EL-05-164Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/1/2005
Applicant: CARTER SAXON
Owner: SAXON CARTER
JOB ADDRESS: 9941 NE 4 AVENUE RD
Contractor WALKER ELECTRICAL CONTRACTORS Contractor's Address: 2071 SW 70 AVE
Local Phone: 954- 577 -0700
Parcel # 1132060171260
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2005 -164
Permit Status: APPROVED Permit Expiration: 11/15/2005 Construction Value: $2,800.00
Work: INSTALLATION OF 40 KW GENERATOR AND ATS (OWNER PROVIDED) MASTER PL2005 -154
Page 1 of 1
Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 7 & 8 & E1/2 OF LOT 9 BLK
Fees: Description Amount
FEE2005 -6828 CCF $1.80
FEE2005 -6829 Training and Education Fee $0.60
FEE2005 -6831 Scanning Fee $3.00
FEE2005 -6832 Submittal Fee ($50.00)
FEE2005 -7082 Building Fee $100.00
FEE2005 -7083 Technology Fee $2.50
Total Fees: $57.90
Total Fees: $57.90
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:
Project: <NONE>
Inspection Date: 03/02/2006
Inspector: Devaney, Michael
Owner: SAXON, GLORIA
Job Address: 9941 4 AVENUE Road NE
Miami Shores Village, FL 33138 -2304
Contractor: WALKER ELECTRICAL CONTRACTORS, INC
Building Department Comments
Wednesday, March 1, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Phone Number
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Electric
Parcel Number 1132060171260
Lot:
Phone: 954 - 577 -0700
Page 2 of 2
Passed
Inspector Comments
tr,r /4
7 , ,�
eP�
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Project: <NONE>
Inspection Date: 03/02/2006
Inspector: Devaney, Michael
Owner: SAXON, GLORIA
Job Address: 9941 4 AVENUE Road NE
Miami Shores Village, FL 33138 -2304
Contractor: WALKER ELECTRICAL CONTRACTORS, INC
Building Department Comments
Wednesday, March 1, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Phone Number
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: Electric
Parcel Number 1132060171260
Lot:
Phone: 954 - 577 -0700
Page 2 of 2
v
Existing Existing
Panel "A"
Disconnect
175A
1 of 2
NEMA 3R
To Panel "A"
Wiliam A. Walker / Qualifier
EC 13001215
Panel "B"
Disconnect
17SA
2
NEMA 3R
(3) 2/0 in 2"
NEW
ATS
200A
NEMA 3R
(3) 2/O in 2"
Existing
Panel "B"
200A
NEMA 3R
(3) 2/0 in 2"
NEW
Disconnect
175A
NEMA 3R
(3) 2/0 in 2"
Project: Carter Saxon Residence
Address: 9941 N.E. 4th Avenue Rd.
Miami Shores, FL
NEW
GENERATOR
40 KW
I PANEL B
TYPE: ITE or EQUAL
MAIN: MLO
MOUNTING: FLUSH
BUSS RATING: 200A
CIRCUITS: 42
VO LTAGE: 1201240
DESCRIPTION
WIRE
CON
LOAD
TRIP/POLE
TRIP/POLE
LOAD
CON
WIRE
DESCRIPTION
AHU-1
#6
exist
9.5kw
60/1
1
2
40/2
7kw
exist
#8
, ACCU -1
"
0
"
..
—
3
4
-
"
"
"
A/C-2
68
"
7kw
40/2
5
6
50/2
8kw
"
68
A/C-3
"
"
"
—
—
7
8
-
-
"
"
"
Refridgerator 61
612
"
1.2kw
20/1
9
10
20/1
1.2kw
612
Refldgerator 62
Freezer
612
"
1.2kw
_
20/1
11
_
12
20/1
1.2kw
"
#12
Wine Cooler
GDO
612
"
.7kw
20/1
13
14
20/1
1.4kw
"
612
Dishwasher
Shutters
612
"
.6kw
20/1
15
16
20/1
1.6kw
#12
Microwave
Ltng 1 Outlets
614
*
15/1
17
18
15/1
•
°
614
Ltng / Outlets
Ltng / Outlets
614
*
15/1
19
20
15/1
*
°
#14
Ltng / Outlets
Ltng / Outlets
614
"
*
15/1
21
22
15/1
•
"
614
Ltng 1 Outlets
Ling / Outlets
#14
*
15/1
23
24
15/1
•
"
#14
Ltng /.Outlets
Ltng / Outlets
614
"
•
15/1
25
26
15/1
* ,
"
#14
Ling / Outlets
Ltng / Outlets
614
"
*
15/1
27
28
15/1
"
614
Ltng / Outlets
• Ltng / Outlets
614
"
*
15/1
29
30
15/1
*
•
#14
Ltng / Outlets
Ltng / Outlets
614
"
*
15/1
31
32
15/1
*
#14
Ltng / Outlets
Ltng / Outlets
614
"
•
15/1
33
34
16/1
*
"
#14
Ltng / Outlets
Ltng / Outlets
#14
*
15/1
35
36
15/1
•
"
#14
Ltng / Outlets
Ltng / Outlets
614
"
*
15/1
37
38
15/1
•
"
614
Ltng / Outlets
Ltng / Outlets
614
"
*
15/1
39
40
15/1
*
°
#14
Ltng / Outlets
Ltng / Outlets
614
"
•
15/1
41
42
15/1
*
"
614
Ltng / Outlets
TOTAL 3.7 kw
*GENERAL LTNG 1800 SF x 3 watts/sq ft
TOTAL KW LOAD (Without HVAC)
AHU / HEAT Q 100%
FIRST 10.0 kw 100%
REMAINDER (§) 40%
TOTAL COMPUTED LOAD
William A. Walker / Qualifier
EC 13001215
24.5 kw
10.0 kw
1.9 kw
36.4 kw
5.4 kw
9.1 kw
TOTAL. 14.8 kw
TOTAL 5.4 kw
ELECTRICAL SERVICE CALCULATION (NEC 220 -30)
TOTAL kw x 1000w 1 240 = 152 AMPS
PROVIDE 175 AMP SERVICE
(3) 2/0 CU & (1) 56 CU IN 2" CONDUIT
art@ SPA? P.7r:_
;T;1iE f••f'�(1
Miami Shores Village
Building Department
ELECTRICAL CRITIQUE SHEET
6 1- 1 411-/1- c -
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Per -mat No.4- �
Job Name SI2X4P.4
BUILDING
PERMIT APPLICA
FBC 2001
Permit Type (circ
Owner's Name (F a Simple Phone #
Owner's Address? (3941 NE Li ( ,fie_
Cit m iQ(n Shore State Fl
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 99 (- 1 1 IMO 41 Ihje_., R oa d
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name GOcvoL?[ 1. C- i ear 0,0 , Phone # lam 5d7- 0100
Contractor's Address 50q1 tea
Cit a State Ft • Zip / y
Qualifier V Di\ \\ Q l cooktor
State Certificate or Registration No. ,7 10- 1� Certificate of Competency No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: ['Addition
Describe Work:
R " 10050 N.E.2nd Avenue, iami Shores, Florida 33138
Tel: 30 - -� j Fax: (305) 756.8972
Total Fee Now Due $
(Continued on opposite side)
47,
Miami Shores Village
Building Department
44,9oo
DAlteration
Structural Plan Review. $
Permit No. & — 0S /0
Master Permit No. 7) L
Plumbing Mechanical Roofmg
Zip
Phone #
Square Footage Of Work:
❑New ❑ Repair/Replace ❑ Demolition
Lf<r ftovidric0
15
* ****** * * ** *** ** ** *** * * * ** s ******** * *,t *4, �e ak * *ak �r �r *fir �®
} l J , � /
Submittal Fe a $ v '' Permit Fee $ $ & CO /CC
Notary $ Training/Education Fee $ 0, L'° Technology Fee $ . erS
Scanning $ Radon $ Zoning Bond $
Code Enforcement $
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature Signature
er or Agent
The foregoing i' en acknowledged before me this The foregoing in
day of , 20 .,r , day of
who is personally known t. me or who has produced who is p or who has produced
entification and who did take an oath. 'den ' cation and who did take an oath.
NOTARY PU e — ice NOTARY P
Sign:
Print:
My Commission Expires: My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
APPLICATION APPROVED BY:
Chc 05/13/03
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** . * * * * * * * * * * * * * * **
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
It i Plans Examiner
Engineer
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Jf7 9A5 • J Address i /YE 41 "' .al - Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant C44 54x 0 #./ Master Permit #
Owner's Address 9 9 `f/ ART. /9 ✓c- . /��, Phone
Contractin Co. G --/C EUC?/1,ZC4 4 adrit4CToz5 Address 5 `f I S. 574 4 /2c/ 7 �j
A/
Qualifier 41=t.c efrt 4 '.4 . K SS# Phone Cgs 5177- O i O
State # (t /300 / Z is Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING cLECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 2 a$- 4 /6-44 d i2 - % eiv GGilc/c4i- an/ 4T5. ( ;: : ;7)
Square Ft. Estimated Cost (value) Z 8o0
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 AN 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 RLECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with ali applicable laws regulating
construction and zoning. Furth ore, I authorize the above -named contractor to do the work stated.
Notary as to Owner and/or
My Commission Expires:
FEES: PERMIT RADON C.C.F.
Signature of Contractor or Owner- Builder
an
No as to Contractor
My Commission E
NOTARY
4).17-41'" SWAM oU t
atY i:r kkd't;i 10^, # G 275203
Fe av 1, 2008
/lt� T�Q.•` back,! :';�dt� ,:�! ' r.: UnderwoRer s
BOND
TOTAL DUE
%57 / 9) .- 3—
Da
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
(ANN 2?2ZIC. -t^:c FOR BUILDING !E SIT MUST ACCObeANT T IS A-DE1MM. Z A EAST .3 PST FAS 3-
OBTAINED , t= O�NL'S NOTAa_7Z SEG t BE P.P_.S."NT ON Sv3SEQU AZ:MIC::TONS
ITEM
BATH TL8
810ET
8ISfiWASHER
0ISfP0SAL
DR FO NTAIN
FLOM DRAIN
GREASE TRAP
INT
LAVATORY
wa
CLOTHES WASHER
SKINER
TRAY
SINK, POT/3 CLAP.
SINK, RES1DEC
SINK. SLOP
TSPORARY WATER CLOSET
URINAL
WATER CLOSET
Ulm IRECT WASTES
WATER SLPPLY TO:
DATER -NET INST.
RELAY
A/C UNIT
F IRE SPRINGER
DATER- RE'LAM
LAWN SPR1MQE - ELL
SW I IN I NG PM.
WATER SEW IM
SEWER COMIELT ICKS
UT IL ITY-SE1ER
UT IL ITY- WATEUI
SEPTIC TANK
ORA 4' TIL IRES.
PU11 & ABAICON Sc' rT1C TALE
SOAKAGE NT CU. FT.
CAGY 8ASIN
01SMARM TELL
OMESTIC WELL
AREA GRAIN
R OF MEET
SOUR WATER HEATER
F IRE STAN P IPE
POOL PIPING
LATIN SPRINU1R SYSTEM
GAS RA1'L,E
1IETEA SET (GAS)
GAS P IP I}G
D �
PLUMBING
. P NOUM TO BUILDING PERMIT APPLICATION
UNIT I rct
CTc'T1
SWITLM WTLEiS
LICVT CUTLETS
RECEPTACLES
SERVIcE TEPfRARY
SERVICE SIZE IN AFS
SERV ICE REPAIRAM. 0WWIM
APPL MICE CUTLETS
RANGE TOP
OVE�I
WATER HEATER
IGTOR.S O- 1 HP
10TCRS OVER 1- 3 If
IOTORS OVER 3- 5 If
%CTCRS OVER 5- 8 FP
11/(TCRS OVER 8- 10 FP
IIOTCRS OVER 10- 25 If
1OTCRS OVER 15-100 FP
1OTCRS OVER 100 If
A/C WIICON
AIR C0 OIT1Q
STRIP HEATER
CatUrtit)mvaisFavas 46 kw
GENERATORS TRANSPOSERS
GENERATORS TRANMERS
SPECIAL PURPOSE
CUTLETS COIAICIAL
SIGN TUBES
SIGN TRANSRRISS
SIGN T11E =CO
FIXTLRES
ANTEMIA
TELEVISION WR.E
VIOLATION
RE INSPECTION
A
/47.5
ELECTRICAL
UNIT
{
1
FEE IT81
SPAa FWERS
{
MURAL MUM
A/C (VNO)
A/C raTRAL)
CBOT 1
REFRIS:IATION
FROCESS 110 PRESS PIPING
1008131200 WKS
ABOVE MOO TANKS
U.F. PRESSLRE VESSELS
STEAK BOILERS
HIT !ATER BOILERS
MECHANICAL
11ECIA11I01. VBTILATION
TRAISCRTRE ASS801IES
ELEYATi1RS/ESCYATERS
MOLDS MSS
VIOLATION
1 REINSP5CT10N
FIRE SPRINKLER SYSIEIS
UNIT
FEE.
zatiDb2656 STATE OF FLORIDA
DEPARTMENT S CONTRACTORS R LICENSI N G BOARD SEQ L0408Z401138
BATCH NUMBER
)8/24/2004 040175794 EC13001215
The ELECTRICAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2006
WALKER, WILLIAM ALLEN
WALKER ELECTRICAL CONTRACTORS INC
2071 SW 70TH AVENUE
DAVIE FL 33317
JEB BUSH
GOVERNOR
•
U
4
z
iY
r'PA =,a FROM 181 •2511
LICENSE NBR
DISPLAY AS REQUIRED BY LAW
L'o 4:4 •.1 4 ' c+: n °q 1'•:tr•.r.F i LF riz i a, G -oa, s. d C.i 1 :411U t x;t:a
14R 1:411 (Y 4CCUPA110114i 1i1 ^l o: tf.Y AVel..1
1'0141 3,2b1411 t ft 1 200S
CORM tro.
+0l4:::at::9" l
- RE.1•41W/bi. Ia Il"RAP4:FER size a....._ I -._1.0.1
�[ ] tvkW t ATE [313iltdt .'3 OPii Nhl)
• 51rAlt: tilt Ca7441 1:1103 X 1 .r....f
• blut:leacs t>3c.aY•x. 044 •
5041 S Si - RD - 7 415
DAUIf_ 33314
8(5144f. is PiIIj3E : ('354)587 - 011)1)
99t;0fik.?:sl.way ∎A.x70 tn c 1 }ii;tt�a+! iy]utluiLar.s,ir,•mev >xt
or o;r •1..ar�e to t--r>i 1 tt .J * O tvaf 9 :t•I.x01.41. rnt ffr.r G1
e.
• a W b! 34^rA:iiluil? f5 mkt 2'341 U.44 .1.
• `Lune Jt AK`Y'i>t
•
• 4:4 sa. s
lftd:rrii Co.:* i2E%iYaKt G'I to
- 115 &A.:4:44 a >••ai ekvv r'.4at t,urttr ekn:.:4
1 '� f 3xbn:ki. !'3. SilQl
PAID .IU114104- 1209916.0001
•
004 a 2005
PIN ii.: if'PAO
rAX _ _ »� / . f,'' i) i ti r.. leA 110V IS%
dhl:hfAX - 'iJ C.- 10 %�• Asultcec. 3 1 • f6Y.
I Y_.Nxi IV -2, i 0 . ... '111,1i TUX colecti , +e fee rd .p a 1.26 CO
TX:. 141: . 414:c41 M Cttxl g Lion c.e :t I',4
av'.l. AYNTififdl3Cp . 3
41:111 f -R r•I_ECTRICAL i4314114UOts
1i%N
i[!i.i Ilit1 A iiALi<[•.il
5041 S STA if. RD 1
DAVIE H.
r, F'f. OF :.Ei :t:N:iF. ?..X PAIL.)
MASCO El.F :cl:t1CIA4
10 11NltS
f7•VM!.. ° :1 Fief 1:r0 iN4i .A1.Rr'.i r.11 a>i aiSiRfjN.) W.t:Y.4iir4A*1T' WY
9 . /0
DIANE CARR
SECRETARY
G AY 415
33314
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. Nvnfullnslwvumv
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,.EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
8R
A
• D
•
GENERAL
X
TYPE OF INSURANCE
LIABILITY
COMMERCIAL GEPERAL LIABILITY
POLICYNU6BER
GL00018953
PO s- E E
05/20/2005
P • ti E .■ • N
05/20/2006
LMTS
( EAcHaximaxm
$ 1,000,00
$ 300 Q
MWEXP (Anyone Person)
$ 10 00 ,
■ CLAIMS MADE X OCCUR
PERSONAL 8 ADV INJURY
$ 1,000, 00
X
$500 PD Deductible
GENERAL AGGREGATE
$ 2,000,00
$ 2,000 00
GEM. AGGREGATE LIMIT APPLES PER
PRODUCTS - COMPIOP AGG
POLICY X Et . LOC
AUTOMOBILE
.
UIBILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
IiIREO AUTOS
NON -O\ ED AUTOS
COMBINED S N LE LIMIT
(Ea =idol
$
BODILY INJURY
(Per person)
8
BODILY NJURY
(Per accident)
$
■
PROPERTY DAMAGE
(Per acadant)
(Perac
$
GARAGE
■
LIABILITY
ANY AUTO
I
AUTO ONLY- EA ACCDENT
$
OTMER THAN EA ACC
$
AUTO ONLY. AGG
$
EXCESSIU BRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAMS MADE
DEDUCTIBLE
RETENTION $
$
$
$
WORKERS
EMPLOYER,LIABILRY
CFFICCERRMEMSEREXCLUDED?
r m�rss
SPEC
dearnte
IAL FROVE
COMPENSATION AND
ClJfl /E
Untler
CA'1S below
i TORYUMITS I I ER
E EACH ACCIDENT
$
E.L.D$EASE- EAEMPLOYEE
$
EL DISEASE - POLM:f LIMIT
$
I OTHER
I
I
DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT ! SPECIAL PROVISIONS
.e: 5/19/2005 Times 11,00 AM To Walker Electrical Contractors, W 1.954
ACORt CERTIFICATE OF LIABILITY INSURANCE
PRODUCER (561)994 -9994
The Beacon Group, Inc.
6001 Broken SouAd Pkwy.,N.W.
Suite 500
Boca Raton,`FL 33487 -2730
MAW Walker Electrical Contractors, Inc.
5041 South State Road 7
Davie, FL 33314
VERAGES
CERTIFICATE HOLDER
Miami Shores Village
10051 NE 2nd Ave.
Miami Shores, FL 33138
ACORD 25 (2001108)
FAX (561)997 - 7087
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. TH15 CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURERA FCCI Commercial Ins Co 03499
INSURER B
INSURER C.
INSURER D
INSURER E
587-0070 561-997 Pages 002-00
DUE (MMJDOlY►YY)
05/19/2005
NAIC *1
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES a$ CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURE t WILL ENDEAVORTG MAIL
1Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Robert D. Lopker /C24
i
D0863D7
® ACORD CORPORATION 1888
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: 9141 E . 414t
Ima n*tr rc) rt.
4. Contractor's name and address:R
nbLI -1 ') t � t P � f d '1 I /1 r. T 1Of
5. Surety: (Payment bond required by owner from contract F,Li
r
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices o
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
Signature of Ownr
Print Owner's Name
Sworn to and subsc bed before me this 90 day of
Notary Public
Print Notary's ame
My commission expire::
Sat) voneg
1(HIH 11HI IIIII IHII11N111IH 11111 IIII HP.
CFN 200!R053e e965
OR Bk 23405 F's 4952; tips
RECORDED 05/24/2005 14:43:22
HARVEY RUVIi' !r CLERK OF COURT
MIAMI -DADE COUNTYr FLORIDA
LAST PAGE
2. Description of improvement: In
1 40 Vu,) gjeh-eirui -nr.
3. Owner(s) name and address: ( N E LI -h CCU( e. r )C'
99 4{ a f
A��nue Kcl. rn,am.( �ho�C�. �1 � 1,5?
Interest in property:
Name and address of fee simple titleholder.
L .; my hand and
i�VEY RUVIN, CLEMMI
��— -
Oct
4 OF D \DE
01
RTlFN ifl3i rs a yiuktiuf rhe
f`
(rce
an k d_v or
c:
I ° aI,
u and County Courts
,20.
her documents may be served as
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differ at specif ' d)
Prepared by 5(4
Address: 5.- LL( _Ed /
�a� e, rt 30014/
Z2
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
1
Dat - -
Type Insp'n $O UJ rafuoi
Permit No. r KA5 ° L i
Name C(Qh\
Address cq I NE- 4 RCAQ . Rd
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
1 NOV 1 0 2005
MIAMI SH VILLAGE
45
BUILDING DEPARTMEN 154
305 - 795 -2204
Building Inspection Request
Date 11 f S I cts /?
Type Insp'n
Permit No. — 14 4—
NameCA�T 1 Sk X o 1J
Address (19 41 r`.-1' 4 P-,]>_
CompanyLt_Z4 L_ 1 .
Phone # S,3 7 — (DC)
Inspection Date
Approved
Correction
Re- Insp'n Fee
❑ 7�e'i mss°
�'� �,Z S £ 7 / e
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/25/2005
Applicant: CARTER SAXON
Owner: SAXON CARTER
JOB ADDRESS: 9941 NE 4 AVENUE RD
Parcel # 1132060171260
Plumbing Permit
Permit Number: PL2005 -154
Contractor TECO PEOPLES GAS SYSTEM Contractor's Address: 1218 NE 101 ST
Local Phone: 957 -3857 X7383
Legal Description: MIAMI SHORES SEC 4 AMD PB 15 - 14 LOT 7 & 8 & E1/2 OF LOT 9 BLK
Fees: Description Amount
FEE2005 -6635 Building Fee $150.00
FEE2005 -6636 CCF $0.60
FEE2005 -6637 Training and Education Fee $0.20
FEE2005 -6638 Technology Fee $3.75
FEE2005 -6639 Scanning Fee $3.00
Total Fees: $157.55
Total Fees: $157.55
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/13/2005 Construction Value: $600.00
Work: NEW NATURAL GAS 1/2 PLASTIC FROM GAS MAIN IN REAR ALLEY
Page 1 of 1
d
1 / 44q° 1
Signed: (INSPECTOR)
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:
BUILDING
PERMIT APPLICATIO
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address '59y/ x9 g
City /Z/ Aeh, . n / ®/ es , State
Job Address (where the work is being done)
City Miami Shores V
Is Building Historically Designated YES
/7 Rp94- A/77
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 a: • . 15) 756.8972
Tenant/Lessee Name Phone #
99V/ /ie. q 0E
County Miami -Dade
NO
Contractor's Company Name ° iec9 '/247/&J .6s_ Phone #
Contractor's Address /---S Gtr , 4 i E' / - 0
Cit • Al' - e�C,ieb» • State
Qualifier j`�. rt's' , (J &4 t
Permit No. PO— I s
Master Permit No.
Electrical Plumbing Mechanical Roofmg
/�
C:..",91e7P & V ,2 - Phone # r �051 � 7 ?D 5
Zip
Zip
5(6 P Sq ,009
to9 1 S
Zip
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 6, 616. Square Footage Of Work:
Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace
ID Demolition
Describe Work:
4 917 (Y ,f / 64S . � �' f( R4 s1 e AEG r� O rs , -Pd/6
*************************** 7 * * ** * * *** * * ** * * ** ** * * * ** * ** *,*
Submittal Feke $ Permit Fee $ J4 . ma V y CCF $ ® CO /CC
Notary "-ms Training/Education Fee $ Oi �✓ Technology Fee $ ,r 75
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 _, by day of , 2
who is personally known to me or who has . %duc d i ; 1 who is personally kn
As identificatio an w' o di a k . oath.
NOTARY PUBLIC: 11) ` lb NOTARY PUBLIC
Sign: Sign:
Print: Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * *
Chc 05/13/03
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
*
entifi
Contractor
The foregoing instrument was ackn• 1e.':;ed before me this
, by
me or
My Commission Expires:
has produced
and who did take an oath.
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
**************** * * * * * * * * * * * * * * * * * * * * * * * * * * *..., * ** ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: a 1, 5 0 6- Plans Examiner
,
Engineer
Zoning
Date < h gbd Job Address • 'L . /1/ A " Tax Folio / ° 3 2 6 jx — 01°7 I 245
LegalDesaiption ' 01 7$ 8 I$ /cam 4G
Owners / Tenant (A tXON
Owner's Address
Contracting Co. (, ' r7-0
Qualifier st \12-6A WV\ SS#
State # F Municipal #
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION k B IOI7 1Vi�P�� 4 f 2 pliwt-t, ? Kai
hv Atiel
Square Ft __„---,
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 AN 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 Fr PCTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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 constructio .. and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Notary as to
My Commissi
d/o Condo President
5
d/or Condo President
xpires:
FEES: PERMIT RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE)
°l q It( it /lit f
\9r-'
Oc
APPROVED:
Zoning Building
Meamiical Plumbing
C.C.F.
Historically Designated: Yes
Date Notary as
= My Commission
LUIS MONTERO
Notary - State o Florida
My Common Expires Jan27, 2003
Commission 0 DD084905
a °• Bonded By National Notary Assn.
Estimated Cost (value) 66«!1
Competency # / 68
Address
NOTARY
Master Permit #
Phone 3J" 7Jr9 ?SCSS
Address /5779 ev 0 I)0 H_to -plc ' {
- Phone
r\
Signature of Contractor or Offer- Builder
Ins. Co. Tee)
Electrical
LUIS MONTERO
Notary Public - State of Florida
My Commission Erpires Jan 21, 2005
°
Commission D13064905
pi, Bonded By National Notary Assn.
BOND
511A(06
Date
TOTAL DUE
•
CONSRUCTION NOTES:
ATLAS:
23
SCALE:
NTS
DRAWN BY:
LM
E.O.P.
E.O.P.
NEW 1/2" PE
SERVICE
a
N. R/W
ALLEY
S. R/W
1. 412 GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES GAS STANDARDS.
2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE
APPRORIATE GOVERNMENTAL AGENCY.
3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR
CONDITION, UNLESS OTHERWISE SPECIFIED.
NE 4TH -AVENUE RD
9'
TIE IN TO
GAS MAIN.
PAVERS
(BORE)
SWALE 4'
2" CS GAS MAIN
SWALE 4'
NEW 1/2" PLASTIC GAS SERVICE.
9941 NE 4TH AVENUE RD. MIAMI SHORES FL
(9941)
PROPOSED
RISER
CONCRETE PATIO
48 HOURS BEFORE DIGGING
CALL SUNSHINE 1- 800 - 432 -4770
DATE:
5/10 /05
SHEET:
1/1
JO:
E.O.P.
E.O.P.