EL-04-183Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/12/2004
Applicant: BRIAN
Owner: WADE
JOB ADDRESS: 452 NE 92
Contractor GUARDIAN INTERNATIONAL INC
Local Phone: 800 - 509 -4911
Parcel # 1132060140040
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2004 -183
WADE
BRIAN
ST
Contractor's Address: 3880 N 28 TERRACE
Permit Status: APPROVED Permit Expiration: 1/5/2005 Construction Value:
Work: BURGLARY ALARM INSTALLATION ADDITION TO EXISTING 1 PANEL 8 DEVICES
Page 1 of 1
JUL 13 PAID
Fees:
FEE2004 -6948
FEE2004 -6949
FEE2004 -6950
FEE2004 -6951
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$100.00
$0.60
$0.20
$2.50
$103.30
Total Fees: $103.30
Total Receipts: $0.00
4 - 10(
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 W1/2 OF LOT 5 & LOT 6 LESS W 5 IN BLK 49 LOT
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:
BUILDIN
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder) (koi Q Phone # �� ( 7 7 S
Owner's Address o�l N �, qa
City State Zip r5 F8
Tenant/Lessee Name Phone #
Job Address (where the work is being done) L b - ca N �� S�� g_5Z - k -
City Miami Shores Village County Miami -Dade Zip °J 1
Is Building Historically Designated YES NO X
Contractor's Company Name 6 (A A2. -i \ Of 1 L Phone # 679 3 ?IF ()
Contractor's Address .7 jTj 7 Ma(_
City 'tv\\ \\\/000d. State 4
Qualifier t-WOG-0 &l/ a kitVic(
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work.
Describe Work:
Q
'8 UN' ce_s
Submittal Fee $ Permit Fee $ AO' e m b CCF $ • 6 0 CO /CC
Notary $ Training/Education Fee $ . of 0 Technology Fee $ � Al D
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ r 03_ b
(Continued on opposite side)
Miami Shores Village
Building Department
E C E H V L o .E.2nd Avenue, Miami Shores, Florida 33138
d: (305) 795.2204 Fax: (305) 756.8972
JUL 9 204
❑Alteration
Master Permit 11 To. ) 0 9
Plumbing Mechanical Roofing
Zip
Permit No. E 00-- \ 33
Square Footage Of Work:
0 Repair/Replace ❑ Demolition
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 FT.FCTRICAL 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 of commencement must be posted at the job site
for the first inspection which occurs seven (7) days a ter the building permit is issued In the absence of such posted notice, the
inspection wi be approved and ection ee wi be cha ed.
S
gna
Chc 12/15/03
The foregoing instrument was acknowledged bef ire m`e this 7 .
day of Jv1 , 20 C by /S
'
who is personally known to me or who has produced ° "
identification and who did take an oath. a
'nvvz i�. Cri a L.OF FLORIDA
MY COMMISS Oi J EXP. LINE 92006
(~F /CVL140 ART' SEAL
NOTARY • i;LIC:
Sign: .
Print: AI
My °,Commis , Expires:
* * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. CP1)a(2, 9 76e Certificate of Competency No.
************************* * * * * * * * * * * * * * * ** ** * * * * * * * * * * * *, ***:*************** * * * * ** * * * * * *** * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Ow or Agent
ontractor
The foregoing instrument was acknowledged before me thisc
day of i, 7& , 20Oy , by H !a'vC71 ,� G SYL 9
who is personally known to me or who has produced J
as identification and who did take an oath.
NOTARY PUB
Sign:
Print:
My Co ssion E
NOTA ! JL ;!_d' � , li . C_ n! 013
r ?, Z3 9,2
/ 4'Yaglans Examiner
Engineer
Zoning