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EL-17-255 Permit NO. EL-1-17-255 REs Miami Shores Village Permit Type:Electrical-Residential 10050N.E.2nd Avenue NE Work T Work Classification:Generator Miami Shores,FL 33138-0000 Permit Status:APPROVED ryeN," Phone: (305)795-2204 F�ORtDp` Issue Date:21712017 Expiration: 08/06/2017 Project Address Parcel Number Applicant 960 NE 95 Street 1132050070130 Miami Shores, FL Block: Lot: FRANK AND MARY HENRY Owner Information Address Phone Cell FRANK AND MARY HENRY 960 N. E.95 ST. (305)754-7451 Contractor(s) Phone Cell Phone Valuation: $ 2,200.00 MOODY ELECTRIC INC (305)758-2000 Total Scl Feet: 0 Type of Work:GENERATOR PERMIT>TO REPLACE EXPIR Available Inspections: Additional Info:GENERATOR PERMIT>TO REPLACE EXPIR Inspection Type: Classification:Residential Final Scanning:1 Review Plumbing Review Planning Review Electrical Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# EL-1-17-62785 DBPR Fee $2.25 01/31/2017 Credit Card $50.00 $112.30 DCA Fee $2.25 Education Surcharge $0.80 02/07/2017 Credit Card $ 112.30 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $162.30 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I auth ize the above-named contractor to do the work stated. February 07, 2017 Authorized Signat re:Own Applicant / Contractor / Agent Date Building Department Copy February 07, 2017 1 'EIVED Miami Shores Village JAN 31 2017 Gk Building Department f N.E.2nd Avenue,Miami Shores,Florida 33138 T10050el:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 6� FBC 2011t BUILDING Master Permit No. JE,L 1 � PERMIT APPLICATION Sub Permit No. ❑BUILDING 9ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL [--]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �55-7— City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO_ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: 'n fid•; OWNER:Name(Fee Simple Titleholder): Phone#: Address 'T : ,/�(����� �`s City: !i •a15< -uate: Zip: Tenant/Lessee Name: Phone#: Email: r CONTRACTOR:Company Name: Phone#: Address: k�e— City: - State: Zip::�g �� � Qualifier Name: Phone#: 14 State Certification or Registration#: ertificate of Competency#: DESIGNER:Architect/Engineer: /r•/% Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: , tn- Specify colorpf color thru tile: i Submittal Fee$ 50 P0 Permit Fee$ 14'-e 169 CCF$ I �O CO/CC$ Scanning Fee$ . 2" Radon Fee$ 2 DBPR$ Z Notary$ Technology Fee$ J Training/Education Fee$ = (0C) Double Fee$ Structural Reviews$ Bond$ O TOTAL FEE NOW DUE$ ' I Z (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address /r City State Zip Mortgage Lender's Name(if applicable) A I A - 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,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 l e 6►O ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged beore me this -LJt"day of JanaA it 20 by re day of JanuG r u 20 17 by jnl�- > nru who is oersonally known to J nY)!] Mcahi who is personally known to me or o 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 PUBIL Sign: Sign: Print: ka Print: Seal: public scats d Fbrlda Seal: �o**►rr� Not ' Public State of Florida a4,v Notary Rebeca Munoz Rebeca Munoz Commission FF 916344 c My Commission FF 918344 My Comm or a� Expires 09/08/2019 �Y}a IV Expires 0910812019 ************ *** * * ******************************************************************** APPROVED BY 1A / y Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department �Q�C� LE6 N.E.2nd Avenue, Miami Shores,Florida 33138 � Te1: (305'7 .2204;Fu:-(30�5) .56- 972 s ur �s , BUILDING .il.;.'d 2 7 �A:'S Permit No. �1 DS— PERMIT APPLICATION ____------ _ _ aster Permit No. FBC 2001 J Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) ri�jfCG,,,,;_ . '�1`Qv�� Phone# Owner's Address ab0 tl_�t^ CtS S\C-Q�A- City State (:A,c--<< Zip Tenant/Lessee Name_ k\� Phone# Job Address(where the work is being done) CANCELLED City Miami Shores Village County Miami-Dade ---Zips\3 Is Building Historically Designated YES NO ✓ Contractor's Company Name Phone# 3US--1ST- �U Contractor's Address �Aoc-k City State Zip 35\S p Qualifier /\110( `�( State Certificate or Registration No.-C C CXR Certificate of Competency No. Architect/Engineer's Naine(if applicable) lZy�`(� Phone# $Value of Work For this Permit �/� Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑Demoiition Describe Work: v� a o2 Submittal Fee$ Permit Fee$ �G( � &P CCF$ 1 CO/CC Notary$ T Training/Education Fee$ 0-(50 Technology Fee$ S . 75 Scanning$ 100 Radon $ Zoning Bond S Code Enforcement$ Structural Plan Review. $ A Fee Now Due$ - Is `inued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State , Zip J 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 TWICETFOR 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. Signa Signature O r or Agent Contractor The foregoin ins ent was acknowledged before me thi The foregoing instrument was acknowledged before me this day o , 20 by t day of ,20_,by who ' ersonally 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. NOTARY P vPue,, e Hurd NOTARY PUBLIC: eyri Sign: It PIC —D 073307 Sign: j` Expires Not 1%,2005 Print: Print: 'e,, F�„��` Alimtic Bonding Co, lnc My Commission Expires: My Commission Expires: ************************************************** **************************************************** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Cho 05/13/03 R Miami Shores Village Electrical Permit 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: EL2003-87 ` Printed:3/31/2003 Page 1 of 1 J Applicant: COURTNEY CUNNINGHAM Owner: CUNNINGHAM COURTNEY V) JOB ADDRESS: 960 NE 95 ST Contractor MOODY ELECTRIC INC Contractor's Address: 669 NW 90 ST Local Phone: (305)758-2000 Parcel# 1132050070130 Legal Description: 5-6 53 42 .454 AC PL OF GOVT LOT 4 PB 5-90 E120FT OF N220FT LESS E30FT 60� o o �6a Total Fees: C • 2 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/30/2003 Construction Value: $1.100.00 Work: ELECTRICAL REPAIR If there is no permi -------------- - -- — --- -- fee is$50.00,which n MOODY ELECTRIC,INC. EXP NATION AMOUNT 63-91UM This Permit is granted tot 869 N.W.90TH STREET 16310 50 3 FL, 37 ordinances pertaining theret( (30MIAMI, FL 1331 and approved by the proper 1 74 authorization. A further oonc ordinances and regulations F PAY 20 by his agents,servants or en FOUNT t't90 DOLLARS] CHECK DATE TO THE ORDER OF ACCTS.PAYAHIE DISC. OTHER CHECK AMOUNT Signed.,-7 NUMBER n NUMBER (�,, f� �� v' 1���0 $ 1 (0 In consideration of the issu withptht-TarlZr,-drz ngs,sta- mys0lf,my age t,se Is c �l TOTAL DANK r �v MIAMI, FLORIDA jr �Iu• r Signed:__� dfi�7fCC1�lf/]7 (T/LT1i191•Li1�>acz>fya;raaa�ii7 �n Wua.In:rtulaturaar r .-r,.. , nnr-i t r- r,* r (I7911mn1; ... ; 5,"OR " `•��'o ; ; •;• ; ; ; • ••• PERMIT APPLIC/A�TION lot. J ""'," ... • ••ylastd%Per*i*"it No. ''�' �' '• ' ,Subsi�iy.P$ITnit No F�ORIDp• : • • . • INSTRUCTIONS Step 1. Complete the attached permit application whichanust re��grk Wb& rS�y owner er and qualifier. Both signatures must be notarized. Please print or t pe to allow for a pmore accurate processing oI'➢ up�lijdtjpnIf roe�ag work will be done,a roofing application must be submit- ted alongwith this permit application. i: ; Step 2. Submit the completed application with all necessary documents to the Building,Planning and Zoning Department for processing. During the processing of your application,you may be asked to submit additional information. Job Address: 16c) lye Address Apt. City State Zip Folio Number Description of Work � C7T'�—/CA-C� R45VAIAC Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property ;�.1Si/ E411L ;?-L Square Feet v Units Floors Proposed Use of Property Value of Workol I IM Bldg Value Tenant Information Tax Assessed/A praised Value Flood Zone Base Floor Elev. PERMIT TYPE (./ ) PERMIT CHANGE (./) TYPE OF MANAGEMENT (./ ) Building Chg. Contractor New Construction Enclosure Electrical Renewal Alteration Exterior Repair Mechanical Revision Alteration Interior Demolish Plumbing Extension Relocation of Structure Shell Only LPGX Supplement Foundation Only Add'I Attachment Roofing Reinspection Other Add'I Detachment Fence Other Other ARCHITECT ENGINEER Name Name License No. License No. Address Address /V /14 Telephone Telephone Fax Fax PROPERTY OWNER CONTRACTOR Name / �,M� Name Address ,Y License No.I 9�c� �_� 9..�- r c ©oa 7 z 4/5--./ Address �� KJ fob me Telephone a Ho Business Telephone Telephone Fax Fax Qualifier Name Page 3 : • • ••• ' • • ' ' ••• PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of WqX bet4p-lrforme6ana• uantity(ies)in the space provided below. M I M Minimum Fee Dryer �.' • • Outlet,•Appfldnce Service Repair A/C Central 1-3 Ton Fan Outlet,Wall Service,Temporary A/C Central 4-7 Ton Fire Pump Outlet,Switch Signs A/C Central 8-15 Ton Fixture-Fluorescent Oven Space Heater(kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Ibbs A/C Central 20+Ton Flood Lights Plugmold/Strip Subfeeds,No.of Amps A/C Window FPL-Load Central Posts Swim Pool,Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool,Residential Chiller Generators,etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator,Comm.(p/PH) Temp Serv.,Construction Compactor Low-volt,Burglar Refrigerator,Domestic Temp for Test-30 days Deep Freezer Low-volt,Fire Renew-Temp Service Demolition Low-volt,Intercom/Teleph. Repair Circuits Dishwasher Low-volt,Television Service,Number of Amps MECHANICAL TYPE. QTY. TYPE QTY. TYPE Minimum Fee Condensate Drain Generator Refrigeration,Tons A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost A/C Wall/Win.Tons Dryer Vents,Number of Paint Booth Ventilation,Cost Air Handler,Tons Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel PLUMBING TYPE QTY. TYPE QTY. TYPE A/C Condensate Drains,Roof Miscellaneous Fixture Soakage Pit Bath Ibb Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap-Fixture Fountain Pump and Abandon Sprinkler System • Cap-Water Gas-Appliance Pump,Domestic Supply,AC Well Cap-Sewer Gas-Natural Pump,Fire Stand Temporary Toilet Catch Basin Gas-Propane Pump,Re-circulate Temporary Water Closet Clothes Washer Gas Piping Pump,Replace-Pool Urinal Dental Chair Grease Trap Pump,Sprinkler Utility-Sewer Discharge Well Ice Maker Pump,Sump Utility-Water Dishwasher Indirect Wastes Relay Repair Vacuum Pum Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Draintield,4"Tile/Res. Lavatory Septic Tank Water Heater New Drains,Area Meter Set(Gas) Sewer Connection Water Re-pipe Drains,Floor Minimum Fee Shower Water Service Drains,French Miscellaneous Eq ui ment Sink Well,Supply RECEIVED AND REVIEWED BY: DATE: I Page 4 . •.: ; • PERMIT APPLICATION OFFICE USE ONLY ❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Aitacb). •� • (Attach) •• •• • . • • •.: .• ❑ FIRE DEPARTMENT ❑ HRS DEAM.APPRQV4L: ❑ BPR APPROVAL(Restaurants) APPROVAL(Commercial/ (Septic%Sewe' • •• multi-family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify&Attach) (Specify&Attach) $3.00 per page(Scanning Fee) $ Miami Shores Village $ Bond $ Metropolitan Dade County (C.C.R) $ (sq.ft.=x/1000 x 4.60) Inspector State Educational Fund $ (¢.005/sq.ft.) State DCA(Radon) $ (4.01/sq.ft.) Code Enforcement Fine $ Zoning Review $ Notary $ TOTAL $ ISSUING OFFICI.,XI, REVIEWED AND PREPARED B DATE: SECTION BY DATE CONDITION Zoning Electrical d Mechanical Plumbing Fire Public Works Structural Building Official Revised July 2001 10050 N.E. 2ND AVE.,MIAMI SHORES,FL•(305)795-2207 •FAX(305)756-8972 • http://www.miamishoresvillage.com • . ; �•� Pag p 2 • . ' ••• ••' ' PERMIT APPLICATION IMPORTANT NOTICE'S 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEI D YOUR'VAL?DATED V9RMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m.to 6:00 p.m.,and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weeken"or holidays. 2. All construction of demolition areas MUST BE MAINTAIgBD IN A IN,ftAT AVD•9ANrrARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL-BE KEH OQI 41RV SND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMACEli) 9,Qdli'IvlON-POR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the streettsidewalk. • • •• 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building,Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services(HRS)approval is required for applications involving septic tanks. Department of Environmental Resources Management(DERM)and/or Miami-Dade Water and Sewer Department(MDWASD)approval is required for applications involving sewers. i Application is hereby made to obtain a permit to do work and installation as indicated. I,the OWNER of the property,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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further,I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1"Floor,(305)679-1078. Once recorded,the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713-35 of Florida Statutes. Review the-brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORID COUNTY OF MIAMI-DADE OF FLORIDOUNTY OF AMI-DADE Signature o wne Signature of Contractor/Qualifier &60�t-1 Print Name Print Name S orn t nd subscribed before me this day of Sw d subscribed before me this day of ALP i AL Signature o o Signature of to -Stat p MARY PAT BRIGGS Notary public:-5tata d Florida SEAL: S Notary Public-state of Florida p�yeeMey11,2008 3 •_�, np�Uesirtay11,2008 SEAL: , •_(M Commlt<alon DD 104873 A Commlaslon S DD 104873 �: Bonded By National Notary Assn. ,,,�11"" Bonded By NaUonal Notary Assn. Personally Imown YR7111foliceT[ entiicauon Personally known OR,Produced Identification Type of Identification Produced: Type of Identification Produced: SNS . Miami Shores Village Mechanical Permit 10050 NE 2nd Avenue ••.• »».*� Phone: 305-795-2204 Permit Number: ME2003-38 ORivp Printed:3/25/2003 Page 1 of 1 Applicant: Owner: 'eCiF- - EB yJOB ADDRES960 NE 95 ST Contractor RESIDENTIAL AIR CONDITIONING CORP Contractor's Address: 20250 NE 15 CT Local Phone: 305-652-6040 Parcel # 1132050070130 Legal Description: 5-6 53 42 .454 AC PL OF GOVT LOT 4 PB 5-90 E120FT OF N220FT LESS E30FT -� Total Fees: $ ;4� C Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/21/2003 Construction Value: 1-1406:000'15)q $ �'/, q Work: REPLACE EXISITING AC UNITS 1)3 TON 1)2 TON `L P j If there is no permit package accessi)te on the iob=si site for.inspectors.to_v_elitbecejetilLbe ao inspections. Reinspection _ fee is$50.00,which must be pact ...... ..... ...... _.. This Permit is granted to the contractor o .1t h t b f b t t 2 5 9 9 t 2 :i 2 E 19 0 0 b 9 0:i .119 t 2 Z 0 0.tt ordinances pertaining thereto and with the L �._ i - d0j and approved by the proper municipal authc authorization. A further condition upon whit ZS ML901H Nov ordinances and regulations pertaining to the �O1M by his agents,servants or employees. a• SITYnOQ Signed: C� I�'`�� In consideration of the issuance to me o Q $ .0007 314101 I t AVd with the plans.drawings,sta encs or,pe I �` myself,my agent,servants r emplo S. u„�,, 1 6LICC71: '10MIN OL09-ZS9-M'13 HL9I'3'N 09aW sq..� NOI1VH0dWO3 \/ Signed: v ” 9l;ZL _ '' 6L'9 ONIN011KIN00 WIV IVI1N3QIS31:1 X � PERMIT APPLICATiONWOR WA:M SHORES VILLAGE 'y 10050 N.E.2n Avedue•MIIMMi Shor es,FlorW3312;8.305-795-2204 Date -ik; lob Address Tax Folio ..L/ 3o10J d0 901130 Legal Description •hsfteally Bgslgrm4k Yes No C ner ssee/Tenet Master Permit# P_ • • • • • • Owner's Address • • •• • Phon1 Contracting Co. I Address ;,m Qualifier AOtY&M M to T Ali _ s0 Phone State# Municipal# Competency#_ Ins.Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE-INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): ZING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK CRIPTIO C� � ,y 02 /P'J Square Ft. Estimated Cost(value) "_4 WARNING TO OWNER:YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO Y RESULT'IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR ANY 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). 1 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 all disciplines. OWNERS Ak _"yhT� 1 certify that all the foregoing information is accurate and that all work: will be done in compliance with all applicable laws regula\\rtilAasLruO ing.Furthermore,1 authorize the above named contractor to dot the ��� �\•••\SSION •••. //moi \\\\\ '��'1.BVI! / ? 9 _ *49 6' Sibtvi of ow orQ resident Date -.5gn turdW2dntract-,orsr Date �p•. #Dosed Q\ z #DD1 Q Notary Condo"President Date Notary as to Con f I uilder b My Commis ' Expires My Commission Expires O� FEES:PERMIT RADON C.C.F NOTARY BOND TIN L APPROVED: TOTAL DUE 93 . E V Zoning Building Electrical n Mechanical 2 k" ?Plumbing Structural Engineer I NED,, ;h �01-',=R'S NOTARIZED SIGNATURE NOT BE PPZSarl ON SUBSEQU-r.1Il APPLICATIONS.) PLUMBING ELEMI?C4�- : ' : MECHANICAL UN1T FEE ITEu ••: JOREFRICWTIGH E3fUNIT FET VIM CURETS : �';(,E h'cATu'ZSLIGfT ORLETSCEIMX MTRG .cA RECEPTACLESAIC (WIW) ..SERY ICE TE1FF'CRIS ' : : J�/C (CENft1l�L)FCLRRAIM SERY(CE SIZE I F . DUCTWIIN SEAM ICE REPAIW EM WAATION TRAP APPLW CE 0 WSPROCESS AM FRESS PIPING I RA.`iCE TCPUbDEFIGR0IR0 TAWS OVEN MME GROW JAWS.. TRAY — --- RATER NEATER U.F. FRESSIRE VESSELS lI1SF{ER ---- WTORS 0- 1 HP STEAM BAILERS MUM OVER 1- 3 If HlT TATER BOILERS . POT/3 COW. WTCRS OVFA 3- -5 FP Zr:CtiANICAI VENf1LAT1QN RESIDENCE WTORS OVER 5- 8 W — TRA.4MTIHG PMEMIES SUP_ WTCRS OVER 8- 10 W ELEVATORS/ESCALATORS AT TATER CLOSET WTCRS OYER 10- 25 W - - FIRE 9:1111 LER SYSTEMS WTOiS OVER 25-100 W COOLING TMEcRS' CLOSET _ W T CRS OVER 100 1•P V IOLAT ION CT XkSTES A/C JIamw REINSPECTION SIFPLY TO: AIR COM I T I OI+TRS UNIT I I STRIP HEATER SFRIKALER GDrEIRATORS TRAtSrWaS I TER-KW MIST. i GESERATCRS TR,4GFCASz.RS TER-REPLACE GMERATCRS TUNSFU MFRS i WRIRKLER-WEELL SPECIAL PIAPOSE v4ING FOOLCUTLETS MWERCIAL ER SERVICE I SIGN,TWES 00INECT IONS I SIGN TFL4SF0 4US n-sm _ SIGN TIW CM TY WATER ( FIXTIRES C TAW _ ANi EhM TELEVISION CURETS ?IELO. 4'_TILE/RES. VIOLATION & ABAt= SEPTIC TAW r REINSPECTION aE PIT 01. FT. mix UXE WELL - .T IC TIFLL CRAIN IKET LATER NEATER _ S'TkCP IP_E PIPING - SPRIXER SYSTEM ' RA2SE _ 4 SET (GAS) PIPIHG f . or . . . . . . . . . . . . . . ... . . . . . . .. . . . . . JOB NAME ADDRESS • • Different location than above? L ?QNS .�y� .. 1. HOUSE MAIN ELECTRIC SIZE AMPS 'V' ••• 41IRE SIZE 2. -COMPRESSOR BRANCH CIRCUIT: WIRE SIZE O/O , & CIR. SKR. SIZE FUSE SIZE SW AIR HANDLER BRANCH CIRCUIT:WIRE SIZE, & CIR. BKR. SIZE FUSE SIZE Bu 3. SIZE OF EXISTING COMPRESSOR DISCONNECT:] AMPS. TYPE;: FUSE CIR. BKR. SIZE OF EXISTING AIR HANDLER DISCONNECT• AMPS. TYPE: FUSE CIR. BKR. 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES �_ NO S. EXISTING UNIT TO BE REPLACED OR RELOCATED _ NAME PLATE INFORMATION FROM EXISTING UNIT MAKE G�,E PACKAGE MODEL # CONDENSOR MODEL # T3T N O Z.4 A.H.U. MODEL # :RWH 0 Z.4 HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE ��A LA CONDENSOR MINIMUM CIRCUITS AMPS_1 A.H.U. MINIMUM CIRCUIT A2:PS MAXIMUM OVERCURRENT PROTECTION SIZE? AND TYPE: CORDENSOR AMP SIZE 3 FUSE HACR CIR. BKR. • � AIR HANDLER AMP SIZE FUSE HACR CIR. BKA. HER NAME. PLATE INFORMATION FROM NEW UNIT BEING INSTALLED MAKE A 1! L C �C%­AJ�i n O� PACKAGE MODEL # CONDENSOR MODEL # dA1.82%0'1► A.H.U. MODEL #_ HEAT PUMP .TYPE YES NO KW HEAT STRIP SIZE C_ COND$N90R MINIMUM CIRCUITS AMPS l7 A.H.U. MINIMUM CIRCUIT AMPS Z a MAXIMUM OVERCURREN_T PROTECTION SIZE AND TYPE: ._. IQDENSOR AMP SIZE • 0 FUSE HACR CIR. BKR. AIR HANDLER AMP SIZE Z el FUSE HACR CIR. BKR. ERR . SZQNAfUTE OF QUALIFIER CERTIFICATE NUMBER .. .. .. . . .. .. . . . . . . . .. . .. . JOB NAME ADDRESS SOD ` • Different location than above? EIZST.=C :COKD=IOPS 1. HOUSE MAIN ELECTRIC SIZE AMPS '0-' • ' AIRF' vrZE 2. COMPRESSOR BRANCH CIRCUIT: WIRE SIZE#/0 & CIR. BKR. SIZE Y-0 FUSE SIZE SW_ AIR HANDLER BRANCH CIRCUIT:WIRE SIZE , & CIR. BKR. SIZE!U;I_ FUSE SIZE SW_ 3. SIZE OF EXISTING COMPRESSOR DISCONNECT AMPS. TYPE: FUSE CIR. BKR.gO SIZE OF EXISTING AIR HANDLER DISCONNECT• AMPS. TYPE: FUSE CIR. BKR a n 4. IS DISCONNECT WITHIN SIGNT AND READILY ACCESSIBLE? YES tC NO 5. EXISTING UNIT TO BE REPLACED _ OR RELOCATED NAME PLATE INFORMATION FROM EBISTING UNIT MAKE �_ PACKAGE MODEL # CONDENSOR MODEL # N U (D A.H.U. MODEL # W O HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE CONDENSOR MINIMUM CIRCUITS AMPS_ A.H.U. MINIMUM CIRCUIT A2:PS J10 MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE eI FUSE HACR CIR. BKR. c/ AIR HANDLER AMP SIZE Lac M FUSE HACR CIR. BKR. EER ` NAME. PLATE INFORMATION F1;OM NEW UNIT BEING INSTALLED MAKE C �� n Q.hO ACKAGE MODEL #_ CONDENSOR MODEL # �F'L�t'td��� A.H.U. MODEL #_� W��� HEAT PUMP TYPE YES NO KW HEAT STRIP SIZE -� CONDENSOR MINIMUM CIRCUITS AMPS^�I,� A.H.U. MINIMUM CIRCUIT AMPS MAXIMUM OVERCURRENT PROTECTION SIZE AND TYPE: CONDENSOR AMP SIZE O FUSE HACR CIR. BKR. AIR HANDLER AMP SIZE FUSE HACR CIF,. BKR. EER C ao 3sw S GNATURE OF QUALIFIER CERTIFICATE NUMBER .. .. .0 . .. .. . . . . ... . (.' .� . .�. cJ/ iami rJ bor I i�C • , *SOL i •I• 10 D•• A • • • • • • • • • • • • • • • • • ••• • • • Sec. 5.1.1. Air cogdt�en�a� •ie�ruletioiia. . • .. . . . . . ... .. (a) Alt individual air conditioning units installed in walls or windows shall be securely anchored to the walls by approved methods. Units installed over public property, paths of egress or more than ten(10) feet above grade shall be secured to the struc- ture by bolts or screws to resist horizontal wind loads.Such units cantilevering more than flight (S) Inches on the exterior of a building shall be supported by steel angle brackets secured by bolting. Bolts to masonry shall be set in lead shields or similarly • rot-resistant fastenings. (b) The following special requirements shall apply to the con. trot and regulation of noise nuisance from air conditioning machinery: (1) all equipment, existing or hereafter installed, regardless of Iota tion, shall be maintained in good working order. Equipment so located that normal operating noises create a nuisance to adjacent owners or occupants shall be pro- vided --ith soundproofing, or sound-absorbing baffels, or enclose res, as approved to insure maintenance of a rea- sonable noise level. (2) All equipment on outer watts,on roofs,or in other exeosed locations, which are unduly noisy, and which causes valid complaints from adjoining property owners or occupants, may be required to be relocated, redesigned and./or en- closed in noise-retarding materials when, in the opinion of the building official, such enclosure is necessary or would be effective. ,(3) Special consideration shall be given to the planning of all future instillations to minimize the noise nuisance to ad. joining property owners or occupants, and the building official shall have authority to reject or require the rede- sign of any system which, in his opinion, would cause such a.noise nuisance. (c) Violation of this section shall be punished as is now or may hereafter be provided by law.(Ord. No. 299, 111-3. 2.21-61) I have read the above ordinance aryl will cc=ly � 1 /� regulations thereof. \�� �••�•But?04 �i///� 10jV •. Bunch, ii �'_ • o p00 Jb0 >Q oi�Aplrti ture Cony • •. M0413' Q /��ll 111 C,go My F ?b ' 04.0.000 • ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICA�?I6N-FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEIr%MY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN APS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP _ APPLIANCE OUTLETS PROCESS AND PRESS PIPING { INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (ROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSLJRE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COM?. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE I MOTORS OVER 5- 8 HP TRANSPORTING ASSEhBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEWORAi'RY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL WGTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I HEATER-NEW INST. GENERATORS TRANSFORMERS HEATER-REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER-WELL SPECIAL PURPOSE SW NW I NG POOL OUTLETS CDA ERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCK UTILITY-WATER FIXTL;';ES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PLW & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE I POOL PIPING I LAWN SPRINKLER SYSTEM GAS RADE METER SET (GAS) ! ( { { GAS PINK-3 } { t { { I { Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 12/10/2015 To: Current Owner 960 NE 95 Street Miami Shores, FL 33138 Permit: EL2005-215 Address: 960 NE 95 Street Miami Shores FL Date Expired: 11/2/2013 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, Ismael Naranjo (CBO) Building Director PROPOSAL - DY ELECTRIC, INC. www.moodyelectdc.com June 20,2005 669 N.W. 90 Street - Miami, FL 33150-2166 Tel: (305) 758-2000 Fax (305) 754-1333 Proposal Submitted to: Frank Henry 960 N.E. 95 Street Miami Shores,Florida 33138 Home: 305-754-7451 /Mobile: 305-905-3824/Work: 305-358-0778/Fax: 305-358-9031 Job Name: Generator Hook-Up Location: Same as Above Job Description: 1.) Furnish and install a complete electric system for generator hook-up which includes the following: - New 1"PVC and wiring from east side to west side of house in crawl space. - Mount customer supplied transfer switch on west side of house outside. - Connections from transfer switch to panel inside of house. - Connection to generator. - Grounding of generator. - Weatherproof housing for generator. QUOTE: $2,200.00 Notes: 1.)Patching and painting by others. 2.)Permit fee is cost plus $75.00 in addition to above quotation. 3.)Any additional services required by the Authorities Having Jurisdiction will be considered a change to the scope and will be quoted as a change. WE PROPOSE hereby to furnish material and labor-complete in accordance with these specifications for the sum of See Above Payable as follows:Due Upon Completion In the event customer fails to pay this proposal when due, Moody Electric, Inc. shall be entitled to recover all costs incurred including attorney's fees for services rendered in connection with collection of payment of the debt as evidence by this proposal or enforcement of Moody Electric Inc.'s rights provided under law. NOTE:This proposal may be withdrawn by us if not accepted within 30 days. Moody Electric,tnc.Authorized Signature QUOTED BY: BarneyMood Acceptance of Proposal-The prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work specified.Payment will be made as outlined above. Sign _ Dat Signature Date Print Print Page 1 of 1 Shores VillageElectricalPermit ;, Miami S g _ 10050 NE 2nd Avenue 305-795-2204 Permit Number: EL2005-215 0 Phone.• Page 1 of 1 Printed:6/30/2005 Applicant: FRANK HENRY Owner: HENRY FRANK JOB ADDRESS: 960 NE 95 ST Contractor MOODY ELECTRIC INC Contractor's Address: 669 NW 90 ST Local Phone: (305)758-2000 Legal Description: 5-6 53 42 .454 AC PL OF GOVT LOT 4 PB 5-90 E120FT OF N220FT LESS E30FT Parcel # 1132050070130 Fees: Description Amount FEE2005-9003 Building Fee $150.00 Total Fees:$159.15 FEE2005-9004 CCF $1.80 Total Receipts: $0.00 FEE2005-9005 Training and Education Fee $0.60 FEE2005-9006 Technology Fee $3.75 FEE2005-9007 Scanning Fee $3.00 Total Fees: $159.15 Permit Status: APPROVED Permit Expiration: 12/24/2005 Construction Value: $159.15 Work: INSTALL OF 15 KW GENERATOR HOUSE EXISTING SERVICE JUL O I PAID Signed: (INSPECTOR) 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 responisibility for all work done by either myself,my agent,servants or employes. Signed: (Contractor or Builder) BY: