: Seal. Notary State ofFlorida Samanthatha Chamberlain My Commission HH 011108 a� Expires 06/16/2024 4 Van Kirk & SONS POOLS & SPAS D.A.W. Electric, Inc. Derrick Williams 20200 NW 2nd Ave Ste 301 Miami Gardens, FL 33169-2562 November 5, 2020 I, Van Kirk & Sons, do hereby request D.A.W. Electric, Inc. License number EC-1300054, who is my electrical subcontractor be removed as the electrical subcontractor for permit # EL-05-19-1116 property located at 1420 NE 101 Street and be replaced by RCI Electric Inc., License number EC 13002641 �/ Contractor's Signature Date /Z STATE OF FLORIDA, COUNTY OFZE�.\�? _ _ . firmed and subscribed befQre me this _5,:Df) _day of WaZ&,nq b6- 0by o is personallyknower _,(_Sj-jh _ to me or who has produced (type of ID) identification. A , Signature of Notary Public State of Florida ,51:n n 'Xiin Ca LkLn iV\,V-4e- d OA 4, _ Print, Type or Stamp Name of Notary NMry FubW 15left d Flondo Samantha Chamberlain (SEAL) My Commosson HH Oil 106 E5vrei;0611612024 =-Wro% A ^ Van Kirk & Sons, Inc, Pools & Spas 14 4 SW I 3 t Drive 1 Deetfield Beach, F1 133442 Ph, 1-800-741-3911 1 Fax 954-341-8950 vvwvv,VanKii kPools.com www facebook w,,v,.,, ffickt Com/vankirkpools lavdo;w piij1(-,rest cwn/vankifkpools Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 1420 NE 101ST ST, Miami Shores, FL 33138 1132050230050 ����•ro���o��� s000�oo������ �a��o����0000000���o��oo :ontacts MATTHEW ALLEN Owner DAW ELECTRIC INC Contractor 1420 NE 101 ST, MIAMI SHORES, FL 33138 DERRICK ANTHONY WILLIAMS Other: 3056732847 20421 NW 22ND AVE, MIAMI , FL 33056 Business: 7868773500 i Inspection Requests: Description: ELECTRICAL HOOK UP FOR POOL, SPA, 5TON Valuation: $ 1,000.00 305:7 HEATER, ALARMS . i Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $110.30 Payments Date Paid Amt Paid Total Fees $110.30 Check # 110068 08/01/2019 $60.30 Check # 43392 05/16/2019 $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 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 rk will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above na 7 ntractor to d ,the work stated. / Authorized Signature: Owner / Applicant / Contractor / Agent Date August 01, 2019 Page 2 of 2 M 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 F-JBUILDING ❑■ ELECTRIC ❑ ROOFING Y 1� 6 2019 ): FBC 20 Master Permit No. Sub Permit No.t,l -- C��`' l ' l z ❑ REVISION ❑ EXTENSION RENEWAL PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I j.V N ' - /d I S4-7-e-'Cr City: MiamiShoresCounty: Miami Dade zip: 3 3 / 37 Folio/Parcel#: %1—3o?u9-0 � " 1 " ®S Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction T Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):ems G//�kew-� Phone#. Address: %oo /V,�- /d% Sew f� City: rft/kjrn / Tenant/Lessee Name: Email: State: CONTRACTOR: Company Name: D.A.W. Electric Inc. Address: 20421 NW 22th Ave. p: 33 (3' ` hone#: Phone#: 786-877-3500 City: Miami State: Florida zip: 33056 Qualifier Name: Derrick Williams Phone#: 786-877-3500 State Certification or Registration #: EC-13005443 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 0 - 0Square/Linear Footage of Work: Type of Work: Description of Work: Specify color of color thru tile: Submittal Fee $ % C'1)1 Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $. CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ I '/ u (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City N/A State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip 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 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 OWNER or AGENT The foregoing instrument was acknowledged before me this day of Ma A" ,— 20 ; by 120 .I'l � Onwho is personally known to me or who has produced �NW� L ��U ` as identification and who did take an oath. NOTARY PUBLIC: Signature_ CONTRACTOR The foregoing instrument was acknowledged before me this d✓av 1of Q 2 1 G by UI( 1-� W f I �IQ� o is personally kynnn to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Sign:ROEERT Print: >�: ""°P`� = c � <i 7G 070333 Print: - — 1 hoc „�in�S' iUne 7.20 VAN KiKK Ill t nr �n as Seal: E;,, "'" Seal �� 8erd�d hru Wotay E' c. �'Jr d rwntcr _ MY COMM itv # GG 070333 EXPIREi ne7,2 I "t Bonded I hru Not ' ******************* * ***********[*1*1*** *****APPROVED BY l �Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)