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ELECTRICALDate ?\�1310 � Type Insp'n f7/W 1 ' /-ed Permit No. Fl O T " D ( 6 Name Address ./ _,y Company /4 C �� r)N Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 A Building Inspection Request \� AA, ke, PAA^5,_ ti c y Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/6/2005 Applicant: Owner: JOB ADDRESS: 170 NE 96 Contractor MOODY ELECTRIC INC Local Phone: (305)758 - 2000 Parcel # 1132060132630 Work: ST Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2004 -289 Contractor's Address: 669 NW 90 ST Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1 TO 3 INC BLK 20 Fees: FEE2004 -10469 FEE2004 -10470 FEE2004 -10471 F EE2004 -10472 FEE2004 -10473 FEE2005 -4419 FEE2005 -4423 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Building Fee Building Fee Total Fees: Amount $100.00 $1.20 $5.00 $0.40 $2.50 $75.00 $25.00 $209.10 Total Fees: $209.10 Total Receipts: $209.10 Permit Status: APPROVED Permit Expiration: 9/24/2005 Construction Value: $1,500.00 ELECTRICAL REPAIRS AND TAKE OUT STRIP NEAR VILLAGE CAFE REST AND NEW WIRE EMERGENCY LIGHTS - M TER �9 Signed: (INSPECTOR) 1l ,Y ',g fi 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 Ll 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. BY: Page 1 of 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date _31. . Type Insp'n -i no 1 Ul (U Permit No. &I 0 I A Name Address 110 I" rl 3 YI/T Compan t J I ) 1i.Q 0c4 Phone # Inspection Date ?))3 1 Approved ❑ Correction LI $/1`r.o'i ®! Re- Insp'n Fee rr7 �5 A® �i- -y - eQ r' 7-61- day` A o® fy s r°' 13 - el 5 e .6 2 81c5 re w74 hip Tt31 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Buildin Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES State Certificate or Registration No. $ Value of Work For this Per Type of Work: ['Addition Describe Work: Notary $ Training /Ed tion Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ - :ontinued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (3,0,5)/ Z'W7 [Alteration I Permit No. CUOV aster Permit No. toy lumbing Mechanical Roofing Q lJ G Owner's Name (Fee Simple Titleho er) �►�_ �u • - �N Phone # � .5-318qi.P Owner's Address 1 E �� / /1 .S7 Cit .S , I u 1L C State -F(._ Zip 3 1 3 8 Tenant/Lessee Name _/ 'lO GQC/- Phone # County Miami -Dade NO Contractor's Company Name Contractor's Address (� f /j,� 9,a City " G/ � ,1 /� State /Zf� Qualifier . /(J � r Architect /Engineer's Nanie (if applicable) ❑New Submittal Fee $ Per Fee $ /2G /L° Zoning Structural PI n Review. $ Phone # ** * * * * * * * ** * F ees * * * * * * ** * * * * * * * * * * * * * * * * * * ** Zip Certificate of Competency No. Phone # Square Footage Of Work: ❑ Repair /Replace CF $ Zip 5 753 �000 C /CC ❑ Demolition Technology Fee $ Bond $ 73 _ /- , 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 commencement must be posted at the job site for the first inspec on which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will nfjy.)�roved and a rein • section fee will be charged. Signature L/ `f Sig The fo day A uk Sig • sonally known to m or sN identific by # 4 0 NOTARY OFF 'Os who NO OTARY Print: My Commission E ng instrument wa ires: Owner or Ag 't ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED B Chc 05/13/03 xi g acknowledged before me this has produced d who did take an path. H. Gpriell g mi 3 UBLl Expires Atlantic Bonding Co., t o Print: 41 11 11 C' / , Contractor The foregoing instrument was acknowledged before me this 3 day of Ne /L- , 20( , b �f ,9?VD / who is personally known to me or who has produced / My Commissio as identification and who did take an oath. "..:::114:**c*n - t e of Florida o' es "m aai n t ! t I lt�noh�a W la ry Assn. *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * � ✓� /'� y f Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin g Inspection Request Date d / 7 ! cDro Q�7 Type Insp'n T I l e 1 r1 Pr o5 y t s Permit No. T 4 Z:1 'Fit 0)1 Name cCd 1 C] e �-?X � c Address Zr LE 9j Sr Ko Pe , P0 L)) icc13 Phone # (4E6 ) 2 Inspection Date d ` ' / Company Approved Correction Re- Insp'n Fee Z MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 r , � 5', Building Inspection Re . uest V Date 3 Type Insp Permit No. Correction Re- Insp'n Fee Name Gunge, 1QVt1dli Address 2.50 ME °l 5 t Company KccU)II la Paurkttavel Phone # l g6 - 211 / 5 q t Inspection Date a lb t 105 -1/ ZZ ki41/(410 ITEM BATH TUB UNIT FEE IT ■••' UNIT FEE ITEM SPACE HEATERS UNIT FEE SWITCH OUTLETS BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER 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 FP STEAM BOILERS SHOWER MJTCRS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 Ff FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTCRS OVER 100 If VIOLATION INDIRECT WASTES - • A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS 1 LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIM,IING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK • UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4 TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT DJ. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE I METER SET (GAS) ! �� GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION F'R BUILDING PERMIT MUST ACC•-' THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, TH • 'OWNER'S NOTARIZED SIGNAL - NEED O BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRIC MECHANICAL Applicant: Owner: JOB ADDRESS: 170 NE Contractor HEFFERNAN ELECTRIC INC Local Phone: 305 - 757 -8380 Parcel # 1132060132950 • Signed: (INSPECTOR) Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -289 Printed: 10/25/2004 ST Contractor's Address: 10551 NE 2 PL Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 6 & 7 BLK 22 LOT SIZE 100.000 Fees: Description Amount FEE2004 -10469 Building Fee $100.00 FEE2004 -10470 CCF $1.20 FEE2004 -10471 Notary Fee $5.00 FEE2004 -10472 Training and Education Fee $0.40 FEE2004 -10473 Technology Fee $2.50 Total Fees: $109.10 Permit Status: APPROVED Permit Expiration: 4/11/2005 Construction Value: $1,500.00 Work: ELECTRICAL REPAIRS AND TAKE OUT STRIP NEAR VILLAGE CAFE REST. Total Fees: $109.10 Total Receipts: $0.00 I) V J °C128P 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: Pt BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractorf Address City 1r! Qualifier $ Value of Work For this Permit Describe Work: Submittal Fee Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ tz �Z,rw l (Continued on opposite side) Training/Education Fee $ Radon $ 1 L)q' `` Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Address City State Zip Tenant/Lessee Name Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) j/� ��c �. ���)� hone # � /1 State vc-f) Master Permit No. Phone # Permit / fir ,.)6 4St' Counly Miami -Dade Zip NO fi C °C) 3eq c ( Phone # Zip 3.3(3 ¢ State Certificate or Registration No. £C( 3 CePt i ') Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: EAddition ❑Alteration ❑New ❑1 Reepair/Replace CI Demolition (4/ 11< C fte-fbes ‹c / `i`r --c --ter 5 xxere vi z, (Aft /CC '7 * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ Al) ePe m U CCF $ / 1 `�� CO /CC � 0 r u Technology Fee $ 3 . (Z, Zoning --- Bond $ ''— Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Naine (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 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. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by 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: **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/0 State Zip Signature NOTARY A l o Bo ►a _Attic Bonding Inc. ommtsst expires: The foregoing instrument was acknowledged before me this 3�� day of dt , 20 Oby e i) 7. EZ t who is personally known to me or o has produc D L si and who did take an oath. Finny - * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ans Examiner Engineer Zoning ITEM BATH 11E UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES lb A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER 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 TEhFORARY 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 TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMt,ERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING PLUMBING 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.) ELECTRICAL MECHANICAL p1 6Y- 3/ Lf ,U-o 1- Fwe4 -Ced LA3 gov PA-126,i a\aes /5/3 0 76041 - is sa PA-5 4.11 bfte„„ p Ck. ed 1 / 1 - 11AO Z,efradtr- NI4\ 05 R���, Pd • 02/28/2005 11:00 FAX 3057546260 IMBURGIA, LOUIS S IMBURGIA CONST SERVICES I 595 NE 92ND STREET MIAMI SHORES FL 313 8 . T .t L am' n ... ,... , URGIA . ON3T SERVICES zINC T 17 5' '`EA '# ,E ;NES T;ANE .. .TP w 10 3 MIAMI TAKES •FL 32014 JUDY OCONNOR CPA PA STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 DETACH HERE ; tamecJi a "5W , ss} '• IFI ED: }. P t5N l sI.a a 6f Chap Expiration date.. 31, 2006 . , STATE OF`F ORIDA DEFARTI OFa„BUg7;NES a�ANDr,PROFESS REGULATION 0 $ T R U" C ,TXON��I NO I$TRY LICENSING BOARD SEQ404oa100358' Ia2CENSE NBR . �, ir;N. .a ;4' 0(40:1 8' .8 CGCO11601 ",9' '• -T fe GENE L C ONT CT 0 co O WE Q004/004 487 - 1395 STATE OFFLORIDA PEPAktTMANT O , PROFS ST DIANE CARR SECRETARY AC #1531177 BU$I3,TE CTOR YC ._.,. fin.- "yc'r ZS CERTIFIED' uacl r' thoi•yrovisiona of Ch. 4 89 rs. spiration data: AUG $00 , L04081003584 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date \a (7 Type Insp'n gAVI / e/-e _f - Permit No. 09- - Oa/ Name Address �[ � '40 �6 5t Company ! T e ! e /V Phone # Inspection Date Approved Correction Re- Insp'n Fee 400)W'i` ! ker / Alt-e 2 ti r Gam,, � .� 0 5 <,6 t Y f /U/, f• r