EL-05-243Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: EL2005 -243
Printed: 7/19/2005
Applicant: ROBERT & ALLISON LUDICKE
Owner: LUDICKE ROBERT & ALLISON
JOB ADDRESS: 9999 NE 13 AVE
Contractor ADT SECURITY SERVICES INC
Local Phone: 305 - 628 -7434
Parcel # 1132050090460
Contractor's Address: 7747 NW 48 ST 160
Legal Description: EARLETON SHORES PB 43 -80 LOT 1 BLK 4 LOT SIZE 93.020 X 150
Fees: Description Amount
FEE2005 -9874 Building Fee $100.00
FEE2005 -9875 CCF $1.20
FEE2005 -9876 Training and Education Fee $0.40
FEE2005 -9877 Technology Fee $2.50
FEE2005 -9878 Scanning Fee $3.00
Total Fees: $107.10
Total Fees: $107.10
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 1/14/2006 Construction Value: $1,371.35
Work: BURGLAR ALARM
Page 1 of 1
'JUL 21 ion
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:
ZOSS
MIAMI SHORES VILLAGE 4416 /0S
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date C
LO 05 •
Type Insp'n 1 %v tt C�v jL()..'( 11 @#`O
Permit No. L ZOOS 241
Name 4‘SOln LU(,l (,Ldi
Address ` ( kR C t N V 13 KA,
Company � SGCW SQ,,1t) Ck
Phone #S f 1 - 1( . 5t `t
Inspection Date 0 1' 70.005
Approved
Correction ❑ MY-deg
Re -Insp' n Fee ❑
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address
City State }�
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Total Fee Now Due $ 107 - ID
(Continued on opposite side)
ami Shores Village
Buil. • ,
10050 N.E.2nd Aven
Zip 3.3/3 a
Phone #
Permit No:--�- 2
Permit No
Plumbing Mechanical Roofing
c kokE Phone #
County Miami -Dade Zip
NO
hone if ( 9103/_3 , 7
Contractor's Company Name
Contractor's Address ' 71v-7 -- )7 ) 'f _ 7 ,/ , --76d
City /Z /..../..zee.-.: State Zip 3/ C
Qualifier
State Certificate or Registration No. C 1�` -6d6 ,// ff V Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 443 _ `/r Square Footage Of Work:
Type of Work: ['Addition ❑Alteration ❑ Repair/Replace ❑ Demolition
Describe Work:
(7 :ga&ee
* * * * * * * * * * * ** * ** * * * * * ** Fees* * * * * ** * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /#,O, ® CCF $ ( - -1C) CO /CC —
Notary $ '"---' Training/Education Fee $ • 4c, Technology Fee $ Z • S
Scanning $ 3 ' Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
NOTARY/ UBLIC:
APPLICATION APPROVED BY:
Chc 05/13/03
State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
who is personally known to me or who has produced
* * * * * * **
**************** * * * * * * * * * * * ** * * * * * * * * * ** * * * * * ** ************************* * *** * ****** * * ** * ** * * *** ** * * * * **
Plans Examiner
Engineer
Zoning
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 o ment must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is he a. Bence .f such posted notice, the
inspection will not be approved and a reinspects lee will be charged.
Owner or Agent (._ tractor
The foregoing instrtunent was acknowledged before me this I if The foregoing instmme t was acknowledged before me
i,oi,iiiiiiiiii, day of / 2040 r by
who is personally known to me or who has pr, 9. Cot 1/1 ",, , ,
As identification wrap! takt*Mit
• • . as identification and who did take an oath.
-. ;yt PUBLIC:
Sign: �, s • #0D171615 • Sign:
Print: CeSa A Print:
My Commission Expires: �` My Co y Commiallan 0D434335
kL
******************************* Yert�t******* it�Yl �ek�k�k�k�r9e�t�k�t�t�es4�k�tf@ �cic�k�kiefeie�t #Arie�kat�Yi�***Bc�Y � Y* *
X4414
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (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
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 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
SWI)J1ING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TAN(
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4" TILE/RES.
VIOLATION
PULP & 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 PIPINS
ADDENDUM 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.)
PLUMBING
ELECTRICAL
MECHANICAL