EL07-747 Miami Shores Village o4n1m . .
Building Department
artment x
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
BUILDING D M(UM.UTYE Permit No.
PERMIT APPLICATION APR 17 2001 aster Permit No.
FBC 2004
Permit Type: Electrical �
Owner's Name(Fee Simple Titleholder) S' ,Q®se 41�& Phone# �O.S-�7 — �'r/�7
Owner's Address 12M
City N/imi VkU State Ft Zip 33/38'
Tenant/l.essee Name Phone#
E-MAIL:_�° �/IAQar�7T•67z4
Job Address(where the work is being done) 12W A&
City Miami Shores Village County Miami-Dade Zip /3
FOLIO/PARCEL#
Is Building Historically Designated YES NO- —%e_
Contractor's Company Name Ayr/L` t Phone# 3 o%r /u5"y
Contractor's Address // 7 -7 N C /O O 5
Ci :5,4j.-ex State IG/ Zip 331 .79
c1
Qualifier Name ATG 7zo o�( Phone#_ 30 — . 7S V 6 9 T 9
State Certificate or Registration No. X— C o D o -2.0 5�.1� Certificate of Competency No. /
E-MAIL•
Architect/Engineer's Name(if applicable) /t11i4• Phone#
Value of Work For this Permit$ /O A. Square/Linear Footage Of Work:
Type of Work: DAddition DAltecation DNew [Repair/Replace D Demolition
Describe Work: ra•41 /V -C" i✓ C0i,,,,6��„
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slydr4zsF4raYvtsYeYdcrkir4x4dr&+irdntlyda4rxirdrir4rireYdrdnlydrxdrwdnYFees**9***oYv4drdn4x4ru4rdrdrdnSskY4rdrdax4rdrsY�n&aYsYs4drx�Yd¢irdrirdnhatx
Submittal Fee$ Permit Fee$ /4'®/0e CCF$....f- CO/CC
Notary$ Training/Education Fee$ 400 Technology Fee$ 510
Scanning$ Z-00 Radon$ DPBR$ Zoning$
Bond$ Code Enforcement$ Double Fee$ .11 8 PAI®
Structural Review.$ Total Fee Now Due$
See Reverse side-�
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) ,&xv e,rniFt 44m^it, Lam
Mortgage Lender's Address �.5�30 ( /OC,t~A 40 Pb SoWe- DA00
City Q *>J Oft1 State GALIF 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 RF'CORO A ►NOTIC V..OR C'OMWE N EMF NT MAY RESULT IN FOUR
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 roved an a ei pection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing in ment was acknowledged before me this&
day ofP �,20 by C. C411Jof t. 20 ' ,by �' 1 ,
who i ersonally known me or who has produced who is rsonally kno t0 me or who has produced
As identificationwl��who d' tapk,/e� ��Qp as identification and who did take an oath.
40Y Plj!` aIIQU1'
NOTARY PUBLIC: ' : ' Commission#00560732 NOTARY PUBLIC:
•moo Expires: JUNE 05,2010
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Print: g ,��,l,2 .1��k _ Print: Q OO�M�•Oc�obe °
;,. .,•� � ,ANN
My Commission Expires: I My Commission Expir °
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APPLICATION APPROVED BY Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
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'AN APPLICATION 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 ,APPLICCIONS.)
PLUMBING ELECTRICAL MECHANICAL
ITEM UNIT FEE ITEM! UNIT FEE ITEM IINIT .NEE
3ATH TIB SWITCH OUTLETS SPACE HEATERS
31DET LIGHT OUTLETS CENTRAL HEAT 1.% }
)I%NAM f RECEPTACLES A/C (W IND)
)ISPOSAL SERVICE TEMPORARY AJC (CENTRAL)
)RINKIN3 FMWAIN SERVICE SIZE IH AMPS DLICT WORK
,L OOR ORA I N SERVICE REPA IRAETER OW&ES REFRIGERATION
GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS P IP I IMG }
INTERCEPTOR RANGE T{P UNOUSI M TANKS
LAVATORY OVEN ABOVE GROIX TANKS
L9MY TRAY WATER HEATER U.F. PRESSURE VESSELS
CLOTHES WASHER MOTORS 0- 1 w STEAM! BOILERS
EWER MOTORS OVER 1- 3 HP HOT WATER BOILERS
SINK, POT/3 COMP. } MOTORS OVER 3- 5 W MIECHAN I CAL VENT I LAT I ON }
SINK, RES 1 DEICE MOTORS OVER 5- 8"HP TRANSPaINT 1 NG ASSE1 L I-ES
SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS
,TEMPORARY WATER CLOSET MOTORS OVER 10- 25 W FIRE 'SPRINKLER SYSTEMS
URINAL MOTORS OVER 25-100 If COOLING TOWERS
WATER CLOSET MI3m OVER i00 w VIOLATION
1101RECT RTES A/C WINDOW REI,N.ECTION }
WATER SUPPLY TO: AIR CONDITIONERS
A/C UNIT STRIP NEATER
FIRE SIGN I NKLER GENERATORS TRANSFa#JERS j
'HEATER-NEW INST. GENERATORS'TRANSFUDAMS } }
HEATER-REPLACE GENERATORS TRANSFORMERS
LAWN SPR INn ER-WEU SPECIAL PI..JRPOSE
SWIMMING PES OUTLETS CiIt$RCIAL
WATER SERVICE SIGN TUBES
SEWER CONNECTIONS •SIGN TRANSFORMERS
UTILITY-SEVER SIGN TIME CLOCK
UT 1L ITY-WATER F IXTURES
SEPT 1 C TANK ANNA
RELAY TELEV I S IONI OUTLETS
ORAIWIELD, 4` TILEAES. VIOLATION
PIA,P 3 ABANIM SEPTIC TAMC REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOhfSTIC WELL
AREA DRAIN. } } }
ROOF INLc►
SOLAR WATER DATER } } I
=IRE STANDPIPE } } } }
'til PIPIIG
.AWN SPRINKLER SYSTEM. } } } }
AS RADE
ETER SET (GAS) } t I
IAS PIPII�e. I } 1 } I }
TITCESERYICES CO. 111111111111Iffi1mloll 111111111111111111
ilSC. GFN 2
BLVD. S-SOQ C�Ct7RO34 6085
OR Bk 25509 Pss 3600 - 36011 t2a9s
NORTH MIMI, FL. 33181 RECORDED 04/05/2007 14=40:06
DEED DOC TAX 6F600.00
HARVEY-RUVINr CLERK OF COURT
glepgred by and return to•
MIAMI-DADE COUNTY: FLORIDA
Eric van der Vlugt,Esq.
Vice President
Clear Title Services,Inc.
1111 Kane Concourse Suite 200
Bay Harbor Islands,FL 33154 ZE
305-865-5718
File Number. 07-0166 Wing Will Call No.:
(Space Above This Line For Recording Data l
Warranty Deed
This Warranty Deed made this 29th day of March, 2007 between James D. Wing and Colleen Clifton Wing,
husband and wife whose post office address is 1200 NE 103 Street,Miami Shores,FL 33138,grantor,and Gary Gentile
and Sharon Rose Gentile,husband and wife whose post office address is 1200 NE 103 Street,Miami Shores,FL 33138,
grantee:
(Whenever used herein the terms"grantor" and -grantee" include all the parties to this insburnent and the heirs, legal representatives,and assigns of
individuals,and the successors and assigns of corporations,trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee,the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate,lying and being in Miami-Dade County,Florida to-wit:
Lot 7,in Block 186,of MIAMI SHORES SECTION EIGHT,according to the Plat thereof,recorded
in Plat Book 14,Page 33,of the Public Records of Miami-Dade County,Florida.
AND
Tract 186-A, of MIAMI SHORES SECTION EIGHT REVISED, according to the Plat thereof, as
recorded in Plat Book 31 at Page 41,of the Public Records of Miami-Dade County,Florida.
Parcel Identification Number: 11-3206-034-0290
SUBJECT TO:
1) Taxes for the year 2007 and subsequent years and all applicable zoning ordinances and
governmental regulations.
2)Conditions, restrictions, limitations, and easements of record, if any, but without the intention of
reimposing same.
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold,the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of s•' . ee si4e; that the
grantor has good right and lawful authority to sell and convey said land;that the grantor h r a the title to said
land and will defend the same against the lawful claims of all persons whomsoever•. ° free of all
encumbrances,except taxes accruing subsequent to December 31,2006. ;r
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LAST PAGE
/Tinitness Whereof,grantor has hereunto set grantor's hand and seal the day and year firsCabove written.
Signed,s and delivered in our presence:
lAyor GV (Seal)
i ame Ge•• vv_ 1t es D.Wing
a
�•'�'� (Seal)
'e vell
Qrsty.� .r- qt..) Colleen Clifton Wing
f6
Witness Name rew ^
State of Florida
County of Miami-Dade
The foregoing instrument was acknowledged before me this 26th&' /
y Colleen Clifton Wing,who []is
personally known or[X]has produced a driver's license as id[Notary�] 9 vmwvuw
W tX)MAM86W N DD 47 62
0rFE&N 14,2008 Printed Name:
Botq�'Ilsul�tY trubrstgw0aesdxs
My Commission Expires:
State of Florida
County of Miami-Dade
The foregoing instrument was acknowledged before me this .'ZDh day 2007 by James D. Wing, who []is
personally known or[X]has produced:a driver's license as idea'
[Notary Seal] tars' c
Printed Name:
t3B�lDVM DMVUW
• W COMMISSION 4 DD 47M M Commission Expires:
EXPIRES:November 14,2008 Y xP
eaaeanwroa�a�meou
STATE OF FLORIDA,COUNTY OF DADE �p Cpm
I HEREBY CERTIFY mat this is a true opy of the J� cuss
or sled rn th office, day of .x
AD 20 U`
W! M!51'm hand and Offrcra/Seat. Qe
RVE7 N,CLERK, of ,rrcu�}" crynty Courts 9�'.,G"'QM"6"`"°�ti0�
R l V D.C. FCOut�'
Worranty Deed-Page 2 DoubleTimee
r
mis Miami Shores Village
10050 N.E.2nd Avenues
Miami Shores,FL 33138-0000 z xs k 'x
� a
Phone: (305)795-2204
f Expiration: 1011412007
Project Address Parcel Number Applicant
1200 NE 103 Street 1132060340290
Miami Shores Village, FL Block: Lot JAMES WING
Owner Information Address Phone Cell
JAMES WING 1200 NE 103 ST (305)7546024
MIAMI SHORES FL 33138-0000
Contractor(s) Phone Cell Phone $ 2,100.00
JC ELECTRIC INC (305)754-6949 Valuation:
Total Sq Feet 0
Type of Work:meter Available Inspections:
Additional Info: Inspection Type:
Classification:Residential ww
Service change
Meter Box
Underground Rough
Alteration
Final
Fire Alarm
Relocation
Fees Due Amount Total Amt Paid Amt Due
CCF $1.80
Education Surcharge $0.80 $0.00 $0.00 $ �-00
Notary Fee $5.00
Permit Fee-New Construction $150.00 Payment Type:
Scanning Fee $3.00
Technology Fee $3.75 ®]R 18
P,
Total: $164.15 .APR
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.
April 17,2007
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
Tuesday,April 17,2007 1
Inspection Worksheet
Miami Shores Village
*X40
10050 N.E. 2nd Avenue Miami Shores, FL
;74
Phone: (305)795-2204 Fax: (305)766-8972
Inspection Date: 06/08/2007 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: WING, JAMES Work Classification: Addition/Alteration
Job Address: 1200 103 Street NE
Miami Shores Village, FL U. Phone Number (305)754-6024
Parcel Number 1132060340290
Project: <NONE>
Block: Lot:
Contractor: JC ELECTRIC INC Phone: (305)754-6949
Building Department Comments
install new meter main combination unit&riser
JUN
Inspector Comments
Passed E�r
Failed E] �j�1�
Correction
Needed ❑
Re-inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid .
Thursday,June 7,2007 Page 2 of 2
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
_ x �xn
i
Inspection Date: 05/01/2007 Permit Type: Electrical - Residential
Inspector. Devaney, Michael Inspection Type: W W
Owner: WING,JAMES Work Classification: Addition/Alteration
Job Address: 1200103 Street NE
Miami Shores Village,FL Phone Number (305)754-6024
Parcel Number 1132060340290
Project: <NONE>
Block: Lot:
Contractor: JC ELECTRIC INC Phone: (305)754-6949
Building Department Comments
install new meter main combination unit&riser
MAY 0 3 2007
Inspector Comments
Passed
Failed
Correction o f
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Monday,April 30,2007 Page 1 of 2
Receipt
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit Number: EL-4-07-747 Owner Address:
Invoice Number: EL-4-07-28175 1200 NE 103 ST
Applicant:JAMES WING MIAMI SHORES, FL 33138•
Company Name:
Job Address:
1200 103 Street NE
Miami Shores Village, FL
Date Payment Type Check Number Amount Change
Wednesday,April 18, 2007
04/18/2007 Credit Card $164.15 $0.00
Total Payment: $164.16
Page 1 of 1