1213 NE 93 St (2)BUILDING ❑
ELECTRICAL ❑ PERMIT N?
PLUMBING ❑
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot II Bl.
Description
Address of
Building t '
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
14937
❑ Work to be performed under this Permit
Subdi-
vision
Value of
Project $
BY
DATE i 195
Contractor's
License No
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.
Amt. of
Permit $
Signed: BY
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, servant or employee.
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT 'NA 12105
n Work to be performed under this Permit
1
CONTRACTOR OR BUILDER
Bl.
v-04
Subdi-
vision
Value of
Project $
Contractor's
License No
Amt. of
Permit $ ,
BY AUTHORITY
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device describe 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.
A.00.
Signed ! s,: __ \ BY ✓,
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 responsibility for all work done by either, myself, my agent, servant or employee.
Employing Electrician's Name
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No i
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 �.�'' °- � � No.... / - Street �',
Registered Architect and /or Engineer
No / Street.....
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No.. 7 `- Street_..:.0
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses 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 a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA, l
COUNTY OF DADE I
85.
(Signed)
/!!
Date
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
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'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 -S HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
�
�
(� n '
� '
•
—
.
CHECK
�
��
/
Employing Electrician's Name
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No i
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 �.�'' °- � � No.... / - Street �',
Registered Architect and /or Engineer
No / Street.....
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No.. 7 `- Street_..:.0
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses 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 a
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
has complied with the provisions thereof, and will require similar compliance from all contractors or
work to be performed under this permit; and will post or cause to be posted for inspection on the site
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to
licensed by Miami Shores Village.
STATE OF FLORIDA, l
COUNTY OF DADE I
85.
(Signed)
/!!
Date
ccepts his obligations as an employer of
of Florida Permanent Supplement, and
subcontractors employed by him in the
of the work such public notice or notices
be performed under this permit, as are
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.
Permit Type (circle): Building ,, Plumbin Mechanical Roofing
Owner's Name (Fee Simple Titleholder) ) j I J 1 I (...Cf . t _ ' ( � , Phone #
Owner's Address
City State Zip
Tenant /Lessee Name Phone #
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
e Vij
Job Address (where the work is being done) - 1 `. 1\4F, (
)
City Miami Shores Village
Is Building Historically Designated YES
Miami Shores Village
County Miami -Dade
NO X
Permit No.
Master Permit No.1V 6 + ( ( ({ ()CI
Contractor's Company Name ( 1 . ( � � , 1 , ( ��`r � �,Pi rie
Contractor's Address; �-• ��"`'"
City t_- - V -1 � 1 Statet
Qualifier L 'Li1 ,lc ./ 1(C
c
Total Fee Now Due $
(Continued on opposite side)
Zip
Zip
State Certificate or Registration No. Certificate of Competency No.
Arehitect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit )( C; Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration New ❑ Repair/Replace j 111 Demolition
Describe Work: ' - ''C' - 1 C \ (- k % C- ic _ k( -1 1 cwt .t 1 e( 1
_� , Lj) Ct L 3i (i'. �(- , 1C ;
„
1 r11 I * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees , * * * * ** * * * * * * * * * * * * * * * * * * * ** **
Submittal Fee $ -) (, - ( _. ( Permit Fee $ r'-i' CCF $ CO /CC
Notary 8 Training/Education Fee 8 Technology Fee $
Scanning S Radon $ Zoning Bond 8
Code Enforcement $ Structural Plan Review. $
Bonding Company's'Ndnie (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: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
APPLICATION APPROVED BY
Chc 05/13/03
Owner or Agent
The foregoing instrument was acknowledged before me this The fore oin instrument was cknowledged bef re me this
day of 20 , by day of , 20 `t, by (I L° Di m,
who is personally known to me or who has produced who is personally known to me or who has produced TP_
As identification and who did take an oath. .s identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC
Sign: Sign:
Print: Print:
My Commission Expires:
********,****************************************** * * * * * * * ** * * * * * * * * * * * * * * * * * * * * **
Contractor
mission #DD231984
= Expires: Jul 13, 2007
AtIdtitit: gtifdifig Co., Inc
My Commission Expir
************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
G' - 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
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 FP
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 I•P
ELEVATORS/ESCALATORS
TEhPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 If
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 COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
_
DRAINFIELD, 4' TILE/RES.
VIOLATION
PU ABANDON SEPTIC TANK
MP S
REINSPECTION 1
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
•
ADDENDUM TO BUILDING PERMIT APPLICATION
log -•
(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
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/5/2004
Applicant: SANTIAGO
Owner: BERNAL
JOB ADDRESS: 1213 NE 93
Contractor CITY ELECTRICAL CONTRACTORS CORP Contractor's Address: 15622 SW 32 TERR
Local Phone:
Parcel # 1132050270020
Fees:
FEE2004 -10933
FEE2004 -10934
FEE2004 -10935
FEE2004 -10936
FEE2004 -10937
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$200.00
$1.20
$5.00
$0.40
$5.00
$211.60
Total Fees: $26 ,9
Total Receipts: d
11 �
Permit Status: APPLIED Permit Expiration: 4/25/2005 Construction Value: $1,500.00
Work: ELECTRICAL WORK FOR REMODELING
Signed:
Legal Description: BAY LURE
(INSPECTOR)
Electrical Permit
Permit Number: EL2004 -303
BERNAL
SANTIAGO
ST
Page 1 of 1
PB 44-63 E5OFT LOT 2 & W25FT LOT 3
1
MAR 0 4 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:
BLK 1 LOT
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204
Printed: 11/5/2004
Applicant: SANTIAGO
Owner: BERNAL
JOB ADDRESS: 1213 NE 93
Contractor CITY ELECTRICAL CONTRACTORS CORP
Local Phone:
Parcel # 1132050270020
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Electrical Permit
Permit Number: EL2004 -303
BERNAL
SANTIAGO
ST
Legal Description: BAY LURE
Contractor's Address: 15622 SW 32 TERR
Permit Status: APPLIED Permit Expiration: 4/25/2005 Construction Value: $1,500.00
Work: ELECTRICAL WORK FOR REMODELING
BY:
Page 1 of 1
PB 44-63 E5OFT LOT 2 & W25FT LOT 3
MAR 04 PAID
Fees:
FEE2004 -10933
FEE2004 -10934
FEE2004 -10935
FEE2004 -10936
FEE2004 -10937
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$200.00
$1.20
$5.00
$0.40
$5.00
$211.60
Total Fees: $211.60
Total Receipts: $0.00
c
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.
BLK 1 LOT
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