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EL-02-276ERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 got 97-E Date ° Job Address �f'��/ G Tax Folio / - 0 1 3 �'° - 0 00 ay/AG Legal Description 3 , te a r t // a� h s6tn ' ated: Yes No V (J /t.l D tJlrs ITt% Owner/Lessee/Tenet Owner's Address Qualifier - VA // /1'IAO /60 ®?r s tate # 0 0 0 i , 5 9 Municipal # Permit Type (circle one): BUILDING WORK DESCRIPTION: Contracting Co. SQ1oeeio ELEC7'IC -& COM: /AJC Phone 305 -.c/7 -.Csot 8 —3oS - 51 -3-QLj 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. Square Ft. Estimated Cost (value 2O 0 , V rJ WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY 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). I 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 AWIDAVIT: 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. Furthermore, I authorize the above named contractor to do the work stated. k wner Builder t. • ntract or • • ne Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires FEES: PERMIT / RADON C. APPROVED: Zoning Mechanical Plumbing .F Master Permit # / ?5 'c)-DO c 'a Address o2/ 5/ AAA/ 9'3 /ed Ave - Phone as to y Commissi Building Electrical PLUMBING MECHANICAL ROOFING der Date o L 0 1 Q �caw �'o • �, iti �as� oe� at �� ' y .a, "a:ci ��"36697 ~ P NOTART ° r u_ " T ' TOTAL DUE Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR4ETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP _ UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE _ MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET.. MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL . _ ., MOTORS 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 TRANSFGRMIERS • HEATER -NEW INST. .. r „ _, . ;.. 'GENERATORS TRANSFORMERS . 1 HEATER - REPLACE �; -- GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL • SPECIAL PURPOSE SWIMMING POOL - - OUTLETS COWERCIAL" WATER SERVICE SIGN TUBES SEWER CONNECTIONS • SIGN TRANSFORMERS UTILITY -SEWER - SIGN TIME CLOCK FIXTURES- UTILITY -WATER .- '° " SEPTIC TANK ANTENNA -• RELAY • . _ TELEVISION OUTLETS - DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT.,. l/l/®lrk /v f/ CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN • ROOF INLET SOLAR WATER HEATER " FIRE STANDPIPE ?COL PIPING LAWN SPRINKLER SYSTEM 1AS RANGE AETER SET (GAS) ' IAS PIPING 4,. ADDENDUM TO BUILDING PERMIT APPLICATION (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 APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL I© Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/23/2002 Applicant: BARRY UNIVERSITY Owner: UNIVERSITY BARRY JOB ADDRESS: 11300 NE 2 AVE Contractor SUPERIOR ELECTRICAL CONTRACTORS INContractor's Address: 1407 EL RADO Local Phone: Parcel # 1121360000050 Fees: Description Amount FEE2002 -4716 Building Fee $100.00 Total Fees: $100.00 Total Fees: $100.00 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 2/19 /2003 Construction Value: $200.00 Work: 30 DAY TEMP FOR TEST SUPERIOR ELECTRICAL CONTRACTORS, INC. 2151 N.W. 93RD AVENUE MIAMI, FLORIDA 33172 PHONE (305) 477 -6328 FAX (305) 593 -0413 PAY C9i7Le PAY TO THE ORDER W ▪ aft on back vl iz A.Gic, or AA i rt -t i 11'00 25960 1 : 0 6 6 0 3 9 2 1: 0 L00988 3 2 411'0 5 Electrical Permit Permit Number: EL2002 -276 Legal Description: 36 52 41 40 AC SE1 /4 OF NE1 /4 LESS E35FT & LESS W4OFT LOT SIZE 1740400 THIS CHECK IS IN FULL PAYMENT OF THE FOLLOWING DATE INVOICE AMOUNT OCEAN BANK 780 N.W. 42ND AVE. MIAMI, FL 33126 63- 1139/660 1 2596 DOLLARS DATE CHECK it). AMOUNT 312-3/62- Lsi(, I/OO , SUPERIOR ELECTRIC CONTRACTORS, INC. oc I e u Page 1 of 1 13 inspections. Re- inspection described in the application herefor in strict compliance with all 1, statements or specifications that may have been submitted to • with such ordinances or if the plans are changed without 3ve assumes the responsibility for a thorough knowledge of the or specifications and that he assumes responsibility for work done Inances and regulations pertaining thereto and in strict conformity This permit I assume responisibility for all work done by either /Lattu,,twtx:Viti BUILOING ANO ZONING DEPARTMENT 1 0050 N.E. SECOND AVENUE MIAMI SNORES. FLORIDA 33138.8352 TELEPHONE 13051 705 -2204 FAX 11061 756 -9972 AFFIDAVIT FOR 30 DAY TEMPORARY- ELECTRIC SERVICE (To bee oozed by Owner and/or T & & voicd Contractor) L NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED It is understood that the temporary-electrical approval by the Krami Shores Village, Building & Zoning Department given in connection with the building being constructed d under Building Permit No. t P ®l - 1 l ( Electrical Permit No. eL- 2_ 0,3'2_ t at address: / 0 o 4/4) f IS S ' , Y1(J i t L_ for owners: v It 0 -L is being given only for consbrnction purposes or fbr testing the following moons being made in said structure: s- /46 S h 45013 (d) (3) of the South Florida Budding Code provides For a 30 day maximum approval only in an URGENT NECESSITY for electric current exists. Necessity shall include the use of current For irrigation, seauity, humidity control, emergency power and lighting, such as for testing or construction purposes, provided the Electrical Contractor and owner do hereby agree to assume the responsibility of i the insulation in such a manner that there is no hazard to life and property. Such approval is in no event to be considered a release of said structure ix proposes of use and occupancy, and no occupancy shall be Panted or permitted until foal inspections have been called lbr and approved by the iaspec'tion divisions concerned, and an occupancy permit obtained. The undersigned also understand that the temporary-electric approval is subject to rescission and tancellation, and electric power can be cut offat the discretion ofthe Building and Zoning Department and will be disconnected ffthe building concerned is occupied before final inspections are approved and occupancy permit obtained - I, L� ' ®C- � � - � ,�_o� � �. being first duly sworn, depose and say that I the owner of the above . - bed property, and that I agree that the stmcture covered in this agreement shall not be occupied until the buildntg contractor hs gl , , , ... of final inspections. Sworn and subscn'bed before me this cal day of L + Notary Pulgi4 State of ilvtids at Liege My Co an Expires: Page 1 ot 2 € /Z 36tid O A d a ° BARBARA SUAREZ j ^ * COMMISSION NUMBER l r a DD015554 9 I t' MY COMMISSION EXPIRES AP �F F � O R. 4,2005 32.68992.SO£: 4dd JLUti l I A SaIOHS - I Wti I W: a I T£: 91 ZO, OZ/BO LL9' °N 311d s DAY T MPORARY- EI.LCTR ?C. SF. �CF ((t'ininue) REYNALDO MADIEDO II depose stud say that I am the Elect icsi Cot actor for the above uow csisling will not create a safety hazard if tempormy- service Sworn and subscribed belbre me this 21ST day of AUGUST 2002, Notary Public, State ofFlutida at Large My commission expires: depose and said that I am the Building Condor of the above described property and of this building until final division obtained and that I have the authority insothr as the concerned to prohibit occupancy until such final inspections are Sworn and subscribed before me this 1 daY oqg Notary Public, State of Florida at Large My Commission Ewes: q ,RY P i e! Dame: ,,? U° Page 2 of 2 £ /8 3Jtid * ` SUAREY ._ COMMISSION NUMBER 9 , " �O MY OCMMISSION EIPfl�S of P.. APRJ 2008 L6899L9O8: kind being First duly sworn, described property and that the electrical installations as is connected. SUPERIOR ELE TRLCAL CONTRACTOR RICAL CONTRACTORS, INC. i dx>g Migdalia Gutierrez * ' ,.. *My Commission CC838329 1 . „ „E / Expires May 18, 2003 being rust duly sworn, that ; will not permit occupancy of said property is SIGNATURE OF ' ,0 CONTRACTOR SIMIA .VRE F NOT . ' Y PUB Release to FLORIDA POWER & LIGHT CO. by: (name) Ali c /6e JP/ Af WAViciefeY 9, , (name) R/C / d9ti"I'1I11 S3210HS - I Wti I W Q I Z£ : 9T ZO OZ'8O 21,9"°N 31 I3