EL-05-22-12444
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 05/18/2022
Location Address
10050 NE 2ND AVE, Miami Shores, FL 33138
Contacts
11 Owner MOODY ELECTRIC INC
11 JOHN MOODY
3812A N 29 AVE, hollywood, FL 33020
Business: 3057582000
Permit NO.: ELC-05-22-1244
Permit Type: Electrical- Commercial
Work Classification: Alteration
Permit Status: Approved
Expiration: 11/18/2022
Parcel Number
1132060131960
barney@moodyelectric.com
Description: FURNISH AND INSTALL 3 NEW 120V 20AMP Valuation: $ 3,000.00 Ins ection Requests:
CIRCUITS FOR A/C AIR FILTERS 305-762-4949
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
Sunning Fee
$9.00
Technology Fee
52.50
Total:
$117.90
Payments Date Paid Amt Paid
Total Fees $117.90
Credit Card 05/18/2022 $67.90
Credit Card 05/16/2022 $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 work will be done in compliance with all applicable laws
regulating, conyyuction and;gning. Futhermole, I authorize the above named contractor to do the work stated.
tltVIIIIIIIIINii!
May 18, 2022
/ Applicant / Contractor / Agent
Date
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 ELECTRIC ❑ ROOFING
FBC 20
Master Permit No. _EL"a5-2,?— IZL{LA
Sub Permit
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
C
JOB
ADDRESS: 1� J0 �� 02* P, ;n
City: Miami Shores County,
Miami Dade zip, -iJ t 2J
Folio/Parcel#: IL— Ime —eY1—, 91e Q
Is the Building Historically Designated: Yes _ NO
Occupancy Type: Load: Construction Type:
Flood Zone: BFE: FFE:
r
[�
OWNER: Name (Fee Simple Titleholder): /K&& YJ.ODJC_C
/q Phone#:
Address: f OD f0 /] . W10 Alzi
City: /Lfl*Ow goalw's State:
Zip:
Tenant/Lessee Name/::�
Email -
Phone#:
CONTRACTOR: Company Name: _L(coli Ph
( � (✓ C -(-Y LC. (�1 1 `1 S T
one#•,
Address: y �J 21
City: State: FL
Zip: 330�
Qualifier Name: C)V\h�
Phone#: 3v S, X � J I Ck>ll
State Certification or Registration M ECbC1)C), k 9C,
Certificate of Competency #:
DESIGNER: Architect/Engineer:
_•
u1Y: State; _Zip:
Value of Work for this Permit: $ 00, bo
S uare/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ew
❑ Repair/Replace El Demolition
Des �tion of Work:
!mac < A-/� A v,2 10C r/ .t
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
CCF $ CO/CC $
Scanning Fee $ Radon Fee $
DBPR $ Natary $
Technology Fee $_— Training/Education Fee $
Double Fee $
Structural Reviews $
Bond $
(Revised02/24/2014) TOTAL FEE NOW DUE $ .� �7
Bonding Company's Name (If applicable)
Bonding Company's Address
City
State
Mortgage Lenders 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 a condition to the issuance of a building permit with on estimated value exceeding $1500, the applicant must
promise in good faith that 0 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 frst 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 relnspectlo will be charged.
Slgnat re Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
'' (1
_LP day of ��Ccls
20 22 , by
F� tonally kno
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC: A ,
The foregoing instrument was acknowledged before me this
{ day of 20 Q . by
joinin no 6LI
who is personally known to
_,T�er who has produced as
Identification and who did take an oath.
NOTARY PI an Ir•
er
APPROVED BY /� tans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2at4)
. i
MOODr ELECTRIC INC8
i
www.moodyelectric.com
603 N. 21st Avenue - Hollywood, FL 33020
Tel: (305) 758-2000 Fax: (305) 754-1333
Proposal Submitted to:
Miami Short Village- Revised
100S0 NE 2a0 Ave.
Miami Shores, FL 33138
Job Name:
Miami Shores
PROPOSAL
AD W
February 15, 2p22
q
Tel / Email:
305.525.0178 /paulinojonismishomovillage.com
Location:
Village Hall
Job Description:
1.) Furnish and install 20-amp 120-volt circuit from panel in the closet to South A/C unit for electronic A/C filter.
2.) Furnish and install 20-amp 120-volt circuit from panel in the closet to the middle A/C unit for electronic A/C filter.
3.) Furnish and install 20-amp 120-volt circuit from panel North side of building to A/C unit in the same room for
electronic A/C filter.
4.) All conduit, wiring, miscellaneous materials, and labor included.
Notes:
a Patching and painting if required, is by others at the owner's expense.
• Permit if provided will be charged at actual cost Plus $2S0.
0 Any additional services P � Processing fee in addition to this proposal.
will be additional
uoted as r cheap � by the Authorities Having Jurisdiction will be considered a_change to the scope and
Payable as follows: Progress payment Three Thousand Dollars S31000.00
in the event aistomer NO to pay this proposal when dire, Moody Bectrtc. tnm shag be entitled to recover 88 costs insured trCWng attorney's teas for
services rendered In eonnectbn with wkcft of P*wt of the debt as evidsnoe by this WMW or erufor mm, of Moody Be tc lm!s rights provided
under taw.
INCREASES IN lit_ TERLet. COST, In the event that. during construction of the Improvement desalbed herein, used herein are tnaeased by more than 10t6 aver lute oontrecs costs is the same at the time fhis oo+ttratt;Eor'seoats for materials used a to be
controlof contractor, then, and In such event(s). contractor shag have the rW to pass the eree amount forany cauae(1 beyond the
Ong the total amautt(s) thereof to the Contract Price. ems) to Vew aY
QUOTED BY: Barney Moody
CBE / SSE Browwd coutzty Cenitied
SSE- SFWMD Cerdifed
ST-UC SEMI I"
Moody MUMC. In. Authoriaod Signature
to do the work a - r-m•..�....v.w ...... w{{wu e. satrsractory an are y accep . oA sre
/%spaified. Payment will be made as outlined above.
sigaat� ,,,_,d�,r..�•t�,.
Q1tte
7 Sigrratut+c
Print L �� ' Date!_
Print
f"f
Page I of I