The URL can be used to link to this page

EL-09-1349Protect Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Owner information Address THE CHURCH OF THE RESURRECTION 11173 GRIFFING Boulevard MIAMI FL 33161 -7249 Contractor(s) BECAI ELECTRIC, INC Phone Cell Phone Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $200.00 $3.00 $50.00 ($50.00) $5.00 $208.80 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy August 31, 2009 No. le cal R d el i } t St atu Parcel Number Expiration: 02124/2010 Applicant 456 100 Street Miami Shores, FL 33138- 1132060170350 Block: Lot: THE CHURCH OF THE RESURRE Phone Type of Work: REMODEL Additional Info: Classification: Residential Invoice # EL -8-09 -35625 EL -8-09 -35625 Total Amt Paid Amt Due $ 208.80 $ 50.00 $ 208.80 $ 208.80 $ 0.00 80_:` August 31, 2009 Date Cell MOVE Valuation: Total Sq Feet: $ 1 ,000.0 0 1500 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Underground Rough Final Meter Box Alteration Relocation Fire Alarm Service Change W. W. 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. 1 BUILDING PERMIT APPLICATION FBC 20 Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) Owner's Address - City 6/f/I t'A t Tenant/Lessee Name Email Job Address (where the work is being done) Contractor's Address City (C J 3s3? sue- /5 - 6' e Value of Work For this Permit . Miami Shores Village Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 �� v✓c ®� A4 4. v ec/ ,Phone # State A e- Zip , 3 /6 Phone # 4Ja d'1/i f ©D .57 FOLIO / PARCEL # /l ° 5.2 T - ,/ ] -- 633 Permit No. Master Permit No. 9 ,/J Vf City Miami Shores Village County Miami -Dade Zip 3 ?/ .?.' Is Building Historically Designated YES NO Flood Zone Contractor's Company Name Aeca ,` � e C t �c t � .. .- r Phone # y o y - - L 3 3 ' ) State )L Zip Qualifier Name r�0 S 11 �,er/1 a 5 -e. S Phone # 7n — 2 r 7-431/ State Certificate or Registration No. eL 000i q r 'q Certificate of Competency No. Contact Phone 75 -2g 7 /3' / E -mail vp S Q 13ee e j ) Acly �G CO�7 Architect/Engineer's Name (if applicable) Phone # Notary $ Training/Education Fee $ 0 • Do Scanning $ 3.00 Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ Type of Work: ❑Addition ❑Alteration Describe Work: � / / y y ��- AO /Q ` / /1 4 /S ; 'JQ li�x�brJ / �✓lT Iy // 1./P C e 9 & ".._) --Led /5 YL",/ r S � Technology Fee $ Bond $ NmcmEtwIEN !� AUG 1 3 2009 1J Square / Linear Footage Of Work: 10 /SO 0/ ['New >4 Repair/Replace ❑ Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * *x * * * * * * * ** Submittal Fee $' SQ Permit Fee $ ' ®® r ®!a CCF $ O . CO /CC $ Total Fee Now Due $ ( nre See Reverse side =-> BY: 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 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 re- inspection fee will be charged. Signature Signa Owner or Agent The foregoing instrument was acknowledged before me this The fore ing instrument was acknowledged before me this 13 day of , 20 , by day of , 200 , by • A i er jb J'kL es s who is personally known to me or who has produced who is personally known to me or who has produced , h. L. . As identification and who did take an oath. #,y identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) Sign: Print: My Commission Expir Contractor � IMEa � ft PAMELA CAPPWCiO MY COMMISSION # DD 5647: EXPIRES: July 22, 2010 &AM Ttau Notary Public Underwriters lie ** ** * ****** ***, *** ** * ** ** k: ** *:FY * * ** * * ** .., ....,..._.. lans Examiner Zoning Engineer Clerk checked