ELC-06-461BUILDING
PERMIT APPLICATIO
FBC 2004
Permit Type (circle): Building
(Fee Simple Titleholder) c.
Owner's Name
� P ) � �� 5 o uT�2 I�cv� -►.., Phone # 3 ,,pc ZZZ o' �( 2
Owner's Address Ci S 7 S .
City IV/
�sGr ' / State / / Zip vi 6 S
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County . Miami -Dade Zip
FOLIO / PARCEL # /1 -32- 0 b — O / L = i•-1 to
Is Building Historically Designated YES NO
Contractor's Company Name Nl (.1e r,°c. S e p Phone # � b g5 - N-1 2
Contractor's Address 11 L\-t. 0 S W (4 S 1
City Al4frp2. / State P / Zip --- 5S 1 6S
Qualifier Name 6 /3, [ it-t€, c Phone # X8.0 Z J Z C. C `I
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ I . Square / Linear Footage Of Work:
Type of Work: ❑Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition
Describe Work: l __ ,Qcf__ _
* * * * * *** * * * * * * * * * * * * * * * * * * * * * ** * * * * ** Fee * * * * * * * *** * * *** * * * * * * * * * **** * **
Submittal Fee $ Permit Fee $ �r CCF $
Notary $ Training/Education Fee $
Scanning $ Radon $ DPBR $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
.2204 Fax: 305) 756.8972
RECEOVED
FEB 2 3 2000
6 KI E, Lib S'
Permit No.
Master Permit No.
E 10G -
611/0 c•sgiNt.i.S
Plumbing Mechanical Roofing
CO /CC
Technology Fee $
Zoning $
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 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
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.
Owner or Agent
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
************************* * * *** * * * ** * * ** * ** * * * ** ** * * * ** ** .. , * * *** * *** *** ** *** * * * *** * * * * * * * * * * * * * *** ** * * *****
APPLICATION APPROVED BY:
(Revised 02/08/06)
Sign:
Print:
My Commission Expires:
ans Examiner
Engineer
Zoning
Issue Date: 3/9/2006 Expires: 02/23/2007
Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH
Permit Type: Electrical - Commercial
Work Classification: New
Job Address: 602 96 Street NE
Miami Shores Village, FL 33165-
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Contractor(s) Phone
MESA ELECTRIC SYSTEMS CORP 305 - 279 -5498
Primary Contractor
Yes
Comments:
FREE STANDING SERVICE FOR BELLSOUTH
Additional Information
Type of Work:
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 #:
Block:
Section:
Permit Status: APPROVED
Permit Number: ELC- 2- 06-461
Phone: (305)754 -9541
1132060141410
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 1,600.00
Required Inspections
Alteration
Underground Rough
WW
Service Change
Meter Box
Fire Alarm
Relocation
Final
Fees Due
CCF
Education Surcharge
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$150.00
$12.00
$3.75
$167.35
Invoice Number
ELC - 3 - 06 - 24076
Total:
Amt Due
$167.35
0 9 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.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE E-C-AJ ^"
Date v ! J 7 t Job Address O? PE c/ s
Legal Description
t Owner / Lessee / Tenant & C ( ' C e ,. - , C_ Master Permit #
Owner's Address 1 f 0 1 SW ,-7 S 7 s 1 ma Phone (5' St I__
Contracting Co. /"(FS - e rQe,172,C Sys-r. e Address //I- cco Sw n //lam` /, 33 /��'
Qualifier —43C j SS#
State # of Zek' Municipal # f 9OS.1 Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /62 e s(Ph-, ri C'e' gzif
Square Ft. Estimated Cost(value) /, C co—
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO 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).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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. Furthermore, I
authorize the above ,awed contractor to do the work stated.
CARLOS A. MESA
MY COMMISSION #DD455
EXPIRES: JUL 27, 200
Si
Dat
President
Not s 1 do resident
My Commission Expires:
APPROVED:
Zoning
eG tXo - q-S
Tax Folio /'f-32 c, - 7/ "f tLJ
Signature of Contractor or Owner-Builder
Date:
Notary as ,� pp , m Builder
My Cori s s i on DD304376
o ff' Expires April 17 2008
** * * * * * * * * * * * * * * * **
FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE
Fire Other
Building Electrical
Mechanical Plumbing Engineering
PLANS AND PERMIT INSIDE METER CAN.
Passed
Inspector Comments
41-0
/1 621
1
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 03/10/2006
Inspector: Devaney, Michael
Owner: CHURCH, MIAMI SHORES
Job Address: 602 96 Street NE
Miami Shores Village, FL 33165-
Project: <NONE>
Contractor: MESA ELECTRIC SYSTEMS CORP
Building Department Comments
Thursday, March 9, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: New
Phone Number (305)754 -9541
Parcel Number 1132060141410
Lot:
Phone: 305 - 279-5498
Page 1 of 2
ELC -2 -06 -461
Project: <NONE>
Owner: MIAMI SHORES PRESBYTERIAN CHURCH
Phone: (305)754 -9541
Job Address: 602 96 Street NE
Miami Shores Village, FL 33165-
Parcel: 1132060141410
Block: Lot:
Scheduled Ins . #
Ins . ection T
03/10/2006 INSP -10442 Final
PLANS AND PERMIT INSIDE METER CAN.
Inspection History
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Ins • ection Status
Electrical - Commercial
Ins • ector Date Com • Ieted
Pending Inspection Michael Devaney Not Complete
Thursday, March 9, 2006 Page 1 of 1
MESSAGE CONF I RMAT I ON
DATE TIME S,R—TIME DISTANT STATION ID
06/22 10:58 01'33" Horne Plumine
MODE
TX
06/22/2006 11:00
ID=MIAMI SHORES IJILLAGF
MMMM IN MI IN MI
PAGES RESULT D.CODE S.C.
004 OK 0000
4'NO:4•X'PeN'N440
`f +
DATE: 6/16/06
TO: BRENDA FAX (305)665 -6286
71tiassi Vow Viassfe
10050 NE 2 ^d Ave
Miami Shores, Fl 33138
Phone 305- 795 -2204; Fax 305 -756 -8972
www.miamishoresvillage.com
FAX TRANSMITTAL COVER SHEET
FROM: MONICA LISSETH DIAZ FAX (305) 756 -8972
Number of pages including cover: 4
Importance: normal _; urgent x ; please reply _; review _; recycle
MESSAGE:
Brenda, I've spoke with Claudio the Bldg Director and he told me that what he
wrote on the final bldg inspect that he did yesterday and decline, was that they
need the final Electrical and Mechanical. I'm attaching the ticket he gave to
them yesterday, and the copy of your final which passed inspect and finalized
on 4/26/06. If you need further assistance please call me.
Regards,
Monica Lisseth Diaz
Bldg Dept Permit Clerk
(diazm @miamishoresvillage.com)
JUN -22 -2006 THU 09 08 AM
h
FAX COVER
DATE:
TO:
COMPANY:
PAX:
CC:
FROM:
RE:
6/22/06
Mr. Maxwell, Maxwell & Partners
Fax: 305-759-1622
Hamid Salehi
Miami Shores Presbyterian Church
If you have any question, please call me at 305- 857 -9220.
Sincerely,
Timid Salehi, PM
FAX NO.
Mr. Claudio Grande, C.B.O., Building Official
Miami Shores Village, Building Department
305- 756 -8972
SA Consultants, LLC
General Contractors
# PAGES: 2
(Inclading Cover Sheet)
Dear Mr. Grand,
I would like to thank you for all your time & cooperation we received from you & the
Building Department during the construction of the Miami Shores Presbyterian Church —
Educational Wing.
Attached is copy of Final Inspections for Fire Alarm, and CO by the Miami -Dade Fire
Rescue Department for your record.
7625 S.W. 160 Tern . Miami, Florida 33157. Tel. 305- 232 -6733 . Fa._ 305 - 232 -1534
P. 01/02
15.01.105 a�a
JUN -22 -2006 THU 09:08 AM
OCCUPANT - /� free ADDRESS
LI 3D..
ao
Page ..._. .r of Pages
MIAMI FIRE RESCUE DEPARTMENT
FIRE INSPECTION REPORT CONTINUATION
Off'
f/, U 6-
FAX NO. P. 02/02
DATE
Q, ..-. ,( fir Co T.
INSPECTOR ' p "
1
-.w
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Application Date
02/23/2006
11/02/2005
02/23/2006
11/09/2005
09/24/2003
11/07/2005
05/06/2003
03/24/2003
12/31/2003
07/05/2005
12/02/2003
10/26/2004
02/17/2004
01/07/2003
11/01/2002
05/05/2003
12/20/2004
04/26/2004
08/28/2003
05/05/2003
10/04/2002
07/26/2004
07/27/2005
02/28/2005
05/28/2003
02/17/2004
05/10/2005
09/16/2002
09/11/2003
10/08/2003
05/10/2005
12/02/2003
10/18/2002
Expiration Date
02/23/2007
11/02/2006
02/23/2007
11/09/2006
05/31/2004
05/06/2006
12/08/2003
04/04/2005
07/14/2004
12/31/2006
08/23/2004
12/31/2006
10/09/2004
09/01/2003
09/02/2003
01/14/2004
08/29/2005
11/06/2004
04/17/2004
01/14/2004
06/02/2003
03/13/2005
03/27/2006
08/27/2005
11/24/2003
11/03/2004
12/31/2006
09/07/2003
04/19/2004
06/08/2004
12/31/2006
07/12/2004
06/02/2003
Status
APPROVED
APPROVED
CLOSED
CLOSED
CLOSED
APPROVED
CLOSED
CLOSED
CLOSED
APPROVED
CLOSED
APPROVED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
EXPIRED
EXPIRED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
APPROVED
CLOSED
CLOSED
Monday, June 19, 2006
Page 2 of 2
AL
Parcel Owner Report
Parcel Number: 1132060141410
602 96 Street NE
Miami Shores Village FL
Tax ID: 1132060141410
Owner Information
MIAMI SHORES PRESBYTERIAN Current Owner: Yes Company: MIAMI SHORES PRESBYTERIAL
Phone: (305)754 -9541
Monday, June 19, 2006
Page 1 of 2