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1263 NE 94 St (12)Issue Date: 7/25/2006 Owner's Name: NORMA SCHMIDT Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 1263 94 Street NE Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 01/21/2007 Contractor(s) Phone AFFORDABLE ELECTRICAL CONTF 305 - 940 -0777 Yes Primary Contractor Com ments: WIRE FOR 5 TON A/C Additional Information Type of Work: Classification: Residential Additional Info: 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: Underground Rough Final Permit Status: APPROVED Permit Number: EL -7 -06 -1972 Phone: 1132050100070 Lot: PB: Total Square Feet: 0 Total Valuation: $ 300.00 Required Inspections Fees Due Amount CCF $0.60 Education Surcharge $0.20 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $1.75 Total: $105.55 Invoice Number E L -7 -06 -25677 Total: Amt Due $105.55 CKL O3 AUG 1 5 Amt Paid Building Department File Copy Applicant Signature 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 . inspection Number 23 • Inspection Date: 10/25/2006 Inspector: Devaney, Michael Owner: SCHMIDT, NORMA Job Address: 1263 94 Street NE Project: <NONE> Miami Shores Village, FL Building Department Comments Tuesday, October 24, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 6 Contractor: AFFORDABLE ELECTRICAL CONTRACTORS INC Block: Pe rrr�tt N Phone Number th X061X72 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Parcel Number 1132050100070 Lot: Phone: 305 - 940 - 0777 Page 1 of 2 Passed Inspector Comments CV Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until inspection Number 23 • Inspection Date: 10/25/2006 Inspector: Devaney, Michael Owner: SCHMIDT, NORMA Job Address: 1263 94 Street NE Project: <NONE> Miami Shores Village, FL Building Department Comments Tuesday, October 24, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 6 Contractor: AFFORDABLE ELECTRICAL CONTRACTORS INC Block: Pe rrr�tt N Phone Number th X061X72 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Parcel Number 1132050100070 Lot: Phone: 305 - 940 - 0777 Page 1 of 2 Permit Number: EL -7 -06 -1972 Invoice Number: EL -7 -06 -25677 Applicant: NORMA SCHMIDT Company Name: Date Tuesday, August 15, 2006 08/15/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 2903 Owner Address: 1263 NE 94 ST MIAMI SHORES, FL 33138 Job Address: 1263 94 Street NE Miami Shores Village, FL Amount $105.55 Change $0.00 Total Payment: $105.55 Page 1 of 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Tenant/Lessee Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: ( p _ 2 4 Fax:_ 3.05 _756.8972 CEHV rV Permit No. Oro 1c aster Permit No. Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) JO (\ c e4W1101 . 1 A A- Phone # Owner's Address 12ki ?j 'iJ E, q Li s t City M. Rs■ 1 h0 {4 State Zip 33 \ :•. Phone # Job Address (where the work is being done) t Z(.Q 3 n `v 04, q s-t- City Miami Shores Village County . Miami -Dade Zip 313 FOLIO / PARCEL # \ \ -. of 0 - OD -D Is Building Historically Designated YES NO Contractor's Company Name r Y(J (cI Lk_ e ..e 4,2A c__.• Phone # O S - q HO 0 -4-4-4 Contractor's Address 1 S In E.- % ( S City W \ ,U \ State /--- Zip cx.) I 9 Qualifier Name d 4- L--O.V lam\ Phone # State Certificate or Registration No. E C 000 y C) Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ O Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ❑New .. epair/Replace ❑ Demolition Mx) Ala wi tc)104 WI; Describe Work: 1M Submittal Fee $ Structural Review. $ ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ / a CCF $ CO /CC Notary $ , Training/Education Fee $ E Lb Technology Fee $ 15 Scanning $ 3 00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Total Fee Now Due$ 165.55 See Reverse side _ 9S351 61 PH 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 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. Irj the absence of s ch posted notice, the inspection will not be approved and a reinspection fee will be charged. • ik • I Owner or • :ent instrument was acknowledged before me this 2. I ►,.&/ 20 040, by John 6ch rr1 i - known to m ma otary Assn. A ,. mC) p Signatur The foregoin day of who is - NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY (Revised 02/08/06) produced 'fication and who did take an oath. THERESA R MON I O Notary Public - State of Florida y Co , ission Expires May 25, 200 # 433552 9 r Signature The fore day of who i NOTAR Sign: Print: My Commission Expires: Contractor ing instrument was acknowledged before me this - 2. I , 20O , by b )n 5U7m '6+4 " , produced as identification and who did take an oath. own to me or 4 / ✓ 1 /Plans Examiner Engineer Zoning ITEM 3ATH TUB UNIT FEE ITEI.1 SWITCH OUTLETS UNIT FEE ITEW SPACE HEATERS UNIT FEE 3 IOET LIGHT OUTLETS CENTRAL HEATING )ISNWASHER RECEPTACLES A/C (WIND) )ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) )RINK,ING FOUNTAIN SERVICE SIZE IN &FS DUCT WORK FLOOR DRAIN SERVICE REPAIRAETER 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 FP STEAM BOILERS EWER MOTORS OVER 1- 3 f-P HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION 1 SINK, RESIDENCE MOTORS OVER 5- 8 FF TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEM URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES 1 A/C WINbw REI.NSPECTJON WATER SUPPLY TO: AIR CONDITIONERS 5fq/) I 1 A/C UNIT 1 ( STRIP HEATER /p e a / FIRE SPRINKLER 1 GENERATORS TRANSFORMERS HEATER -NEW INST. I GENERATORS TRANSFORMERS HEATER - REPLACE 1 GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL - SPECIAL PURPOSE I SWIMMING POOL OUTLETS COMMERCIAL WATER SERVI SIGN TUBES SEWER CONNECTIONS f 'SIGN TRANSFORMERS 1 UTILITY -SEWER UTILITY 1 SIGN TIh CLOCK -WATER SEPTIC 1 1 FIXTURES TAN; RELAY 1 ANTENNA )RAINFIELD, 1 TELEVISION OUTLETS I 4' TILE/RES. 'UI.P 1 VIOLATION b ABAM✓DON SEPTIC TANK OAKAGE l RE I NSPECT ION PIT CU. FT. ;ATOH BASIN )ISCHARGE WELL )OMESTIC WELL REA DRAIN OOF INLET 1 1 AN AEPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS E. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING 11.I uL.1l1# LJlr1 l U U U 1 L U 4.11 I L. 4 4 4 . 1 rA 1 L A. V ! - 1 MECHANICAL OLAR WATER HEATER IRE STANDPIPE DOL PIPING AWN SPRINKLER SYSTEM' AS RAT1E _TER SET (GAS) !S DIPIN: