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ELECTRICAL PERMIT
MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 4 -1/ 4 2 Time Type Insp'n l 2d t%7 c'Oo2 -/85 Permit No. Name ,g,yrkA Address , /0 4/E 9 ( 74 Company C 05We2 ,/ v Phone # 3& 226 ` 2 �� For Inspector: , 2 Name.& Date Approved ( ❑ `! Correction Re- Insp'n Fee 472//t-e - 7,, ) , rp ,44di h-L914A-6- m,4--4LefcTeay? s cr,c.c/ 'Z jd ?acre /Z 1 aa, -Lr' i , - iy 4 *T' 64cA / ''r' SECTION BY DATE Zoning /01-3—/A/6-' 0 °! , A- / o, Fz- . '3136 /e �L/. Electrical ��� Mechanical Alteration Interior Plumbing Relocation of Structure Fire Shell Only Public Works Add'l Attachment Structural Other Building Official Other CONTRACTOR ��..rrpp Name He fFW4q �`E- - iuc . License No. G re 4900 ,;6? Address /01-3—/A/6-' 0 °! , A- / o, Fz- . '3136 Telepho Fax Qualifier ame , q , aliz, _ / / i6 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair (&I ho f) V Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Page 4 OFFICE USE ONLY CHECKLIST LI OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review REVIEWED AND PREPARED B ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) 5 ( sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (0.01 / sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ 5,Q() ISSUING OFFICIAL ATE: 7 2)?2J' CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 - 2207 • FAX (305) 756 - 8972 • http : / /www.miamishoresvillage.com Step 1. Job Address: Folio Number INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other v Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER Name r Q Address Telephone Business Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. f!( //o ,vE `?l r A s ( Ft- 3039 State Address Apt. City Description of Work I41f441 _ '. Y'S IttYka Zip J Zoning L Square Feet Units Floors Value of Work 0# Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Linear Feet ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer ()Ty. TYI'E Outlet, Appliance QTY. Tv'PE Service Repair QTY. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent Process/Pressure Piping Oven Space Heater (kw) A/C Central 16-20 Ton Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits ✓ Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons QTY. Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/VVin. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. 'TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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 ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of O �i� Print Name Sworn to and subscribed before me this day of i Signature of Notary Public - State of Florida SEAL: Type of Identification Produced: STATE OF FLORID 9ct CO OF + IAMI -DADE ignatur f Contrac or / Qualifier ! / ,� / /{e Print Name S _ to and subscribed before me this l L/ /� PERMIT APPLICATION y ignatur .J ota Pu is - State of Florida �pRY OR SEAL: C m� * , lm ELA P1 nr.0 :, (r C C 7 86697 � P �O OF AWG M!Y cot ? FlC Mt SSl Yg E1fiRrg p; Personally known OR, Produced Identification Personally kno ' -,(} , c Identification Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2002 -222 Printed: 7/10/2002 Applicant: MARIANELA SMITH Owner: SMITH MARIANELA JOB ADDRESS: 1210 NE 91 TERR Contractor HEFFERMAN ELECTRIC INC Local Phone: Parcel # 1132050010500 Permit Status: Ffu .res�l,1v�.�t- !4�...1�.+rn� - �i - _, ����l ci '- ✓iuu:j' +y^5.11_��.�.R_.� —._i! Electrical Permit Contractor's Address: 10551 NE 2 PL Legal Description: 5 53 42 WATERSEDGE g2 1A 6 0oo o 6 5_o 0 Total Fees: $9=00 Total Receipts: $0.00 Approved Permit Expiration: 1/6/2003 Construction Value: $150.00 Work: MICELLANEOUS REPAIRS (MINIMUM) NC & SPRINKLERS WORK FROM A/C INSPACTION (VIOLATION) HEFFERNAN ELECTRIC, INC. 10551 NE 2ND PL. PH. 305 - 757 -8380 MIAMI SHORES, FL 33138 PAY 1 ORDER OF To THE I�t age o� t S� 5-7X- etatof U NORTH MIAMI BRANCH 12411 BISCAYNE BOULEVARD MIAMI, FLORIDA 33181 FOR 111100 LiS8 t » 1 :066009 L 5 51: 35 L0 29 2611 - -- , ,,, -- � , — . ili 5 77. �1i0.7,,747— ∎ ,1_ ' `1_! "' ∎-'>ZR' _ _ _ lQi.e•.L..yl•_. Y - ev DATE / © A. oo/ �ma DOLLARS n Page 1 of 1 PB 9 -141 E15FT LOT 26 ALL LOT 27 & W5FT LOT 28 1889 5 660 1.r Re- inspection Ilication herefor in strict compliance with all cifications that may have been submitted to es or if the plans are changed without sponsibility for a thorough knowledge of the that he assumes responsibility for work done ions pertaining thereto and in strict conformity responisibility for all work done by either FLORIDA unise The Sunshine State MATTHEW THOMAS HEFFE NAN 10551 NE 2 PLACE MIAMI SHORES, FL 33138 -2007 HtS % (0.5.5Ni1 06 M 5 -09 M �o . 05-20-'92 H165 - -558 61-219- 0. „ ... 06 -19 -98 • CLASS: E SAFE DRIVER wVZ" (10 - 7 N 266 -86 -3146' SO292052289. • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 13- 00 Job Address 1Z(Q LIE.. 4I - , , Tax Folio Legal Description " _ c k P:>1 S 3, ;,J a terSa) etc.. Owner/Lessee / Tenant c c, V j e_hc., Master Permit # q 63 9 g Owner's Address 3 N C a ( - -t • Historically Designated: Yes No Phone °\S ci - 1t( Contracting Co. mkt iE - Address 351S Al 141 1 b Qualifier 1 -1 IY Q U SS# Phone(3O5 \ -- l QUI S t a t e # 1 C i Z _ O t Z l 7 d Municipal #30- 111 9 C o m p e t e n c y # 11 3 5 1 Ins. Co. Architect/Engineer A} f Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING (ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - t r a w y - - F L 2 L \ t . ) e s cJ T C ' r 1 k A T -4 `ice Square Ft. / 3� 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 ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. Estimated Cost (value) 0500, OL7 : I certify that all the foregoin inf rmation is accurate and that all work will be done in compliance with all applicable laws regulating g. Furthermore, I authorize th ve -named contractor to do the work stated. as to Owner and/or Condo „.1v1j Commission Expires: _ - _ VIV=VMZS5.0N TZ.P. t - AY "9,222 FEES: P- l;RMIT -X leVRADON C.C.F. 0 �" NOTARY 3 _ 1 4 -W Signature ofdtntractor or Owner-Builder �/_ 36 .32 9' Notary t ontracto My •mmission Expir A) 3-/e._610 )(SEAL s: GLADYS J V1 .AR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. ;20f12 BOND Date APPROVED: Zoning Building Electrical Mechanical Plumbing Structural Engineer TOTAL DUE ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS • UNIT FEE ' ITEM SPACE WATERS UNIT FEE BIDET LIGHT OUTLETS $ /", CENTRAL BEATING DISHWASHER RECEPTACLES M. 7.7 A/C (WIND) DISPOSAL . SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR GRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS `/ ,7/ PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP , 'ERGiOUND• 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 "'- ,�Q HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP t 4 2 , 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 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 SWIMMING POOL OUTLETS CIERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORIERS UTILITY -SEWER • SIGN TIME CLOP( UTILITY -WATER FIXTURES SEPTIC TAO( AUK RELAY r TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. i VIOLATION PUMP & ABANDON SEPTIC TAO( -. REOPECT I ON SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA GRAIN ROOF INLET • SOLAR WATER HEATER . FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING . . PLUMBING ADDENDUM TO BUILDINV PERMIT APPLICATION .(d 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 CONTRACTOR Name // l/ 4:( U, C. c Z e J - License No. GA G . Y� LC Address e3 / L 0 ..s (....1 4 Q 7'k ✓,/ r i - • , /4.-1-,r . (- 3 3 0 ( P Telephone„ d' " G L 6 G J— Fax' o 2J"i - ( !`f La Qualifier Name PROPERTY OWN New Construction Name Os YC A1nAt�ip Enclosure Address 1 1'-`i/° b Into NE M,Art\. 41oveS 1- I 331 Home Telephone 3 06— -- _ 1 4/ Business Telephone 61 _ I Fax 9G - ga cas 3t) TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERNIIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) 7 ( sq.ft. = x/1000 x ¢.60) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ISSUING OFFICIAL ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE G�1 ✓f.�r'lO�1► PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. PERMIT APPLICATION Master Permit No. "� /z 2_0 Z — L (1 1 Subsidiary Permit No. ' map a- l V Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION A--)E q t TerrraGe._ Address Apt. City Zip J 7:04-J 0rt S P State Folio Number Description of Work �7..Z1 E xC 1 .i' ( .:-•S Lot Block cS, (t r 4c, J r s 7` «. Subdivision PB PG Zoning Linear Feet Job Address: Current Use of Property s t .> t t :(/ a. Square Feet Units Floors Proposed Use of Property Value of Work �.5 2 . Bldg Value Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPI', Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance Q'I'V. TN pi.: Service Repair Q'f A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton 5T Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New nIECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. '1'YPI. Generator QTY. 'I'YI'E Refrigeration, Tons ()TN. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. 'fYPI'. Miscellaneous Fixture Q'I'Y. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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 ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing . . tractor. 1 STA TE � � RIDA, Cr1_1' g erso Signature •f O ; in Print Name Y OF AMI -DADE Sworn to and subscribed before me this ( day of / Signature of Notary - State Sign ry SEAL: o'`` v "' , W. Keith Philips, III i t m commission . Cie 829610 A Expires June 14, 2003 r� • dF.� Bonded Thru Personally known Oft,' "teduce lden�ea'liioing Cb', Inc. Type of Identification Produced: PERMIT APPLICATION STATE OF EI.OR2 ") Y OF MIAMI -DADE Signature of Contractor / Qualify r s,A,...) (l C Print Name Sworn to and subscribed before me this C day of ..2..,..., �. Signature of Notary Public - State of Florida "'% W. Keith Phillips, III .fr salt c m Comission # 8C 829610 ' ....4 Expires June 14, 2003 ..�r -� Bonded Th ru 'pia „�••' Atlantic Bondin Co., Inc. Personally known(' / OR, Produced Identification SEAL: 7 Type of Identification Produced: Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: • Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 6/7/2002 Applicant: MARIANELA Owner: SMITH JOB ADDRESS: 1210 NE 91 Contractor COOL BREEZE AIR COND CORP Local Phone: 305 - 226 - 2665 Parcel # 1132050010500 0 Permit Status: Approved Work: 0/0 EXISTING 5 TON SPLIT SYSTEM NC SYSTEM If there is no permit na..4..... - - = -- @1 S r r u , i t Y — = nn_n e r e :. _- • t PAY TO THE ORDER OF BankofAmerica . ACH R/T 083100277 FOR Permit Expiration: 12/4/2002 COOL BREEZE AIR CONDITIONING CORP 305 - 226 -26 13120 S.W. 130TH TER MIAMI, FL 33186 -5895 Electrical Permit Permit Number: EL2002 -189 SMITH MARIANELA TERR Contractor's Address: 13120 SW 130 TERR Legal Description: 5 53 42 WATERSEDGE Construction Value: $50.00 11 -01 DATE . ' A / 000 L L 8 211 1:0 6 30000 4 71: 00344:56 ?6 21 Page 1 of 1 PB 9 -141 E15FT LOT 26 ALL LOT 27 & W5FT LOT 28 1182 63 -4/630 FL 276 DOLLARS 8 S rr Total Fees: Total Receipts: $0.00 te- inspection ,o v ation herefor in strict compliance with all ications that may have been submitted to or if the plans are changed without msibility for a thorough knowledge of the lat he assumes responsibility for work done pertaining thereto and in strict conformity >ponisibility for all work done by either Permit No Amount of Permit $ STATE OP FLORIDA, I 1 COUNTY OP DADS. 3�. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ^ Date ...,2‘ .. 77 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, 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.... 1.O 4) Registered Architect and /or Engineer qq ,, N pp Employing Electrician's Name.... �,L.7 1 i — � 0 • No /1 � Street J 7 r? : Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /2/0 _ • _ /l.1 Ale �! at ��� State work to be performed and purpose of building (By Floors )....�:.�Lr.4'r!{..ri�A4S., S Q -�?! -4 New Building Remodeling 1---**** Addition ! Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing di B.X.L .Metal Moulding (Signed) No /I /C7 N•t Street [./ Electrical Inspector. The undersigned applicant for this building permit does hereby certify 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 with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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, o to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 5...77.0.•! , Master Electrician. 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 $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE•P•T•S FIXTURES NO. LAMPS REPRICE OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP H Fpus, TOTAL CONTR. LIST 8 CHECK 11/r1 360 3,00 61C0 ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. A204 i�� AA mac MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. C„ 1R•F•s R 4^,esg,Ae �. �J� �[ I 1t$ RADIO - TOTAL CONTR. LIST —1.-- 1 11 /1. I CHECK y %•� Z ►O • Permit No Amount of Permit $ STATE OP FLORIDA, I 1 COUNTY OP DADS. 3�. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT ^ Date ...,2‘ .. 77 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oI other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, 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.... 1.O 4) Registered Architect and /or Engineer qq ,, N pp Employing Electrician's Name.... �,L.7 1 i — � 0 • No /1 � Street J 7 r? : Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No /2/0 _ • _ /l.1 Ale �! at ��� State work to be performed and purpose of building (By Floors )....�:.�Lr.4'r!{..ri�A4S., S Q -�?! -4 New Building Remodeling 1---**** Addition ! Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing di B.X.L .Metal Moulding (Signed) No /I /C7 N•t Street [./ Electrical Inspector. The undersigned applicant for this building permit does hereby certify 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 with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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, o to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 5...77.0.•! , Master Electrician. 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. 5 (te 2b � Permit -lob V Applica o lheteby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure hc?rein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:Ida, 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 e. `� ' T No /Z / i0 Street./L-. • 9" /g'e'e Registered Architect and /or Engineer Employing Electriciah's Name - 4L C ' No f S Syy Location and Legal Description Lot Block Street and Number where work is to be performed —No 1. / State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories APPLICATION FOR ELECTRICAL PERMIT , / 2- Service Overhead Site Feeder' 3 °O A Conduit 2 /•'" Main Sw / 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 accepts 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 with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 permit, as are licensed by Miami Shores Village. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 5� '/.- 536 3 (Signe appeared .............................. - Date a Z- Street Street. Subdivision. WN. Main Fuses . ZZ Amps Master Electrician. STATE OF FLORIDA, l I 68. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 / M LIGHT OUTLETS / 1 PLUG RECE'P'T'S / / f FIXTURES NO LAMPS / 9 • REFRIO. OUTLET / IRON OUTLET RANGE OUTLET / RANGE CONN. / WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER N ;GeO Qy EA) TOTAL CONTR. LIST CHECK s ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. Tr5 N b.l4 W 6 t 713 a, 'Ra NLE 1 ,4 9 pO MOTORS 0.1 HP MOTORS 141 HP NEON TRANS. RADIO TOTAL CONTR. LIST / I / / / / CHECK , 5 (te 2b � Permit -lob V Applica o lheteby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure hc?rein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:Ida, 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 e. `� ' T No /Z / i0 Street./L-. • 9" /g'e'e Registered Architect and /or Engineer Employing Electriciah's Name - 4L C ' No f S Syy Location and Legal Description Lot Block Street and Number where work is to be performed —No 1. / State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories APPLICATION FOR ELECTRICAL PERMIT , / 2- Service Overhead Site Feeder' 3 °O A Conduit 2 /•'" Main Sw / 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 accepts 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 with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 permit, as are licensed by Miami Shores Village. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT 5� '/.- 536 3 (Signe appeared .............................. - Date a Z- Street Street. Subdivision. WN. Main Fuses . ZZ Amps Master Electrician. STATE OF FLORIDA, l I 68. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 13m3 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date nay 170-971 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 Clark Sennett No 1210 Registered Architect and /or Engineer Employing Electrician's Name r='i Shores Electric In c. N 10611 NeU. Street 7 Ave. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No same Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Amps Size Feeders Conduit Main Sw Amps Main Fuses Am Underground p P Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permits 11 STATE OF FLORIDA, COUNTY OF DADE. I sa. (Signed) L (Signed) Street .J!AE.e CO. Ele rical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener ws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar com pliance from all cont . . clot: or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec %•n the .ite of the work such pu• c •tice or notices as are required by the Act. The undersigned agrees to employ only such sub-contracto s •j. wor to be performed und .. th' permit, as are licensed by Miami Shores Village. Master Electrician. 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'7'8 FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 15IQ'J CHECK —_ ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST . 5 4.l 5 CHECK Permit No 13m3 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date nay 170-971 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 Clark Sennett No 1210 Registered Architect and /or Engineer Employing Electrician's Name r='i Shores Electric In c. N 10611 NeU. Street 7 Ave. Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No same Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Amps Size Feeders Conduit Main Sw Amps Main Fuses Am Underground p P Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permits 11 STATE OF FLORIDA, COUNTY OF DADE. I sa. (Signed) L (Signed) Street .J!AE.e CO. Ele rical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Gener ws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar com pliance from all cont . . clot: or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspec %•n the .ite of the work such pu• c •tice or notices as are required by the Act. The undersigned agrees to employ only such sub-contracto s •j. wor to be performed und .. th' permit, as are licensed by Miami Shores Village. Master Electrician. 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.