EL-05-264Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/3/2005
Electrical Permit
Applicant: CHARTER SCHOOL
Owner: CHARTER SCHOOL
JOB ADDRESS: 11301 N.W. 5 AVE
Contractor SECURITY MASTERS INC
Local Phone: 305- 893 -7766
Parcel # PARC2004 -27 11213600000aiegaI Description:
Permit Number: EL2005 -264
Contractor's Address: 1125 NE 125 ST
Fees: Description Amount
FEE2005 -10559 Building Fee $596.00
FEE2005 -10560 CCF $12.00
FEE2005 -10561 Credit Bond Fund ($596.00)
Total Fees: $12.00
Total Fees: $12.00
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 1/28/2006 Construction Value: $19,884.00
Work: ALARM FOR CHARTER SCHOOL
Page 1 of 1
AUG 0 3 PAID
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:
(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
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WINO)
DISPOSAL
SERVICE TEWORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR GRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTER
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE (ROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 FP
_
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 I-P
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEWORARY WATER CLOSET
MOTORS OVER 10- 25 FP
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
SWIMdING 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
GRAINFIELD, 4" TILE/RES.
VIOLATION
NW & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
f3,9, Garda A141 S
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
(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
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
Permit Type (circle): Buil
Owner's Name (Fee Simple Titleholder)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Owner's Address ' f ON t 'F 6i
Citi t i'State
Tenant/Lessee Name
Plumbing Mechanical Roofing
..1 _ : tot 1 Phone # -L
Zip ' d ' '7
Cam F3 - - n66
Phone #
Job Address (where the work is being done) 1 `3t9 k &.1 . t
City Miami Shores Village
Is Building Historically Designated YES NOS
Contractor's Company Name S
Contractor's Address t t Z S e s 12S
City . - 1 State
Qualifier u 'z . ADGl$
State Certificate or Registration No. E 6 C)C3 f to
$ Value of Work For this Permit 1 C l 0
Describe Work:
Total Fee Now Due $
(Continued on opposite side)
County Miami -Dade Zip (305 98 1— 0770
Permit No. IQS — Z
f
Master Permit No. ?
Phone # ao' g9
Zip ' 3 - 7 (
Certificate of Competency No.
REdEOVED
AUG 0 1 2805
o. 2
I+C�v i
Type of Work: ❑Addition DAlteration ew ` ❑ Repair/Replace ❑ Demolition
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
****************************F
Submittal Fee $ Permit Fee $ CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
a �
Bonding Company's Nane''(ifapplicable)
Bonding Company's Address
City State Zip
r
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
The foregoing ins before me this The foregoing
day of , 1 by , day of
who is personally kno to - • who has prod ced who is personall
As ntification and who si d take an oath.
My Commission Expires:
Contracto
strument was ackno ledged be •re me this
20
own to me r who has produc
ide cation and who did e an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Comm Sion Expires:
APPLICATION APPROVED BY- / / ! 1
chc 05/13/03
********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
.40:f ° ns
i Plans Examiner
Engineer
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 8 /01 /05 Job Address 11301 NW 5th Ave . Tax Folio
LegalDescription MIDDLE & HIGH SCHOOL
Owner/Lessee /Tenant DOCTORS CHARTER SCHOOL OF MIA SHORES Master Fermit # BP 2004-766
Owner's Address BARRY UNIVERSITY 11300 NE 2nd Ave. Phone 305 899 -3336
Contracting Co. 50 STATE SECURITY Address 1125 NE 125th S t .
Q RONALD ADAMS
State # EG 0000104 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION ALARM SYSTEM INSTALLATION
FEES: PERMIT
APPROVED:
Zoning
Mechanical
ayooeaoo�_ Mabel-V:74as
Corn nssion D231984
Expires: n 2007
.;Atsiai.�,.•
Atlantic Bonding Co., Inc.
RADON C.C.F.
Building
Historically Designated: Yes No X
SS#
305 893 -7766
RONALD ADAMS 8/01/05
-Builder Date
Notaz*s t rContractor or Owner Builder
My Commission E
BOND
TOTAL DUE
Plumbing Structural Engineer