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ELC-14-1870 (2) Miami Shores Village NOV 2 6 2014 Building Department 10050 N.EZnd Avenue,Miami Shores,Florida 33138 rel:(305)79.S-2204 Fax:(305)756-8972 INSPECT1061 LI E P UMSER,(305)762-4949 Or FBG 20 Lcl A BUILDINMtMer, ermit No.14-1869 G 0ff��Iy PERMIsub Portatt No T A is [:]sU(LDING ELECTRIC F-1 ROOFING REVISION 0 EMNSION ©RENEWAL OPLLIMBING pMECHAMCAL F-IPUBUCWORKS L]CHANGE OF CANCELLATION 0 SHOP CONfRACTOA DRAWINGS j0B ADORLvS., 11300 NE 2 Ave City ��wtwkga�0 Mi k-'61taml Dade Do: 0mi Shores the BuDdIng-Wistodc4h,basighated:Yes—NO,X Occupancy Type:_Load:_Construction Type-_Flootl Zone. BfE-.—FFE., OWNEW Name(Fee Simple Titleholder):Barry Ufliver.51ty Address-11300 NW 2,Ave .. .... 33161 P*. city..Miami$hares State: Florida zi — Tianant/Lessee Name- Email: CON==CTOR-Company Name- C'Davis Electric Phone#: 954-432-4334 dd - 17WSW-1Q0T0rm Address: ce Miramar Florida 330.216 Qualifier Name Ed Davis 954-432-4334 State rertification or Iftistratlao.#:-_Ec 0 r*tjodate"oaf Competom*fp IDIESIGNER:Architect/Engineer.' Gallo,Herbert Arehltectr� 954-7944300 Addrew, 1 131 W Newport, Center Dr. Suite ckDeerfield FL 33442 —*4' ' --iy - P* value of,Wo for Woformit SquarqfLiftearfoota0eofftrict Type of Work; N!j 0 Additiott Alteration.: ftepairlReplate El tion A IL4 '4 8 .11 Description of W r� rc specify color of color thru - el s Submiftal Fee A Permit Fee CG/M$ Scanning Fee$ Radon Fag s DBPR TramitWEwcation Fee Fee$ St '10 Bond$ TMAL.-fEE NOW OUE$ (ae*edOZ4400141 % - V 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. 1 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: 1 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$25000,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 ow—pa%wSignatur OWNER or AGENT C CTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this aS day of MW �Q� ,20 1-f ,by day of JUly 20 14 by SQ sasa t'A" -f ,who isr.nally known to Ed Davis who is personally known to me or who has produced as me or who has produced as Identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: cru — %AMPrint: Seal: `* MY rC4MISSION 6 FF 022429 Seal = o.• " Irnission#EE 297497 EXPIRES:July 28 2017 ��I � Expires September 25,2016 Bore Th u t{,�y?V�le Umierv�e�e "'Rig 0 s'';,ovrN Bonded ThruTroy Faminmrance800-385.7010 e APPROVED BY �® Plans Examiner Zoning Structural Review Clerk (Revisedo2/24/2014)