45 NE 94 St (10)Square Ft.
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant I a VL I , I) O Master Permit # _3 g ey / 7
Owner's Address 4-s
C . E - Phone 75 45
Contractin co. ')3 I I I E r- iC ' c ( ..,, Address )' I L /V E ) 44S
Qualifier � (Av�, ' g- 6A0t0 6. , (1 SS # Phone 9 7 L 9 , 373
State #ETCD ) 0 59 Municipal # Competency # Ins. Co. yap qnI C a `
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILD ELECTRICAL UMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Re. ace Did 5 hr-►/ ce
D
Q Vet �rr�a� ane-I
Estimated Cost (value)
TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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. Furthermore, I authorize the above- ntractor to do the work stated.
Signature of owner and/or Condo President
otary as to Owner and/or Condo President
My Commission E ire s I
y �;� �� � t;,YQ��v .�� ��.
v. G1C C.:a 71 k.
f..Z C 3 ::Z - -.P.
FEES: PERMIT-5,5' ' `C' RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 7L / V 1 7 . / —: Tax Folio
Date
Date
/ — ' - -9�
Signa
APPROVED:
Zoning Building
Mechanical
LAJ `f h) (Do O c
e of Contractor or Owner- Builder Date
Notary as to Contractor or Owner Builder Date
My Commission.Expires :,, _ — / q
_ l l
Fn F i b n a = « ^ ;
C.C.F. /. NOTARY i TOTAL DUE `� / ,
Electrical
Plumbing Engineering
tt_VeZ,O cite.
N E. 94 sl�e1"
1936 N.E. 148th STREET • NORTH MIAMI, FLORIDA 33181 • PHONE: (305) 949 -6373
//57F‘
BUILDING ❑ DATE 195
ELEcTRIcxL PERMIT N? 13149
PLUMBING ❑
ROOFING ❑ Work to be under this Permit
Owner of /� f �t,
Building `' ,'- A �' , ^►► , , 0" ' ., I' v t
e
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
s tip.
Bl.
Subdi-
vision
Value of
}
Project $
der named above to ct nstruct the building
Contractor's
License No
Amt. of
Permit $
or to install the equipment or device described in the application
This permit is granted to the contractor or b
herefor in strict compliance with all ordinances pertaining thereto and with the unders a ding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by tie 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 change, without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the re .onsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or 1• e statements or sperai,catiQies he assumes responsibility for work
done by his agents, servants or employees. s
INSPECTOR
CONTRACTOR OR BUILDER
Signed•
In consideration of the issuance to me of this permit I agree • tg,4erform the work covered hereunder in compliance with all ordinances Find regulations
pertaining thereto and in strict conformity with the plans, drawingffi; 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, servant or employee. k7
BY AUTHORITY
Permit No
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADS I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APP CATION FOR ELECTRICAL PERMIT
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 �� "� e
Registered Architect and /or \E fgineer._,::, //
C � I �� /
Employing Electrician's Name
Location and Legal Description Lot —
w v p t>
Street and Number where work is to be performed— No ' .
Service w Size Feeder ( Conduit.(. %!�' Main ; Sw._ /
Underground
No...
No. l._1.� 4LI Street
k 1��
Bloc
Date ... ✓ o
.Street
Subdivision.
Street
administer oaths
1
a
!JA
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amps Main Fuses....,'' Amps
Type of Installation — Conduit Tubing & B.X.L Metal Moulding
(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 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 he site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, o ' ork to be performed under this permit, as are
licensed by Miami Shores Village. s
(Signed) ;' • �,...1, , �
C Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to
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.
and take acknowledgments, personally
My Commission Expires Notary Public, State of Florida
NO') , 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
¶
J}
E/ I
U lf
v �
�_
/
p
_ 11
i/"
�j
( %�
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
ST
Lim.
(
(
f
CHECK
Permit No
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADS I
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APP CATION FOR ELECTRICAL PERMIT
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 �� "� e
Registered Architect and /or \E fgineer._,::, //
C � I �� /
Employing Electrician's Name
Location and Legal Description Lot —
w v p t>
Street and Number where work is to be performed— No ' .
Service w Size Feeder ( Conduit.(. %!�' Main ; Sw._ /
Underground
No...
No. l._1.� 4LI Street
k 1��
Bloc
Date ... ✓ o
.Street
Subdivision.
Street
administer oaths
1
a
!JA
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Amps Main Fuses....,'' Amps
Type of Installation — Conduit Tubing & B.X.L Metal Moulding
(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 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 he site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, o ' ork to be performed under this permit, as are
licensed by Miami Shores Village. s
(Signed) ;' • �,...1, , �
C Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to
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.
and take acknowledgments, personally
My Commission Expires Notary Public, State of Florida
NO') , 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
PERMIT APPLICATION
FBC 2001
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit •
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
• X
ii{oc(c)
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
Owner's Name (Fee Simple A Tiitleholder) / ? ''e '� X7 - 5 Phone #630 5') Z/ 5-/c3 9
Owner's Address / /U 5 M. E 9 57 °
cityy S AO/Z ems, State
f/.
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 23 A/ E • / 5/
City Miami Shores Village County Miami -Dade Zip 33 /3
Is Building Historically Designated YES NO
Contractor's Company Name G , , .P ( to <'Ak O
Contractor's Address / ,�.gy , / .. A f # peg
City p State rZ
Qualifier a°'( 01h4,0 �
Type of Work: EAddition
Describe Work:
['Alteration
['New
Zoning
Structural Plan Review. $
Zip 3 3 3 g
Phone #
FEF
L p
Permit No. . _ L
0S. 3 0D-151—Li
Zip
State Certificate or Registration No. Certificate of Competency No. oy g too 3 ` 3
Phone #
Square Footage Of Work:
Repair/Replace
4 111 Mf ' 4115,7
Submittal Fee $`� Permit Fee $ CCF $ v ' CO /CC
Notary $ Training/Education Fee $ 0 • Technology Fee $ —°
Scanning $ Radon $
Bond $
ter, Lu
5- 5
❑ 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 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.
Sign
Owner or Agent
The foregoing instrument was acknowledged before me this The forgoing instrument was acknowl ged before me this
day of , 20 _ , by , day of , 20( by y 0 f 06
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as tification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBL C:
Sign: Sign:
Print: Print:
My Commission Expires:
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Chc 05/13/03
Siln,a
Contractor
My Commission ExpiJsi;
**************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Engineer
Zoning
J u 7 i, 2007
need "I'hn
ru, t3o �
***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: / �� ���°� ®S Plans Examiner
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 2/25/2005
Applicant: JENNIFER
Owner:
JOB ADDRESS: 297 NE 97
Contractor G M P ELECTRIC CORP.
Local Phone: 305/300 -7524
Parcel # 1132060134290
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2005 -52
BOLTON
ST
Contractor's Address: 1520 E. MOWRY DR #205
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 23 BLK 31 LOT SIZE 53.810 X
Fees: Description Amount
FEE2005 -2081 Building Double Fine Fee $200.00
FEE2005 -2082 CCF $0.60
FEE2005 -2083 Notary Fee $5.00
FEE2005 -2084 Training and Education Fee $0.20
FEE2005 -2085 Technology Fee $5.00
FEE2005 -2086 Submittal Fee ($50.00)
Total Fees: $160.80
Total Fees: $160.80
Total Receipts: $0.00
a e
Permit Status: APPROVED Permit Expiration: 8/7/2005 Construction Value: $350.00
Work: INSTALLATION OF ONE RECEPTACLE AND 3 ELECTRICAL SMOKE DETECTORS IN BEDROOMS- MASTER BP2001,j67
325 Atu
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 APPLICATI
FBC 2001
Job Address (where the work is being done)
City
Miami Shores Village
Is Building Historically Designated
Contractor's Company Nanie
Contractor's Address i ,
City ,`rev; nJs:;, -u''
Qualifier ;W4.-
$ Value of Work For this Permit
Type of Work: ❑Addition
Describe Work: t- 1:-
Total Fee Now Due $
(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
Permit Type (circle): B ding Electrical Plumbing Mechanical
e
Owner's Name (Fee Simple Titleh . - t f r. .P.,E � Phone # ( 0
Owner's Address F .' !,,,))/' .- . ¶ , , c V
City � ��, ( C State 7 --- Zip
Tenant/Lessee Name
YES
❑Alteration ❑New
,
r
County M4ami- ade
NO
Permit No. - . 0 5;2 .
Master Permit No. - el C)S �-
Phone #
Zip
State " ji /, Zip a &i,3
State Certificate or Registration No. Certificate of Competency No.0 K &C' . '
Roofing
c•
Phone # ,c ����,�'
Architect /Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Repair /Replace
❑ Demolition
..... .... *..........Fees.... *) ** .......
Submittal Fee ��_ Permit Fee $
L
Notary $ Training /Education Fee $
Scanning $ Radon $
Code Enforcement $ Structural Plan Review. $
CCF $
Technology Fee $
Zoning Bond $
CO /C
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. 1 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. 1 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
COMM ENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant mus
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 fot'egoing` was acknowledged before nee his / The fo
oi
day ' "'`/ 20 by �� wyfl r ` < "'it.40 day o
who is plersonally known to me or who has produced
r7 6
,T
APPLICATION APPROVED B Y
Chc 05/13/03
As identification and who did take an oath.
Signature t)L,_
' Contractor
qr
ing instrument was acknowledged before me js
ho is'ne
2
sonally known to me .r who has si oduced
identification and who did take an oath.
NOTARY PBf IC: ^1 NOTARY PUBLIC: I��
1 `pBVP '
Sign: �� ; Poa, Gay. ,, ":. illll� .
� rL. �I i .—.;r a /I
G.. ig
y li W. A - r � mmisston #l l c 2 70 _ x
Print: ----{ - - '� " 4 �q . Expires: May G '• 8 . ✓Ti1; � E
' OF Fl Bonded r,. iY
My Commission Expires: _ -30 /� ; Atlantic Bondin g Cmmission E res:
_---y
t(� S
Engineer
Zoning
.s: Iv,
^ndec
Atlant.. iondi ,
47 '5 Plans Examiner
Onel
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEWORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SEIY I rF q I7F IN AWS
DUCT WORK
FLOOR DRAIN
.
SERVICE REPAIR/IETER CHANGE
REFRIGERATION
GREASE TRAP
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE (MOUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 If
HOT WATER BOILERS
SINK, POT /3 COW.
MOTORS OVER 3- 5 I-F
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 Ha
ELEVATORS/ESCALATORS
TE6PORARY WATER CLOSET
MOTCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTM
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
I
MOTORS OVER 100 hP
VIOLATION
INDIRECT WASTES
I
A/C WINDOW
RE I NSPECT I ON
WATER SUPPLY TO:
AIR CONDITIONERS
I
A/C UNIT
I
STRIP HEATER
FIRE SPRINKLER
I
I GENERATORS TRANSFORMERS
'HEATER -NEW INST.
I
GENERATORS TRANSFORMERS
HEATER - REPLACE
I
GENERATORS TRANSFORMERS
I
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
I
I
SWIM,IING POOL
OUTLETS COMdERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIKE CLOCK
UTILITY -WATER
FIXTURES
1
SEPTIC TANK
ANTENNA
I
RELAY
TELEVISION OUTLETS
DRAINFIELD, S' TILE/RES.
VIOLATION
PUIF & ABANDON SEPTIC TANK
REIKSPECTION
SOAKAGE PIT CU. FT.
CATOH 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 PERHIT HAS B.
OBTAINED, THE OT IER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
•
PLUMBING
ELECTRICAL
MECHANICAL
Miami Shores Village
— Building Department —
Address 9y
Phone: (305) 795 -2204
CORRECTION NOTICE:
Thank You
Signed:
TO BE REMOVED BY INSPECTOR ONLY
Permit
PLEASE CORRECT A cd 779/ <
c7? Peeir isi'
WORK MUST CEASE UNTIL
APPROVED CORRECTIONS ARE MADE!
:y
J.
�\ 1 /„
\ G
r✓
1 `"v
•
\2
v
77 � 1.
e
\ cal
c�
BUILDING r—mront
PERMIT APPLICATION M7
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address
City
Tenant/Lessee Name
Is Building Historically Designated YES NO
Qualifier S
$ Value of
i! %"SSA ; 41%;
Type of Work:. [ Av ditirn : 151• +.t . ❑Alfe#atio
Describe Work:_
Submittal Fee $
Notary $
Scanning $
5
� lia,le) State
Training /Education Fee $
Radon $
Miami Shores Village
. Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Fee $
Code Enforcement $ Structural Plan Review. $
64 2005 - 5'2 : -7 -$0
Permit No. CC - Z ®0 5 — / / 9 315
Master Permit No. P
Plumbing Mechanical Roofing
/ iy ,9, S Phone # ( 3 O ) 275 -/ 5 3
Phone #
Job Address (where the work is being done) 29 - / 2- 5 / •
FL . Zip 33/3Y
City Miami Shores Village County Miami -Dade Zip 33132
Contractor's Company Name H ® EC /V0/C eORPOl 0Akone # 3 /o / (43 a/
Contractor's Address 4/� _ / p(35 fit/ /6
Cit /tI / C,�1,C��� State Gc7 (/9 / Zip 3 •3 o / fo
State Certificate or Registration No. & (30/3O 8 Certificate of Competency No. (j E`QO L 00
Architect /Engineer's Name (if applicable) Phone #
❑New
Square Footage Of Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
) ❑ Demolition
CCF $
Technology Fee $
Zoning Bond $
CO /CC
��'O° C 1 O 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)
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. 1 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 ab.nce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
My Commission Expires:
APPLICATION APPROVED BY:
chc 05/13/03
Signature ■__
My Co ► ►s o s► - s.
Owner or Agent — Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of _ ,20_,by , day of 5 , 20Oaby
who is personally known to 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: NOTARY PUB
Sign: Sign:
Print: Print:
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
ITEM
BATH TIE
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMDS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/1E7ER CHANGE
I I
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUFERY 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 COM
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 If
ELEVATORS/ESCALATORS
TEM'ORARY WATER CLOSET
MOTORS OVER 10- 25 If
FIRE SPRINKLER SYSTEW
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WAS -TES-
A/C WINDOW
RE I NSPECT I ON
WATER SUPPLY TO:
{
AIR CONDITIONERS
A/C UNIT
I
I STRIP HEATER
I
FIRE SPRINKLER
I
I GENERATORS TRANSFORMERS
'HEATER -NEW INST.
1
I GENERATORS TRANSFORMERS
I
HEATER - REPLACE
I
I GENERATORS TRANSFORMERS
I
LAWN SPRINKLER -WELL
I
SPECIAL PURPOSE
{
I
SWIMMING POOL
OUTLETS COMMERCIAL
I
I
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
{
DRAINFIELD, S' TILE/RES.
VIOLATION
PUP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
I
I
AREA DRAIN
I
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPIN
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPiICATION FOR BUILDInG P RMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS E.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ELECTRICAL
MECHANICAL
NOT
Sign:
Print:
My Commissi
Describe Work:
Rev. 09/19/03 )
Miami Shores Village Building Department
Owner's Name (Fee Simple Titleholder) — / i ee A 4 S Phone # (30 r) 2/ C
Owner's Address 4 /Y " C " / . 7 . �y
City r.:9#1 I S�-°R e 5 0
State C • Zip 3 3 / 3
Tenant/Lessee Name Phone #
Job Address (of where the work is being done) p
City ) / /9' J � J h (:)/1-9 5 County p Zip .33 /� D
Legal Description
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier
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.
Expires:
Signature
Change of Contractor L z006--
S' 2
21V'- 9? 57•
Signature / c
Permit No. e-4 Z cc - // 7
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 1 o The foregoing instrument was acknowledged before me
this
day of , L) 0 , by day of . 20 by
who is person .i own to me or who has produced who is personally known to me or who has produced
As identification and who did t. e an oath. as identification and who did take an oath.
NOTARY PUBLIC:
■11011111.■ ..1 ' a - g,as Si
I Coo ssion )023
.� . ,2007 Print:
EXptr My Commission expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
11R?Ir LOOP
rr BE 10'
(1'11N)
1:1.111r
2' ABOVE JWOF
F1111 GRADE
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U•0 ?tIN ]IFJ'711
1
PANEL
2O0A 101110 -(1
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Ettr_111110
•
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CI-8 IN
SUB CB
PANEL
I�1�LIC Ulu t�Ui )•I"
1-1001
Rd4_OF -
MIN. DIS ONUEM'
INS [DE PANEL
Rntung
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. L oct; n„
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Condl.Ic::or sCcr_ !�_
Conduit stze
Conduit - type- 149(6 •
Thru roof YES_ /�/� NO
(;round wire :Sr.: C._
Rn fln® rips
Nlutt► Amps
Sub I3rnalcers _` Atirs
SUB FEEDE
New
Type/
Bond Size; - _
Existing '_
n r 1 \//
zvr1 c V1
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LtY∎0% A\i%,4 0111 st.F SdSd
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Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2005 -117
Printed: 4/7/2005
Applicant: JENNIFER
Owner:
JOB ADDRESS: 297 NE 97 ST
Contractor G M P ELECTRIC CORP.
Local Phone: 305/300 -7524
Parcel # 1132060134290
BOLTON
Contractor's Address: 1520 E. MOWRY DR #205
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 23
Fees:
FEE2005 -4472
FEE2005 -4473
FEE2005 -4474
FEE2005 -4475
FEE2005 -4476
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$150.00
$0.60
$0.20
$3.00
$3.00
$156.80
Total Fees: $156.80
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 10/4/2005 Construction Value: $400.00
Work: SERVICE UPGRADE
Signed: (INSPECTOR)
Page 1 of 1
BLK 31 LOT SIZE 53.810 X
v
�O / I 5 ‘ G 9 e /
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: