ELC-06-3052Issue Date: 12/22/2006
Owner's Name: STEVEN BRACKEN
Permit Type: Electrical - Commercial
Work Classification: Temp for Construction
Job Address: 9458 2 Avenue NE
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Additional Information
Miami Shores, FL 33138 -0000
Expires: 06/20/2007
Contractor(s) Phone
CARIBE ELECTRIC CONTRACTOR 1 786 -412 -0067
Primary Contractor
Yes
Type of Work: temp. elect
Classification: Commercial
Additional Info:
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.
Parcel #:
Permit Status: APPROVED
Permit Number: ELC -12 -06 -3052
Phone: (305)828 -1098
1132060132780 -58
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 500.00
Reauired Inspections
Final
Fees Due
CCF
Education Surcharge
Permit Fee - New Construction
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$100.00
$3.00
$2.50
$106.30
Invoice Number
ELC - 12 - 06 - 27101
Total:
Amt Due
$106.30
Amt Paid
JAN 18 PAID
Building Department File Copy
Applicant Signature
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
1 #10(e1;,
t0
PERMIT APPLICATIO 9
FBC 2004
BUILDING
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) _ • VrjeA Phone #
Owner's Address
City State Zip
Tenant/Lessee Name
. Job Address (where the work is being done) 1g , .. •� _2- A a-
City Miami Shores Vill e
FOLIO / PARCEL #
Is Building Historically Designated YES
4
Contractor's Company Name 0 � @ � �
' ' ' ; / Phone # - �iZ�`� . _do ° '
Contractor's Address 1 e �- ›" s
City bra' 4.4 State Zip ? 301 0
Qualifier Name E< b / ..- e & Y2) 9 Phone # �� — «tZ ) 6
State Certificate or Registration No. it. - 0 ') c' - ' to Certificate of Competency No. 9S---e. ®0 v . - 9 C'
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work:
Describe Work:
❑Addition
Miami Shores Village
Building Department
teration
NO
❑New
p gC �IIC�7� � !
DEC 2 0 2006 !J
Permit No —L- ZCo M2
Master Permit No. G- 06 - I �^
Phone #
County Miami -Dade Zip
Phone #
Square / Linear Footage Of Work:
❑ Repair/Replace ❑ Demolition
******** * * * * * * * * * * * * * * * * * ** * ** * * * * * * * ** F ees * * * * * * * * * * * * * * ** * * * * * * ** * * * ** * ** ** * * * * * * ****
CCF $ 0' ( a: CO /CC
Permit Fee $ / ' ®2
Notary $ Training/Education Fee $ l l
Scanning $ ` (a) Radon $ DPBR $ Zoning $
Submittal Fee $
Technology Fee $ a Do
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
Total Fee Now Due $
See Reverse side -*
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S A}+'FJLAVIT: 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 n �' e of commencement and construction lien law brochure will be delivered to the person
whose property is su ect to attachment. to , a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspe tion w h o rs s- ' en (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will . t be ap i ro ed j re ection fee will be charged.
Signature
Owner ..r Age
is
The foregoing instrument was acknowledged before me this
day of a_C.. , 20 by ,
who is ers! ly knot/ n e or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
(Revised 02/08/06)
APPLICATION APPROVED B
Signature
Contract
The foregoing instrument was acknowledged before me this
d a y of -.2C,. ,20 C6,by ��;o D
ed who is rsonally kno me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
:: • er Sign: P Al I..9--e-i-----i
� y �? omtnission #DD26 007 hint: 1_12.1k YR i g 0
*' '� Expires rec ,
My Commission Expires: .•q4 o?�; Bond Bndied Thru o My Commission Expires: ,,. ;Y PU ,B,,, Beth Heminger
" Atlantic on C., Iuc. s o #DD262728 • * ... 'c � Expues• •
Bonded Th C D
l tlantic Bonding
lans Examiner
Engineer
Zoning