EL-05-201Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/21/2005
Applicant: DANIEL ROUNDS
Owner: ROUNDS DANIEL
JOB ADDRESS: 10610 NE 11 CT
Contractor LYNCO ELECTRICAL CONTRACTING CORPContractor's Address: 1970 NE 147 TERR
Local Phone: 305 - 947 -9878
Parcel # 1122320280410
Fees: Description Amount
FEE2005 -8521 Building Fee $150.00
FEE2005 -8522 CCF $1.20
FEE2005 -8523 Training and Education Fee $0.40
FEE2005 -8524 Technology Fee $3.75
FEE2005 -8525 Scanning Fee $3.00
Total Fees: $158.35
Total Fees: $158.35
Total Receipts: $0.00
1322q
Permit Status: APPROVED Permit Expiration: 12/17/2005 Construction Value: $2,400.00
Work: REPLACE PANEL AND SERVICE
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2005 -201
Page 1 of 1
Legal Description: 32 52 42 MIAMI SHORES ESTATES PB 47 -58 LOT 13 BLK 3 LOT SIZE
JUN 2 3 PAID
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:
Type Insp'n
2 35 0 ?ice
MIAMI SHORES VILLAGE 4
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date (Sekt
Approved
Correction
Re- Insp'n Fee
Permit No. €1- WJ — 10k
`
Name - Ay�Itl ,0043
Address `klkb a 4k l�
Company LM `• 'l L lal
Phone # Ilia
Inspection Date
Ikkket fox 1,tu '1* calf cul�o�
1 riot OY El6tratiA vt ylv p _
Vti (Ca
COI 15 S 4 . • . , Cot go 76 (` itu.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
DatecOtt105
Type Insp n )\?(A
Permit No. C.1-7-005 - 10k
Name TfitYk‘VA RbOlka
Address Wfokti Ik
Approved
Correction
Re-Insp'n Fee
Company LALACD c pejtkati COI(
potkvi
Phone # l ht : 151 L t
Inspection Date 01,
kkid c(01. yl).) Tle(rf _Ca
`Ret, ai 6Y EK1«0 -Yy YOU go
tutAc vbcovir, yal need 72
call - 41) SovittkyAq (cm o Tb pv (
. /follow
r ..
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder) CI NtIrtK i 1)0, 01 -el 0� S Phone # (5 6) 7 c (o L' fl °I
Owner's Address CE3o 0 /Adam S '- # IS
Cit 'v ' S
Tenant/Lessee Name (A/6.-
Job Address (where the work is being done) l Dko10 `{ 11 CT
City Miami Shores Village County Miami -Dade Zip 3313 '
Is Building Historically Designated YES NO X
Contractor's Company Name Ly A/ C o E L. & C-TR l c
Contractor's Address / ? 70 N F /s/? T-c t
City /4/0 0 M / »nt l State Fe—
()muff .T-C IG��'t y �►l ,Cy wAl
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Describe Work:
(Continued on opposite side)
Miami Shores Village
Building Department
f0050 N.E.2nd Avenue, Miami Shores, Florida 33138
- Tel: (305} 95-2204 _Faz: 305 756.89
Permit No. f
state CA
cp, P ico'
�L
i.1 — —
Type of Work: DAddftion DAlteration
- Mast r Permit No.
Plumbing Mechanical Roofing
Zip 9561c
Phone #
Phone# 3cS— 9 — ?eV/
Zip 3 3/ te/
Square Footage Of Work:
ger
D Demolition
rue-
'CV1 ►'�t�pl+�n i ��S V( �n1 �n G� � /(e1' r o c se4 re, Wir:� ,.� be low
Submittal Fee $ Permit Fee $ /'✓ f e CCF $
Notary $ Training/Education Fee $ Technology Fee $ S • �S
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
I 5 . a8
Total Fee Now Due $
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 $250D, 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 Ls 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.
W
Owner or Agent i "1 Contractor
The foregoing instrument was acknowledged before me this /744k The foregoing instrument was aelmowledged before me this .241
day of Taff , 20 J, by 3� * Ti x Ui. f' 1 b e, , day ofS4 NC 20O <by
,
who is personally known to me or who has produced D J 1` I 19e-17 who
CP. 145Q- As ide4fi calio an i who did take an oath_ as identi
NOTARY PUB C i KEVIN JJOHN MCCAIt(j�Y PUB C:
"..* _ Commission • 1402653
`
Sign: i: -- - -:"1 - 1 i. �•,:• �. •,�, - ;.. Sign:
Print: r ® ! !►% tamento CO1i ''t' : � 7aRtb''NNE k Rt uc !�
200� Print
My Commission Expires:
Che 10/14/03
******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
My Commission Expires: 2_21
* * * * * ** writ********,rrPpiaaYf,4rtr rdr *****,tr,Ys4*4e,rrtr****** rr*+warAt,r**** YdafY** **Year ****dnade*A *******skit*,Rfr rrar*f,e*** *,had **Or, ****
(Certificate of Competency Holder)
State Certificate or Registration No. Zre6 Certificate of Competency No.
APPLICATION APPROVED BY:
e —
Plans Examiner
Engineer
Zoning
ITEM
BATH TUB
UNIT
•
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES [
(WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
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
SI-DWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT/3 COMP.
MOTORS OVER 3- 5 If
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 SPRINXLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECT I ONS
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
de
SOAKAGE PIT CU. FT.
el..- g f' fedd crUd'G
1
BASIN
_CATCH
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 APPLICATLON " 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