230 NE 94 St (5)State work to be performed and purpose of building (By Floors)
•
Amount of Permit $ //•
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No //`'" Date...x:. / ...�i'
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subtiitted 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 most be kept at
building during progress of work.
Owner's Name and Address No.: l: c::. Street
Registered Architect and /or Engineer
Employing Electrician's Name - No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
New Building L °` Remodeling Addition Repairs No. of Stories.. -.
Servi Overhead e ad Size Feeders: ...4 Conduit.] Main Sw Amps..:.. .Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
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 sub-contractors, on work to
licensed by Miami Shores Village.
(Signed)
Electrical Inspector.
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
(Signed)
Maspe Electrician.:
STATE OF FLORIDA, l
COUNTY OF DADE. I
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
/
/
may` `
i�7 )�
f
a yr
.,
R 'll
�' .y
�+
C
J
7
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
/ `° go:
1 "'
State work to be performed and purpose of building (By Floors)
•
Amount of Permit $ //•
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No //`'" Date...x:. / ...�i'
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith subtiitted 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 most be kept at
building during progress of work.
Owner's Name and Address No.: l: c::. Street
Registered Architect and /or Engineer
Employing Electrician's Name - No Street
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
New Building L °` Remodeling Addition Repairs No. of Stories.. -.
Servi Overhead e ad Size Feeders: ...4 Conduit.] Main Sw Amps..:.. .Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
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 sub-contractors, on work to
licensed by Miami Shores Village.
(Signed)
Electrical Inspector.
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
(Signed)
Maspe Electrician.:
STATE OF FLORIDA, l
COUNTY OF DADE. I
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.
BUILDING
ELECTRICAL
PLUMBING
MIAMI SHORES VILLAGE, FLORIDA
DATE •,.
n
PERMIT N? 11281
ROOFING , n Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
4
••+ r{ ' 1
J h i.' 1
CONTRACTOR OR BUILDER%
Bl. Yr !
erN
• A
Value of
Project $
;)4 CTOR
BY
Contractor's
License No
I o p
Subdi- .0% s
vision \
Amt. of
Permit $
10
•
195
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 responsibil ;ty for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or' "drawings - r in The ,sTatenre is or specifications nd that h assumes responsibility for work
done by his agents, servants or employees. n
I
In consideration of the issuance to me of this permit I agree to p rform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, to ents or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by er, myself, my agent, servant or employee.
BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building -1
ii/PERMIT 'N° 11549
n
11
ip l„,"
Architect j
Contractor
or Builder
Legal Lot i ff
Description
Address of
Building
Bl.
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 applte!!'tion
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 i the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed •
INEPE
In consideration of the issuance to me of this permit I agree to perform the work ;Co red hereunder in compliance with all ordinances and regulations
pertaining thereto and in strici conformity with the plans, drawings, statements or specific ns submitted to the proper authorities of Miami Shores Village.
in accepting this permit I asj me responsibility for all work done by either, myself, my agent, servant or employee.
.,
r
MIAMI SHORES VILLAGE, FLORIDA
DATE +..'•
Subdi-
vision
Work to be performed under this Permit
Contractor's
License No
Value of Amt. of •
/ / . Project Permit $ �/ i�
,.4
BY '' voold
BY AUTHORITY
195___
Permit No
1
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
Registered Architect and /or Engine
Employing Electrician's Name �
Street
Location and Legal Description Lot Block Subdivisipn
Street .4
Street and Number where work is to be performed —No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Service Overhead Size 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 accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be po ed for inspec ion on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only su• sub-contract s, on work t be p formed miider this permit, as are
licensed by Miami Shores Village.
SS.
MIAMI SHORES VILLAGE
(s
Repairs No. of Stories
Master Electrician.
No ‘)'
Date
Street
z -
yei
STATE OF FLORIDA,
COUNTY OP DADE:
Before me, tllk 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
O UTLETS
PLUG
RECE'P'T'S
FIXTURES
N O. LAMPS
REFRIO.
O UTLET
IRON
O UTLET
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
SPACE
H EATER
STRIP
H EATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
Zr
_
�/
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
------
D ��
(i ')
Permit No
1
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
Registered Architect and /or Engine
Employing Electrician's Name �
Street
Location and Legal Description Lot Block Subdivisipn
Street .4
Street and Number where work is to be performed —No
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition
Service Overhead Size 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 accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be po ed for inspec ion on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only su• sub-contract s, on work t be p formed miider this permit, as are
licensed by Miami Shores Village.
SS.
MIAMI SHORES VILLAGE
(s
Repairs No. of Stories
Master Electrician.
No ‘)'
Date
Street
z -
yei
STATE OF FLORIDA,
COUNTY OP DADE:
Before me, tllk 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.
f� T'
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date...`:
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for th 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.....1..
Registered Architect and /or Engineer
Employing Electrician's Name...........w'.S_t::.�
g Description '� . �i.._ ' 1..t:..'�
Location and Legal Descri tioli Lot w Block Subdivision.
Street and Number where work is to be performed —No ` Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
t r° t
Electrical InspeC { tor . t " }G.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compileil General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be perform under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
(Signed)
No ! Street
No Street
(Signed) ,� r
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
REFRIO.
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•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
t
,
CHECK
f� T'
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date...`:
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for th 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.....1..
Registered Architect and /or Engineer
Employing Electrician's Name...........w'.S_t::.�
g Description '� . �i.._ ' 1..t:..'�
Location and Legal Descri tioli Lot w Block Subdivision.
Street and Number where work is to be performed —No ` Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation — Conduit Tubing B.X.L Metal Moulding
t r° t
Electrical InspeC { tor . t " }G.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compileil General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be perform under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
(Signed)
No ! Street
No Street
(Signed) ,� r
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.
re ?
1t
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building ( EIectrici) Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) lictig'V / e. 77 S i 9 y: Phone # �2 � - .� (f />%
Owner's Address 2-...30
City / r'i; / ' / t State r e., Zip v , ;� �� ) >
Tenant/Lessee Name
Job Address (where the work is being done) 2= 7 /Uf Q'/
City Miami Shores Village County Miami -Dade Zip 6 3
Is Building Historically Designated YES NO 1 ,----
Contractor's Company Name A ) es /4 E/ 1," 6 Cyr % �." _ ° Phone # JG-I 2,7 - S - 4 q C
Contractor's Address // 2 4 0 , 5 C « .S
City 1 r 4 i _ State / L Zip i t S;
Qualifier C --1 0 5 a, M es J'
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. C L1
Master Permit No.
Phone #
Square Footage Of Work:
Type of Work: Addition Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: <14Ot) — J ? 0 9 1Z : v v.) c} `c- e S 1 Pte, r L S. Pain, L
� ��L
�,1 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * *** * * * * * * * ***
Submittal Fee $ 5 �% -- Permit Fee $ CCF $ . g0 CO /CC
Notary $ Training/Education Fee $ • o b Technology Fee $ 3.. 7_S
Scanning $ Radon $ Zoning Bond $
Code Enforcement S Structural Plan Review. $
Total Fee Now Due $ ( `/ ,
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) A.10/171& /2/3
Mortgage Lender's Address 2 Or, ,g 2dCk GL rg V6
City In/47Y) /
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 In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature --
Owner or Agent
The foregoing instrument was acknowledged before me this 10
day of OW , 20 C1{ , by WIU..rq 1 Q 8F srnrfk r-,
who is personally known to meJor who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
O
•
LYDIA FERNANDEZ
OMMISSION 11 CC 922649
EXPIRES: July 2 ,
Bonded Thru Notary Public Underwriters
My Commission Expires:
**** * * * * * * * * * * * * * * * * * * * * * * * ** * * * **ic *** *********** * *** *f *** ** *ft**** * **it*** **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
*:.*************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY
Chc 12/15/03
State 1�6.- Zip 53i 3 f
The foregoing instrument was acknowledged before me this oZ q
TM 1
day of ne , 20O'-,by earl �es ci
ho is persona y nown to me or who has produced
id ntif a 'on s who did je an oath.
/
A NDRES A. OQUENDO
NOTARY PUBL
Sign:
Print:
My Commissio
Contractor
@' D171567
E r : EXPIRES: January 3, 2007
14806 3-NOTARY FL Notary Service & Bond Inc.
VuaYe' Plans Examiner
Engineer
Zoning
**
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/4/2004
Applicant: WILLIAM ROBERT
Owner: SMITH
JOB ADDRESS: 230 NE 94
Electrical Permit
Permit Number: EL2004 -175
SMITH
WILLIAM ROBERT
ST
Contractor MESA ELECTRIC SYSTEMS CORP Contractor's Address: 11240 SW 48 ST
Local Phone: 305 - 279 -5498
Parcel # 1132060133630
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & 6
BLK 27 LOT SIZE SITE
Fees:
FEE2004 -7808
FEE2004 -7809
FEE2004 -7810
FEE2004 -7811
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Amount
$150.00
$0.60
$0.20
$3.75
$154.55
Total Fees SIVA %
Total Receip
`t . .s_s
Permit Status: APPROVED Permit Expiration: 12/27/2004 Construction Value: $850.00
Work: POOL ELECTRIC
Signed:
(INSPECTOR)
Signed: (Contractor or Builder)
BY:
AU
0
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.
Date
Type Insp'n
Permit No.
Address
Phone
Inspection P ate
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Name D-30 E
f)(.) - S4
compan C- si e 474
/t V e,1
gee ,a9/2 -7 A / 4& ,, Qlt1 /1 meetl
44-7,A-.4 _6»2 ,Pc
?x ig4e07 %if
®'fi'aLsr--1.- eit. $ 4g 9%.q./ ®rte
Approved
MIAMI SHORES VIL _ • GE
BUILDING DEPARTM
305- 795 -2204
Building Inspection Reque
Datt Z 0
Type Insp'n
Permit No.
CLI - f -'s
Name
Address CV° _ r _
Company
Phone #
Inspection Date / Y / b
Correction ❑ ��
Re- Insp'n Fee ❑
Date!!
Type Insp'n FI()OA C
Permit No. 61. 04- 1
Name 5 � l -Vh c 1
Address ;w q `t `fi
Company qeSa
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
o
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
But lding Inspection Request
,J
Date I
n
Type Insp'n
Permit No. ` 04
c'
Name t 1n
Address ? ^ c ( ( A
Company \" i
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee