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EL-06-2777Issue Date: 11/15/2006 Owner's Name: STEVEN JOHNSON Permit Type: Electrical - Residential Work Classification: New Job Address: 145 95 Street NE Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Miami Shores Village, FL 33138- Additional Information Expires: 05/14/2007 Contractor(s) MOODY ELECTRIC INC Phone (305)681 - 0009 Primary Contractor Yes Type of Work: NC 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. Building Department File Copy �7� Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -11 -06 -2777 Phone: 1132060132740 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,300.00 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 $1.80 $0.60 $150.00 $3.00 $2.50 $157.90 Invoice Number EL - 11 - 06 - 26729 Total: Amt Due $157.90 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. Date Wednesday, November 15, 2006 11/15/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -11 -06 -2777 Invoice Number: EL -11 -06 -26729 Applicant: STEVEN JOHNSON Company Name: Owner Address: 145 NE 95 ST MIAMI SHORES, FL 33138- Job Address: 145 95 Street NE Miami Shores Village, FL 33138- Payment Type Check Number 17290 Amount $157.90 Change $0.00 Total Payment: $157.90 Page 1 of 1 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (3 6.8972 BUILDING AIOV 1 4 2006 Permit No. PERMIT APPLICATION B Y __ FBC 2001 Tenant/Lessee Name Architect/Engineer's Name (if applicable) 1 VA- $ Value of Work For this Permit �3c3 t Total Fee Now Due $ 151 `, (Continued on opposite side) COA1(49 V'r5PAID Master Permit No. Permit Type (circle): Building Cilectlical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Q s5r ZC3kk Phone # Owner's Address kL&S • E.. � Cit 1 - c - - S State (C-- i ck. c,, Zip 3 \ 3 Phone # Job Address (where the work is being done) t4 S --), E , ef. S ..c City Miami Shores Village County Miami -Dade Zip 3S \ . Is Building Historically Designated YES NO '✓ Contractor's Company Name ` v∎ oc C L Phone # ,3 DS - 7S $ — C-'C) Contractor's Address (dc, c ( N 1 c10 S 2C" City c r .. State (crC . e. Zip Qualifier '(\r\-c3 oa , State Certificate or Registration No. 1/4.,Q oct) (` 4 9 Certificate of Competency No. Phone # Square Footage Of Work: 4 Type of Work: ['Addition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: am c LIAN1 - ****************************F * * * * *,r * * ** * * ** ** **** * * **** Submittal Fee $ Permit Fee $ /J', a 4 CCF $ 1 •O CO /CC Notary $ Training/Education Fee $ , (00 Technology Fee $ ! 9 Scanning $ ' 3'0 0 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City Signature gef -- Owner or Agent The foregoing instrument was acknowledged before me this /f day of Nove*6er , 20 0C by 5*ev em .Td/r"'son who is personally known to me or who has produced As identification and who did take an oath. NOTARY P: n e IC:. Sign: Print: f iv1 `frl My Commission Expires: * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 State • to\ Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address 1 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 AF''NIDAVIT: 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 cert�ed 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 Contractor / The foregoing instrument was acknowledged before me this Y day of NB1RLu. , 2066, by L» , 4M�z�Qc.. who is personally known me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: CQ Print My C cL� Eileen Sammons My Commission DD397159 E*pifts 0211612009 * * * * * * * ** * * * * * ** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** MY COMMISSION # DD 441715 ' E. t'iRES. JWy 2,2009 3cttde i hru Notary Public UndB Wr ata * * * * * * * * * ** * * * * * * * * * .04"su40-0e Plans Examiner Engineer Zoning TEM ATH TLE UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 10E7 LIGHT OUTLETS CENTRAL HEATING ISHWASHER RECEPTACLES A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) RINKItE FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOO2 MAIN SERVICE REPAIR/METER CHANGE REFRIGERATION CREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING HTERCEPTOR RANGE TOP UNDERGROUND TANKS OVEN ABOVE GROUND TANKS .AVATORY .:UNDRY TRAY WATER HEAILR U.F. PRESSURE VESSELS :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS ;TOYER MOTORS OVER 1- 3 HP HOT WATER BOILERS 3I14K, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEIr6LIES SINK, SLCP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 1P FIRE SPRINKLER SYSTEMS URINAL MCOTCRS OVER 2E? -100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES I A/C WIDOW REI,NSP,ECTJON WATER SUPPLY TO: I AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I HEATER -NEW INST. GENERATORS I I. HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COIAERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS .*SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TAN ANTENNA RELAY [ TELEVISION OUTLETS DRA!NF1ELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK RE I NSPECT I ON _ SOAKAGE PIT CU. FT. CATCH BASIN 1 D I SC1 WELL DOMESTIC WELL AREA DRAIN I ROOF INLET I I I SOLAR WATER HEATER FIRE STANDPIPE I I POOL PIPING LAWN SPR I NKLER SYSTEM. I I GAS RANEE I I . I METER SET (GAS) GAS PIPIN? . I I ADDENDUM TO BUILDING PERMIT APPLIUA U luN AN A£PLICATION 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