ELECTRICALBUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
MIAMI SHORES VILLAGE, FLORIDA
`N,! PERMIT N° 9166
Work to be performed under this Permit
Subdi-
vision
DATE r 195
Contractor's
License No
Legal Lot Bl.
Description
Address of
Building
This permit is granted to the contractor or builder named above/to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any pl ns,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permi is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the prdinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assiimes responsibility for work
done by his agents, servants or employees.
Signed- BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder imliance with ll ordinances and regulati is
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autho ies of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
Value of
Project $
Amt. of
Permit $
BY AUTHORITY
;UILDING
LECTRICAL
'LUMBING
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 8599
Work to be performed under this Permit
)weer of
wilding
.rchitect
: ontractor
-r Builder
.egal Lot Bl. Subdi-
)escription vision
address of Value of
wilding Project
DATE 194
Contractor's
License No.
Amt. of
Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfornied in compliance with any
•lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
:ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
..gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
ibility for work done by his agents, servants or employees.
Signed: By
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
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
is accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY
11
1
P
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12 /13/2002
Applicant: EDWIN
Owner: STEIVE
JOB ADDRESS: 1115 NE 97
Contractor MOODY ELECTRIC INC
Local Phone: (305)758 -2000
Parcel # 1132050170060
fee is $50.00, which
ri
This Permit is granted to tl
ordinances pertaining theretc
and approved by the proper r
authorization. A further cond
ordinances and regulations p■
by his agents, servants or ern
Signed
In consideration of the issua
with the plans, drawings, state
myself, my agent, servants or
Signed:
PAY
AMOUNT
OF
MOODY ELECTRIC, INC.
669 N.W. 90TH STREET
MIAMI, FL 33150
(305) 891 -1374
Electrical Permit
Permit Number: EL2002 -411
STEIVE
EDWIN
ST
•
Contractor's Address: 669 NW 90 ST
Legal Description: REV PL MIAMI SHORES SEC 8
Permit Status: APPROVED Permit Expiration: 6/10/2003 Construction Value: $1,200.00
Work: KITCHEN REMODELING 6 RECEPTACLES 5 LIGHTDS REUSE STOVE RECEP.L & DISWASHER
If there is no permit package accessible on t hJob -sb #o
TOTAL BANK
MIAMI, FLORIDA
, + 5914 aSTN15DOCOMENT :CONTAINSTHEAT?SENSITIVVINKW TOUCH, OR PRESS' HERE'.�a PEDJMADE_DISAPPE.
00 L6 209 1:066009
EXPLANATION
ACCTS. PAYABLE
DISC.
Page 1 of 1
Total Fees: 00
Total Receipts: $0. 0
'
B. ORIGINAL DOCUMENT PRINTED ON CHEMICAL REACTIVE-PAPER WITH MICROPRINTED BORDER - SEE REVERSE SIDE FOR COMPLETE SECURITY FEATURES B" `
PB 43 -51 LOT 6
AMOUNT
35 L030 ?9
OTHER
DOLLARS
CHECK
NUMBER
V,#10e:0()
BLK 180 LOT
63- 915/660
1620`-
CHECK
AMOUNT
$ I 60,0(
EAT B' - - _
, D _se _ nawr
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS •
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIN))
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN A PS f la2
/
DUCT WORK
FLOOR [',RAIN
SERVICE REPAIR/METER CHANGE
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
MQTCRS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
SINK, RESIDENCE
M)TCRS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
M)TCRS OVER 8- 10 HP
ELEVATORS /ESCALATORS
TEMPORARY WATER CLOSET
M)TCRS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
M)TCRS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 IHP
VIOLATION
INDIRECT WASTES
A/C WINDOW
RE INSPECTION
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
FIXTURES
SEPTIC TANK
AMEN
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
(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
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
s
Date ;c72-0J / Job Address
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Legal Description Historically Designated: Yes No k
Owner/Lessee / Tenant &i /% /eu Master Permit # y q
Owner's Address 1 /15 41e_' 97 Phone 5 6f
Contracting Co. /1�/ � Address (d R0/,4 , _) .9 11"
Q er _______ / ,/) 4' ' 1 SS# ( - - Phone eV ( 89/4-439V
State # ' , =i�1'7 ° 4?
,���,��� • Municipal # Competency # Ins. Co.
Address
Architect/Enginr r
Bonding Company 04.1 0 4 —
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. 6°
APPROVED:
Zoning
Mechanical
Signat of owner and/or Condo President
Notary as to
My Commission Expi
05MR114104N NUMBER
a a f e741 860
9i(4 { 4• MY �MMIS3ON EXPIRES
OF FL MAY 11,2002
FEES: PERMIT , <e RADON
/h /5 /iV E 97 r- Tax Folio
Address
5t4b/,/ a-4:4
Estimated Cost (value) t®e Q e
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.
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. Furthermore, I authorize the above -named contracto ' the work stated.
al 0 (
Date
P QRI5G3 a
Plumbing
Signature of Contractor or Owner- Builder
Notary as to Co tractor o
My Commission Expires
Building Electrical
Date
ildPleiEiirv�y — Date
(. WAY P CRIGt33
fr 5 ...i4lo NUMUER
� ec741e 0
OF F�O(l, MY OMM SSION EXPIRES Ii
Y 11.2002
C.C.F. J � � NOTARY BOND
TOTAL DUE
Structural Engineer
AUG -20 -01 11:19 PM PAIER— STIEVE
Pug' 20 01'11 :46a Moody Electric Inn 3105 °758 -2000 p,a
MOODY ELECTRIC INC.
PROPOSAL
www. moodye lectric. com
609 N.W. 90 Ettroet • Mlemi,FL 33150.2166
Ti e• (305) 891 .1 374 Ftrc: (305) 758•2000
Punning Submitted to:
Ed Stiveve
11 I S N.E. 97 Street
Miami Shores, 11. 3313F
305-759-0511 Phone /Fax
Jnb Nemo:
Miscellaneous Electric
Uwedom
Sante as Above
Job Description:
1. l Furnish and install new 200•mttp service which includes the titllowing:
New meter /main breaker with sub - breaker located outside.
Riser conduit and wiring included.
Proper grounding included.
Remove existing fine box in interior of house and replace. with new Genera! Iilectric breaker
hex.
Repair miscellaneous receptacles in house and wiring outside under soffit.
- RcrntVe extension colds.
Label panel accordingly.
Permit inc
Nitre: Patching by others.
3057596835 P.01
-wrvorogr to fiirnish material aniflebur • complete in acco with those specifications fur the sun► or
Two Thousand One Modred Dollars 52,100.00
Payable as fitltows: Progress Payments
In the wont customer boils to per this proposal whos duo. Moody Electric, Inc. shell be ontItlod to reeovor oil cuts incurred including attorney's fear for
:aeries" rendered In counoc:lun with cofedion ct payment of the debt as evidence by :his propooal or enforcement of Moody Electric Int.'s r hty Flavtded
;Alder law NOTE: This potpie' moy be twillisfilawri by to It out ereepad %hits 10 Mull.
Acceptance of Proposal • The prices. specifications urd cnndit;.ons are salistironr; and are hereby accepted. rized
1 to do the work specified. Payment will he made i+s outlined above.
1 s air. !! I 1 (1 umc 1 ° >' si Ahyru r c
n 31/
Pi rd..
• ... .. - -_
Pant.
MMdt. lAcc l e. Inr. Autharm Siete
You are autho
Pago lofl
August 20, 2001
MOODY e ELECTRIC, INC. PROPOSAL
www.moodyelectric.com
669 N.W. 90 Street • Miami,FL 33150 -2166
Tel: (305) 891 -1374 Fax: (305) 758 -2000
Proposal Submitted to:
Ed Stiveve
1115 N.E. 97 Street
Miami Shores, FL 33138
305- 759 -0511 Phone/Fax
Job Name:
Miscellaneous Electric
Location:
Same as Above
Job Description:
1.) Furnish and install new 200 -amp service which includes the following:
New meter /main breaker with sub - breaker located outside.
Riser conduit and wiring included.
Proper grounding included.
Remove existing fuse box in interior of house and replace with new General Electric breaker
box.
Repair miscellaneous receptacles in house and wiring outside under soffit.
Remove extension cords.
Label panel accordingly.
Permit included.
Note: Patching by others.
August 20, 2001
WE PROPOSE hereby to furnish material and labor - complete in accordance with these specifications for the sum of
Two Thousand One Hundred Dollars $2,100.00
Payable as follows: Progress Payments
In the event customer fails to pay this proposal when due, Moody Electric, Inc. shall be entitled to recover all costs incurred including attomey's fees for
services rendered in connection with collection of payment of the debt as evidence by this proposal or enforcement of Moody Electric Inc.'s rights provided
under law. NOTE: This proposal may be withdrawn by us if not accepted within 30 days.
Moody Electric, Inc. Authorized Signature
Acceptance of Proposal - The prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized
to do the work specified. Payment will be made as outlined above.
Signature Date Signature Date
Print
Print
Page 1 of 1
,MOODYI ELECTRIC, INC.
www.moodyelectric.com
669 N.W. 90 Street • Miami,FL 33150 -2166
Tel: (305) 891 -1374 Fax: (305) 758 -2000
t13
44
C_a
> //5 ,vC 97
A 40/2fi4
fe Ao ) 7 2 n
d" A riot
3- a/o TgIba
3 ao 7 7-f A
1 Yo. 047
etop
C
A) e f/)2/ _
,
AkatAl
fj
u COMMISSION NUMBER
•+
O CC749880
OF FL� MY COMMISSION E,XPIRE3
MAY 11,2002
MOODY
669 N.W. 90 S
Tel: (305) 891-
ELECTRIC INC.
www.moodyelectric.com
treet • Miami,FL 33150 -2166
1374 Fax: (305) 758 -2000
/biz �'5 ve'e
/1/5 /t.)4�
RESIDENTIAL DEMAND LOAD CALCULATIONS
W / SQ. FT
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
FREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT
SPARE CAPACITY
SPARE CAPACITY
TOTAL CONNECTED LOAD
F5s / K.W.
1,5 K.W.
.5 K.W.
1 K.W.
'—' K.W.
K.W.
I' K.W.
S K.W.
K.W.
y. 5 K.W.
K.W.
f t� K.W.
K.W.
z K.W.
K.W.
K.
K.W.
K.W.
K.W.
.K.W.
K.W.
K.W.
g 766 K.W.
FIRST 10 K.W. @ 100% / 6 10.0 K.W.
REST @ 40% 37. 60 K.W.
A/C @ 65% / HEAT @ 100% /e/.4) /t5 K.W.
TOTAL DEMAND LOAD 1/ 1 c.-tQ /K•W
K.W. / 240 VOLT = / 7 7 AMPS
35eloo /:/$6 6
' fh/
gV P 1,6'6 . :1 IAi ► rAny : I V c
P MARV P 0R1 .�
# COMMIa9ION NUMBER
N
` ' o CCY41880
7 l 4. "° J Q @t MY COMMISSION EXPIRM
OF F MAY 11,2002
MbODY#ELECTRIC, INC.
www.moodyelectric.com
669 N.W. 90 Street • Miami,FL 33150 -2166
Tel: (305) 891 -1374 Fax: (305) 758 -2000
X12• �� i/G
e! /5
-4) /6?,
//3ue 4./#4.9a .
FPS
9" tyAIV
3- a/r///MJ
row Yo- c
IRgotcyj
e /In/4y
i P4/06._ Q cAY P BRIGGS
0
I!? COMMISSION NUMBER
'•ew !I�" Oa CC7418 0
7). 0' MY COMMISSION EXPIRes
OF f ■ - 0 MAY 11 ,2002
MOODY 4 ELECTRIC INC.
www.moodyelectric.com
669 N.W. 90 Street • Miami,FL 33150 -2166
Tel: (305) 891 -1374 Fax: (305) 758 -2000
6'7 Uell e
/1/5 t
Lei
RESIDENTIAL DEMAND LOAD CALCULATIONS
W / sQ. FT
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
FREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT
SPARE CAPACITY
SPARE CAPACITY
TOTAL CONNECTED LOAD
(9 704
K.W.
.3
1 .5 K.W.
K.W.
�S K.W.
K.W.
S CE K.W.
K.W.
K.W.
K.W.
K.W.
✓ K.W.
, K
K.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
" .K.W.
K.W.
K.W.
g 766 K.W.
FIRST 10 K.W. @ 100% /17, 6 10.0 K.W.
REST @ 40% !j7_ t;0 K.W•
A/C @ 65% / HEAT @ 100% /1 K.W.
TOTAL DEMAND LOAD J J / ‘001/(1(.W.
K.W. / 240 VOLT = / 719 AMPS
5I-M1) /V,4 6
PaY'PU o MAR 1 a±?v
COMMISSIONI Numso
t CC741EGO
7/. u Q . MY OOMMISSSON EXPIRM
F F� MA 11 2002
�2c
APF;cMD
BY
PATE
ZONIEG
STRUCTURA
----,
EtICT9iCM.
......____
21. ' 9
..,
• • 0 9: t e -
_
;
- -- —
P.
4 200F
'-'''
-
fiLi.)C.i. OFF/C!AL
. -
- - - --''""----------
- ------
-
--
SUBJECT TO 00r::) E Y!In: A`,.I. FIIEV, STATL' AND COUNTY :
Rail gID REGUIATIG■\:S.
NiIINI SHORES VILLAGE ASSMIES NO U.t:"CINSIBIIITIES FOR ACCURACY
N OR WESULTS FROM rtiESE PLANS. ,
COMPLIANCE WEI THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY
MIAMI SHORES VILLAGE ti3 REQUIRED. TE. ARCHITECT, BUILDER & SUB
CONTRACTORS ARE CNARGED WIT THE f.LEOWLEDGE OF ALL BUILDING
REGULATIONS moo OR NOT SPECIFICALLY INDICATED HEREIN.
[ill SIXO2E2 WHIME
■
M
I•
www.moodyelectric.com
669 N.W. 90 Street • Miami,FL 33150 -2166
Tel: (305) 891 -1374 Fax: (305) 758 -2000
Proposal Submitted to:
Mew lihmkorewsky
1115 N.E. 97 Street
Miami Shores, FL 33138
2
Job Name:
Miscellaneous Electric
Location:
Same as Above
DY# ELECTRIC, INC. PROPOSAL
Note: Patching by others.
Pho-rib ICa46 - 1.C . 1-657/
l 2001
006/
Job Description:
1.) Furnish and install new 200 -amp service which includes the following:
New meter /main breaker with sub - breaker located outside.
Riser conduit and wiring included.
- Proper grounding included.
Remove existing fuse box in interior of house and replace with new General Electric breaker
box.
Repair miscellaneous receptacles in house and wiring outside under soffit.
Remove extension cords.
Label panel accordingly.
Permit included.
WE PROPOSE hereby to furnish material and labor - complete in accordance with these specifications for the sum of
Two Thousand One Hundred Dollars $2,100.00
Payable as follows: Progress Payments
In the event customer fails to pay this proposal when due, Moody Electric, Inc. shall be entitled to recover all costs incurred including attomey's fees for
services rendered in connection with collection of payment of the debt as evidence by this proposal or enforcement of Moody Electric Inc.'s rights provided
under law. NOTE: This proposal may be withdrawn by us if not accepted within 30 days.
Moody Electric, Inc. Authorized Signature
Acceptance of Proposal-The prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized
to do the work specified. Payment will be made as outlined above.
Signature Date Signature Date
Print
Print
Page I of 1
Date 4/ f' Job Address //7
Permit Type (circle one): BUILDING ELECTRICAL
4
Signature of owner and/or Condo President
i Ji. Notary as to Ow and/or Condo President Date
My Conunission Ex"pifes -"~ ',_ .re__.... "_...."..A._...... -..._
0 0S'4, , . ,, i,tAF Y PAT BR)GGS
' ' %'Yfl Notary Public - State of Florida
My Ccr mission Fxpirea May 11, 2008
1 _`� Commission ': CID '104873
,5 `� ;,;*„y, Se 1§=tional Notary Assn.
FEES: PERMIT
APPROVED:
Zoning Building
Mechanical
fey
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
i_ -
Date
Tax Folio
Legal vescription Historically Designated: Yes No
J A/ -
Owner /Lessee/Tenet Master Permit #
Owner's Address / t' < ,J Phone ( 77/
Contracting Co. r " ! / ` � l ( Address `% / /t 4 t /- """
,d C
Qualifier / , P` /f r SS# Phone
State # / / // Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION:
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO S() MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT «'ITH
YOUR LENDER OR ANY 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 all disciplines.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable lags
regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated.
Notary as to Contract
My Commission Exples ;i . 1
Signature of Contractor or Owner Builder
'4:.ARY ;'A: SikiGGS
`:oia,ry Public Sate r,4 Horde
My C.Y'Yr, . c M* 11, 200E
Commission P D0 . 873
Wr,;;;P'
pond fly National Notary Assn.
C.C.F 4 -, ) NOTAR
- "•.
Date
ate
TOTALS
Electrical ;/.�,�'' ll, •-ei"
Plumbing Structural Engineer
EM
TN TLB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
CET
LIGHT CURETS
CENTRAL HEATING
WAS•ER
RECEPTACLES
A/C (WIND)
x GSAL
SERVICE TEIPCRARY
A/C (CENTRAL)
INKING FOUNTAIN
SERVICE SIZE IN ALPS
DUCT WORK
OCR CRAIN
SERVICE REPAMETER CiAAGE
REFRIGERATION
EASE TRAP
APPLIANCE CUTLETS
°
PROCESS AND PRESS PIPING
TERCEPTCR
RANGE TCP
UNDERGRCIUND TANKS
AWRY
OVEN
!
ABOVE GROUND TANKS
.UNDRY TRAY s
WATER HEATER
U.F. PRESSLRE VESSELS
.OTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS '
TOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
NX, POT /3 COMP.
MOTORS OVER 3- -5 FP
PECHANICAL VENTILATION
;NX, RESIDENCE
MOTORS OVER 5- 8 FP
TRM PGRTIN3 ASSEWLIES
;FIX, SLOP
MOTCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
:WCRARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
ANAL
j
MOTORS OVER 25-100 if
COOLING TOWERS
;TER CLOSET
MOTORS OVER 100 HP
VIOLATION
•DIRECT WASTES
A/C WINDOW
REINSPECTION
_
;TER SLPPLY TO:
AIR CONDITIONERS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRA)SFOR€rRS
•
HEATER -NEW INST.
GENERATORS TRA)SFCRPERS
HEATER - REPLACE
GENERATORS TRANSFCRNERS
TARN SPRINKLER -WELL
SPECIAL FLRPOSE
SIAM POOL
CUTLETS COM4ERCIAL
WATER SERVICE
•
SIGN TLBES
:?(ER CONNECTIONS
SIGN TRANSFCR.VERS
'ILITY -SEWER
SIGN TIME CLOCK
"ILITY -WATER
FIXTLRES
:PT IC TANK
ANTENNA
'
:LAY
TELEVISION CUTLETS
tAINFIELD, 4' TILE/RES.
VIOLATION
;TAP & ABA/CON SEPTIC TANK
RE I IS?ECT I ON
)AXAGE PIT CU. FT.
►TCH BASIN
;SCHARGE WELL
'
:STIC WELL
IEA DRAIN
:OF 1h1ET
)UAR HATER HEATER -.
IRE STANDPIPE
a PIPING .
%WM SPRINKLER SYSTEM
S RANGE
:TER SET (GAS)
S PIPING
—�
N APPLICATION FOR BUILDINGS PERMIT MUST ACCOHPANT T1iIS ADDENDUM. IF A MASTER PERMIT HAS B.
t3T,AINED, THE OI.INER'S'NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQTIENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
11 ELECTRIC, INC
669 N.W. 90 STREET
MIAMI, FL 33150 -2166
TEL: (305) 891 -1374
FAX: (305) 758 -2000
Proposal ‘&'4 Q� � � /�
)
Submitted To.
/ / /.5 Ale 97
/' &Algo 4
C1440 9 a,e, Ai-e4e)
1508 NAME /NO
LOCATION
PROPOSAL
e No
PHONE
"7 5 . T?
OATF
of mgrs
/-
(WE PROPOSE hereby to furnish material and labor — complete in accordance with these specifications, for the sum of:
Payable as follows:
dollars IS
Authorized
Signature
NOTE: This proposal may be withdrawn
by us If not accepted within days
In the event customer fails to pay this proposal when due, Moody Electric,
Inc. shall be entitled to recover all costs incurred including attorney's fees for
services rendered in connection with collection of payment of the debt es
evidence by this proposal or enforcement of Moody Electric Inc. s, rights
provided under Law.
ACCEPTANCE OF PROPOSAL — The prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do
the work as specified. Payment will be made as outlined above.
Signature Date Signature Date
669 N.W. 90 STREET
MIAMI, FL 33150 -2166
TEL: (305) 891 -1374
FAX: (305) 758 -2000
MOODYyELECTRIC INC
Proposal , g
Submitted To:
4'
JOB NAME /NO
LOCATION
PHONE.
PROPOSAL
Page No
t. /
of Pages
UATI.
-
J
(WE PROPOSE hereby to furnish material and labor — complete in accordance with these specifications. for the slim of:
dollars (S
Payable as follows:
4
Authorized
Signature
NOTE: This proposal may be withdrawn
by us if not accepted within days
In the event customer fails to pay this proposal when due, Moody Electric,
Inc. shall be entided to recover all costs incurred inducting attorney's fees for
services rendered in connection with collection of payment of the debt es
evidence by this proposal or enforcement of Moody Electric Inc: s, rights
provided under Law.
(ACCEPTANCE OF PROPOSAL — The prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do
the work as specified. Payment will be made as outlined above.
Signature
Date
Signature Date
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669 N.W. 90 STREET
MIAMI, FL 33150 -2166
TEL: (305) 891 -1374
FAX: (305) 758 -2000
MOODYyELECTRIC INC
Proposal , g
Submitted To:
4'
JOB NAME /NO
LOCATION
PHONE.
PROPOSAL
Page No
t. /
of Pages
UATI.
-
J
(WE PROPOSE hereby to furnish material and labor — complete in accordance with these specifications. for the slim of:
dollars (S
Payable as follows:
4
Authorized
Signature
NOTE: This proposal may be withdrawn
by us if not accepted within days
In the event customer fails to pay this proposal when due, Moody Electric,
Inc. shall be entided to recover all costs incurred inducting attorney's fees for
services rendered in connection with collection of payment of the debt es
evidence by this proposal or enforcement of Moody Electric Inc: s, rights
provided under Law.
(ACCEPTANCE OF PROPOSAL — The prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do
the work as specified. Payment will be made as outlined above.
Signature
Date
Signature Date
J
r �
Amount of Permit $ ' , I� D
Permit No ;3
STATE OF FLORIDA, 1
COUNTY OF DADE. I
FLORID
head
Type
SS.
MIAMI SHARES VIL lE
ELECTRICAL INSPECTION DEPARITMENT •
APPLICATi N FOR ELECTRU ;ALL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications hereth 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.
(Signed
No /
gJ
Owner's Name and Addre:s.� -� -J
Registered Architect and /o • ' eer
Employing Electrician's Na
Location and Legal Description Lot e> Block Subdivision
/f ...
Street and Number where work is to be performed —No i Y `� � c.___. 97 t �+ I . State work to be performed and purpose of building (By Floors ...z(o/zy .,,,Ce,/eci7e c 4/474(4 4, C. (Z.4.._-Yeze
New Building Remodeling Addition Repairs No. of Stories
it 4 r No / l7f
Over d S ize Feeders. Conduit ... //X Main Swgi!1/hrid 6- Amps f Main Fuses Amps
of Installation— Conduit Tubing B.X.L Metal Moulding
Date.
p n
(:
1! /
(Signed)
Street. 4/
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his b 'gations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori d 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, work to be perf. ed under this permit, as are
licensed by Miami Shores Village.
Street 7f
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
REPRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
l® ®.1
p
A /T
CHECK
r �
Amount of Permit $ ' , I� D
Permit No ;3
STATE OF FLORIDA, 1
COUNTY OF DADE. I
FLORID
head
Type
SS.
MIAMI SHARES VIL lE
ELECTRICAL INSPECTION DEPARITMENT •
APPLICATi N FOR ELECTRU ;ALL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications hereth 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.
(Signed
No /
gJ
Owner's Name and Addre:s.� -� -J
Registered Architect and /o • ' eer
Employing Electrician's Na
Location and Legal Description Lot e> Block Subdivision
/f ...
Street and Number where work is to be performed —No i Y `� � c.___. 97 t �+ I . State work to be performed and purpose of building (By Floors ...z(o/zy .,,,Ce,/eci7e c 4/474(4 4, C. (Z.4.._-Yeze
New Building Remodeling Addition Repairs No. of Stories
it 4 r No / l7f
Over d S ize Feeders. Conduit ... //X Main Swgi!1/hrid 6- Amps f Main Fuses Amps
of Installation— Conduit Tubing B.X.L Metal Moulding
Date.
p n
(:
1! /
(Signed)
Street. 4/
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his b 'gations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori d 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, work to be perf. ed under this permit, as are
licensed by Miami Shores Village.
Street 7f
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 INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No. Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and/or Engineer
MIAMI SHORES VILLAGE
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No._
State work to be performed and purpose of building (By Floors)
New Building Remodeling__ _Addition
. Overhead
Service Underground Size Feeders Conduit_ Main Sw
Type of Installation—Conduit Tubing B X L Metal Moulding
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
Street
No._ Street
No ----- . Street
_Amps
Amount of Permit $ _ _ _________(Signed)_
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from 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.
(Signed)_
Repairs No. of Stories
Main Fuses Amps
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appearecL
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 ie-inspection fee of $L00 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
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No. Date
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and/or Engineer
MIAMI SHORES VILLAGE
Employing Electrician's Name
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed—No._
State work to be performed and purpose of building (By Floors)
New Building Remodeling__ _Addition
. Overhead
Service Underground Size Feeders Conduit_ Main Sw
Type of Installation—Conduit Tubing B X L Metal Moulding
STATE OF FLORIDA, }
COUNTY OF DADE.
SS.
Street
No._ Street
No ----- . Street
_Amps
Amount of Permit $ _ _ _________(Signed)_
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from 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.
(Signed)_
Repairs No. of Stories
Main Fuses Amps
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appearecL
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 ie-inspection fee of $L00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and/or workmanship.
Registered Architect and /or Engineer_
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTFRICAL PERMIT
Permit No. Date. _ �"`— ° I - A3O
Application is hereby made for the approval of the detailed statement of the plans and specifications hc+'cwith suhmittcd for t'>; bra lding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Short's Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village And all Emirs and regulation of tl>c 1'.uiidin'* Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy or approved plans and s nuts he kept at
building during progress of work.
F r r ,�f
r1-
'
Owner's Name and Address___ r F ' e' _ .No di ?z__ .__ _ .__ _ Street /V r -
Employing Electrician's Name C 1 ` No
Location and Legal Description Lot .(u / Block ,1
Street and Number where work is to be performed— No.____, _/ Stleet
reN Repairs _.
State work to be perfo d and purpose of building (By Floors)
New Building___ Remodeling Addition
Service O er he4a=l Size Feeders / _ Conduit '' Main Sw. Amps.
Type of Installation — Conduit_ Tubing___ B.X.L Metal Moulding
Amount of Permit $ _ —_ (Signed) `a --- - - '_k^! ' ' C ti
1 I :isp 'ci . :.
The undersigned applicant for this building permit does hereby certify that he understands and accept; 11i. cb1ig, ro�> 1 >lo,er of
labor under We Florida Workmen's Compensation Act, being Section 5JGt3, Compiled General Laws of Florida l c r:1 l_ r.c tt 1,r
., „ • c and
has complied with the provisions thereof, and will require similar compliance from all contractors or sob- coot- ,:ctors cmp nycd b. ; MI ;r illy
work to be performed under this permit; and will post or cause to be posted for inspection on tie :,it( of the work such pul,lic no'icu or .tuti('es
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as nrr
licensed by Miami Shores Village.
0.
Street __
Subdivision 4 H , ' J % e', 5
p, y/.
(7 (
No. of Stories
Main Fuses
Master Eleetric:a,t.
Amps
STATE OF FLORIDA, '
COUNTY OF DADE. f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and lake acknewlc .ph
appeared
to Inc well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -
of the abo\e described construction, and he has carefully read the foregoing application, and that I„ did ..:;;n t;.c s , and iirje all a,t.;
therein by him stated are true.
\Iy Commission Expires Notary Public, State of 1-lorlda
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for iuspccl.io:t, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P•T'S
Jr
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
" �
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. H CAT.
CONN.
SPACE'
HATER
n:T R'P MO _or,,L
FICA, -, . F. , ♦ ��
.�
LIST
J 61
__
CHECK
�' /
7
l
l �
r
,?
��
nO
S
�V
�
J
At+3
o
-��
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1-5 HP
N EON
TRANS.
�/ yE R..,,0 To TA
�L _ 1
-
CONTR.
LIST
1
(.�,
CHECK
/ ej^
Registered Architect and /or Engineer_
ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTFRICAL PERMIT
Permit No. Date. _ �"`— ° I - A3O
Application is hereby made for the approval of the detailed statement of the plans and specifications hc+'cwith suhmittcd for t'>; bra lding or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Short's Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village And all Emirs and regulation of tl>c 1'.uiidin'* Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy or approved plans and s nuts he kept at
building during progress of work.
F r r ,�f
r1-
'
Owner's Name and Address___ r F ' e' _ .No di ?z__ .__ _ .__ _ Street /V r -
Employing Electrician's Name C 1 ` No
Location and Legal Description Lot .(u / Block ,1
Street and Number where work is to be performed— No.____, _/ Stleet
reN Repairs _.
State work to be perfo d and purpose of building (By Floors)
New Building___ Remodeling Addition
Service O er he4a=l Size Feeders / _ Conduit '' Main Sw. Amps.
Type of Installation — Conduit_ Tubing___ B.X.L Metal Moulding
Amount of Permit $ _ —_ (Signed) `a --- - - '_k^! ' ' C ti
1 I :isp 'ci . :.
The undersigned applicant for this building permit does hereby certify that he understands and accept; 11i. cb1ig, ro�> 1 >lo,er of
labor under We Florida Workmen's Compensation Act, being Section 5JGt3, Compiled General Laws of Florida l c r:1 l_ r.c tt 1,r
., „ • c and
has complied with the provisions thereof, and will require similar compliance from all contractors or sob- coot- ,:ctors cmp nycd b. ; MI ;r illy
work to be performed under this permit; and will post or cause to be posted for inspection on tie :,it( of the work such pul,lic no'icu or .tuti('es
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as nrr
licensed by Miami Shores Village.
0.
Street __
Subdivision 4 H , ' J % e', 5
p, y/.
(7 (
No. of Stories
Main Fuses
Master Eleetric:a,t.
Amps
STATE OF FLORIDA, '
COUNTY OF DADE. f
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and lake acknewlc .ph
appeared
to Inc well known, and who, being by me first duly sworn, upon oath deposes and says that he is the -
of the abo\e described construction, and he has carefully read the foregoing application, and that I„ did ..:;;n t;.c s , and iirje all a,t.;
therein by him stated are true.
\Iy Commission Expires Notary Public, State of 1-lorlda
NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for iuspccl.io:t, or faulty
materials and /or workmanship.
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building ( Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple'1'itleholderf ∎ lex Denis
Owner's Address 725 NE 93RD ST
city Miami Shores
Tenant/Lessee Name
State FL
Job Address (where the work is being fdone ` 1115 NE 97TH ST.
City _ Miami Shores Village
Is Building Historically Designated YES
EC13002008
State Certificate or Registration No._
Submittal Fee $
Permit Fee $
Notary $ Training /Education Fee $
Scanning $ Radon $
Code Enforcement $
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 No.
Master Permit No.
Phone # 305 - 733 -8788
Zip 33138
Phone # _ _
CQU +�t}f Miami-Dade Zi 33138
NO
FINETECH, INC. 305 - 267 -3782
Contractor's Company Name Phone #
C'ontractor's Address SW 14TH ST
WEST MIAMI FL 33144
City State zip
33144
Luis Sanchez
Architect /Engineer's Name (if applicable) Phone #
Certificate of Competency No.
s�
$ 1,700
$ Value of Work For this Permit Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration [New ❑ Repair /Replace ❑ Demolition
Describe Work: Replace existing service entrance with an underground service entrance
****************************Fees******************************
Zoning
Structural Plan Review. $
CCF$
Technology Fee $
Bond $
C O /C
Bonding
Bonding C
City
Mortgage
Mortgage
City
Applicatic
commend
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -220
Building Inspection Request
\
Date 5 /D4
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
r
eA 05 4�
ed.
permit with an estimated value exceeding $2500, the applicant must
and construction lien law brochure will be delivered to the person
the recorded notice of commencement must be posted at the job site
ilding permit is issued. In tl i.1ence of such posted notice, the
Signature
;0_ \A('-) > z b
0'
n
NOTARY PUBLIC:
Sign:
PHI
My Commission Expires:
CD
CD
5
b
Co ractor
The foregoing gent was acknowledged before me this LS t
day of /"62 ,20 ( 5, by ►� <J Sr.( ,,, ( �
who is persoi ally known to me or who has produced
as identification and who did take an oath.
Jose R. $a ez
- MY Commission DD282584
OF w Expires February 20 2008
*********************** * * * * * *>* * * * * * * * * ** * *. * * * * * * * * **
* * * * ** * * * * * ******** * ** * * * * * * * * * * * ** * * * ** *** * * * * * **
Plans Examiner
Engineer
Zoning
d
ON
5 ) • 1 ta
• C
4 r
▪ m
O.
BUILDING
PERMIT APPLICATION
FBC 2001
$ Value of Work For this Permit $1,700
Code Enforcement $
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
F
Permit No. L1
Master Permit No.
Permit Type (circle): Building S Flsctrieal)_ Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Alex Denis Phone # 305 - 7x 38 . 788
Owner's Address 725 NE 93rd Street
City Miami Shores State FL Zip 33138 _
Tenant /Lessee Name Phone #
, K <,t! -
Job Address (where the work is being done) 7 (
City _ Miami Shores Village County Miami -Dade Zip 33138
Is Building Historically Designated YES _ NO
Contractor's Company Name FINETECH_ INC.
Contractor's Address 6102 SW 14th _Street
City West Miami State FL
Qualifier Luis Sanchez
Structural Plan Review. $
Phone #305 - 267 - 37.8.2
Zip 3_3_144_
State Certificate or Registration No. EC 13 0 0 2 0 0 8 Certificate of Competency No.
Arehitect/Engineer's Nanie (if applicable) Phone #
Sgu ,4re FQotage,,Qf Work:
Type of Work: ['Addition Alteration [New In Repair /Replace ❑ Demolition
Describe Work: Replace existing service entrance with an underground service
entrance.
****************************F
******** *******
Submittal Fee $ Permit Fee $ / f1 , -- CCF C CO /CC
Notary $. �% Training /Education Fee $ t ,�- Technology Fee $
Scanning $ -1 C Radon $ Zoning Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address . s
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 brochur - will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of come ceme must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued n the as ence of such posted notice, the
inspection will not b pprove reinspeclti f e will be charged.
Signature
Chc 05/13/03
Sign:
Print:
My Commission Expires:
************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Signature
Owne b " Agent II
The foregoing inst meat was acknowledged before me this 12 ' The foreg
day of MG(, , 20 ate` by /a'M -? c/i 1 ‹:
who is is personallylktlown to me or who has produced
As identification and who did take an oath.
day of
who
y �ii` ��
s�personally kn
TARY PUBLI
Sign:
Print:
My Commission Expi4siiii
Contractor
was acknowledged before me this 1
, , by k 13
to me or who has produced 12
2.. 984
07
nr n .
ondinf
/G// v Ye-15 Plans Examiner
Engineer
Zoning
dentification and who did take an oath.
************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ITEM
BATH TLE
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
1
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
I
A/C (CENTRAL)
DRINKING FOUNTAIN
I
I
SERVICE SIZE IN AMPS
I
DUCT WORK
FLOOR DRAIN
1
•
SERVICE REPAIR/METER CHANGE
f 1
REFRIGERATION
GREASE TRAP
1
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 C- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 If
HOT WATER BOILERS
S I?1K POT /3 COMP.
MOTORS OVER 3- 5 HP
M{ECHAN I CAL VENTILATION
I
,
SINK, RESIDENCE
MOTORS OVER 5- 8 If
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HD
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
URINAL
MDTCRS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
I
I MOTORS OVER 100 if
VIOLATION
INDIRECT WASTES-
A/C WINDOW
REINSPECTION I
I
WATER SUPPLY TO:
I
I
AIR CONDITIONERS
I
A/C UNIT
I
I
I STRIP HEATER
I
I
FIRE SPRINKLER
i
I
I GENERATORS TRANSFORMERS
I
I i
I
HEATER -NEW INST.
I
I
GENERATORS TRANSFORMERS
I
I I
HEATER - REPLACE
1
I
I GENERATORS TRANSFORMERS
I
I
I
LAWN SPRINKLER -WELL
1
I
SPECIAL PURPOSE
SW I RA I NG POOL
1 OUTLETS COM4,IERC I AL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
1
SEPTIC TANK
ANTENNA
RELAY
TELEVISION CUTLETS
DRAINFIELD, -' TILE/RES.
VIOLATION
PUMP A ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE P11 CU. FT.
CATG' H BASIN
DISOIARGE WELL
DOMESTIC WILL
I
1
AREA DRAIN
I
!
I
1
ROOF INLET
SD' A: WATET HEATEF
FIRE STANYIFE
(AN APPLIC'SIOif 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.)
P02_ PIPING
PLUMBING
LAWN DPRINKLET. SYSTEM
GAS RAN
METE' SE" (GAS
CAS ° PIN=
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
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 TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIRA ETER CHANGE
/
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 HP
HOT WATER BOILERS
SINK, POT /3 COM'.
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEM3LIES
SINK, SLOP
MOTORS OVER 8- 10 HD
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
1
I
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES-
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
I
(
I STRIP HEATER
I
I
FIRE SPRINKLER
1
I
1 GENERATORS TRANSFORMERS
i
► 1
HEATER -NEW INST.
I
GENERATORS TRANSFORMERS
I
I 1
HEATER - REPLACE
I
GENERATORS TRANSFORMERS
I
I
LAWN SPRINKLER -WELL
1
I
SPECIAL PURPOSE
1 J
SWIMAING POOL
OUTLETS COMdERCIAL
WATER SERVICE
SIGN TUBES
SEVER CONNECTIONS
.SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIM€ CLOCK
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP 8 ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
I
I
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPINT
PLUMBING
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.)
ELECTRICAL
MECHANICAL
._J
FPL POLE
EXISTING (2) 10' -0" LONG x 5/8"0
COPPER CLAD GND. RODS
6' -0" APART
Luis San Qualifie
ALEX DENIS RESIDENCE
1115 NE 97TH ST MIAMI, FL 33138
EXISTING 3 #2/0 IN 2" EMT
2' -0" ABOVE ROOF
TO BE REMOVED
200 AMPS 120/240 V
1 —PHASE METER SOCKET
EXISTING #4 CU
ary
II
ii
II
i
II
.r;
II
i�
ELECTRICAL RISER DIAGRAM
N.T.S.
CONDUIT DEPTH: 2' -0"
EXISTING 3 #2 IN 1-1/4" EMT.
ROOF
j pira %k Jose R. Sanchez
Y• ktY Comma DD282584
Expires February 20.2008
EXISTING
PANEL
"A" I
125 AMP
200 AMP "MAIN PANEL" LOCATED
WITH 200 AMP i IN
GARAGE
MAIN DISCONNECT
FACTORY INSTALLED
SEE SCHEDULE FOR DETAILS
; I
GRADE
NEW UNDERGROUND SERVICE ENTRANCE
3 #2/0 IN 2" PVC, ABOUT 85' LONG
Finetech, Inc.
EC130020O8
PH: 305 - 267 -3782
6102 SW 14 ST
MIAMI FL 33144
www.finetech — inc.com
P ANEL
AMPS
VOLTAGE ICIRCUITS
WIRE
PHASE
MAIN /AIC
MOUNTING ' LOCATION
. CATALOG NUMBER
T NEMA 3R
MAIN
200
120/2401 20
3
1
200 AMP/ 10000
SURFACE
OUTSIDE GARAGE
CKT.
N❑. I WIRE
COND
INCH
CKT BKR
SERVING
WATTS
CKT.
NO.
WIRE
COND
INCH
CKT BKR
SERVING
WATTS
POLE
AMPS
POLE
AMPS
1 -1/4
2
125
MAIN SUBPANEL "A"
—
6
1
60
AHU -1
10000
3 2
4
S —
—
—
—
—
—
—
SPACE
SPACE
—
—
6
8
3/4
40
CU -1
4800
7 I —
8
9 —
—
—
—
—
—
—
SPACE
SPACE
—
—
10
14
GARAGE RECEPTACLE
*
-
11 '
12
12
1/2
1
20
WASHER
1500
13
3/4
1/2
2
2
40
30
CU -2
DRYER
4800
5000
14
—
—
—
—
SPACE
—
H 8
15 1
16
18
—
11.111 —
—
—
—
SPACE
SPACE
—
17 i
10
19
20
22
24
—
—
—
IIIII —
IIIIII —
— —
—
—
—
SPACE
21 —
—
—
—
SPACE
—
—
SPACE
—
23 1 —
—
—
—
SPACE
SPACE
—
FEEDER THHN CU: 2/0
..
1111
APPROVED GENERAL ELECTRIC
EXISTING MAIN PANEL SCHEDULE
ALEX DENIS RESIDENCE
1115 NE 97TH ST MIAMI, FL 33138
Luis Sanchez o.a,fier
Finetech, Inc.
EC13002008
PH: 305 - 267 -3782
6102 SW 14 ST
MIAMI FL 33144
www.finetech — inc.com
FINE
Electrical Contractors
CLIENT:
Alex Denis
1115 NE 97 ST
Miami, FL 33138
305 - 733 -8788
JOB:
Total: $1,700
Alex Denis
Appro - d b Luis Sanchez
PROPOSAL /CONTRACT
Date
Date
Finetech, Inc.
Licensed & Insured
Electrical Contractors
EC13002008
May 4 2005
Eliminate the existing overhead service entrance. Install a new underground service entrance with approved
materials; pull all required electrical permits for the replacement. This proposal includes labor, testing and
permit fees.
579/0s _
CELL: 306 -2 u6. =6364 OFFICE: 305 -267 -3782 FAX: u- 866- 282 -5963 &J AIL: irffc @ginet�.ezGL: 0
6102 Stif So ST Miami, FL 332.44
WNW °faA tech- incc.ccom
1
Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2005-157
Printed: 5/23/2005
Applicant: ALEX DENIS
Owner: DENIS ALEX
JOB ADDRESS: 1115 NE 97 ST
Contractor
Local Phone:
Parcel # 1132050170060
Contractor's Address:
Legal Description: REV PL MIAMI SHORES SEC 8
Fees: Description Amount
FEE2005 -6481 Building Fee $150.00
FEE2005 -6482 CCF $1.20
FEE2005 -6483 Notary Fee $5.00
FEE2005 -6484 Training and Education Fee $0.40
FEE2005 -6485 Technology Fee $3.75
FEE2005 -6486 Scanning Fee $3.00
Total Fees: $163.35
Total Fees: $163.35
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/9/2005 Construction Value: $1,700.00
Work: REPLACE EXISTING SR ENTRANCE W/ AN UNDERGROUND SRV ENTRANCE
Signed:
(INSPECTOR)
Page 1 of 1
PB 43 -51 LOT 6
"
ar09 !v
Pang
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:
BLK 180 LOT