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45 NE 94 St (16)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / Job Address Legal Description Owner/Lessee / Tenant G1 vL' D Owner's Address 4-5 .E_ cf 4"5 Contracting Co. +4 E\'t- Qualifier Rv,., J Q Square Ft. APPROVED: Zoning Mechanical 4 L N i E, q L I / Tax Folio Historically Designated: Yes State # ,UO () 1 ®. 9 Municipal # Master Permit # S c311? Phone 75 - ' 4 ; Jc F lt4 , -- SS # Phone 949 Ins. Co ) crl Cc tSt{a( Competency # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILD 1 ELECTRICAL ..' UMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIP'T'ION Address Address Address Address No 4c6 Q per ✓i c e 1�.' t by v+) c:DD O c VT YTE-1 r Estimated Cost (value) 1 /..; -- 29(9 WARNING 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- ,/ Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT5,5 � RADON Date C.C.F. Signat Building ntractor to do the work stated. e of Contractor or Owner- Builder Notary as to Contractor or Owner - Builder Date My Commission Expires: • G. NOTARY Electrical TOTAL DUE j Date Plumbing Engineering tt_ks4- e., ea/ea,w, fir. - 1--*60 ys NtE -:per 1936 N.E. 148th STREET • NORTH MIAMI, FLORIDA 33181 • PHONE: (305) 949 -6373 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot l l A) 5 41L MIAMI SHORES VILLAGE, ?C PERMIT , N? 13149 I Work to b9/ under this Permit k BL Subdi- vision Value of Project This permit is granted to the contractor or b er named above to construct the herefor in strict compliance with all ordinances pertaining thereto and with t under drawings, statements or specifications that may have been submitted to and ap oved time if the work is not done in compliance with such ordinances or if the plans e ch granted is the understanding that the contractor or builder named above assum th pertaining to the work covered hereby whether shown on _the tans or drawin • or done by his agents, servants or employees.,:.- • -^' Signed • ( CONTRACTOR OR BUILDER SY FLORIDA DATE L Contractor's License No Amt. of Permit $ building or to install the equipment or device described in the aNtion ing that the work will be performed in compliance with any plans, e proper municipal authorities. This Permit may be revoked at any without authorization. A further condition upon which this permit is onsibility for a thorough knowledge of the ordinances and regulations statements or sp ' ' t he assumes responsibility for work 195 BY In consideration of the issuance to me of this • a ree • rform the work covered hereunder in compliance with all ordinances nd regulations pertaining thereto and in strict conformity with the plans, drawl s . tements or specifications submitted to the proper authorities of Miami bores Village. In accepting this permit I assume responsibility for all work done by either, mysr, my agent, servant or employee. 4,V,,,Aft SIC INSPECTOR AUTHORITY Permit No / Owner's Name and Address E Registered Architect and /or Epgineer Employing Electrician's Name Location and Legal Description Lot ....; ......, Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE 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. 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 No Street . No...C_.., 1 k i... ' Street Block j Subdivision Service Un nd Size Feeders Conduit. j 1� Main Sw..,' Amps Main Fuses Amps Type of Installation — Conduit Tubing G" 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 sub - contractors 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 performed under this permit, as are licensed by Miami Shores Village. (S 1' . 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 NO'1F 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 a d /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 14 ° j 111 . n d J ? 1 FF / N. CHECK t ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP N EON TRANS. RADIO TOTAL CONTR. LIST ` / Q CHECK Permit No / Owner's Name and Address E Registered Architect and /or Epgineer Employing Electrician's Name Location and Legal Description Lot ....; ......, Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE 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. 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 No Street . No...C_.., 1 k i... ' Street Block j Subdivision Service Un nd Size Feeders Conduit. j 1� Main Sw..,' Amps Main Fuses Amps Type of Installation — Conduit Tubing G" 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 sub - contractors 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 performed under this permit, as are licensed by Miami Shores Village. (S 1' . 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 NO'1F 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 a d /or workmanship. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building ( Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) /OYPQ ii S Phone # 6.3 ©)) 2/5 3 Owner's Address ( S A' E . 9 4 / 5 7 • / city rf S A0/2 e State �' < Zip 3 a /3 g p City Qualifier dq":% Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition Describe Work: 7 ' f; :` • 0 Total Fee Now Due $ (Continued on opposite side) Scanning $ Radon $ Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Fee $ Tenant/Lessee Name Phone # � / � + X � • ? Job Address (where the work is being done) 2 / �/ _ s Cit Miami Shores Village County Miami -Dade Zip 3 i3 Is Building Historically Designated YES NO Contractor's Company Name 1..1? , tA, Contractor's Address ❑Alteration State D Zip, , x State Certificate or Registration No. Certificate of Competency No. 'f, i; CC ' j ❑New Structural Plan Review. $ Permit No. _ !- 5-Y 3 Master Permit No. iJ --lc. 1i Phone # ;� � ��...' • ' Phone # Square Footage Of Work: Repair/Replace Jr. ❑ Demolition * * * * * * * * * * * * * * * * * a * * * * * * * * * * * * * * * * * * * * * * *** Submittal Fee $ CCF $ CO /CC Notary $ l Training/Education Fee $ (1 - Technology Fee $ . Zoning Bond $ Bonding Company's Name (• applicable) Bonding Company's Address • ►ti 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 Signa "e 4c6r- Contractor Owner or Agent The foregoing instrument was acknowledged before me this The for instrument was acknowl day of , 20 _, by , day of 2 1 / , 20 _S by 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: Jul 13, 2007 My Commission Expi 'esF F nded Thru *************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * AVaigg f +; - * * * ** My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 ged before me this y1O ' I a) m5 Plans Examiner Engineer Zoning 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 BP20067 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: Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATI ► - -� 4 ,_ Master Permit No. t 1 CS 11 FBC 2001 Permit Type (circle): B ding Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleh► Owner's Address City, // Tenant/Lessee Name State Zip Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -fade Zip Is Building Historically Designated YES NO/ ,S,' .,I Contractor's Company Name Contractor's Address City_ Qualifier State State Certificate or Registration No. Certificate of Competency No. Architect /Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New 0. Repair /Replace ❑ Demolition Describe Work: Notary $ Scanning $ Code Enforcement $ * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * * * * *. � * * * * * * * * ** Submittal Fee % Permit Fee $ CCF $ CO /CC (Continued on opposite side) Training /Education Fee $ Radon $ Total Fee Now Due $ /, 'r' J `° Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Structural Plan Review. $ Phone # Phone # Zip Technology Fee $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip r , 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. Signaturi Owner or Agent J 1 ho is 2 e sonally known to me by 2 87Q— jL'_1, It • I P 11i, 6, * Ex, Atlantic Jondi The f• .y• ingnstrument was ackno �,�day •• , 20� , by wh is /ersonally known to me ho has produced ---' As identification and who did take an oath. My Commission Expires: ledged before NOTARY P . Sign: - .4,64,, Aggli.�L " w it • - e Prin�'ri'l ID y. his ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ZOO APPLICATION APPROVED BY> chc 05/13/03 Signature Contractor The f day o NOTARY PUBLIC: Ginny •mmis Expires: May Bonded Atlantic Bondin ing instrument was acknowledged before me A jmmission E r who has identification and who did take an oath. res: oduced ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * J� of Plans Examiner Engineer Zoning - ' one' ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVIrF sI7F IN Aws DUCT WORK FLOOR DRAIN ■ SERVICE REPAIRA ETER CHANGE REFRIGERATION GREASE TRAP PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MJTDRS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MJTCRS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET I MOTORS OVER 100 1-P VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT I i STRIP HEATER FIRE SPRINKLER I I GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE ( GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL ( SPECIAL PURPOSE SWIWING POOL OUTLETS COWERCIAL 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 I 1 AREA DRAIN 1 ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM _ GAS RANGE I I 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 OW ER S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. ) • PLUMBING ELECTRICAL MECHANICAL 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 t`+. - 2005 - 52 4 : ).5e BUILDING Permit No C-e - Z 5 — / / 9 ? 37-5t PERMIT APPLICATION Master Permit No. 1 P 05— I FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) / kr C ,9,-, S Phone # 0 0 S) ?IS -1 513_ Owner's Address 216 Jy - 7 4 7 1 s7 • City Se-6,4 J t P9 State p L • Zip 33 /3 a Tenant/Lessee Name Phone # Job Address (where the work is being done) 29 ' 7 - / s City Miami Shores Village County Miami -Dade Zip 3.3/..32 Is Building Historically Designated YES NO Contractor's Company Name HEM t1tt71, /C/ic. eRA' IL?Jhone # 303 /c3 J Contractor's Address /5 A/ „2 ® �f , _/ q 3 S As %t/ /G /e' City kOf}-/1f C,6iFC State / Lc Q (1)14 Zip 3 3 / fa Qualifier "MAr 5 ..hi411, % State Certificate or Registration No. 6// /3C/36 e7 1� Certificate of Competency No. t/ O C% Architect /Engineer's Name (if applicable) $ Value of kiiiniblrfrof - tilt Pettit", `* 41*` t. Y�7� lira `I� Type of Work: ❑Additioi ❑Alteratiot Describe Work: Submittal Fee $ Notary $ Training /Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village - Building Department Permit Fee $ ❑New Structural Plan Review. $ Phone # Square Footage Of Work: K Repair /Replace Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ Technology Fee $ Zoning Bond $ flCC chcrAV, Or 40,,, )■cQ, CO /CC Bonding Company's Name (if applicable) Bonding Company's Address City State Zip tit 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 ab ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature My Commission Expires: APPLICATION APPROVED BY: chc 05/13/03 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 et ,2000 by 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 PUBC,;.•��Ya., r ESTH y BARKER Sign: Sign: ` .��,•��,._� o Si n: 11,17 +� C • #F DD283760 Print: Print: At t pits" Bor irxiByN . ry n. My Co is o i s. • **************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ITEM BATH TLE 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 ALPS 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 GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 H' 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 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 H' COOLING TOWERS WATER CLOSET MJTCRS 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 SWIPING POOL OUTLETS COMMERCIAL 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 YELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPINa': ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPW,CAMION FOR BUILDIi' G Ph.RMIT 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 • Miami Shores Village Building Department Change of Contractor 6 L Zob6'- ca Permit No. e-4 ?005 - /! 7 • Owner's Name (Fee Simple Titleholder) -/ PQ� 4/0 Phone# ( 3 0 ) 2 / c / 5 3 / c� -y Owner's Address 415 , / 11 .57 �y City F1t 4es 1° �� ®� e �' State Zip 3 3 / 3 o Tenant/Lessee Name Phone # 29 ? /( - - 9 ? 57 Job Address (of where the work is being done) D City /e9 ,/ 1 J h Dit .' s County T e- Zip 4_3 D 3 � Legal Description Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Describe Work: 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 Contractor Owner or Agent The foregoing instrument was acknowledged before me this 1 0 The foregoing instrument was acknowledged before me this day of "�/ 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 e an oath. as identification and who did take an oath. NOT . • Y P jam' C NOTARY PUBLIC: Si ' ��► + .. ;tgaS Si � � . �12'�9��1 Sign: Print: "'�'� Con ' , 2007 Print: My Commissir• Expires: Rev. 09/19/03 ) ti1.a '',nded rh^' r My Commission expires: ;Antic Bond % IJRIF LOOP I - 0 BE 3 0' . (1IIN) •' 6' •► i - • 200 A f C -IETER 2' MOVE ROOF • • 1 F11 UThED GRADE 2' PLAr11C BUZ WIG eV >~� gulp a • • • HA]N C13 • 1 PANEL � U'0' ti IN DF.J'T11 1 TENT flab GL 44411' • • • C� SUB 013 PANEL • • _ s _ SI(HATU E BY 1C.K.q 1C LIN I •1- Ic101)•1: _ � Conductor scre Conduit St1 Conduct - type- rn • u roof Y ES _ _ r �0 G wire :AZ IC_ HAIN. DIS ONIIECT Rafino ; . ;' . .A IIpS Mug► �.� Arip Sub I3raalce SUB FEEDE New: Typ sine Bond s'LZq: - • INS EDE PANEL • • C .N Trt1 7Q11_4: 1r.E 1s t. • . d �! Ratuig 'land Bus L Oca Existing • • of Ai9ps es _ 1•la 7: �� (`) I 1 ) 1 \z/ C v q 44 0 6- X11 4 '5 ----'to j,, ocgcgooa iko3 COOS Q Lk) On 000c, A'D ``) V D I a _ -s LOOP rib ���t�►�i of ° 0 E ©51 uJ - D Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/7/2005 Applicant: JENNIFER Owner: JOB ADDRESS: 297 NE 97 Contractor G M P ELECTRIC CORP. Local Phone: 305/300 -7524 Parcel # 1132060134290 Signed: Electrical Permit Permit Number: EL2005 -117 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 -4472 Building Fee $150.00 FEE2005 -4473 CCF $0.60 FEE2005 -4474 Training and Education Fee $0.20 FEE2005 -4475 Technology Fee $3.00 FEE2005 -4476 Scanning Fee $3.00 Total Fees: $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 (INSPECTOR) 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: