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EL-05-1229Issue Date: 12/22/2005 Owner's Name: BENCHY PHILIPPEAUX Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 11028 2 Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/21/2006 Contractor(s) Phone HEFFERNAN ELECTRIC INC 305 -757 -8380 Primary Contractor Yes Comments: install meter can, 2" riser conduit, 2" weatherhead, 2" hub, & #1 service entrance conductors fatened. Additional Information Type of Work: 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 Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.30 County Copy Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -12-05 -1229 Phone: 1121360020260 Lot: PB: Total Square Feet 0 Total Valuation: $ 600.00 Required Inspections Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Invoice Number EL -12 -05 -23088 Total: Amt Due $111.30 NOV 2 2 PAID /( R'5 Amt Paid $111.30 $111.30 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. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date h 1105 p �Q Type Insp'n �I►�l ?PKGg& 4 la / title( Permit No. t iivJ / f: Name ' a! 177 aul' Address 102-5 ,i kJ 2 4ve Company 1 "I erfiim u £re Thl V Phone # 3J5 ! 38q -3ZO (fr) Inspection Date /# /Z110 Approved Correction Re- Insp'n Fee ❑ P 71 , z- 3.° ,r- 9 EP2 i e /71,02-c T /Y ® 7`® /A t 7pz DP' 77e2 xa%0'e /2 KGrve Nof-t e ( 1^ll �h ® 4•75'1 n! s-� 1,4--- fivPA lL y .0h tece e' /f/ e4P.4 Y® Re 1 # ‘Z 14-00,1 Issue Date: 12/22/2005 Owner's Name: BENCHY PHILIPPEAUX Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 11028 2 Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/21/2006 Contractor(s) Phone HEFFERNAN ELECTRIC INC 305 - 757 - 8380 Primary Contractor Yes Comments: install meter can, 2" riser conduit, 2" weatherhead, 2" hub, & #1 service entrance conductors fatened. Type of Work: 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 Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.30 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -12 -05 -1229 Phone: 1121360020260 Lot: PB: Total Square Feet: 0 Total Valuation: $ 600.00 Required Inspections Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Invoice Number EL - 12 - 05 - 23088 Total: Amt Due $111.30 ICV 2 2 PAID 1/ /X /t X5 Amt Paid $111.30 $111.30 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. Issue Date: 12/22/2005 Owner's Name: BENCHY PHILIPPEAUX Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 11028 2 Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/21/2006 Contractor(s) Phone HEFFERNAN ELECTRIC INC 305 - 757 -8380 Primary Contractor Yes Comments: install meter can, 2" riser conduit, 2" weatherhead, 2" hub, & #1 service entrance conductors fatened. Additional Information Type of Work: 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 Amount CCF $0.60 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.30 Applicant Copy Permit Status: APPROVED Permit Number: EL -12 -05 -1229 Phone: Parcel #: 1121360020260 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 600.00 Reauired Inspections Alteration Underground Rough ww Service Change Meter Box Fire Alarm Relocation Final , Invoice Number EL - 12 - 05 - 23088 Total: Amt Due $111.30 I"liy 2 2 PAID /(xts Amt Paid $111.30 $111.30 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. For Inspections, Call (305) 795 -2204 exts 431 & 442. Requests must be received by 3 pm for following day inspections. Obtain Certificate of Ocupancy /Completion Before Using the Building Issue Date: 12/22/2005 Owner's Name: BENCHY PHILIPPEAUX Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 11028 2 Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/21/2006 Contractor(s) Phone HEFFERNAN ELECTRIC INC 305 -757 -8380 Primary Contractor Yes Comments: install meter can, 2" riser conduit, 2" weatherhead, 2" hub, & #1 service entrance conductors fatened. Additional Information Type of Work: 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 Finance Copy Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -12 -05 -1229 Phone: 1121360020260 Lot PB: Total Square Feet: 0 Total Valuation: $ 600.00 Required Inspections Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Invoice Number EL - 12 - 05 - 23088 Total: Amt Due $111.30 NOV 2 2 PAID Amt Paid $111.30 $111.30 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. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) /fO %ow Owner's Address City / � �� State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractor's City Qualifier Type of Work: ❑ ddi Descr a Work: 10050 N.E.2nd Avenue, Miami S res, Florida 33138 NOV 2 2 PAID Tel: (305) 795.2204 Fax: 5) 756.8972 (Continued on opposite side) State Certificate or Registration No. 3 co/ Architect/Engineer's Name (if applicable) $ Value of Work For this Permit / se(d(ce .01 Code Enforcement $ Total Fee Now Due $ 11 I - a Mo 6�s�em Miami Shores Village Building Department 611 DAlteration do Structural Pla State____F7 ('t40. ddress $'/ PC ...cAt Jo_ q-kce Co't ` qz� Master Permit No. Plumbing Mechanic I Roofing g tipaeOPhone # M Zip F5I3fJ Phone # g ordse County Miami -Dade Zip NO 3K Phone # ( ) 7 ? p3 Zip _V fc Permit No. Certificate of Competency No. OM f b2 Phone # Square Footage Of Work: DNew AT Repair/Replace 19/z r cot4oy � t * * ** * * ** * * ** * ** * * * * * *** * * ** F ees * * ** ** ** ** * * * * ** * ** * * * ** * * * * ** Submittal Fee $ Permit Fee $ / '"s' ' ° Notary $5. to ID Training/Education Fee $ 0 • CEO Scanning $ 3-CO . Radon $ Zoning 0 Demolition CCF $ O . GO CO /CC. Technology Fee $ a- 50 Bond $ 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 ttachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspect', h o rs : even (7) days after the building permit is issued In the absence of such posted notice, the inspection will n. • • • ;rove 'nd r nspection fe• Fill be charged r .r Agent Contractor The foregoing instrume was acknowledged before me this 2.Z The foregoing instrument was acknowledged before me this day of l�v , 20 ( �C-} I L 1 P; C day of WO '1 , 20 a_5, by / / �i / riv Olttits 17 4 who is personally known to me or who has produced who is personally known to me or who has produced f7 7A nevi's /( ( • 11D As identification and who did take an oath. as identification and who did take an oath. NOT ' Y • UBLI . NOTARY PUBLI Sign: TARY PUBLIC-STATE OF FLORIDA � p f 04 Sign: l Print: = ► 4F.hr Sion # D i . 455 Print: �stt�G w e �V y�i�r) . l My Co sio Bonded g o., Inc. My Commission Expires: * ** * * * * * * * * * * * * * ** * * * * * * * * * * *, *, * *, *, * * *, * *, , *, * * * * *, * * * *, ** * * * ** , , , , * * * * **, *** * ** * * * * * * * * * **** * * * ** APPLICATION APPROVED BY: Chc 05/13/03 Zoning Engineer MONICA LISSEfH DIAZ 4 MY COMMISSION # DD 483955 ; r' °V Bonded Thu N otary Pe 20, nd /46/ - "e Examiner OB T AINE AT O F B I S N TARIZMD PERMIT IGNATURE ACCOMPANY NEED NOT BE ADDENDUM. RESENT ON SUBSEQUENT APPL ) OBAIN'" THE PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL TEM TlE UNIT FEE ITEM UNIT SWITCH CUTLETS FEE ITEM SPACE HEATERS UNIT FEE ATH LIGHT OUTLETS CENTRAL HEATING IDET RECEPTACLES A/C (WIN()) ISHWASHER ISPDSAL SERVICE TEMPORARY A/C (CENTRAL) FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK RINKING DRAIN i SERVICE REPAIRAETER CHANGE 1 REFRIGERATION LOOR CREASE TRAP APPLIANCE OUTLETS [ PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP ` UNGERGROUN) TANKS OVEN ABOVE (ROUND TANKS .AVATORY TRAY WATER HEATER U.F. PRESSURE VESSELS _ALINERY :LURES WASHER MJTCRS 0- 1 HP STEAM BOILERS ;HOMER MOTORS OVER 1- 3 I-P HOT WATER BOILERS 3INK, POT /3 COMP. MJTCRS OVER 3- 5 hP MECHANICAL VENTILATION 3INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES 3INK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 H?' FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 If COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION I ID I RECT WASTES I I A/C W I Nf)OW RE I,NSP,ECT j ON WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS I LAWN SPRINKLER -WELL SPECIAL PURPOSE 1 SW I Md I NG POOL OUTLETS COMf1ERC I AL WATER SERVICE SIGN TUBES SEWER CONNECT IONi.S , 'SIGN TRANSFORMERS UTILITY - SEWER L SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTERNA. RELAY I TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REIHSPECTION SOAKAGE PIT CU. FT. CATCH BASIN , DISCHARGE WELL _ DOMESTIC WELL AREA DRAIN 1- ROOF INLET I SOLAR WATER HEATER I FIRE STANDIPE POOL PIPING LAWN SPRINKLER SYSTEW I I GAS RANGE METER SET (GAS) I I k I OB T AINE AT O F B I S N TARIZMD PERMIT IGNATURE ACCOMPANY NEED NOT BE ADDENDUM. RESENT ON SUBSEQUENT APPL ) OBAIN'" THE PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Permit Number: EL -12-05 -1229 Invoice Number: EL -12 -05 -23088 Applicant: BENCHY PHILIPPEAUX Company Name: Date 12/15/2005 Permit Receipt Payment Type CheckNum Check 1685 Amount $111.30 Total Payment: $111.30 Thursday, December 15, 2005 Page 1 of 1