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EL-14-490/0„ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 BUILDING Permit No. 61 %4—/ PERMIT APPLICATION Master Permit Nu. - ,79 3 6 Permit Type: Electrical JOB ADDRESS: 6D"- WI^ I S4CeZ City: Miami Shores County: Miami Dade Zip: 3 316/ Folio/Parcel #: Is the Building Historically Designated: Yes NO 74' Flood Zone: OWNER: Name (Fee Simple Titleholder): LJI' Phone #: iiVaI V f G7 Address: N 4 re. City: IA i OOYt j S E'S State: FL Zip: 3313 Tenant/Lessee Name: Phone #: Email: /Q-1 I S' P 1 l I, (On J, r CONTRACTOR: Company Name: / J @ L. 14 (\e C� , e\ c Phone #:l .J V ° a J 9 (a j Address: 0, 6 , 6 -16-' 7' V k Y% r+ City. 1 (ZP< State: /! %L.. Zip: 3.,,e7 I Qualifier Name: __, .. Phone #:9 y y - 7 i -' L ( `j 3 State Certification or Registration #:4'11S00 Certificate of Competency #: Contact Phone #:5f `{ a- 7) 1-i 1.1- Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 35130 Square/Linear Footage of Work: Type of Work: ❑Address teration ,, L Description of Work: N )1 � \\ io h \k- ew ORepair/Replace ❑De olition 41^r-Z,- 4-$ d l * * * * * * * * * * * * * * *** * * * * * *** ** * * * * *** * ** *Fees* c �� * * *** r * * * * * * * * * * * * * * * * * * *** * * *** ** Submittal Fee $ Permit Fee $ 77.5 i 49e1 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) t 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 commenceme must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the b -nce of such posted notice, the inspection will t be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this t 3 day of t ?1 , 20 /cf., by/ eesl C7' C�-e who is personally known to me or who has produced ( Q O r) cod J 7 3 7023 BAs identification and who did take an oath. NOTAR ' .1: LIC: Sign: V Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this (1 day of 144 f}MCr( , 20 14- , by ""r- tow.fts C Z.4-7 P<ost2 , who is personally known to me or who has produ as identification and who ditake an oath. �A! APPROVED BY g / 3 Aoi)-A .e0/yPlans Examiner Structural Review (Revised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) NOTARYUBLIC: Sign: 1, t Print: 4Nos'AJETre 'r - s 14.15/0- " 15Kf My Comxmsssic� Eac t[ Ii�RE G CL41KOW6W * MY COMMISSION # EE 028457 EXPIRES: October 21, 2014 4rgor,,,,P Bonded The Budd Notary Services Zoning Clerk Mar. 7, 2013 1:37PM No. 8248 P. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 • CZZOICONSAI THOMAS 0. SUNTECH ELiCTRICAL CONTRACTORS INC 2718 Mg 28TH AVENUE CAPE CORAL FL 33914 Oongratukdfonst With this license you become one of the needy one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeoue restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For Intimation about our services, please log onto www.myfloridalloense.com. There you can find more Information about our divisions and the regulations that Impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department Is: License Efficiently, Ftegulate Fekty. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new licensei DETACH HERE -.A 431ittkirriadmi br.".1 PROVES tralsodinikVL. • ••••• Z41.; • _,. /004 1280293 • • . •zgAPEarallitt vracit0.,.***9rAidlips .of.:.01..489 5.0 32.4,12.014 .A.1.20110411d891 • T1W3DOC,J_WEN'ffilASA.COLOREDE-S.OpcAjtM-MICRM,;•WFWG•Lit-ILMARK,p,e0-ENTEDPER =ON SE CWO L12080400591 DATE LEATETiN N.I.i„j NI IT; ER 11111 2012, 1613 eNJAtiactitdAL commdtok, :.-- uroalcva;ieloir.•.1)3 cERTAFTyPP.:.**. Wier iiielsrovisions Chapt lixpiratign date: AUG,31,.2014114 • ification Ki.;ACSIAS. • 4.:-• ;•.,•cv 28TH A emiV5*1.41114T°"-,,:......0,4-11., t • • •••• .• • •• ••.! • ••• • • ; '>• 111irlitii,bi"if " rnp.4.411 iswomin,"..•••pb. 1.4.4...■ • e''Z'?' camp 9ORAL r " , • .7. ..• , 4.;; Lt• h • 3, ;41;•■•■,,,!: SECIAB141 RY° Oct. 23. 2013 3:05PM 111 O. C.) I • I STATE OF FLORIDA DEPARTMENT OF MINIUM AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD • (850) 487-1395 1940 NORTH MONROE STREET' TALLAHASSEE FL 32399-0783 CZAT7HOWSKX THOMAS a SONTECE ETACTRICAL CONTRACTORS INC 2718 8W 28TH AVENUE CAPE CORAL FL 33914 • • ' •••• .•• ••.*';' • •;■••.. 0 L, • „. • • • . 4 11..4 • • BUSI TAX RECEIPT ' 4.. •^2 ■;• ;•:".?•••••1•4:e4:,4,7•••;•-•*•••••*::•:s •'•s•.• ".' :•• • ? ••• ":‘ 4' ::•••••:;:'?";Fr • • • ' • • •,.•• . ••••• oray "me *tir buoneva of: • •Ii••■■■■•■ '••••••••■„•••••••••••••••w C11g) 1740terAL:15549WR, • • • • • . • •• • • 4: ••••■•:••■••••:' •:•;j:".4■•••• • • •1 .. • ••• .• •. • PIR EPFEIASEIW.:2014. • ..." . • • ." • • . • • -:4142.74/ i."'RrAZ`4 14. • . •• ,„ • • 11) ttctELEMRICAL CONTRACTORS INC '711,-.•`;14 - • • • „...... .. „... ..• • • '. .... ... :....:,..;. •••• •,....,., :-. : , ... ... . ' • . . • '' ". ' . i • ' :*: 2'; •• '• ..• .. ... . . . ... • ' . MOS LOCAL R63114168 TAX RECEIPT IS NON REGULATORY SKI THOMAS .?1.• 38 TM TER UNIT 9 44:-..,";CAMOSNAAL FL339. . f.4 . .• ,.• •••••. 1.•••• • • % • . • 1111818 NOT A BILL - DO NOT PAY -----PAID-399920#7-1 " 09/09G013 . • 't • • . • ■••• THIS DOe.l.li",;1-,NT HAS „C. COL.OREC) ES.ACKCP:OHND • UICROPPINTINC: • I...q,n•E■'.1ARK'' PATENTED PAPER •••-• ■•■•••••••■•■■■•■••„.11111; • •••'-'••• • BATCH NU iVi E Ma r'. 12. 2O14—O: 17A No. 9937 P. 1� came CERTIFICATE OF LIARI LITY INSURANCE _ �� THIS C$RTMATE T AA D ANA DIA1T OR N� H UPON �P1CA, r' 44 ia ClRTI IOGlT6 DOS ONLY AIyOIARaC NO R iIPON 71 I THIS ZlMiNOT AF I R RTLVRANC$ NEQ LiTN y AtoEND, I OR ALTER THE COyENAGN •��' a ENE` IS OI TE PRODUCER, NTRAOj DIME= MEEK THE WIN R�►ED BY THE HOR ZED AND THE CERTIFICATE HOLDER. N811RBIR@), AUTHORIZED IMPORTANT limo =Waft holder is Nn AQCIT p5ney(I.,,) mist sneaked. itliirDHOOATION ks " In firms end 0 fdllonn of #!N Pte, annaln Wale* luny mqulrs on.rfdoraount. A slss�nt an this dose net r1 b to esrtiSM' holder I - ouch i ., ti . st l n • , the moms Brown S Brown of FL. Inc. _ Fort Myers 3820 Colonial Bouiaystd Fore Myers FL 33012 Terrace, U n C C arai L380© Mo. SUNTE.' 2 • +Td OERTIFICAT$ NUMBER; WARM IAIOFCATl:p, NOTMTFIBTAI�INQ ANY kEQU1R'i Tea On CONDkYIpN OR ANY ' _. ,� �� • 9 IN ri =T3� r,,,. i, +y- -T. MS CERCAl0D. MAY sE ISSUED OR MAY PER7AEIV, THE I TERM OniCE /40MRLrp ANY � OR OTHER DOCUI VYITH u. EXCWSION8 AND CONDITION:, Or SIKH p oui s. LIMITS SHOINN MAY HAVE BEEN REDUCED EY P ID cum, B HEIILIN U(; 8lIB.IECT TO AU. THE 1 $, �A ii rYP�n its X14 1:11111M1 LIMO it Rented Equi team T? X12013 Nang Shores Building Osparimest 10060 htE 2nd Ave Miami shores FL 33138 ACORD 26 (2010/05) TOO 1j Womb ANYOF Mu Anew DEJORssio main NIL CANCELLED BEFORE ACCORDANCE M 7HE rQ pR01la' Houle W11L $s VL lliD U1I 0 1581 -2010 ACORD CORK —rA IN. All nights resolved. The ACORD name and logo Cr, registered marks o} ACORD IVd 62:80 tTOZ /ZT /C0 'L Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 `3 -2E6 o Inspection Number: INSP- 214551 Permit Number: EL- 3- 14-490 Scheduled Inspection Date: June 20, 2014 Permit Type: Electrical - Residential Inspection Type: Final Owner: , Work Classification: Alteration Job Address: 62 NE 109 Street Miami Shores, FL 33161 -7040 Inspector: Devaney, Michael Project <NONE> Contractor: SUNTECH ELECTRICAL CONTRACTORS INC Phone Number Parcel Number 1121360110350 Phone: (954)275 -4923 Building Department Comments INSTALLATION OF OUTLETS, LIGHTING GFI'S AND NEW OUTLETS Infractlo Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 19, 2014 For Inspections please call: (305)762 -4949 Page 20 of 20