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CC-07-2100 r Permit NO. CC -10 -07 -2100 �y'oRtW Miami Shores Village t Permit Type: Commercial Construction 10050 N.E. 2nd Avenue Work CtassificaUon: New - Per I - " •• " Miami Shores, FL 33138 -0000 Permit Status: APPROVED ro Phone: (305)795 -2204 �'t ®22113 Issue Date . 101181200.7 Expiration: 04/15/2 __....._ ...... ......... „ ..,._....... _.. . PPlicant Project Address Parcel Number A .............. 1196 NE 97 Street 1132050170130 MSVC LLC Miami Shores Village, FL Block: Lot: Owner Information Address .. ....... .. ...... _..... ... ......... .. ............... _ Phone _ ............ _ __Celt........... . MSVC LLC 9400 NE 2 Avenue (786)344 -8124 MIAMI SHORES FL 33138- . .., Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 IVY H SMITH COMPANY Total Sq Feet: 60 Approved: In Review Available inspections: Comments: Inspection Type: Date Approved:: In Review Fill Cells Columns Date Denied: Spot Su rvey Type of Construction: AT &T XBOX Occupancy Load: Final Building Stories: Exterior: Window Door Attachment Front Setback: Rear Setback: Rake seam Wire Lathe Left Setback: Right Setback: Trusses Plan Submittal Plans Submitted: Yes Certification Status: Shutt Final Certification Date: Additional Info: Density Bond Retum : Classification: Residential Second Floor Tie Bond Beam Stem Wall Footer Roof Trusses Fees Due Amount Total Amt Paid Amt Due Window and Door Buck CCF $3.00 Insulation Education Surcharge $1.00 $ 0.00 $ 0.00 $ 0.00 Drywall Screw Permit Fee - Additions /Alterations $100.00 Scanning Fee $6.00 Payment Type: second Fl oor slab Technology Fee $2.50 Tie Beam Bond Beam Total: $112.50 Slab Framing Final PE Certification J � l Termite Letter ® Roof Sheathing Wall Sheathing Footer Column Pads 207 r Floor Trusses MIAMI SHORES VILLAGE 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 October 18, 2007 Authorized Signature Owner / Applicant / Contractor / Agent Date Building Department Copy 1 Thursday, October 18, 2007 PERMIT - 11 96 NE 97TH ST CABINE LOCATIO P R E P L A C E DAD E WITH NEW PAD 4'X4' & BOX 3'8'WX2'DX4'5'H I I I I 40' OF PROPOSED I 4' CONDUIT TO THE POLE @24' DEPTH j AT &T WILL RESTORE GRASS AREA I I I 9' 40' OF PROPOSED W I j _ 4% 2' ELECTRI CAL 8ST US W= r CONDUI T __j I << 1xi _ (n 10 17 • EXISTING L FPL POLE—, ...... ...... CD y -jE- PROPOSED W 0 j CABINET • 4'22WX2'2'DX4'H z • • " "' j co EXISTING RT -31068 I •• W FPL HANDHOLE R 1196 NE 97TH ST ��•��. •� z j j —EDP "PODOCARPUS" PLANTS TO BE PLACED AROUND THE CABINET PER BellSouth ° CITY OF MIAMI SHORES REQUIREMENTS @ Telecommuntcotlons PROPOSED TELEPHONE FACILITIES L -------------------------------- C /L---------- - - - - - -- ------------------------------------ - - - - -_ J ON RIGHT OF WAY OF - I CITY OF MIAMI SHORES I , N NE 12TH A VE j R 1196 NE 12TH AVE I I 48 HOURS BEFORE YOU DI G Exchange: CALL SUNSHINE MIAMI I - EDP 1-800 _ 432-4770 Designer: 1 T' S THE LAW 1 N FLORI DA Baf no, Gitika CONSTRUCTION NOTE CONTACT: PRISCILA Phone: TICKET No.(s): 284709165 305 - 222 -8237 SURVEY SITE AND SET PAD Authorization: ELEVATION FOR A MINIMUM DATE /TIME: 10/11/07 02 .56PM 7MP05192N OF 100 YEARS FLOOD. Dwg. I of 2 10/11/2007 3:01:17 PM CABINE bETAIL I I GA15 I NAT 6I 9 ' 2" WX2' 2" 0X9 ' H I , X� , I GONGI��T� P AO 6IZf� 9 I I I I I I GAL, V I �W POWER TOP V I �W PEDESTA O� GAS I NAT I 0 GA�IN�T I I I - - - 0 0 ° o O CONCRETE PAD I - e e 1 - i I CABINET - - , =' - CABINET N I I 00 0 0 • f • 0000•• I .. e • • - 0 0 0.00•9 090.6• 0.0.00 ' 00 I • I . , 9999.. 9999.. ' ° , , ' -' ' - , , % ° ° ,- ° °° i$ °' ,° I 000!0• •f•••• ••f•• I i i , , ° , , ,� „ f , � i i I 0000 • • • % I \ \\ ` ^ ` —� _ �__` —, `_ ` ° `�` ` ``\ ,\ \\ �- ' i' s ° ° ° - ,'- ' i ' , ° , .✓ = ° ' i ° I •i •f• 0000 000::0 I `` \ 4 ` I • • ••!••i •i•••i I % `, , , % I • I I \\ 4 . 2 . .• see � 1CONCRETE PAD ` \ ' I • BellSouth f! I Telecommunications I 6 I PROPOSED TELEPHONE FACILITIES I I ON RIGHT OF WAY OF I I CITY OF MIAMI SHORES I I R 1196 NE 12TH AVE I I ------------------------------------- - - - - -- I Exchange: ------------ - - - - -- MIAMI Designer: Baf no, G1t1ko Phone: 305 - 222 -8237 Authorization: 7MP05192N 10/1112007 3: 01: 17 PM Dwg. 2 of 2 1 r CT 12 2007 BY - ____--- _____a (;ITY mob, 0 P y i ...... ...... f.li!! e..lf .i..f• .e.eee eel. ! • • e.le f.. e. • •• ... • ! • f PIT a= Miami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT b SUBJECT TO COMPLIA E Wl i H ALL LERAL STATE AND COUNTY RULES AND REGULATIONS I Permit No. ELC -'I 0 -07 -21 s*` ®R & Miami Shores Village M Permit Type: Electrical -Commercial 10050 N.E. 2nd Avenue Work Cl assirica tioi?: AdditionlAlteratiori Miami Shores, FL 33138 -0000 Peril Permit Status:;; APPROVED Phone: (305)795 -2204 �NYE9 N� Ex iration: 04/151 Issue Dat 10M812007 p� Project Address Parcel Number Applicant ............. ........................, ..............,..........,.,... ....... .. . . ... ,, .,, 1196 NW 97 Street 1132050170130 JOSEPH SCHWEIGER Miami Shores Village, FL 33138 Block: Lot: Owner Information Address _ ... ............ Phone Cell _. ......._ . ..... _..... .. .... __ JOSEPH SCHWEIGER 1196 NE 97 ST MIAMI SHORES FL 33138 -2558 Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 MESA ELECTRIC SYSTEMS CORP 305 - 279 -5498 Total Sq Feet: 0 Type of Work: ELECTRICAL WORK FOR NEW CABINET Available Inspections: Additional Info: AT & T Inspecti T Classification: Commercial Final Meter Box Alteration Underground Rough Relocation Fire Alarm Service Change W. W. Fees Due Amount Total Amt Paid Amt Due CCF $1.20 ................................ _..._.... ... .., Education Surcharge $0.40 $ 0.00 $ 0.00 $ 0.00 Permit Fee - Additions/Alterations $150.00 _. Scanning Fee $6.00 Payment Type: Technology Fee $3.75 Total: $161.36 OCT 18 =7 ' An MIAMI SHORES VILLAO°E 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 October 18, 2007 Authorized Signature: Owner ! Applicant / Contractor / Agent Date Building Department Copy Thursday, October 18, 2007 1 CABINET L R11 97TH OCT 1 7 ZUU? Mesa Electric S stems Corp. 112 40 48 S t. n,A S BY: f Miami, FL 33165 Q EXISTING XBOX i (305)279-5498 li< I I I 50' OF PROPOSED I j 4' CONDUIT TO THE POLE c24' DEPTH I ;•••;• �I�a�� ' �J�11a9e I • .... ...... M`an PATE 4 40' OF PROPOSED I u • W 4 1 2' ELECTRI CAL �ptARYPBG ••••• �� • �••••; CONDUIT I N9 *•::�P SSION ..:..• �rFOFFlO � G �EpT t < 11 � Bul�etNo4rYS• • • • • � • Z ®1`11N 1 t J .... • HL t t N. r lxl r 0 COMPLI N r�GU �T10" S I O 17 i t { t • • • • •• • • i • •. • • TT F • ANA SU pt)N� �'vi ES r (-- • I •• NG c EXISTING i 6' i SIP, A �� POLE � U CABINET D W 4'2'WX2'2'DX4'H z j to EXISTING RT -3106B j W FPL HANDHOLE R 1196 NE 97TH ST I I z EDP I j H PODOCARPU5 0 PLANTS TO BE j PLACED AROUND T14E CABINET PER ° CITY OF MIAMI SNORES REQUIREMENTS I BellSouth I � 1=1 Telecommuntcattons L -------------------------------- C /L---------- - - - - - -- ----------------------------------- - - - - -- PROPOSED TELEPHONE FACILITIES — - ON RIGHT OF WAY OF CITY OF MIAMI SHORES N NE 12TH AVE R 1196 NE 97TH ST I —EDP 4 HOURS BEFORE YOU DIG Exchange: CALL SUNSHINE MIAMI 1- 800- 432- 4770 Designer: I T' S THE LAW I N FLORI DA Baf no, Gltlka Phone: CONSTRUCTION NOTE TICKS O No sic 2 4709 65 305- 222 -8237 SURVEY SITE AND SET PAD Authorization ELEVATION FOR A MINIMUM DATE /TIME: 10/11/07 02.56PM 7MP05192N OF 100 YEARS FLOOD. Dwg. I of 2 � I t ELE CTRICAL N RT ADDRESS: R 1196 NE 97TH ST FNEC, DS COMPLIANCE SERVICE SCHEDULE rs Laboratory, UL 50, UL 67, UL 94, UL 1950 MAIN CONDUCTORS GROUNDING CONDUIT AIC Electrical Code CONDUCTOR 3 - *3 THWN AMPS IN 2' CNDT eG 2 PVC CONDUIT IOK Mesa Electnc Sy s tem Corp. AT 24 FPL CONTACT- 11240SW48St. TOTAL LOAD: 35 AMPS JACKELINE MtUt1t1, Ft.�..VJ65 FPL 305 -770 -7949 t305)2?9- -5498 •••,•� .... ...... TELEPHONE CABINET NEMA 3R FACTORY WIRING �• �••••' XFRS SWITCH •• "� WITH GOA �� a T Y •••••• OCP • • •' Mechanical Interlock to Prevent Turning 'ON' at the Same Time ' i ••••• '•"" • • MAIN BO A N D GR DETAIL '••• ••• ' ' 3 #6 • • O 60A 60A '• 1 #8 GROUND THWN * # RO PONCE * YC NDD 64 GENERATOR SOLID TINNED EXTERNAL GROUND CONNECTIONS ° r9 T �o :Ju ne � COPPER BURIED FO FR O � P Budget 29,2011 (SEE NOTE 6) MESA CABINET Y ee NOTES I. IF THE POWER PEDESTAL IS LOCATED ON OR WITHIN 8' OF THE 3 #6 CONCRETE CABINETS, ONLY 2 GROUND RODS ARE REQUIRED TO GROUND THE 1 #813 FOUNDATION CABINET AND MEET THE REQUIREMENTS OF THE NEC. # (CABINET 3 3 THWN PAD 2, IF THE POWER PEDESTAL IS LOCATED MORE THAN 8' AWAY FROM in 2 cond. MOUNTING THE CABINET, 2 - 10' RODS REQUIRED TO GROUND THE POWER PED— PVC SCH 40 @ HOLE ESTAL SPACED 8' APART PER NEC 250 -52. THESE RODS MUST 24' DEPTH BE BONDED TOGETHER WITH A MINIMUM "6 AWG BARE COPPER WIRE. THE POWER SERVICE GROUND RODS AND THE CABINET ®66IISOUth GROUND RODS,THEY SHALL BE BONDED TOGETHER WITH °6 AWG TO FPL TO GROUND BAR BARE COPPER WIRE Telecommunications PANEL A 3. POWER SERVICE GROUNDING ELECTRODE CONDUCTOR SIZED PER RATINGS: 100 AMPS ' eaa CEF NEC - 250 -66 PROPOSED TELEPHONE FACILITIES BUS SEE NOTE 5 ON RIGHT OF WAY OF BOND 3 4. METER AND DIS 0 N CTNT GROUND BUS IN THE CITY OF MIAMI SHORES 5 °X10' GROUND' I GROUND ROD 5. PLACE A SUPPLEMENTAL GROUNDING CONDUCTOR R 1196 NE 97TH ST 1 #6 ROD (SEE NOTE 7) TELEPHONE C CAB CABINET FRAME TO THE OGRO D THE 1/2 °C 6 AWG AC POWER ) GROUND 2' PEDESTAL G. BURY 0 2 AWG SOLID TINNED COPPER WIRE 30' DEEP Exchange: 6' APART MIN. FROM (SEE NOTES I -5) WITHIN 2' OF CONCRETE PAD BELOW NATURAL GROUND LEVEL MIAMI FRAME TO T, GROUND RODS TO BE COVERED WITH A DLC FLUSH MOUNT GROUND Designer: 2- 5/8'X10' GROUND RING ROD CLOSURE PER 629 - 010 -90IBT FOR INSPECTION PURPOSES TO GROUND ROD — GROUND Baf no, Gitikq RING Phone: 305 - 222 -8237 Authorization: 7MP05192N Dwg. 2 of 2 ..... . . . . . . Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL EA a Phone: (306)795-2204 Fax: (305)756-8972 CGO 1 00 2 1 (r t ..... .... 1 .......... Inspection Date: 11/15/2007 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: SCHWEIGER, JOSEPH Work Classification: Addition/Alteration Job Address: 1196 97 Street ,1W IV 15 Miami Shores Village, FL 33138 - Phone Number Parcel Number 1132050170130 Project: <NONE> Block: Lot: Contractor: MESA ELECTRIC SYSTEMS CORP Phone: 305-279-5498 Building Department Comments 0 AT&T IS PLACING CABINET IN R/W AT 1196 NE 97TH STREET AS SHOWN ON ATTACHED SKETCH Inspector Comments L�� Passed Failed E:1 Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-Inspection fee is paid . Wednesday, November 14, 2007 Page 1 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING C ,iv�D Permit No. PERMIT APPLICATION aster Permit No. `1 —( FBC 2004 I Permit Type Electrical Owner's Name (Fee Simple Titleholder) - A Cr i'S k i n L wt,> Phone # Owner's Address City State Zip Tenant /Lessee Name Phone # E -MAIL: Job Address (where the work is being done) F b City Miami Shores Village County Miami -Dade Zip Z, 1�"t FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name lq e -, , (qA ee Phone # Contractor's Address 1 ) '7 `1 City A4 , �. _-^i' State Zip 33)6 Qualifier Name 0 ,,, (— > p ,(, Phone # State Certificate or Registration No. C CL. `r z i3 t3 3 Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ / J J J — Square / Linear Footage Of Work: Type of Work: ❑Addition XIAlteration ONew ❑ Repair/Replace El Demolition Describe Work: 47 1" -- /` /�C`v. ar �ti u % i /Z / �''� 0 k S SI..J.. ., ., ►�'T 1 ce" is is i; xic a':is•i;t. it is i:isr. icxxxxxici r.�ci:r.i;i:9;r.xi';i:>c icxa'cr.xFees r, a ;'c9;ri;�:4�:xr.xxxi:xxrxxicx x':icrxxi: ic�r'. r. r, r, xi: r.xxxi: i; is Submittal Fee $ Permit Fee CCF $ , 20 CO/CC Notary $ Training /Education Fee $ Technology Fee $ . Y Scanning $ Radon $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ T.ot ..l E7ee ue $ See Reverse side —> M1 LOBES VILLA rr 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 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by day of 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: r.r.r.xr.xr. %i;kx':a': is �e i;'crr.kxr':%ie at fF a'c F is rde ,ai:r. ac atxY rxi; �cxr .>t %iexxr.xr.r.xr.r. % %xxx % % % %ic iCxX'i;i:iei: ie ie t ':ier. xic r. iexr. is eF 'c iei is '; r. �: ie ie ':xr, iei Xxx x9: at APPLICATION APPROVED BY: N Plans Examiner Engineer Zoning (Revised 02/08/06 ractor's Company Name ME " 6LE(_ S Y S Teff)S Coff l ione # actor's Address 11 Svc 49 T H ST _ W, R T6, State F U zip ,T S fier Name (YlE $ (} R(,i� S Phone # 7L( Z Z Cp Co �P SG Certificate or Registration No. Z s'gi 3 Certificate of Competency No. 0 oCOD 4OS� itect/Engineer's Name (if applicable) Gn I i Kh 13A Phone # ZQG–.2 2 ?– of Work For this Permit $ Square /Linear Footage Of Work: of Work: ❑Addition alteration [✓rNNew ❑ Repair/Replace ❑ Demolition °ibe Work: - AT %Q T / �S /�(,RG/�1C� Pr m E LJ C F� T W k1w k 1114 N 9 V 6 T AS SWL4-Inl 0A1 f rTR EA . AK�rLll . Signature lit Signature — e z � 2 Owner or Agent Contractor The foregoing instrument was acknowledged before me this �� The foregoing instrument was acknowledgeddbefore me this /S day of 0 _ ' . by �� S � �r I" /I g � S day of C'U G ']� 20 �, by 0 ,4tOC 5 �I +CAS is personally known t e or who has produced o is personally k wo o me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBL : NOTARY PUBLI.: ;ign: Sign: 'rint: t Print: I C 2 • ' ., RONIER PONCE a Ay Commis sfon Expires: * * MY COMMISSION 8 DD 645543 My Commissi n Expires: * * MY COMMISSION # DD 645543 * * * * * * * * *,� * *,�,r * * *,r * * ** EXPIRES: June 29, 2011 9r FOFFLOP ondedThruBudgetNotaryServices toF FL° * 13tn'ef htt��ild�tMdtEh' *�r Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02/14/2008 Permit Type: Commercial Construction Inspector. I�lr� � � � Gt �d t� Inspection Type: Final Owner: Work Classification: New Job Address: 1196 97 Street NE Miami Shores Village, FL Phone Number ()_- Parcel Number 1132050170130 Project: <NONE> Block: Lot: Contractor. IVY H SMITH COMPANY BuIlding Department Comments AT&T IS REPLACING XBOX AND PLACING NEW CABINET NEXT TO IT AT 1196 NE 97 ST SEE ATTACHED SKETCH. Inspector ComM is Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, February 13, 2008 Page 1 of 2 p r Miami Shares Village OCT 2 2001 Building Department BY - - - - - -- 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 - Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. �� l t PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Buildin Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) & /. l SA 0 Phone # ' b t'— Owner's Address 106 ,a N e- City %#dd*K�1 State r ( Zip !� 3 / .48 Tenant/Lessee Name Phone # Job Address (where the work is being done) K 4196 44 6 97 4) S T City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name IVY li . sm j r H Phone # 80_-Z57-02 � Z Contractor's Address 11900 SW 2-A-Z 5 Cit i State F(.. Zip 3 ' 7 0 Qualifier Name , - T Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) 61 f?'tko efi f J A Phone # , -e-22 $ - : 3 7 Value of Work For this Permit $ 5, 00V _* Square I Linear Footage Of Work: 6D Type of Work: []Addition []Aeratign �iew ❑ Repair/Replace El Demolition Describe Work: 47 4 19- T : ; Ao C.% !('�� , j x a tli T AiFXT ro ir �rrec&,Eb A*K6 Submittal Fee $ Permit Fee $ D d �° CCF $ t>-00 CO /CC Notary $ Training/Education Fee $ Technology Fee $ 2 5(f Scanning $ -C�/ Radon $ $ Zoning $ Bond $ Code Enforce nt $ le Fee $ Structural Review. $ Total Fee Now Due $ n A IA p A� o ®ES VILLAGE See Reverse side -> iVl 1V' fG 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 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The for, oing instrument was acknowledged before me this 1 1 TIT day of , 20 _, by day of ®� by L�' {�I N°r'�,/'"C who is personally known to me or who has produced who - ersoa nally known to m or who has produced As identification and who did take an oath. a identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: s` Print: Print: z Y S : ON 4 74 0 " o 8=18dThrU N0Wy Pub1W My Commission Expires: MY APPLICATION APPROVED BY: f l Plans Examiner Engineer Zoning (Revised 02/08106) i GFENOVESB OBLOVB (03C Ric, BAT 'rclephonc (305) 349.2318 PA" mul. M afanaa,pt�-iaw oom Attorneys at Law October 17, 2007 Mr. Tom Benton Village Manager Village of Miami Shores 10050 N.E. Second Avenue Miami Shores, Florida 33138 Re: AT &T Pernik Ann&ativns for Construction in Right of Dear Tom At your request I have looked into the issue of whether or not a signature by the property `•owner" should be required in connection with permit applications from AT& T to install facilities in the Village right of away. After reviewing correspondence from AT &T counsel and having discussed this matter with our building official, I am of the opinion that these permits can be processed without any "owner" signature. It is my undersnanding that the primary purpose for requiring the owner signature is to protect the Village from claims by third pang owners that the Village issued permits to contractors without the consent and approval of the owner of the property. Plainly, the Village does not need its own signature to assure itself that it will not bring any future claims against itself in connection with this permit. In addition, counsel for AT &T has raised substantial issues about whether or not the Village consent is even required for the use of this right of way (an issue which need not be resolved for purposes of this opinion). If you have any questions, please do not hesitate to contact me. A ery truly yours, 1p RS /dr Richard Sarafan cc: Claudio Grande Bank of America Tower • 100 Southeast SewMd Street, 44th floor •.Miami. Flonda 33131 • TeWphom . 305362300 * Facsmn4e 305.3492310 I