ELC-14-2781Miami Shores Village DEC 19 2014
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
BUILDING Permit No. C
PERMIT APPLICATION Master Permit No.0013'� l
FBC 20
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): OoP1 C A L C t? >J 2t1 1 Phone#: 36.5' 7514 - 7sy I
Address: g8 g® 91 S G A-r,J t g 1- tj O
City: M 1 A rt S k G e S State: rL Zip: -3313'7- .3343
Tenant/Lessee Name:
Email:
JOB ADDRESS: F8 YO 1 GC_4'J Y- 9 L - y D
City: Miami Shores County: Miami Dade Zip: 3 3 137 - 33 43
Folio/Parcel#: 113 2 0 (.b Z o 0110
Is the Building Historically Designated: Yes
NO I . -' Flood Zone:
CONTRACTOR: Company Name: ATL_ C LC,--rX ( C '� C-• Phonek 3 o S Y q T- yci l 1
Address:,, II 2 5 5 5 g, 5 c Ati 4 t B Lu p
N # S•-
City: r i <k m t State: FL Zip: 33 ill
Qualifier Name: Ai_Ktjo t) l J LAA P Q r`Ic, Phonek 3 6S- 7 q 6'- 4 ci -11
State Certification or Registration #: E C, 13 0 0 - a o -9q Certificate of Competency #:
Contact Phone#: Email Address: A -i—L- Y Z (,-- c' f A H 0c, • Cep el, t
DESIGNER: Architect/Engineer: Phonek
Footage of Work:
Type of Work: OAddress OAlteration ONew ORepair/Replace ODemolition
Description of Work: N P"wl ��t,�2 Gd•� c e.,2 1 C ��
Submittal Fee $ �Permit Fee $ —,7 ®i1',P CCF
Scanning Fee $
CO/CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
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.
Signatur6CAP � ��, ��--- Signature
Owner or Argent Coutrigctor
The foregoing instrument was acknowled d be ore me this
day of l , 20, by ,
who is personally known to mel or w hasp duced
As identification and who did take an oath.
1�
The foregoing instrument was acknowledged before me this t 11
day of A C QK t3t%20 Lt� -, by 114 -,k��-
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
,,,,11111,
y P°���' YANILIS ALEMAN Si
Sin
nnnaem�
Print: N a My Comm. Expires Apr 13, 2015 Print: ''"" KIM ECKHARDT
•,;F�F,o�; Commission # EE 84053 MY COMMISSION #FF389T/
My Commissl My Commis � d� lresmum. Jemmy 26, 2o1s
i.ains.WMA11 V Fl. Nay Dimmm Am= Co.
APPROVED BYA 4OW7%`"�
l� c Plans Examiner
Structural Review
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk
12/17/2014 4:44 PH FAX 3056983989 BASttLTO & ASSOCIATES
L T
B A 0
A S S O .0 = _I. A T E S
C. 0 N S LI 1. T I N G E N C: t N E E K 5
/Tropical Chevrolet
Siemens Electrical Equipment
Shop Drawing Submittal ,
BARD R) & ASSOCIATES, INC.
Consulting Engineers
Miami, Florida
j x] NO EXCEPTION 'TAKEN [ ] REJECTED
[ ] MAKE CORRECTIONS NOTED [ ] RESUBMIT
[ j SUBMIT SPECIFIEDITEM [ 1 DO NOT RESUBMIT
Checking is only for general conformance with the design concept of the project and
general compliance with the inibnmriion given in the Contract documents. Any action
shown is subject to the requirement of the plans and specifications, Contractor is
responsible I'or dimensions. which shall be confirmed :and correlated at the job site,
fabrication processes, techniques of construction, coordination of his work with all
other trades, and the satisfactory performance of his work.
Date: 1 12-17-14 By: C. Yost
00002/0002