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970 NE 94 St (11)Issue Date: 1/8/2007 Owner's Name: LANCE OSSMAN Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 970 94 Street NE Contractor(s) AAA ON TIME ELECTRIC, INC. Additional Information Miami Shores Village, FL Type of Work: ELECTRICAL Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Phone 305 - 308 -7333 Permit Expires: 07/07/2007 Amount $0.60 $0.20 $5.00 $150.00 $9.00 $3.75 $168.55 Primary Contractor Yes Permit Status: APPROVED Permit Number: EL - 1 - - • one: (786)423 -8188 1132060350030 Lot: Parcel #: Block: Section: PB: Total Square Feet: 0 Total Valuation: $ 1,000. Required Inspections Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final Invoice Number EL - 1 - 07 - 27181 Total: Amt Due $168.55 CAI JAM 0 ND Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. CONVERT OVER HEAT SERVICETO UNDERGROUND FEB 0 6 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 02/02/2007 Inspector: Devaney, Michael Owner: OSSMAN, LANCE Job Address: 970 94 Street NE Project: <NONE> Miami Shores Village, FL Contractor: AAA ON TIME ELECTRIC, INC. Building Department Comments Thursday, February 1, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration 1` Phone Number (786)423 -8188 ! Parcel Number 1132060350030 Block: Lot: Phone: 305- 308 -7333 Page 1 of 1 Permit Number: EL- 1 -07 -21 Invoice Number: EL -1 -07 -27181 Applicant: LANCE OSSMAN Company Name: Date Tuesday, January 9, 2007 01/09/2007 Cash Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number Owner Address: 10635 NE 10 CT MIAMI SHORES, FL 33138 Job Address: 970 94 Street NE Miami Shores Village, FL Amount $168.55 Change $0. 00 Total Payment: $168.55 Page 1 of 1 CONVERT OVER HEAT SERVICETO UNDERGROUND JAN 0 9 2001 Passed Inspector Comments .— , �� g `Yd- v it.."‘" !/. em 7 %,,' i/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Contractor: .... ............................... ..... ............................... Ins aection' fu 6 ermit >l u t1 Inspection Date: 01/08/2007 Inspector: Devaney, Michael Owner: OSSMAN, LANCE Job Address: 970 94 Street NE Project: <NONE> Building Department Comments Friday, January 5, 2007 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: Addition /Alteration Block: Phone Number (786)423 - 8188 Parcel Number 1132060350030 Lot: Page 1 of 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Electrical Plumbing Owner's Name (Fee Simple Titleholder) (L( Owner's Address ."]'70 NL'' " )A- ( ST City 1M )t Y\ \ c 5 State 'fiL Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village FOLIO /PARCEL# )\— 32n(o - a3 ' oo3D Is Building Historically Designated YES NO CX Contractor's Company Name AA too /rites? Contractor', ddress �v�� ,b/ City Qualifier Name Architect/Engineer's Name (if applicable) Submittal Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CPC County Miami -Dade /') 01 Permit No. Master Permit No. Mechanical Roofing Phone # 7% - 423 r g )17 Zip 3 3i Phone # State 0 (9-e-1A V42-11 State Certificate or Registration No. f f4'. / 5e0a..r '7e Certificate of Competency No. Phone # Zip 331 r '' lEeMEWMI fut mx ®5 Ni JUI /1O1(CX4 EL c) BY: P ho e# d� (�Q 1 - Zip 3 /C1 Phone # 4 k 392 Value of Work For this Permit $ / Square / Linear Footage Of Work: Type of Work: ❑ / Addition [Alteration ❑New Repair /Replace ❑ Demolition Describe Work: C� Off` U-ej. 7 L) Y SeY` j CQ� r /c 13/0b rb o/t' }> ******** * * * * * * *4.* * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * ** * * * * * * * * * * * * * * * ** Permit Fee $ /3 CCF $ 060 %y, CO /CC Notary $ Training/Education Fee $ a' Technology Fee $ 5 1 3 Scanning $ ✓'A/ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ l(C)5 /l 3# See Reverse 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. 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 approve and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of /P2C. , 20 c6, by CIO l.a►ice OSS , day of �1 oi 0.orv ..tea r , 20 07, by K-b r t ma,' who is personally known to me or who has produced ,- tV "i L/(_,who is jrsonally known ii me)or who has produced 0 5� Gr IMO As identification and who did take an oath. as identifioonnd who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC;, commission men Been Tapp %'%' 4' Expires Jul .,..- ona� Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Sign: .- Print: Carmen Weje' n -T,? My Commission Expires: L7 °-r 6 —.20 * * * * * * * * * * * * * * * * * * * * * * * * * * ** ' *w - .: ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** %Y":65e—iiyans Examiner Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES NC (WIND) FLOOR DRAIN SERVICE TEMPORARY NC (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS /ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION NC UNIT A/C WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE /RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION 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 BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL