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ELECTRICALStreet and Number where work is to be performed —No I ? 1 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. S S. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No " j f ( ...r Date Application 4s 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 /11 4 L fif No Registered Architect and /or Engineer j �y Employing Electrician's Name // V A S F� ( r I No ! C Location and Legal Description Lot Block Subdivision .3 6 2., State work to be performed and purpose of building (By Floors) New Building I Remodeling '— Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding 1 ct 4:. ) ( Signed) - - ! ..a.... l.. . *.o ..t. C.. .� rical Inspector. The undersigned applicant for this building permit does hereby certify that h understands and accepts his obligati ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co piled General Laws of Florida Pe anent 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 3 G 1 - Street Street....... A/ I1 of , Street (Signed) ' '� ; at: 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 REFRIG. 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 NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Street and Number where work is to be performed —No I ? 1 Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. S S. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No " j f ( ...r Date Application 4s 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 /11 4 L fif No Registered Architect and /or Engineer j �y Employing Electrician's Name // V A S F� ( r I No ! C Location and Legal Description Lot Block Subdivision .3 6 2., State work to be performed and purpose of building (By Floors) New Building I Remodeling '— Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding 1 ct 4:. ) ( Signed) - - ! ..a.... l.. . *.o ..t. C.. .� rical Inspector. The undersigned applicant for this building permit does hereby certify that h understands and accepts his obligati ns as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co piled General Laws of Florida Pe anent 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 3 G 1 - Street Street....... A/ I1 of , Street (Signed) ' '� ; at: 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL. 40 �. / / 2 4 / ` / , / 4-0 � // may • , /�'f ✓ / Q--- 5-0 CHECK - - -�, 7A ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. // MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / i - ii"`,,, CHECK . /O 0 Permit No. r L0__a Application is her structure herein descrAo and all provisions of of Miami Shores building durin 1 .° Owner's Na %/ r � ^^ Employing ec 1 STATE OF FLORIDA, COUNTY OF DADE. G � ° MIAMI SHORES VILLAGE 0 `' ELECTRICAL INSPECTION DEPARTMENT 60 A PPLICATION FOR ELECTRICAL PERMI Date._ "L__ 0 ( 9 approval of the detailed statement of the plans and specifications herewith submitte or the butding or other application is made in compliance and conformity with the Building Ordinance of Mia i Shores Village, Florida, ws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulati s of the Building Division all be complied with, whether herein specified or not. A copy of approved plans and s cifications must be kept at work. d dress P , J L ct nd /or Engineer_ ian's Name______34""" Location and Legal Description Lot and Number where work is to be performed —No. t ss. No No Block ( • �1 / / -4 /`""; 14 ,t , Service n � . ergroun Size Feeders________ —____— Conduit________ —_Main Sw. —_ Type of Installation — Conduit____ ✓____ ______Tubing k_ B.X.L._ —___ Metal Mou ? _ Street_ _Street___ ` Subdivision ) Street__ E Z I / 4 State work to be performed and purpose of building (By Floors) 7 Q' New Building —__y — ____________Remodeling Addition___ Repairs No. of Stories (Signe s hereby certify that ection 5966 _Main Fuses Amps Amount of Permit $ • The undersigned applicant for this building permit d labor under the Florida Workmen's Compensation Act, bein has complied with the provisions thereof, and will require similar comp lance from all contractors or sub - contractors employed by hih 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 performed under this permit, as are licensed by Miami Shores Village. Th Insp understands and accepts his ..lgations as an e piled General Laws of Florida Permanent Supple Master Electrician. ctor. loyer of ent, and 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 Owner of Building PERMIT N? 8164 ,EK S e Architect Contracto or Builder Legal Description Address of Building This permit is granted to the contractor or builder na ed above to onstruct the b cation herefor in strict compliance with all ordinances perta . g thereto . d with the d plans, drawings, statements or specifications that may have .een submitted to and ap at any time if the work is not done in compliance with such ordinances or if the pla permit is granted is the understanding that the contractor or builder named above regulations pertaining to the work covered hereby whether shown on the plans or sibility for work done by his agents, servants or employ: es:-- __— . .° Work to be pe ormed under this Permit 0 be MU ? i L'& Signed. In consideration of the issuance to me of this permit I agree to perform pertaining thereto and in strict conformity with the lans, drawings, s In accepting this pulpit I assu eejresponsibjlity for all work done b -7 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's License No 2..9 194 Subdi- vision Value of Project o install the equipment or device described in the appli- ng that the work will be performed in compliance with any the proper municipal authorities. This Permit may be revoked hanged without authorization. A further condition on which this he responsibility for a thorough knowledge of the rdjtiances and or in the is • • - ... • e s es respon- INSPECTOR the work covered hereunder in compliance wi all ordinances and regulations, or specific,attons submitted to the proper authbf5iffes of Miamilh3e.s"W5tge, self, my ageill,isery,ant or employee. _ r BY AUTHORITY ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No $ Date Q L,f.4'Q f � ® .l9 . Application is hereby made for the approval of the detailed statement of the plans and specifications herewi submi d 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 No Registered Architect and /or E neer Employing Electrician's Name . s � o� aP2-eJNo �e .. l..d 2 Street ..�� ./.r........71• Location and Legal Description Lot 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 yl Repairs No. of Stories Service Overhead Size Feeders Underground Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $..4 • STATE OF FLORIDA, } COUNTY OF DADE. 85. MIAMI SHORES VILLA E (Signed)\ (Sig The undersigned applicant for this building permit does hereby certify that he understands and accepts labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo has complied with the provisions thereof, and will require similar compliance from all contractors or sub- work to be performed under this permit; and will post or cause to be posted for inspection on the site of t Street !c - Electrical Inspector. hi ' o , ligations as an employer of Permanent Supplement, and ctors employed by him in the ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 MP N EON TRANS. RADIO TOTAL CONTR. IBT LIST CHECK ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No $ Date Q L,f.4'Q f � ® .l9 . Application is hereby made for the approval of the detailed statement of the plans and specifications herewi submi d 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 No Registered Architect and /or E neer Employing Electrician's Name . s � o� aP2-eJNo �e .. l..d 2 Street ..�� ./.r........71• Location and Legal Description Lot 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 yl Repairs No. of Stories Service Overhead Size Feeders Underground Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $..4 • STATE OF FLORIDA, } COUNTY OF DADE. 85. MIAMI SHORES VILLA E (Signed)\ (Sig The undersigned applicant for this building permit does hereby certify that he understands and accepts labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo has complied with the provisions thereof, and will require similar compliance from all contractors or sub- work to be performed under this permit; and will post or cause to be posted for inspection on the site of t Street !c - Electrical Inspector. hi ' o , ligations as an employer of Permanent Supplement, and ctors employed by him in the ork such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building r -� MIAMI 'SHORES VILLAGE, FLORIDA DAT ' ,t,,,...,. r f 195_.x ' 1 PERMIT N. 9659 l 'E In consideration of the issuance to me of this permit I agree to pertaining thereto and in strict conformity with the plans, drawings, e In ac this permit I assume jesponsibiity for all wor one by Work to be performed under this Permit Subdi. vision Value of Protect . Contractor" License No. BY II Amt of Permit This permit is g ranted in the ,con for or builder named above to coact the building or to install the equipment or device de.crib die application herefor in strict compliance with all ordinances pertaining thereto and with the - understanding that the work will be performed in aeshsnce 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 a any time if the work is not done in compliance with such ordinances or 0 the plans are changed without authorization. A further condition uppoonn which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility fora thorough knowledge of the aetigasuoes and regulations pertaining to the work covered hereby whether shown on the plane or drawings or in the statements specifications and that he assumes rs onsibiiity for work done by his agents, servants or employees. rrWICTOa rk cowered hereunder in compliance ications submitted to the proper author agent, servant or employee. AMIORITY and regulations Miami Shores Village. MIAMI SHORES VILLAGE BUILDING DEPART NT 305- 795 -2204 Building Inspection Reques Date 2143 Type Insp'n (JC' CAD Permit No. L'—L 2004 — ( 7 Name s ei&CI Address 9 mE 95 ST Company C-C6 1 -Ci/rn&' & C'-+Y d evyp. Phone # ! QS - Q " (& - 1 5 4 ) g -3555 Approved Correction Re-Insp'n Fee ❑ /6 2 Inspection Date $1 R b d4 Type Insp Permit No. Name Address Company Phone # Date For Inspector: /� 0 // D 11 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 \ \ I Building Insp Request Date 11 / �/d I f E e T 1 ('H - c6 i 305/1 J'7 eV/Co. JI Inspection Date /1 • Approved 71''' V /6''' Correction ❑ gl �y Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE '� BUILDING DEPARTMENT 6 305- 795 -2204 , V( ` Building Inspection Request Date Type Insp'n E iz i ' MC (KI70; Permit No. CL 6'oo( - Name ,,, J�U Address 360 Ale '5 i Company Phone # 1. /q c? c/ / �O Inspection Date /1 /k Y _ Approved ,❑/ Correction ❑ Re- Insp'n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/6/2004 Applicant: MICHAEL BROWN Owner: BROWN MICHAEL JOB ADDRESS: 362 NE 95 ST Contractor CAYAMAS ELECTRIC CORP Local Phone: Parcel # 1132060136070 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2004 -174 Contractor's Address: 8225 SW 41 TERR Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 BLK 45 LOT SIZE 100.000 Fees: Description Amount FEE2004 -7932 Building Fee $140.00 FEE2004 -7933 CCF $2.40 FEE2004 -7934 Training and Education Fee $0.80 FEE2004 -7935 Technology Fee $3.50 FEE2004 -7936 Scanning Fee $3.00 Total Fees: $149.70 Total Fees: $149.70 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 12/25/2004 Construction Value: $4,000.00 Work: INCREASE SERVICE 200 AMPS, 7 RECEPTCLES SMALL APPLIANCES, 3 SMOKE DETECTORS, 8 HI -HATS, JACUZZI 120V, AUG 13 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. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder Owner's Address Jt'v2 / J& City 1.A: cr (// State Tenant/Lessee Name Job Address (where the work is being done) 3(, 2 N E 7 s 5T City Miami Shores Village $ Value of Work For this Permit Type of Work: ❑Addition ❑Alteration Submittal Fee $ 'e Now Due $ ) vet 7-t d on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Is Building Historically Designated YES NO Permit Fee $ /4/0" Q' Cana.,-) ti Zip County Miami -Dade Permit No. E ( f Master Permit No. 3 ( 1 -7o? Mechanical Roofing Phone # Z c � ! P i -,)?1 Phone # Contractor's Company Name Ci9 V.49ry1,e 3 i l F c r' e' C C G . t Phone # Contractor's Address e 2 Z J S L,t/, 4// e/ex.. - City /�, W( State FL Qualifier •/U /9 0 /J P. k/F'U W 0 b * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** t;rips Zip (30 j 2 �7_ C/ 2 22 Zip 33/3 ,T Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ❑New 0 ❑ Demolition Describe Work: 27/ fen Ui‘■ 2✓oA 7 / fiGe4 s4( 6 /y114t 1 3 $/u b' /x'?`ec , d . /kcl�2 i 2 v,/ iGIT�/ CO' ?vA r 4c �Avrl / 121' cPn OM s3+ d k o, CCF $ . \- ID coicc Notary $ Training/Education Fee $ s 3 b Technology Fee $ .3 S 0 Scanning $3,,, 0 0 Radon $ Zoning Bond $ Code Enforcement $ ' Structural Plan Review. $ 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. 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 day of UG,u 20 o Y by / / fo 9 J who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: �u z: L! , o.e ... MY COMMISSION #0D219605 EXPIRES: JUN 03, 2007 * * * * * * * * * * * * * * * * * * * * * * ** * . *Rantiod:ff#engh+AItahfg#N a My Commission Expires: Chc 12/15/03 A'ny e Signature Contractor The foregoing instrument was acknowledged before me this 1 f r � / day of U. -,Y ' , 2(Y bye oA6 c J ), z who is personally known to me or who has produced as identification and who did take an oath. Competency Holder) NOTARY PUBLIC: Sign: Print: cc //e.e bull�tRMO TORRES MY COMMISSION #DD219605 EXPIRES: JUN 03, 2007 VIS8eti eu'Otvainage lotary My Commission Exp' * * * * * * * * * * * * * * * * * * * * * * * * * * ** State Certificate or Registration No. Certificate of Competency No. F ** ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: i f t G� =� L / " e' lans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS i CENTRAL HEATING DISHWASHER • 10 RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK s FLOOR DRAIN SERVICE REPAIR/METER CHANGE 1 OCOA REFRIGERATION "0 ; GREASE TRAP APPLIANCE OUTLETS 7 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 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. fl/e.- , 7) . 3 CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE G i METER SET (GAS) r/ GAS PIPING ..T ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION 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 IJRLP LOOP ro BE ]0' �'►F G (MIN) / 6' •ri - n ' ;=O0A M ETER 2' AIJOVE ROOF 1 • 1 • FIIITSI1ED GRADE octwrc; Cuszalie PU1S1gg 10.4 MAIN C]3 PANEL l 11'0' /11N 11E.1)1111 1 c r>'t icttr J t� M.Os IA Nasal SUB CB PANEL PER S.F.I1.C. R I A SS SUB FEEDER Bond Mze; - • KIZIL IC UN . NltiS r •1- Ic1D111 Conductor stle Conduit stz c ,,.Lnr■■■ Condwt type - p.Y C . • Ttu-u roof YES_ NO C; round wlre :srzr_ _______ DISY01 Rattno tlps Mtu�� 1 �^ Amps Sub 'Bre Amps New __ r „__� Type ----t— Slzu • INS EDE PANEL • R attncO 1 0 D" amps Bond Bus Yes _No .Locc. 244 le4 nrn6,2(B) MARIA V. BUTCH Notary Public - State o MyCornmissionExpiresSe 9 ��� te=• - . E +rias$on It 1 P ,,, Bonded By Nationert.Not ,CON1'RI�7�IL111LNSLtt_ d0© 0 • S I611ATult • t c:oll•r t ROTA mirlasramy 'dr R Florida 19, 2006 1864 . ry Assn. 1) Miami Shores Village Building Department ';hange of Contractor Permit No. ° I aiLe T . o 1 NO t �-C.O C Phone # Vio5)9 0 / c) � J Owner's Name (Fee Simple Titleho� older) cam, ,. / Owner's Address p36c,/ / ° City Il..c tAILA . °N44/ e- State Zip J-g /3 cP G y Tenant/Lessee Name Phone # C 3S) / o t d f 2 Job Address (of where the work is being done) c d N 9c5` � Cit � d' A wv /2 -- County � Zip j� 1 .3CI go "2.44-ty Legal Description Contractor's Company Name POWQ cte ` Contractor's Address / cY j CJ.- a z. e,on I lid City ti9 'yam State FL tt:alifier l4'lk t,9 ✓) 1-0 22,0 t1-e/ Describe Work: nf ft� /SP_ / lec v 6� x,c.,��v- 1 I hereby certify that the work has been abandoned and /or the contractor is unable or unwilling to complete the contract. I hold the Building Official and the Village of Miami Shores harmless from all legal involvement. Signature Signature Owner or Agent Contractor JA The foregoing instrument was acknowledged before me this 2 The foregoing instrument was acknowledged before me this ,( day of i , 2 / , by , iv6 A l0 (4 , day of , 20 , by wh s personally known me or who has produced who is personally known to me or who has produced As identification and who did take an oath as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ROSA M CU .PRA NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD017707 ISSTON. XP, APR. 122e'3 ****************** * ** *** ** * **** ** * * * * *** * * * * * * * ** *************************** ** * * * * * * * * * * * * * * * * ** * * * * * * * * * ** My Commission Expires: Rev. 09/19/03) Phone it — a 3 -6090 Zip o7 d NOTARY PUBLIC: Sign: Print: My Commission expires: Skit-ix( Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7 /7/2004 Page 1 of 1 Applicant: MICHAEL BROWN Owner: BROWN MICHAEL JOB ADDRESS: 362 NE 95 ST Contractor Local Phone: 786 - 223 -6096 Parcel # 1132060136070 Electrical Permit Permit Number: EL2004 -174 POWER SOURCE ELECTRICAL CONTRACTQIeAMIEtor's Address: 1825 PONCE DE LEON BLVD #360 Fees: Description Amount FEE2004 -6793 Building Fee $100.00 FEE2004 -6794 CCF $0.60 FEE2004 -6795 Training and Education Fee $0.20 FEE2004 -6796 Technology Fee $2.50 Total Fees: $103.30 Permit Status: APPROVED Permit Expiration: 12/25/2004 Construction Value: $960.00 Work: REPLACE EXISTING METER FOR NEW COMBO METER AND PANEL, THIS PERMIT IS FOR SERVICE ONLY, NOT INTERIOR Signed: (INSPECTOR) os?p"D Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 BLK 45 LOT SIZE 100.000 Total Fees: $103.3% L5 Total Receipts: - 1010 S 3 0 Signed: (Contractor or Builder) BY: 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. BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name /WA Qualifier Rt\ $ Value of Work For this Permit 9, (c.O.c" Type of Work: ❑Addition ❑Alteration Describe Work: eo101 Uo 0'4 ct L_. -14 Is Total Fee Now Due $ S 3 , 3 o (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Master Permit No. Permit Type (circle): Building Electrica Plumbing Mechanical Roofing Cam !( <3crf) 323 Z_ / 3 Owner's Name (Fee Simple Titleholder) JC1 t L L C�t8QW/i oo Phone # tJ t 0-5 di /4 d Owner's Address 36 2 - �(- / -" S City 0` 'm L J/Fd22 State _J D/-1 Zip 3 '3 / 3 a' Job Address (where the work is being done) 36 2. /c=1.,1h - 5Prizc Phone # City Miami Shores Village County Miami -Dade Zip - 3 3 / 3 2 Is Building Historically Designated YES , NO X Contractor's Company Name 'Pow C. Phone # 7 $ ` -2 2.'3 - c c 9{ Contractor's Address 1 825 PEAL C,t'- '1 �Ja Permit No. E City e69(? P L State .P'p1Z.i O k- Zip 330 l O Architect/Engineer's Name (if applicable) AZ /Ar - Phone # Aai- • Square Footage Of Work: New J Repair/Replace ❑ Demolition —t- tc) i- P 1 i-&..( t l { * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a Submittal Fer/$ . Permit Fee $ di' " � ' CCF $ . ,8 0 CO /CC Notary $ Training/Education Fee $ 0 Technology Fee $ ,. ' 0 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) it Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 1-)[l4 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 Jor 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 The foregoing ins day of Owner or Agent nent was acknowledged before me this , 20 , by who is personally known to me or who has produced who Signature erson As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: (Certificate of Competency Holder) My Commission Expires: State Certificate or Registration No. Certificate of Competency No. Contractor The foregoing instrument was ac ged before me this o � a day of °?°Yoa p4- 1 'p ,W w .1i produced ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY �E 2 � <.l ce*'� to m7Plans Examiner Engineer Zoning Chc 12/15/03 STICKER AT TOP OF ENVELOPE TO THE RIGHT THE RETURN ADDRESS, FOLD AT DOTTED LINE TIFIED MAI - - - - -- MK 17 1 L u.i 7003 2260 0003 5600 3915 10 02 � 1 1 1 11! 111 11 111 1 13/3? R ON CHfCHED C '�Ff�7i ,n T Ike v slate ® . :Q this a p 0 1-0 v , . • E /, r e iz 33i3f 0000 111111111111=11Mmiw 3313 SI 42 00029909 -08 SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 4-02 1 e0 We.2 do t /ee 1 d' di" &e -enG ✓d eo JJ,31- 2. Article Number (Transfer from service fabe) • COMPLETE THIS SECTION ON DELIVERY B. Received by (Printed Name) A. Signature X D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type INCertified Mall ❑ Registered ❑ Insured Mail 4. Restricted Delivery? (Extra Fee) 7003 2260 0003 5600 3915 PS Form 3811, August 2001 Domestic Return Receipt ❑ Agent ❑ Addressee C. Date of Delivery ❑ Express Mall ❑ Return Receipt for Merchandise ❑ C.O.D. ❑ Yes 102595-02 -M -1540 ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES //L A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE • 1 REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUI4] TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE S W I M I I I N G POOL OUTLETS COM+IERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER _ FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER.SET (GAS) GAS PIPING _ - .ADDENDUM ,TO .BUILDING PERMIT APPLICATION (AN APPLICATION 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