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EL-06-909Miami Shores Village M(0, -Luh . Building Department t ('. , Am 4-'13 `7 BUILDING 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. -1-0 9 PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address _)-5 p/c /00 s�fzc e ii City fr 7)P}r-i ► S yp,c_ � State Fc--- Zip 33) 3 Master Permit No. o 2006 umbing Mechanical Roofing Phone # 30S 73- �CPg� Tenant/Lessee Name Phone # Job Address (where the work is being done) e2S`t' /'I6- /OD 5f1. City Miami Shores Village County Miami -Dade Zip 33/38 FOLIO / PARCEL # 1/ -3_70 (o - 0/ 3 - zibi(00 Is Building Historically Designated YES NO l� 7T; 275 >S ?/ Contractor's Company Name oma/ .L L e - /%/'G/4L Phone # 20 S 7.5" 7 /F Y7 Contractor's Addres 4.'7/1/ L "747 -,rte CityZState Zip 32/3J Qualifier Name /J0esrl3G'Z 4s t`/9 -e 1' Phone # State Certificate or Registration No. li 'OD /9 9 9 j 7th �9 - ,s Certificate of Competency No. ,9-G70voi Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Y > Square / Linear Footage Of Work: Type of Work: ' '` yp ❑Addition• k[rAlter ion ['New XI Repair/Replace ❑Demolition Describes Work: i ,,./L` / J 4' v ..a7-4d//J'G•GC Z Z —/i9. A..7 **************************************Fees********************:r*********************** Submittal Fee $ � Permit Fee $ /GP O ' CCF $ 0 • CD 0 CO/CC Notary $ Training/Education Fee $ ©. Technology Fee $ Scanning $ ` Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ ) 1 1 - See Reverse side -* t 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 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 commepcement must be postea the job site for the first inspection which occurs seven (7) days after the building permit is issued. f h' . • ence of suc •os d notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent Signature Contractor The foregoing instrument was acknowledged before me this 4 The foregoing i ment.was acknowledged before me this /Q / I1` ci c day of j�rr�( , 20d� , by �"l.l-til ��� % � , 20 � by who is personally known to me or who has produced who is personally known to me or who has produced As identif jc,VinistygItyystig ,ti7ii1 11• / 4 ' 1' NOTA' Y PUBLIC: y Yorleny Hernandez Commis on # DD476455 EP 27, R)nde• „. 2009 /� Bonding Co., Inc. Sign: � - ������ \�gum � • dlWI� Print: NMI My Cmr ission E APPLICATION APPROVED BY: (Revised 02/08/06) • ntification and who did take an oath. NOTARY PUBLIC: Sign. Print: r•, ,,,, ±:•1.. .`�Iqt- ;9 . �;%. CS tion ed By National Notary Assn. My Com 1 o Tans Examiner Engineer Zoning Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 2/3/2016 To: Current Owner 258 NE 100 Street Miami Shores, FL 33138 Permit: EL -4-06-909 Address: 258 NE 100 Street Miami Shores FL Date Expired: 4/10/2007 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, -(S/l Ismael Naranjo (CBO) Building Director Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho : (305)795-2204 Fax: (305)756-8972 Inspection Number: INP -1 3 Permit Number: EL -4-06-909 Inspection Date: 04/20/2006 Inspector: Devaney, Michael Owner: SAMMONS, ROBERT Job Address: 258 100 Street NE Miami Shores Village, FL 33138 - Project: <NONE> Contractor: M I ELECTRICAL INC Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition/Alteration Block: Phone Number (305)754-2689 Parcel Number 1132060134460 Lot: Phone: 786-295-9521 Building Department Comments RELOCATE AND INSTALL ELECTRICAL WIRING FOR NEW AIR CONDITIONING i I Passed Inspector Comments i ` I t O ,1// o'‘ Failed Correction Needed Re-lnspection Fee ($75) No Additional Inspections can be scheduled re -inspection fee is paid. until Wednesday, April 19, 2006 Page 1 of 2 Issue Date: 4/12/2006 Owner's Name: ROBERT SAMMONS Permit Type: Electrical - Residential Work Classification: Addition/Alteration Job Address: 258 100 Street NE Miami Shores Village, FL 33138 - Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Expires: 04/10/2007 Contractor(s) M I ELECTRICAL INC Phone 786-295-9521 Primary Contractor Yes Comments: RELOCATE AND INSTALL ELECTRICAL WIRING FOR NEW AIR CONDITIONING Additional Information Type of Work: Classification: Residential Additional Info: 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. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 . $0.20 $5.00 $100.00 $3.00 $2.50 $111.30 Building Department File Copy t' 4� � --1----- Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -4-06-909 Phone: (305)754-2689 1132060134460 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 900.00 Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Invoice Number EL -4-06-24457 Total: Amt Due $111.30 Amt Paid APR13PAID GL 2332 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. -w AN AtPLICATION 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 3ATH TUB UNIT FEE ITEM SWITCH CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3IDET LIGHT OUTLETS CENTRAL HEATING 3ISHWASHER RECEPTACLES A/C (WIND) )ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) !/ DRINKING FOUNTAIN SERVICE SIZE IN AMPS IXET WORK FLOOR DRAIN SERVICE REPAIR/I€TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CUTLETS PROCESS AND PRESS PIPING I INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 H' HOT WATER BOILERS SINK, ROT/3 COMP. MOTORS OVER 3- 5 IP MECHANICAL VENTILATION 1 I SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM€LIES SINK, SLOP MOTORS OVER 8- 10 Hp ELEVATORS/ESCALATORS TEM'ORARY WATER CLOSET MOTORS OVER 10- 25 FP FIRE SPRINKLER SYSTEP S URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 I -P VIOLATION INDIRECT WASTES _A/C WINDOW REINSPECTION WATER SUPPLY T0: AIR CONDITIONERS A/C UNIT - STRIP HEATER FIRE SPRINKLER 'HEATER 'GENERATORS TRANSFORMERS -NEW INST. 1 1 GENERATORS TRANSFORMERS HEATER -REPLACE 1 GENERATORS TRANSFORMERS I LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COM4,ERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS ,_•SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK ' UT 1 L I TY -WATER FIXTURES SEPTIC TANK1 ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. 1 VIOLATION PUMP E ABANDON SEPTIC TANK REINFECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN I 100E INLET ;OLAR WATER HEATER "IRE STANDPIPE 'DOL PIPING .AWN SPRINKLER SYSTEM ;AS RANGE ECTER SET (GAS) 1 :AS P I P I Nr. i 1 I t