EL-04-294Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 10 /26/2004
Applicant: SARAH SHEPHERD
Owner: SHEPHERD SARAH
JOB ADDRESS: 1276 NE 93 ST
Parcel # 1132050270230 Legal Description: BAY LURE
Electrical Permit
Permit Number: EL2004 -294
Contractor MOODY ELECTRIC INC Contractor's Address: 669 NW 90 ST
Local Phone: (305)758 -2000
Fees: Description Amount
FEE2004 -10510 Building Fee $100.00
FEE2004 -10511 CCF $1.80
FEE2004 -10512 Training and Education Fee $0.60
FEE2004 -10513 Technology Fee $2.50
Total Fees: $104.90
Permit Status: APPROVED Permit Expiration: 4/16/2005 Construction Value: $2,250.00
Work: NEW 200AMP SERVICE UPGARDE
Page 1 of 1
PB 44 -63 LOT 11 BLK 2 LOT SIZE 75.000 X 125 OR
Total Fees: $104.90
Total Receipts: $0.00
4J 7
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:
,9
r (0-13
• veil
BUILDING
PERMIT APPLICATIO
FBC 2001
Permit Type (circle): Building
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Te1 (305) 795.2204 _(305) 756.8972
RECEII R ED
OCT 1 8 280
Permit No. E CA - 1
Master Permit No.
Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) Ay--,-.. Phone #
Owner's Address � �� 92,0 s
City
State Pi__
Tenant/Lessee Name Phone #
Roof
Zip i t7
Job Address (where the work is being clone) VP- k.42 Sc
City Miami Shores Village County Miami -Dade Zip 3 �<3`
Is Building Historically Designated YES NO
Contractor's Company Name ` ( \ c .k E k c y'- _ Phone # D --? SX' — 2 �®
Contractor's Address l®.,=P\ &- c /4
City l State k c cam, Zip 3
Qualifier
State Certificate or Registration No. e t Certificate of Competency No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit S'z' sO, Square Footage Of Work:
Type of Work: ['Addition ['Alteration [New ❑ Repair/Replace ❑ Demolition
Describe Work: '
Total Fee Now Due $ 3 " 4D
(Continued on opposite side)
Phone #
Submittal Fee $ .00 Permit Fee $ / e ' S CCF $ 1 a CO /CC .—
Notary $ Training/Education Fee $ ( . C IA) Technology Fee $
Scanning $ s'' Radon $ Zoning BOnd $
Code Enforcement $ . / ��~ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address 1 v ( 43° AMP 3
City State Zip
Mortgage Lender's Name (if applicable) ``nn
Mortgage Lender's Address V v G
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 '1O 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.
s QPIPLCP
Owner or Agent
The foregoing instrument was ackpowledgedk1efore me this
day of 1 �20t r ,by S�)Z '3)1r �t; C�
( ho is personally kno moor who has produced
As identification and who did take an oath.
Signature
NOTAM V
Sign: `.
Primm'°
My Comniission Expires:
who
Print:
My Commission
Chc 05/13/03
Contrac
The foregoing instrument was acknowledged before � m , me this I
day of Q , 200`k , by . ( ° ` _ : �{'
to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: .l
�11'r".� i .r5 -ate=-
•
® NICOLEABE
i
* COMMISSION NUMBER
�r F� MY COMMISSION EXPIRES
JULY 2.2005
************** ****************** #**********'k ** ** ** **** ** *********** *********
APPLICATION APPROVED BY Plans Examiner
Engineer
Zoning
EM
iH TUB
UNIT
•
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
3ET
LIGHT OUTLETS
`
CENTRAL HEATING
SHWASHER
RECEPTACLES
A/C (WINO)
Sr 0SAL
SERVICE IMPART
A/C (CENTRAL)
INKING FOUNTAIN
SERVICE SIZE IN AMPS
/0106
DUCT 1NORK
OCR DRAIN
SERVICE REPAIR/METER MX
REFRIGERATION
EASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
TERCEPTCR
RAGE TCP
UMDERGRCUNG TANKS
:VATORY
OVEN
ABOVE GROUND TANKS
•UNDRY TRAY t
WATER NEATER
U.F. PRESSLRE VESSELS
.OTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
AWER
M3TCRS OVER 1- 3 FP
HOT WATER BOILERS
NIK, POT /3 COMP.
MJTCRS OVER 3- -5 PP
MECHANICAL VENTILATION
•
.NK. RESIDENCE
M3TCRS OVER 5- 8 FP
TRANSPORTING ASSE)6LIES
INK, SLOP
MOTCRS OVER 8- 10 FP
ELEVATORS/ESCALATCRS
:6PORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
1INIAL
MOTORS OVER 25-100 FP
COOLING TOWERS
;TER CLOSET
MOTORS OVER 100 FP
VIOLATION
DIRECT WASTES
A/C WINDOW
.
REINSPECTION
;TER SUPPLY TO:
1
AIR CONDITIONERS .
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFCRbrrRS
HEATER -NEW INST.
GENERATORS TRANSFCRI,ERS
HEATER-REPLACE
GE.'ERATCRS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PL POSE
SWIMMING P00L
'
CUTLETS CCNERCIAL
WATER SERVICE
SIGN TUBES
:HER CONNECTIONS
SIGN TRXNSFGi.4EP.S
'ILITY -SEWER
SIGN TIME CUCCK
'ILITY -WATER
FIXTURES
:PT IC TANK
ANTENNA
-
:LAY
TELEVISION CURETS
IAINFIELO, 4' TILE/RES.
VIOLATION
P & ABANDON SEPTIC TANX
REINSPECTION
)AKAGE PIT CU. FT.
;TCH BASIN
;SOLACE WELL
:bESTIC WELL
2EA CRAIN
)0F INLET
)LAR WATER HEATER --
IRE STANDPIPE
ML PIPING
•
\WN SPRINKLER SYSTEM
S RAN#
:TER SET (GAS)
..S PIPING
.N APPLICATION FOR BUILDING PERMIT MUST ACCOt+.PANT THIS ADDENDUM. IF A RASTER PER.`iIT HAS B.
BTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
taw
PLUMBING
ELECTRICAL
MECHANICAL