1184 NE 91 Terr (7)y
3 Z� MD
44J MIAMI SHO ES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date8)lI /05
Type Insp'nI C) I
Permit No. E—O - 1
Name 3r WCCS i-ho rp
Address 1 l 4 e KIE q 1 Tcrr
Company CO r rv '
Phone# (305) 910 -86 65
Inspection Date 8' I Z 1
Approved
Correction
Re- Insp'n Fee
'7 /T mf �f
Paxi eZ �'ea� o f !`� 1� A—
1y6��J 7 t // ' /
Type Insp'n \N
Permit No. EL 2 -()S ..L7
Name
MIAMI SHORES VILLAGft
BUILDING DEPARTMENT e?
305- 795 -2204
Building Inspection Request
Date V2th5
Jts
Address t 64 ME ct ( S�
Company C
Phone # 3o51
Inspection Date
Approved
Correction
Re- Insp'n Fee
lag
t12g105
Inspection Date
Approved
Correction
Re- Insp'n Fee
53
f�MIAM`I'SHORES VILLAGE
CV BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date idle
Type Insp'n F 1 lel al
Permit No. E-10 s- z Z
Name pp 1 hoe �
Address 1 \ �` t "I \ l l � ry
Company f �-o C Pi & Q P -/ k./ V/ J
Phone # ` as - Ulo - 043s
o
Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: EL2005 -262
Printed: 8/9/2005
Applicant: BRENDA WESTHORP
Owner: WESTHORP BRENDA
JOB ADDRESS: 1184 NE 91 TERR
Contractor AAJ ADVANCE ELECTRICAL CORP Contractor's Address: 2035 SW 23RD CT
Local Phone:
Parcel # 1132050010460
Legal Description: 5 53 42 WATERSEDGE PB 9 -141 E45FT OF LOT 22 & W4OFT OF LOT 23
Fees: Description Amount
FEE2005 -10812 Building Fee $292.00
FEE2005 -10813 CCF $5.40
FEE2005 -10814 Training and Education Fee $1.80
FEE2005 -10815 Technology Fee $7.30
FEE2005 -10816 Scanning Fee $3.00
Total Fees: $309.50
Total Fees: $309.50
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 1/25/2006 Construction Value: $8,350.00
Work: ELECTRICAL WORK FOR HOLE HOUSE EXEPT SERVICE AND A/C
Page 1 of 1
AUG 0 9 MO
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:
MEMORANDUM
DATE: August 4, 2005
TO: Mr. Michael A. Devaney, Sr., Chief Electrical Inspector
FROM: Brenda J. Westhorp, P.E.
SUBJECT: Electrical Plans Review for Permit No. EL- 2005 -263
Mr. Devaney, in response to your comments I offer the following:
• Riser Diagram and Load Calculations were provided under a separate permit for
this project. This permit is for interior remodeling portion only.
• Location of the service has been added to the drawings
• Circuits have been labeled. Panel B is the emergency panel
• D/W receptacle has been moved to adjacent cabinet
• Bathroom receptacles will be on 20 amp w/ GFI protection. Drawings changed to
reflect this.
• Additional receptacles have been added to ensure that no point along wall will be
more than 6 feet from a receptacle.
If you need additional information, do not hesitate to call me at (305) 798 -7113.
Miami Shores Village
Building Department
ELECTRICAL CRITIQUE SHEET
Alt wei - . 'r P S ken 4P /1 / ®,oil cAevicv/e7 G
Q A'' / i e
2.64e- ePpf
I Ai/ e ,¢ /n ei,/n'
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o� a-P f'Amre7.Pa
Ai& IL &,may ' L L Aic
i?oc , t77 - ,4cIo -
5 e 7 i vi
3/
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No.
Job Name 'ij7 4,92
e-,.4113i, poi ‘e)47 % / r
Miami Shores Village
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address k `QA ki t ci t
City M
e&'– A∎ (- j iraf-, State V .-- e_.—
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name
— 12Apiae
NO
dreiff
�r , vs„.,4 Ce e'CGL { . -Phone #
Contractor's Address 2-0 3 5 -C
City /1((trrrq State s
Qualifier
4i1
State Certificate or Registration No. EIZ. ' C / i
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: EAddition
e Work:
Code Enforcement $
Submittal Fee $ Permit Fee $
Total Fee Now Due $
(Continued on opposite side)
301.5D
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
['Alter: tion
Electrical-) Plumbing Mechanical Roofing
1
County Miami -Dade
o
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Notary $ _ Training /Education Fee $ I - 80
Scanning $ 3. 00 Radon $ Zoning
1
Permit NoFJ
Master Permit No.
RE EhrrED
JUL 7 o 2005
Phone - ) 9 -4-1-S
STS
Zip 7
Phone #
Zip 3 3/ 7-5
Certificate of Competency No. Cf EO &O Z 53
Phone #
Square Footage Of Work:
Zip
345 7196 c 4c35
De cri
• N ew , • / RepairiRe.lace ❑ Demoli ion
xisN L S�r
/ i�r�el � �lrce
I 1ccfricaI r i n 4-e r or ,c.lel i r�
?2 Od CCF $ —' . 40 CO/CC
Technology Fee $ 7 . 30
Bond $
Structural Plan Review. $
PEP.-4i IT
1`7
Bonding Company's Name (if applicable)
Bonding Company's Address i �!
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 app ;oy ed and a reinspection fee will be charged.
Signature
Owner or Ag6nt
The foregoing instrument was acknowledged before me this 2 +h
day of O L`( , 2005 , by B REA-IDA W E.St'14O ,
who is personally known to me or who has produced
As ide cation and who did take an oath.
e ( "
UBLIC:
NOTAR
Sign:
Print: ZORG
O 1 1 ,
VCR
k.1E
APPLICATION APPROVED BY:
chc 05/13/03
NOTARY PUBLIC - STATE OF FLO ATARY PUBL
e
Commission # DD421879
2009
Bonded Thru Atlantic Bonding Co., Inc.
Signature
day of
who is personally kno
My Commission Expires:
* * * * * * * * * * ** * * *t ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
The foregoing instrument was acknowledged before e this
ES L , ci
,20,
Contractor
n to me or o has produced
dentification and who did take an oath.
I '
tivr
mission E . '.
ires:
* * * * * * * * * **
Sign.
Print:
My Co
* * * * * * * * * * * * * * **
�4 Tans Examiner
Engineer
Zoning
PLUMBING
ADDEN9UM 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.)
LECTRICAL MECHANIC4
--_
L2 8
/V I✓ 'l
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
a7
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
�
CENTRAL HEATING
DISHWASHER
/
RECEPTACLES
/;��
A/C (WARD)
DISPOSAL
/
SERVICE TEMPORARY
T
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN •
SERVICE REPAIR/METER CHANGE
REFRIGERATION
/
GREASE TRAP
APPLIANCE OUTLETS
/6
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP ,,,
UNDERGROUND TANKS
LAVATORY
OVEN 4
/
ABOVE GROUND 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 FP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY 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
SWIf4ING 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 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
ADDEN9UM 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.)
LECTRICAL MECHANIC4
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO .1? PO - 101 a- TAX FOLIO NO. I, - 3 a os- col • O'I LO
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.
111111111111111111111111111111111111111111111
CFN 2005R0797870
DR Bk 23627 P9 1951► UUP9)
RECORDED 08/0112005 11:11 :43
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST F'AGE
1. Legal description of property and street/address: 1 t 89- IQ. E • 1 k
Ifon sttb(t S . z e
2. Description of improvement: e-- c-U , k--` `LQ- Bt- )
v...I , Mate • ✓'
er(s) name and address:
t 1 =4 A-)4c °l1
Interest in property: 1 1 1 S i _ ��— . .?/ 3 r
Name and address of fee simple titleholder: €-- fC
Contractor's name and address: ( L Q✓ 1 �:✓ I � � "� 1 1 4 & 44:
�� (3 6
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address: d\
Amount of bond $
6. Lender's name and address:
s' /
9. Expiration date of this Notice of Commencement: (the expiration
Notary Public
Print Notary's Na
My commission
123.01 -52 PAGE 4 8102
, - J',QG /n/ A A.
pires: / / -.2 20c,
N/ A
{
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
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:
date is 1 year from the date of recording unless a
differ t date is spe ' ' d)
i
Signature of Owner
Print Owner's Name NE R S
Sworn to and subscribed before'me this 4/ day of /4/6c/ S i , 200 S.
iA 5 ORGINA A IGLESIAS
_Notary Public - Stale of F
Commission # DD234708
01A41. ` Bonded By National Notary Assn.
Prepared by h f 6 EL V f \-& DPk S
Address:
IA
os o IJ' am o P
et c•-• 5 ' c_ES F�-
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AO Elf tna tti11s n 2 ‘ ° O
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S ALES
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date-
Type Insp'n
Permit No. ,
Name
/
Address if., �-
Approved
Correction
Re- Insp'n Fee
=4
Company r � la)I I
Phone #
Inspection Date e. C iv ->
❑ icy ✓ cif e °,,S
P Aw% „. mTi � ���
art0 %t
MIAMI SHORES VILLAGE Ye
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date —7 fi z
Type Insp'n P I E 1 El Er, / " "Y4
Permit No. E 10 S 1 1
Name UJ 'zy har i f .
Address 1 1174 Nu GI - enr .
Company Co rrr)er Ekc.
Phone # $Z Z-Ce,G1, 5 .
Inspection Date 7 IS
Approved L'Y
Correction
Re- Insp'n Fee ❑
3 a's ,. - 'Reg s
9
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/7/2005
Applicant: BRENDA
Owner: WESTHORP
JOB ADDRESS: 1184 NE 91
Contractor CARMEN ELECTRIC INC
Local Phone:
Parcel # 1132050010460
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2005 -171
WESTHORP
BRENDA
TERR
Contractor's Address:
Legal Description: 5 53 42 WATERSEDGE
Page 1 of 1
-44-
Permit Status: APPROVED Permit Expiration: 11/21/2005 Construction Value: $5,380.00
Work: SERVICE AIREAL TO UNDERGROUND. CONNECTION REPLACEMENT OF EXSISTING PANEL. INSTALLATION OF ONE a/c
PB 9 -141 E45FT OF LOT 22 & W4OFT OF LOT 23
Fees:
FEE2005 -7423
FEE2005 -7424
FEE2005 -7425
FEE2005 -7426
FEE2005 -7427
FEE2005 -7433
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Submittal Fee
Total Fees:
Amount
$225.00
$3.60
$1.20
$5.63
$3.00
($50.00)
$188.43
Total Fees: $188.43
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:
DRIP LOOP
ITJ BE 10'
(ar1_a (MIN)
2' ADOVE 12r10F
1
; 200A
METER
tud,‘
•
E' 7orawc;
tun ¢114
e - PLI$1U
au-1 p114
Ft1ITS11ED GRAPE
•1••••
L
•
t ^vc SLIM
MAIN CB
PANEL
1
WO' MN 11FJ'T11
' 4 —
J
101.01 14
SUB CB
* PANE".
TA
PER
k :NL• N
Conductor stir
S.F.11.C,
• Conduit stze
Conduit type- h •
Thru r Y E5
.__: HO .� f
(;round wlrc .;•ter;
4505 ,2(B)
Expires: Apr 07, 2008
!oF BOd t mu
Atiaio� .. by.
•
HAIN. DIS YONNECT
Ra'bnp /90- AripS
Mute �D 2 Amps
Sub Bre QIcer-s roL At1po
SUB FEEDER
New X ExISUnO
TypQ_.f .dl- 4a-
Size
Bond tee. ‘y
INSIDE PANEL
Rating jek)., 'A,rigs
Mond Buss '1'e _tdcl
• L oc4't u , _ A
\z/ 1- D
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building /n Electrica) Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) /GC/ .. WeSThOPP Phone # 3°1- '- 7 cr
Owner's Address 1/ 8`f imp Q( ,
City �� ,,� � _ 1y I State F(G- Zip
Tenant/Lessee Name WA
Job Address (where the work is being done) "lc( 41 et t'2rvt,
City _ Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO X
Contractor's Company Name di2// ,u ��C �2 (_ .J (/C, Phone # 2Os 2 a -qa (- 4 r
Contractor's Address / o cq C . ((Q ST .
Cit ( -I (Aban_k4 State R& , Zip 3361-2_
Qualifier 00742 "1.0$g-!es
State Certificate or Registration No. 000 .97 DS
Architect /Engineer's Name (if applicable)
$ Value of Work For this Permit 45..YO
.„
Type of Work:
['Addition
Alteration
Describe Work: S',Qft r t.tt t;
4 -
Submittal F,eg $ 5G
Notary $
Code Enforcement $
Total Fee Now Due $
CO
(Continued on opposite side)
10050 N.E.
Tel: ( 0
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * ** * * * * * * * * * **
Permit Fee $
Training /Education Fee $
Miami Shores Village
Building Department
❑New
, ZO
Structural Plan Review. $
lorida 33138
.8972
aster Permit No.
Phone # (/jig
Certificate of Competency No. / 067s
Phone #
Square Footage Of Work:
Repair /Replace
CCF $
Permit No Lo S — ( 1 f
CO /C
❑ Demolition
Technology Fee $ 3 .,2:73;
Scanning $ b Radon $ Zoning 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Sign: _
Print: (�,2t.ce
chc 05/13/03
NOTARY PUBLIC:
My Commission Expires:
APPLICATION APPROVED B
„ :
� �
� Gt'isel Rosales
Signa
Owner or Age! Contract
The foregoing instrument was acknowledged before me this ) #4 The foregoing instrument was acknowledged before me this
MI day of /'1 Cc�J , 20 )$ , by G�4t N/ , day of 2'A Ms , 20 O{ by dm o liZ c.:s.A.e ,
who is personal o me or who has produced who is Personally knownIto me or who has produced
As identification and who did take an oath.
as identification and who did take an oath.
NOTARY PUBLIC
Sign: , t ” ►ui'o�
Kin #DD308110
Print: � rr i � dtit
Bond Tt ni
My Commission Exp ' ",,,, " Atlantic Bonding Co., Inc.
Commission #DD377796
Expires: JAN. 01, 2009
* * * * * * *, * * * * * * * * * * * * * * * *tb $2I'tltttii'`.kt'tetregtenthigto pity * *** * * * * * *** * * * * * * * * * * * * ** * * * **
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Plans Examiner
Engineer
Zoning
CARAEX IIcctric, Inc.
W s a 1 WC01op P
M►AMi Shorzes, F(GL..
E'led L l2e.4
SC',oPe or u)o214._
"Remove ex,/ - tmig Ai &eh C Sc /t
F,,eri W £X /.st /i(ls / %1QAG ✓ lQ A/,
T l2 � �t�✓� 4A Go / ,o 4
� s,SN P B OmA/L P- osAks
OWE Fo c :? 4 QM �,; ' .: _ : ,
L. �. � 'o• . �� . �a
ELECTRICAL CONTRACTORS
a 3 v �S CA' ■,be.,,&
- -., Isabel Medina
Commission#DD308110
Expires Apr 07, 2008
Bonded Thru
a AtlanticBO�ing
���`` Co., It�c.
j —)5JAQ
ue�
1689 W. 40 STREET
HIALEAH, FLORIDA 33012
Phone: (305) 822 -6665
vid�,W - W 200A/vA /04 Q� L O Uluvo •
Q o NVo • ;P e ief o /f //y // /5 •
444 e O.7 , �' iy w a. (od Ai
cleo Mar Pm.11 'to ,rwiP
' I •
- - - • •
, SULAL',. •• LI ; . .t.
STATE ANu RI
ITEM
BATH TLE
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS 1
1
CENTRAL HEATING
DISHWASHER
1
RECEPTACLES
A/C (WIND)
DIAL
SERVICE TEMPORARY 1
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPSACI04016
1
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/kETER CHANGE
1
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 If
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 If
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEMS
IRINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
1
1 MOTORS OVER 100 HP
I VIOLATION
INDIRECT WASTES
1
I A/C WINDOW
( REINSPECTION
WATER SUPPLY TO:
1
1 AIR CONDITIONERS
&
1
I
A/C UNIT
1
1 STRIP HEATER
1
1
( 1
FIRE SPRINKLER
1
1 GENERATORS TRANSFORMERS
1
I
I
I
1
HEATER -NEW INST.
1
i GENERATORS TRANSFORMERS
HEATER - REPLACE
(
1 GENERATORS TRANSFORMERS
1
(
I
!
LAWN SPRINKLER -WELL
I
SPECIAL PURPOSE
I
I
I I
SWIMMING POOL
1
I OUTLETS COM+,ERCIAL
1
I
1
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
.SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
1
1
RELAY
TELEVISION CUTLETS
DRAINFIELD, -' TILE/RES.
VIOLATION
PUMP L ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
D I SOiARGE WELL
I
DOMESTIC WELL
1
1
1
AREA DRAIN
ROOF I HLE
SOLA WATEK HEATE =,
FIRE STAMIPIPE
I
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, re OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
POO_ PIPING
GAS RAN :;
)ENE SE (
GAS °jPlh
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
LAWN SPRINKLER SYSTEM
—Notice of Commencement must be filed if the job valuation of $ 2,500.00 and/or more In labor and material.
Please file at 22 NW 1st Street, 1st Floor, Miami, Florida (305) 275 - 1155
Permit Number: Tax Folio Number: 1/3 i5 //k /f y "0
County of Dade
The undersigned hereby gives notice that improvements will be made to certain real property, and In accordance with
Chapter 713, Florida Statute, the following information is provided In this Notice of Commencement.
State of Florida
Legal description of proper nd street address:
Description of improvement:
/;4-Ji ont e 5P
Owner(s) name and addres : riq
103 ,J6• of /
Interest in property: R�3 j #077
Name and address of fee simple titleholder: ' is.C alai, L /
Contractor's name and address: �41e i4 f' � /
/et? Gc) �10 b f ,4V G cAa e/a,
/Surety: (Payment bond required by owner from contractor If any)
ST E OF FLORIDA, COUNTY OF
Name and address: I r. AL ; FY that Ohs rs a _
xi 4111,®I/ rt firoviimw
Amount of Bond: $ .NITNE • S � han: a 4r fTC1al . e
Lender's name and address:
Persons with the State of Florida designed by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statute:
Name and address:
In addition to himself/herself, Owner designates the following permit(s) to receive a copy of a Llenor's Notice as provided in
- Section 713.13(1)(b), Florida Statute:
Name and address:
Expiration date of Notice of Commencement: (the expirations date is one (1) year from the date of recording unless a
differ/ date •eci .d) � — o
Sworn to and subscribed before me this p' '"6
day of , 200e
_ j Personalt#Known, or
Produced Identification
Oath taken
Print Owner's Name:
NOTICE OF COMMENCEMEII ST K P 23408
Oath not taken
(Signature of Owner)
Prepared by:
Address: /' o° '7
/✓f
Notary Public:
Print Notary's Name:
Commission Expires:
/ e›. Ft/5
C4.) 4 5 7
PG 265
• . ,.. • 1.11 r. 1
ORIDA
Grisel Kosales
commission #DD377796
Expires: JAN. 01, 2009
Bonded Thru Adantic Bonding Co., Inc.
l
/
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE•P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H EAT.
CONN.
H ACE
STRIP
HEATER
TOTAL
CONTR.
LIST
!�(
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
M OTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/
% �Je4
(/C/
/
/
CHECK
Permit No
z4-3
Service Overhead Size Feeders..: !'
Underground
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date � a
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Owner's Name and Address /! ° G 5 4 C- /l(l
Registered Architect and /or Engineer �
Employing Electrician's Name C" Z r�� ._..4° 5 +1 ^ No... ' 0
Location and Legal Description Lot
Street and Number where work is to be performed —No
No //
Block
L to G State work to be performed And purpose of building (By Floors)
C
3 a 'New Building Remodeling
Addition G —
Conduit...r. ........Main Sw
Type of Installation — Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ / — (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts .is obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of ` orida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or s •-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site •f the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Repairs
Street /VA F/ 74
Subdivision
Street /KA" f/
No. of Stories
Amps Main Fuses Amps
r Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No
I LCI `3
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Street and Number where work is to be performed —No
66.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
O . 8 C /7 /i• /7 No //
Registered Architect and /or Engineer
Employing Electrician's Name.... .\ _�J..:1 :!`)....;.1.._. r
Location and Legal Description Lot Block Subdivision • /' `' Street.....l.Y < a / , f 'T ! //
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep . his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of orida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or su contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed
licensed by Miami Shores Village.
(Signed)
No ....ti? �o J
Date/ ` ^ /
Street /
Street
under this
permit, as are
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
/
/
A/
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
I LCI `3
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Street and Number where work is to be performed —No
66.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
O . 8 C /7 /i• /7 No //
Registered Architect and /or Engineer
Employing Electrician's Name.... .\ _�J..:1 :!`)....;.1.._. r
Location and Legal Description Lot Block Subdivision • /' `' Street.....l.Y < a / , f 'T ! //
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Amount of Permit $ (Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accep . his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of orida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or su contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed
licensed by Miami Shores Village.
(Signed)
No ....ti? �o J
Date/ ` ^ /
Street /
Street
under this
permit, as are
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE 19 '
PERMIT 248 contractor
❑ License No. •
0
❑ Work to be performed under this Permit
Owner of
Building y F
Architect
Contractor
or Builder
Legal Lot
Description B1
Address of
Building t �-� ,
Subdi-
vision
Value of I Amount of
Project $ if Permit $
7
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility or a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stateme is or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. t �' it
Signed ` ' , -, BY•
INSPECTOR /
In consideration of the issuance to me of this permit I agree to perform the work cov ed hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specificati submitted to the proper authorities of Miami,Ahoreg Village. In ac-
cepting this permit I assume responsibility for all work done by either myself, my ttgpfit, eep ,r t or employee.
.. -- ' •CJ� -- rI � - i ' - � - �_ - �' �'�.; . , - • °_ _ -1 •'f- ci'[.'�
CONTRACTOR OR BUILDER ,-� BY L(THORITY ABBOT PRINT
BUILDING ❑
DATE 1 ( =1
ELECTRICAL ° P PERMIT M I T U Contractor's ., r
PLUMBING ❑ N. 9 6 4 3 Contracto
License No •.';' 4 s 4
ROOFING ❑
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
it
MIAMI SHORES VILLAGE. FLORIDA
CONTRACTOR OR BUILDER
Bl.
•
Signed: i-"•
Subdi-
vision
BY
Sq. Ft
Value of
'Project $
Amt. of
Permit
$
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specificationv and that he assumes responsibility for work
done by his agents, servants or employees. r
BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered llCreunder 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, servant or employee.
t.
AUTHORITY
(Signed)
Building Inspector
Chairman
Mlcrnber
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- im.'prction fee of 51.00 will be charged
materials and /or workmanship.
MIAMI SHORES VILLAGE 5 --9 -4/
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement or me plans and specifications herewith submitted for the build
inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date.. 1/20/86
Owner's Name and Address .......... ].S�lley...GI11�1S.t.ein....... ..
— No.... .84...__. s treet _N E 91 Terr
Registered Architect and /or Engineer...... , ,,,, ,,,,,,,,,,,,, „ ,,,r,,.,.,.,,. _., .....
7500 N W 25 Sty t
Name and address of licensed contractor _. ....
Location and legal description oofIot 4+1
k uilt,pp:
Lot 23 W 5' of W Block ....2 J Subdivision Wat r.SAi)gg — .EU_.__9./14. // si ”- / eVe° /
1184 N E 91 Terr
Streetand Number where work is to be done _ _..,.. _..._._.. __...._.._..... ___.._..__....._._.._._._...._
State work to be done and purpose of building (by floors) Cexz .ral--- A1r•- •- Gozadeaso-r._ :e4-. ae ff t_a.- C
_..__ and for no other purpose.
Ncw Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
q
Estimate Total cost of improvements $ ' Q o Amount of Permit S...l" i (�
s
Zone cubage required Plan Cubage
Distance .to next nearest building. Size of Building Lot
Maximum live load to be borne by floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby crrtify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
perrnit, as are licensed by Miami Shores Village.
Remarks... (Signed
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated egqtr��ue. ...
Permit No. 4 7 ti 4� Date. �. Read, Sworn to and Subscribed before me.
Disapproved r - .. \... / Date.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
S. -
to me well known,
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by Improper notice for inspection or faulty