EL-06-609Issue Date: 3/13/2006
Owner's Name: SALLY RODRIGUEZ
Permit Type: Electrical - Residential
Work Classification: Addition /Alteration
Job Address: 9406 9 Avenue NE
Additional Information
Miami Shores Village, FL 33138-
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 04/16/2006
Contractor(s) Phone Primary Contractor
PRIME ELECTRICAL CONTRACTOF 305 - 693 - 6800 Yes
Comments:
LOW VOLTAGE 3 CABLE TV AND 4 PHONE OUTLETS
Type of Work:
Classification: Residential
Additional Info:
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: EL -3 -06 -609
Phone: (305)757 -1060
1132060020030
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 1,000.00
Required Inspections
Alteration
Underground Rough
WW
Service Change
Meter Box
Fire Alarm
Relocation
Final
Fees Due
CCF
Education Surcharge
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$100.00
$3.00
$2.50
$106.30
Invoice Number
EL -3-06 -24116
To IriAR 21 PAID
4* I7acf
Amt Due
$106.30
Amt Paid
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
9�1
Aregaga
, -7 4r -1 j) 14 j Q. Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder) 7, i &&e' 4 Rb DJ2 / it e!2. Phone #
Owner's Address z A , 9' t
City /74? Sf , S State fir 9
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 9 C thJ
City Miami Shores Village County . Miami -Dade
is Building Historically Designated YES NO
Contra ctor's Company Name
State Certificate or Registration No. j (' j
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit 0aertr®
Total Fee Now Due $
(Continued on opposite side)
imams snores v liiage
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Contractor's Address /60 9 A./a,/ - 795t:
Ci ly i' �'GJ,4h State 7L ®RiOp,
Qualifier 114 (..Z( P n � c� ►■1 lam,
Code Enforcement $ Structural Plan Review. $
Permit No.
aster Permit No. ZPpc- / / 37
Plumbing Mechanical Roofing
'7"- 2f? -- /0
Zip
Phone #
Square Footage Of Work:
****** , ,i * * *,r * * * * * ** * * ** * * * **, Fees *** *,* * ** * * ** * ** ** * **
Submittal Fee $ Permit Fee $ / P e , 4'I,
Notary $ Training/Education Fee $
Scanning $ Radon $ Zoning
Zip
Phone # `3cf 692 - R p
Zip - f 2 41
1
Certificate of Competency No.2,63 91 04 2 2_
Type of Work: ❑Addition ['Alteration ['New
El Repair/RepIace ❑Demolition
Describe Work: L'-u) P 3 C f4- - 7 - 4/ €74- 7 f 065 >G.g
*
CCF $ CO /CC
Technology Fee $
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature •
Owner or Agent Contracts
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 _, by , day of , 20 by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC: � 'eu' s ees �, , t , Sienese
. ?v: DD329 'i
Sign: Sign: 0 � _= %;:.• s . g � n S10II
15, 200'$
Print: Print: %`' � dir Utz
�'s;� F` 4 pv•
`% � °'NOTAMY.COM
a,�i%
My Commission Expires: My Commission Expires:
APPLICATION APPROVED BY
Chc 05/13/03
4
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *,* ,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ans Examiner
Engineer
Zoning