EL-03-378 (2)Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12/16 /2003
Applicant: BARRY
Owner:
JOB ADDRESS: 11300 NE 2
Contractor POWER PRO
Local Phone: 305 - 687 -7080
Parcel #
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2003 -378
UNIVERSITY
AVE
Contractor's Address: 18800 NW 2 AVE
Permit Status: APPROVED Permit Expiration: 6/9/2004 Construction Value: $10,000.00
Work: UPGRADE WITH NEW RENOVATION
Page 1 of 1
214
Legal Description: 36 52 41 40 AC SE1 /4 OF NE1 /4 LESS E35FT & LESS W4OFT LOT SIZE 1740400
Fees:
FEE2003 -8374
FEE2003 -8375
FEE2003 -8376
FEE2003 -8378
FEE2003 -8379
Description
Building Fee
CCF
Notary Fee
Technology Fee
Training and Education Fee
Total Fees:
Amount
$500.00
$6.00
$5.00
$12.50
$2.00
$525.50
Total Fees: $525.50
Total Receipts: $0.00
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:
ECEI1VED
DEC 2003
QM GIN ii•
BUILDING
PERMIT APPLICATION
FBC 2001
Owner's Name (Fee Simple Titleholder)
Owner's Address
c i t y 1 r L C 1 o Y State
Tenant/Lessee Name
$ Value o f Work For this Permit( ( t
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. 7
Master Permit No. 8 p-
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Zip
Job Address (where the work is being done) 1 t' Go f'1) ff, , '"z `i 09-V Cam- tic_ p
City Miami Shores Village County 1Vliami -Dade Zip 3 i 7, 0
Is Building Historically Designated YES NO
Contractor's Company Name P R) ei--\ P IA. 0 Phone 3 0 s ) 9,36-34-"(0
Contractor's Address M k. S N --- Yl1 v.) 1 4-2, 11e( l� e—
City ClloUl'L' State I L___-. _ Zip - , a S -
Qualifier . e- V \/ 1.@ ? C- 'l\ -- (.-14 'e,_,
Type of Work: ❑Ad ition ['Alteration ['New
Describe Work: 1 '
U
331
Phone #
Architect/Engineer's Name (if applicable) m Cp (i.9 i(f eiV n.i- Phone # �� Lite ` 1
Square Footage Of Work: 1 0 2.-71
I ►� Re /Replace ❑ Demolition
r
NV I /9. f; vl a
* * * * * * * * * * * * * * * * * * * ** * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ `--- Permit Fee $ -. ® ® CCF $ 6,
Notary $ S "' Training/Education Fee $ 6 Technology Fee $ / , 5 0
Scanning $ Radon $ Bond $
Code Enforcement $ — Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address '
City State Zip
/)/ 71+
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 FT .FCTRICAL 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.
Signati
Owner or Agent
The foregoing instrument was acknowledged before me this
day of ,20
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
NOTARY PUBLIC
Sign:
Print:
My Commission Expires:
State Certificate or Registration No. Certificate of Competency No.
*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Cho 10/14/03
(Certificate of Competency Holder)
Signattue -> l/
Contractor
The foregoing instrument was acknowledged before me this 12-
day of ' ^ Y — • , 200 by' pSSec.rvOti -P fS 8"
who is personally known to me or who has produced `® !:)-
identification an
0 111 P ,,,
?
1 °
'Y, . 1 o ath.
I n #DD23
i 13 200 7
* * * * * * * * * * * * * * **
* * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * **
e Plans Examiner
Engineer
Zoning
fEM
4TH TUB
UNIT
•
FEE
ITEM
SWITCH OUTLETS
UNIT
,5
FEE
ITEM
SPACE HEATERS
UNIT
FEE •
IOET
LIGHT OUTLETS
in
CENTRAL HEATING
WASHER
RECEPTACLES
A/C (WIND)
ISPOSAL
SERVICE TEhPORARY
A/C (CENTRAL)
KINKING FOUNTAIN
SERVICE SIZE IN AWS
? y>r
DUCT WORK
LOOK DRAIN
SERVICE REPAIRAETER CHANGE
REFRIGERATION
REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTOR •
RANGE TOP
UNDERGROUND TANKS
AVATORY
OVEN
ABOVE GROUND TANKS
AUNORY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
LOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
HOWER •
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
INK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEM3LIES
INK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
'EM?GRARY WATER CLOSET
MOTORS OVER 10- 25 IR
FIRE SPRINKLER SYSTEMS
JRINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
EATER CLOSET
MOTORS OVER 100 HP
VIOLATION
'NJIRECT•WASSTES
A/C WINDOW
REINSPECTION
IATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFCRAIERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
_
SWIMtING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
•
EWER CONNECTIONS
SIGN TRANSFORMERS
JTILITY-SEWER
SIGN TIME CLOCK
JTILITY -WATER _
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
JRAINFIELO, 4' TILE/RES.
VIOLATION
'UhP 5 ABANDON SEPTIC TANK
REINSPECTION
OAXAGE PIT CU. FT.
:ATCH BASIN
/ISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
•
100F INLET I
SOLAR WATER HEATER
:IRE STANDPIPE
'COL PIPING
AWN SPRINKLER SYSTEM
3AS RANGE
METER SET (GAS)
3AS PIPING
AN APPLICA 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
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL