ELECTRICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 02 - / - 9f3 Job Address /y..1 NE 9/„jr -*Y E Tax Folio 1/ - 3,Z 0 - bi.3 - 333
Legal Description Lo7,1 20 s,2/ , .144'.Zl.° PL5oO, P 70 Historically Designated: Yes No X
Owner/Lessee / Tenant CNv t(f L 9 , /''(e.i . Master Permit # AJ //9 92
Owner's Address /' 4/6 9 /.i' J7 r ktimro &h'4 " Phone (.3os) 1.S9 -.S6 4.3
Contracting Co. .L3EA/IJE c2EC'7 7f/C '0 /e- (1 Address 6900 4L /& 1'' Coal , A • ^ve ,
Qualifier ,.. , 6 -'• 4 4 4 - 5 SS# , Phone (0.5) 7.59 - /66,5
state # 00006 z 5 Municipal #.3e) - 0227/ 9,5 Competency # 0000/32.3.3 Ins. Co. oI
Architect/Engineer it // Address ,( VA-
Bondinng Company A/ /n Address /l //3
Mortgagor Ar ///9 Address /1
Permit Type (circle one): BUILDING ECTRICAI�. PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 4 I'9 E/' y /CF 72) 20 0A -A4 PJ,
Square Ft. iC� //
e5,2 J/98
•
No Owner and/or Condo President ate
M Commission Expir -
Estimated Cost (value) f ,mo 0. 0
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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
l aws regulating construction and • :. Furthermore, I authorize the above -named contractor to do the work stated.
ature of owner • 'd/or Condo President
as to_Contr
M Commission Expires:
r7 / /6 98
Da
4 198
Date
JOHN M. FARQUHAR
Notary Public - See R Ida
My Commission Explr6a Mar 27. 20C3
Commsssion • CC 643346
FEES: PERMIT $ s RADON C.C.F. l NOTARY BOND
TOTAL DUE
36.
APPROVED:
Zoning Building Electrical 16/ '�� ' Cy j9
Mechanical Plumbing Engineering
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
0
CENTRAL HEATING
DISHWASHER
RECEPTACLES
0
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
40
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS 200
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE/
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
P
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
0
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
0
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
0
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 tP
46
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP -
0
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
O
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
0
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
0
VIOLATION
INDIRECT WASTES
A/C WINDOW
0
REINSPECTION
WATER SUPPLY TO: -
AIR CONDITIONERS
0
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
0
•
HEATER -NEW INST.
GENERATORS TRANSFORMERS
05
HEATER - REPLACE
GENERATORS TRANSFORMERS
' 0
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
4
SWIMMING POOL
OUTLETS COMMERCIAL
0
WATER SERVICE
SIGN TUBES
0
SEWER CONNECTIONS
SIGN TRANSFORMERS
40
UTILITY -SEWER
SIGN TIME CLOCK
d
UTILITY-WATER *,
FIXTURES
05
A
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
m
DRAINFIELD, 4" TILE/RES.
'
VIOLATION
P1
PUMP & ABANDON SEPTIC TANK
REINSPECTION
a)
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
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
Bennett Electric Service Company, Inc. 6900 North East 4th Court, Miami, Florida 33138
Designed by: Service Department Phone (305) 759 -1665 Facsimile (305) 754 -1877
Typical Residential Service Riser Diagram 02/16/98 ver. 1.0
Note: All design is based on the 1993 N.E.C. and South Florida Building Code.
Existing water Pipe
1/2" PVC with 1, #4 THW, cu.
2, 5/8" x 10' Ground Rods
spaced 8' apart
2" Weather Head
2" Rigid or I.M.C. conduit with 3, 2/0 THW, cu.
G.E. Cat# TM2020MR Panel and Meter
main breaker, 40- spaces
120/240 -volt, Nema -3R, surface mount,
/200-ampere
sting interior fuse box, converted to a
ce box. Existing door to be secured closed.
1 -1/2" Existing Sub -feed
Wires, NEC. 310 -16, Note 8
to supply existing circuits.
Riser Diagram 1 of 1
Mrs. Chumbley Residence
145 North East 91 Street
AFYROVED
BY
DATE
STRUCTUU.
I
› ELEeIR:CA
- ...Alitililly 9 Ag/atItir
'; PijifgaG
! , .
ciiiEC't _
,, numix,
i BLB1. OFFiC,1k1
1 SUBJECT TO COMPLKOE t",i:Tr, Pli. FEDERAL, STATE WO Cal!
RULES PS:0 REGULATIONS.
111AMI SHORES kfILLP.GE PSSIEES i".0 RESPW,!SiaillES FOR P..7.3EiLY
OF CR RESULTS E rdEsz as.
WITH THE SOirr;! FLORIO. 3 Mg. /, P3L7W..0 3V ,
Ni.a.: SHef• - I', VILI.P.GE !S REQUIRED. Tr. ARONITECT, 3 8 SU3 '
CUNTRe,r23:. kii:1 CHARGED MTH THE !COMEOGE 07 AU. BUiLD;;:
liEGWATIOM t1HEHER OR 07 SFECIRCALLY ETCATED FEREE
E0, SHZ7:72
Bennett Electric Service Company, Inc. 6900 North East 4th Court, Miami, Florida 33138
Designed by: Service Department Phone (305) 759 -1665 Facsimile (305) 754 -1877
Typical Residential Service Riser Diagram 02/16/98 ver. 1.0
Note: All design is based on the 1993 N.E.C. and South Florida Building Code.
Existing water Pipe
L.
1/2" PVC with 1, #4 THW, cu.
2, 5/8" x 10' Ground Rods
spaced 8' apart
2" Weather Head
2" Rigid or I.M.C. conduit with 3, 2/0 THW, cu.
G.E. Cat# TM2020MR Panel and Meter
200 - ampere main breaker, 40- spaces
120 /240 -volt, Nema -3R, surface mount,
Existing interior fuse box, converted to a
splice box. Existing door to be secured closed.
N
1 -1/2" Existing Sub -feed
Wires, NEC. 310 -16, Note 8
to supply existing circuits.
® ° ,A° � / 14fi raf/Acca
age
Riser Diagram 1 of 1
Mrs. Chumbley Residence
145 North East 91 Street
ZOMMG
STRUCTURAL
' �
ELEC RICI
t / - p
�, , /T� 44y,
MECFMCAL
ROOF PG ?OUe'i^ G
U9 1
I
SUBJECT TO CO F. L!I"r•''C�EaWITH ALL F C": !1 , S ,,',Fm fa. C ;SETV
RULES AM a Ss.G \ iCi3.
C � !!71i sera TILLAGE ASSU T EES FM RESPOOSiSS JTIIES MR ACCU ;CY
OF OR RESULTS FRO I1 ESE R;A.,`\1S.
CC i?U M WITH THE SOUTH ELOR ;DA BUL1DI? Ma CODE AS ADDFTED BY
NAN SOS VILLAGE @S fIWJU ±RED. THE ARCHITECT, BUILDER 8. SUB
CO RACT(I S ARE C; A4 CED ri:Th THE ts'OVILEI 'F OF AL BUILDIEG
REGUL TLO3 tvatiEl OR twOT SEECIFICAIY [� DiCATE0 I{IREL;:.
Permit No 1
APPLICATION FOR ELECTRICAL PERMIT
I .t..
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 compliedd th', whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. - F�
G. k �� Owner's Name and Address F - A ✓�� `Y' No Street
Registered Architect and /or Engineer. � ,. p
Employing Electrician's Name
+
` No Street
Location and Legal Description Lot �, Block... Subdivision
Street and Number where work is to be performed—No � � ' "a } ` - � '`, Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Additiun Repairs No. of Stories
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Amount of Permit $ w (Signed)
STATE OP FLORIDA, }
COUNTY OF DADE.
55.
(Signed)
Date '
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
N
7
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he under t�ands 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 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 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•inspecti ee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or wor nship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No 1
APPLICATION FOR ELECTRICAL PERMIT
I .t..
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 compliedd th', whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work. - F�
G. k �� Owner's Name and Address F - A ✓�� `Y' No Street
Registered Architect and /or Engineer. � ,. p
Employing Electrician's Name
+
` No Street
Location and Legal Description Lot �, Block... Subdivision
Street and Number where work is to be performed—No � � ' "a } ` - � '`, Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Additiun Repairs No. of Stories
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Amount of Permit $ w (Signed)
STATE OP FLORIDA, }
COUNTY OF DADE.
55.
(Signed)
Date '
Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
N
7
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he under t�ands 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 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 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•inspecti ee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or wor nship.
Owner's Name and Address
New Building
Service Overhead
Undeound Size Feeders
Amoun: of Permit $
r, 1
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Date
App`_ication 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.
No Street
Registered Architect and /or Engineer r
Employing Electrician's Name -. f � ' ✓� f ,. �...._ No Street
Locetion and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No / Y c A! e Street C I 1
State work to be performed and purpose of building (By Floors)
Remodeling Addition..... Repairs No. of Stories
Conduit 1 ' Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
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 sub-contractors employed by him in the
work tc 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.
(Signed)
Master 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 aoove 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
OJTLrTS
LIGHT
OUTLETS
PLUG
RECE'P'7'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
,. )
o
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
V
1
i
tll /1�
✓
CHECK
/�',j '1�
f i ti
�'��)
�l
l �l
F . 1C
Owner's Name and Address
New Building
Service Overhead
Undeound Size Feeders
Amoun: of Permit $
r, 1
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No
Date
App`_ication 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.
No Street
Registered Architect and /or Engineer r
Employing Electrician's Name -. f � ' ✓� f ,. �...._ No Street
Locetion and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No / Y c A! e Street C I 1
State work to be performed and purpose of building (By Floors)
Remodeling Addition..... Repairs No. of Stories
Conduit 1 ' Main Sw Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
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 sub-contractors employed by him in the
work tc 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.
(Signed)
Master 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 aoove 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 APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address /4 /U6 c/ ("fre4 Tax Folio
Legal Description ! I t JC J i 3hel See
Owner/Lessee / Tenant _ (2h litri an
Owner's Address AO / /3G Q/ 31-r +
Contractin Co. AOr r' 55ocv.irife,5
Qualifier /9I Ar / r , / / / P1 / n
State # � CAP X037 Municipal #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL
WORK DESCRIPTION /
/1 -320( -0/3 - ,333Q
Historically Designated: Yes No
Address
Address
Address
/oJTh min
,vlC'p
Master Permit #
Phone 305 702 7
Address (9GOI 1'vW ( 33;51; Penp , n) /rJ')
/ n 33C',�ty
SS# Q560 - S &o
Competency # Ins. Co. fr/ C C/
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Square Ft. Estimated Cost (value)
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.
OWNER'S AFFIDAVIT: I certi that all the foregoing information is accurate and that all work will be done compliance with all applicable laws regulating
construction and zo ' C ore, I authorize the above -named contractor to do the work sta /
Si 1 i}tu?e o f owner and/or Con'r President Date
j 1A-q1lept)
Notary as' to Owner and/or Condo President Date
My Commission Expires:
•r400rg • - &
Notary as to Contractor or Owner - Builder
My Commission Expires:
v
FEES: PERMIT /)() _ RADON C.C.F. i 6 0 NOTARY BOND
TOTAL DUE ry? 0. 1
Date
Date
APPROVED:
Zoning Building
Mechanical Plumbing Structural Engineer
Electrical
Miami Shores Village
10050 NE 2nd Avenue
9 Phone: 305 - 795 -2204
Printed: 7/10 /2002
Applicant: JO - ANNED
Owner: CHUMBLEY
JOB ADDRESS: 145 NE 91
ontractor ALARM ASSOCIATES
Local Phone: 954 762 - 7734
Parcel # 1132060133330
Fees:
FEE2002 -3801
FEE2002 -3802
Description
Building Permit Application Fee
CCF
Total Fees:
Amount
$60.00
$0.60
$60.60
Total Fees: $60.60
Total Receipts: $0.00
Permit Status: Approved Permit Expiration:
Work: INSTALL ALARM SYSTEM
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
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 specifications and that he assumes responsibility for work done
by his agents, servants or employees.
Signed:
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, dr ings, s : tements 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 ery ployes.
Electrical Permit
Permit Number: EL2002 -220
1/6/2003
CHUMBLEY
JO -ANNED
ST
Contractor's Address: 3684 COCO LAKES DR
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 20 & 21 BLK 24 LOT SIZE
Construction Value:
SPECTOR) BY:
Si. _:°�� /i (Contractor or Builder) BY:
ALARM ASSOCIATES OF BROWARD, INC.
(PERMIT ACCOUNT)
2101 NW 33 STREET SUITE 3000 A
POMPANO BEACH, FL 33069
{954) 956 -8400
PAY TO THE
ORDER OF
ale
BANK OF AMERICA
BANK OF AMERICA, FLORIDA
r orr Yi la cje I $ l 2/, z
FOR Perni
1:0631,002 771: 00 36604 760 260 L
20 0
1785
DOLLARS 8 ��..
OR
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder) ' "\ • I•,) Ili( (? . 6V30 1?Phone #�---
Owner's Address S ^� . •�( 57
City /'1A S�„ �tQi P State F
Tenant/Lessee Name Phone #
Job Address (where the work is being done) j /A 4/0(/..5 -
City Miami Shores Village County Miami -D Zip
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
$ Value of Work For this Permit
Submittal Fee $
Total Fee Now Due $ / 5- 1 - BS
(Continued on opposite side)
Miami Shores Village
Building Department
1p050 N.E.2nd Avenue, Miami Shores, Florida 33138
Te ' ;, r ,�tt 756.8972
re 1(
/O/ /a Scv G 6 s 7
State Certificate or Registration No. EC - Dew 3/ 0 C Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
I 006- a
Permit Fee $ 0
E LOC - 7Z2
Permit No. Se3,
Master Permit No.
Plumbing Mechanical Roofing
t i
Zip
Phone #
?t6 - 2(0 1''7//
City State c( Zip 3 3 /7
Qualifier F JCr�5 /1'
Square Footage Of Work: 3 06 S
Type of Work: ['Addition Alteration ['New ❑ Repair/Replace
El Demolition
Describe Work: I rto6io 6.c' L pr -f?- wPt'�
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ O . 60 COO/ /CC
Notary $ Training/Education Fee $ O.20 Technology Fee $ 3
Scanning $ J •LkJ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 exc
promise in good faith that a copy of the notice of commencement and construction lien law broc
whose property is subject to attachment. Also, a certified copy of the recorded notice of comme
for the first inspection which occurs seven (7) days after the building permit is issued. In t
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent �� tractor
The foregoing instrument was acknowledged before me this The foregoing ins was acknowledged before me this
day of , 20 , by , day of Y y , 20 OA by
who is personally known to me or who has produced who is personally known balm-or who has produced k\ l try
As identification and who did take an oath. V\ \ c.A.-- as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Sign:
Print: Print:
. Its
My Commission Expires: My C missipnn
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** x *t *4* * * *`
APPLICATION APPROVED BY:
Chc 05/13/03
eding $2500, the applicant must
re will Ike delivered to the person
u t be posted at the job site
e. of such p.: ed notice, the
* COMMISSION NUMBER
D0118514
e O F FA JUNE 152006
/4 p Examiner
Engineer
Zoning
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
4
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
q
CENTRAL HEATING
DISHWASHER
RECEPTACLES
3
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AM'S
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 AVER 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 ASSEM3LIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TE*ORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
ROTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES
A/C WIDOW
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 COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELO, 4' TILE/RES.
VIOLATION
PUM? & 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
(AV- 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
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
Inspection Number: INSP -11858
Inspection Date: 09/26/2006
Inspector: Desharnis, George
Owner:
Job Address: 145 91 Street NE
Project: <NONE>
CABOUR, MATHIAS
Miami Shores Village, FL 33138-
Contractor: CALEX ELECTRICAL CORP
Monday, September 25, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
05-513
Permit Number: EL -3 -06 -628
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)759 -6421
Parcel Number 1132060133330
Lot:
Phone: 305 - 271 -5164
Page 2 of 2
Passed
Inspector Comments
/
,>
�
/
� / 0.
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -11858
Inspection Date: 09/26/2006
Inspector: Desharnis, George
Owner:
Job Address: 145 91 Street NE
Project: <NONE>
CABOUR, MATHIAS
Miami Shores Village, FL 33138-
Contractor: CALEX ELECTRICAL CORP
Monday, September 25, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
05-513
Permit Number: EL -3 -06 -628
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)759 -6421
Parcel Number 1132060133330
Lot:
Phone: 305 - 271 -5164
Page 2 of 2
Issue Date: 4/4/2006
Owner's Name: MATHIAS CABOUR
Permit Type: Electrical - Residential
Work Classification: Addition /Alteration
Job Address: 145 91 Street NE
Additional Information
Miami Shores Village, FL 33138-
Comments:
ELECTRICAL WORK FOR GARAGE ENCLOSURE
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 12/3112006
Contractor(s) Phone
CALEX ELECTRICAL CORP 305 - 271 -5164
Primary Contractor
Yes
Type of Work: GARAGE ENCLOSURE Additional Info:
Classification: Residential
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 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.
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: EL -3 -06 -628
Phone: (305)759 -6421
1132060133330
Lot:
PB:
Total Square Feet: 300
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
$150.00
$3.00
$3.75
$157.55
Invoice Number
EL - 4 - 06 - 24373
Total:
APR 0 5 PAID
Amt Due
$157.55
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.