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ELECTRICALDATE: NOV 0 3 2005 BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 - 2392 TELEPHONE: (305) 795-2204 FAX: (305) 756 -8972 FAX TRANSMITTAL BLDG DEPT TO: Nor APIA FAX: 3c6I 4 FROM: N (T4409 FAX: (305)756 -8972 NUMBER OF PAGES INCLUDING COVER 9. MESSAGE: '1 Ef kEa Of �eto.T fr S7eCU$ r f 10105 ?od pod'? ANK YOU Miami Shores Village Hail ■ 4 Miami Shores Village 10050 NE 2nd Avenue Miami Shores, FL 33138 Inspection Record Inspection #: INSP2005 -4484 Address: 1098 96 ST NE Applicant: PAUL MOSHEIM Directions To Parcel: Inspection Type: Electrical Inspector: Mike DeVaney Passed? IZ( Required Steps: Comments: POOL GROUNDING Inspection Checklist: ❑ Underground ❑ Rough In ❑ Final ❑ Electrical Service ❑ Work With ❑ Fire Alarm ❑ Light Niche 0 Pool Bonding Page: 1 Printed: 11/3/2005 Reference #: EL2005 -263 Date: 11/1/2005 Status: APPROVED ['Electrical Box ❑ Relocation ['Service Upgrade El foundation grounding ❑ Outlets ❑ Buglary Alarm ❑ LIGHTING MESSAGE cONF I RMRT I ON - - - - - - �� :� 'rti-: 'tip- }°b'� -:: tiff• }:{•} ;r. -::: fi 11/03/200 10:34 ID =MIAMI SHORES VILLAGF DATE TIME S,R -TIME DISTANT STATION ID MODE PAGES RESULT D.CODE S.C. 11/03 10:33 00'17" 3052641974 TX 002 OK 0000 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT i --4 5 :1 - c - / - 7 - APPLICATION FOR ELECTRICAL PERMIT *A /e) Date Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 plane and specifications must be kept at building during progress of work. /4 Idel Owner's Name and Address Registered Architect and /or Eng er j� Employing Electrician's Name )2& e CA 20 Location and Legal Description Lot Block Subdivision Street .L•ti1 / o 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 Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed).kl "�'l\ t" 131 ---1-03 Val 11 e= 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 subcontractors, on work to be performed ucr this permi s are licensed by Miami Shores Village. STATE OP FLORIDA, / COUNTY OF DADE. Before me, the unde ea. ned authority, appeared - . ►L..... Ctit,D 1 to me well known, and ' ho, 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 therein l2Y„bf1q rititOt • OF ROM)* �eT 1A1101 �+� ^''+ � ^" COMMI451a1 011 WV. 6' 9982 My Commission Expires (Signed) No /O 9Y sign 2 Notary Public, State of Florida Street q L5/ 9 6(a 41,49-K , • F/ 33/ Electrician. notary public, duly authorized to administer oaths and take acknowledgments, personally a • A V 1, the same, and that ail facto 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'•'T S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP HEATER TOTAL CONTR. LIST / j / /'/ //� /� /c) L- I OU CHECK �) I01 I K ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK s MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT i --4 5 :1 - c - / - 7 - APPLICATION FOR ELECTRICAL PERMIT *A /e) Date Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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 plane and specifications must be kept at building during progress of work. /4 Idel Owner's Name and Address Registered Architect and /or Eng er j� Employing Electrician's Name )2& e CA 20 Location and Legal Description Lot Block Subdivision Street .L•ti1 / o 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 Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed).kl "�'l\ t" 131 ---1-03 Val 11 e= 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 subcontractors, on work to be performed ucr this permi s are licensed by Miami Shores Village. STATE OP FLORIDA, / COUNTY OF DADE. Before me, the unde ea. ned authority, appeared - . ►L..... Ctit,D 1 to me well known, and ' ho, 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 therein l2Y„bf1q rititOt • OF ROM)* �eT 1A1101 �+� ^''+ � ^" COMMI451a1 011 WV. 6' 9982 My Commission Expires (Signed) No /O 9Y sign 2 Notary Public, State of Florida Street q L5/ 9 6(a 41,49-K , • F/ 33/ Electrician. notary public, duly authorized to administer oaths and take acknowledgments, personally a • A V 1, the same, and that ail facto 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. APPLICATION FOR ELECTRICAL PER IT Permit No Date ' Y 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :ida, 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 '- gee\AC -- Registered Architect and /or Engineer Employing Electrician's Name. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No \O C \ Street No W 0 G 5 Street Ik: (tO L 54 IS Location and Legal Description Lot q Block t .. Street and Number where work is to be performed —No AQC. %...�� - State work to be performed and purpose of building (By Floors) 1 tQ..` 6 �^. 5•ZV New Building Remodeling Addition Repairs No. of Stories Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit S. -. )06 (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. as. Subdivision 4 S �i . 2 Street. .. IL' °A - -4o - 9 Akio w 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 subcontractors on work , be performed under this permit, as are licensed by Miami Shores Village. r e (Signed).... :.'.�.. :. c(� \ `C' S.3 \ R Notary Public, State of Florida • Master Electrician. I J S -31c- 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 facto therein by him stated are true. My Commission Expires 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'8 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE H STRIP HEATER (a E � ` �tt " C TOTAL CONTR. LIOT D� CHECK e ENT. SW. DIOT. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO D TOTAL CONTR. LIOT O 4 7 CHECK APPLICATION FOR ELECTRICAL PER IT Permit No Date ' Y 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :ida, 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 '- gee\AC -- Registered Architect and /or Engineer Employing Electrician's Name. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No \O C \ Street No W 0 G 5 Street Ik: (tO L 54 IS Location and Legal Description Lot q Block t .. Street and Number where work is to be performed —No AQC. %...�� - State work to be performed and purpose of building (By Floors) 1 tQ..` 6 �^. 5•ZV New Building Remodeling Addition Repairs No. of Stories Service Underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit S. -. )06 (Signed) STATE OF FLORIDA, 1 COUNTY OF DADE. as. Subdivision 4 S �i . 2 Street. .. IL' °A - -4o - 9 Akio w 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 subcontractors on work , be performed under this permit, as are licensed by Miami Shores Village. r e (Signed).... :.'.�.. :. c(� \ `C' S.3 \ R Notary Public, State of Florida • Master Electrician. I J S -31c- 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 facto therein by him stated are true. My Commission Expires 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. 0 0 • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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, Fiu:ida, 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 budding during progress of work. 1 I ^ }� Q Owner's Name and Address. N • Es . /� h /� � ` � No.1• D. 9 . S N)E , Street. 96 "ST Registered Architect and /or Engine. �LV.,`. � "l•.....f".!�..1`�.NlJCJ..�.rS Employing Electriciati's Name OU) N 1 . e R ` Location and Legal Description Lot Q Block � Street and Number where work is to a performed —No 1 09. —a 8 N State work to be performed and purpose of building ( Floors) -. f [.ro.0' R. New Building Remodeling 1l Addidun Repairs ✓ No. of Stories // 32-0 /s/- 34-6,0 Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OP DADE. J j 's No Street Subdivision..M.( L. ��. P CS ���� Jd S I (Signed) (Signed) v4 Ax Date 5 • 27i ..:..�7'4' Street ✓..b B Ark Maste> =Ehmi=ian. 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 facto 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•insp'ection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T's FIXTURES No. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST ✓ CHUCK V ✓ i4_ ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 MP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 0 0 • MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 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, Fiu:ida, 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 budding during progress of work. 1 I ^ }� Q Owner's Name and Address. N • Es . /� h /� � ` � No.1• D. 9 . S N)E , Street. 96 "ST Registered Architect and /or Engine. �LV.,`. � "l•.....f".!�..1`�.NlJCJ..�.rS Employing Electriciati's Name OU) N 1 . e R ` Location and Legal Description Lot Q Block � Street and Number where work is to a performed —No 1 09. —a 8 N State work to be performed and purpose of building ( Floors) -. f [.ro.0' R. New Building Remodeling 1l Addidun Repairs ✓ No. of Stories // 32-0 /s/- 34-6,0 Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OP DADE. J j 's No Street Subdivision..M.( L. ��. P CS ���� Jd S I (Signed) (Signed) v4 Ax Date 5 • 27i ..:..�7'4' Street ✓..b B Ark Maste> =Ehmi=ian. 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 facto 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•insp'ection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. °Z- 5 -0 0 Permid MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT l ^� 2 CJ 7'( Date `-� F ` / Applican is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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. froal �Q Owner's Name and Address... &A No .... Street Registered Architect and /or Engine Employing Electrician's Name C! w Location and Legal Description Lot Street and Number where work is to be performed —No le) / pp State work to be performed and purpose of building (By Floors) ( �L94' • New Building Remodeling " Addition 1� 3 Z � - Amount of Permit $ '-- No Street Block Subdivision � Street �� / (l? (Signed) Repairs W o. of Stories See Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Ele • 'cal Inspe The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga '.na as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe- anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contracto s employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as licensed by Miami Shores Village. Muter Electrician. are STATE OF FLORIDA, l COUNTY OF DADE. I °°' 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 facto 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 RECC P'T'8 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 3 6 , , /�•, / I / CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. ,, , -r . L,• ii. (9 1/ MOTORS 0.1 HP MOTORS 1.8 HP Lc) NEON TRANS. 4,_<_ / �' - RADIO TOTAL CONTR. LOOT �� CHUCK °Z- 5 -0 0 Permid MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT l ^� 2 CJ 7'( Date `-� F ` / Applican is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building oc other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu:ida, 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. froal �Q Owner's Name and Address... &A No .... Street Registered Architect and /or Engine Employing Electrician's Name C! w Location and Legal Description Lot Street and Number where work is to be performed —No le) / pp State work to be performed and purpose of building (By Floors) ( �L94' • New Building Remodeling " Addition 1� 3 Z � - Amount of Permit $ '-- No Street Block Subdivision � Street �� / (l? (Signed) Repairs W o. of Stories See Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Ele • 'cal Inspe The undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga '.na as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pe- anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contracto s employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as licensed by Miami Shores Village. Muter Electrician. are STATE OF FLORIDA, l COUNTY OF DADE. I °°' 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 facto 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. i nspection Number: INSP -24001 Inspection Date: 08/04/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HI VOLTZ ELECTRIC INC Building Department Comments Friday, August 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 MG 08REC'D Block: Permit Number: EL- 2- 06-488 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Repair Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Page 2 of 2 Passed Inspector Comments -2 ''� ." -- Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP -24001 Inspection Date: 08/04/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HI VOLTZ ELECTRIC INC Building Department Comments Friday, August 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 MG 08REC'D Block: Permit Number: EL- 2- 06-488 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Repair Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Page 2 of 2 Issue Date: 3/13/2006 Owner's Name: PAUL MOSHEIM Permit Type: Electrical - Residential Work Classification: Repair Job Address: 1098 96 Street NE Contractor(s) Miami Shores Village, FL 33138- HI VOLTZ ELECTRIC INC Yes Comments: REMOVE EXISTING 200 AMP METER AND PANEL CHANGE TO A 300 AMP METER AND RISER (OVERHEAD SERVICE) REPLACE EXISTING 200 AMPR PANEL AND ADD A 100 AMP PANEL. RE- GROUND FOR 300 AMP Additional Information Type of Work: Additional Info: Classification: Residential Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 02/28/2007 Phone Primary Contractor 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 Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Building Department File Copy Applicant Signature Amount $2.40 $0.80 $150.00 $3.00 $3.75 $159.95 Permit Status: APPROVED Permit Number: EL- 2- 06-488 Phone: Parcel #: 1132060143460 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 3,400.00 Required Inspections Final Invoice Number EL Total: Amt Due $159.95 PMAR 14 PAID t Pal c. [a6 °t 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. 101, ZU BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Is Building Historically Designated YES NO Contractor's Company Name e Vat` r Cr6 'C- Phone # l/e• 0 M-' /- or/ /1 14:= aster Permit No. Permit Type (circle): Building Ele_c_ttl mg Mechanical Roofing Owner's Name (Fee Simple Titleholder) tP4 a 1- // d 5 ,fV / s %7 Phone # Owner's Address j/ ?6 J City ItZZ/4'/ #O4 — State ,L- Zip 3 5/ -'8 Tenant/Lessee Name Phone #(3 ) 757- 8233 Job Address (where the work is being done) /0 9r A6- 96 5 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Contractor's Address City f // 1 #.7 �, ' iv /� 1r State Ft. Zip 3 Qualifier Name 6 4 , y '� Phone # State Certificate or Registration No. FA, (9 O O 7 ?-/ 6 Certificate of Competency No. O .S E ©C'Q 4 3 6 41 Architect/Engineer's Name (if applicable) Phone # Permit No. L — LC3G -' 4-S, 3 s' 3/0 7,5/6 Value of Work For this Permit $ ( 3 yoot / Square / Linear Footage Of Work: Type of Work: EAddition ❑Alteration ❑New Repair/Replace ❑ Demolition Describe Work: ne 43,0v c- IF /175 p' //Jim 0 2 00 4 C-44 e no 4 3a 0 4 v� ?-� /L /C /sue /� o v e,si c 5ERt/iCL> 0 0 09-v✓li 404/. . /Z E d/ t0v ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /.''---‘° X0'0' CCF $ 2 . 40 CO /CC Notary $ Training/Education Fee $ O. (C) Technology Fee $ 3:76 Scanning $3. 0 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ S OlVd r j MI Structural Review. $ Total Fee Now Due $ 5 - q r See Reverse side -aid k 1 MI Cfi K t 0(// 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 inspe ion which occurs even (7) days after the building permit is issued. In the absence of such posted notice, the inspection will node approved andeinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 2-0 day of Fera , 20 D(o , by v L OSri€ t V? who is Print: APPLICATION APPROVED BY: (Revised 02/08/06) me or who has produced 'cation and who did t.. an oath. My Commission Expire , -? a-- ,2-0 ci Signature who i My Commission Contractor The foregoing instrument was acknowledged before me this o1 day of fF.6 ,200(P,by YA-cA LIn.TA As ide NOTARY PUBLIC• �• s SIO DD 3: ua 22 I*' e Jai Services ft..or red RD COMMISSION # D EXPIRES. Feb 22, 20 _' h :ta; Services NOTARY PUB Sign: as identi i me or who has produced tion and who did take an oath. A - a - a - ,9 °I ) s 57 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** G/�f //7 Plans Examiner Engineer Zoning ITEM 3 ATH T1.8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3IDET LIGHT OUTLETS CENTRAL HEATING )ISHWASHER RECEPTACLES A/C (WIND) )ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) )R I NK I ND FOUNTAIN SERVICE SIZE I N AMPS cl 0 o ) DUCT WORK FLOOR DRAIN 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 __ MOTORS 0- 1 NP STEAM BOILERS SHOWER MOTORS OVER 1- 3 NF HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 NP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP -_ MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET __ MOTORS OVER 10- 25 l-P FIRE SPRINKLER SYSTEM, URINAL -_ MOTORS OVER 25 100 NP COOLING TOWERS WATER CLOSET -_ MOTORS OVER 100 NP VIOLATION INDIRECT WASTES A/C WINDOW REI.NSPECTJON WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. 1 GENERATORS TRANSFORMERS HEATER - REPLACE 1 GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL -_ SPECIAL PURPOSE SWIMMING POOL __ OUTLETS COMMERCIAL WATER SERVICE -- SIGN TUBES SEWER CONNECTIONS *SIGN TRANSFORMERS UTILITY -SEWER UTILITY -WATER -_ SIGH TIME CLOCK FIXTURES SEPTIC TANK __ ANTENNA l ELAY TELEVISION OUTLETS )RAINFIELD, 4" TILE/RES. 'UMP & ABANDON SEPTIC TANK SOAKAGE VIOLATION REINSPECTION PIT CU. FT. :ATCH BASIN IISC ARGE WELL IOM€cSTIC WELL AREA. DRAIN OOF INLET OLAR WATER HFATFP. I I IRE STANDPIPE DOL PIPING AWN SPRINKLER SYSTEM AS RANGE ETER SET (GAS) ts PIPING AEI APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. o° OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING t\ L. LJ 1.... 1 1 LJ v 111 1 V U U 1 L.. L J. 1\ LJ I L_ 1 1 VI 1 1 !'l 1 1 1_ t v CA 1 L V 1 1 ELECTRICAL MECHANICAL 6' •r,' Ie • EL MU' u e • • .. ••.. • • • . •• • DRIP L 0 BE ]0' (1-1Ih17 : • _ ••• • • • • • • • • •• • • • • • • • • • • • • • • • • •• •• r 200A r'1ETER • • • • • • • • ••• • ABOVE RODF • •• • • • • .. • • • • • • • • • • • • • • • •• ••• .. • • • • • • • •• • • •• • • • • • • • • 11 th 4 :I et=a1a a' Pt/411c ec.ca ulla • FU 1TSt IET1 („RATE r^Vc n.fl v HAIN CB PANEL 1 U'U' )1 IN 11E1 T11 • jL— 468 SUB CB • PANEL MK11 •�Hl."Ii ' ,CONTftM T R 1.1 -C.L• N,S1'.:.-L S 1 M LIRE OF Co1LTRACTOR NOTARY PER S.F.O.C. *1-100114: �� Condu st"cr Conduit stzc__ Conduit RP- Thr ro of Ground wirc =t ze D1 S YONI1ECT R afino Nair ub Breelce FEEDER New Type Stye Bond 31ze; II•1S EDE PANEL R ntince ZOO A1-4.1s (s1 t oc c. owa C'1 A �® Apps e , c,caa� ®® _Ar pu r(i L� Q =T 4 ®® Al,�g t a9 ire Y NO Ex I sUncJ_ _ % �— oto 3 f • \z/ • • Therese M Ftingoa ARc7n eirssion DD 50561 71 008 • • 000000 • • •• • 0 00000 •OOOO • • •OOOO • • OOOOOO 0 • U• • • •:••. • •••• •••• • •••• • • - • • • •• • •••• • • •••• • t) 5 3 • •• • •• • • • • •••• a O .••,r0,1\ \co OOOO Joel/vol.. -411 s dal • • ore — aD - VdS L •••• •••• • "0 0 'tk . 1 W1 A.. \ OD \-) • • • • nspection Number: INSP -10744 Inspection Date: 08/03/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Project: <NONE> Wednesday, August 2, 2006 Miami Shores Village, FL 33138- Contractor: HI VOLTZ ELECTRIC INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 LB 0 8 MO Block: Permit Number: EL -2- 06-488 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Repair Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Page 2 of 2 Passed Inspector Comments .exr'I c fr i P14 Pt) / 9--- ( 5.,a pri i i vi 1. 19.e Q ' -e Failed F --- 'e� I Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: INSP -10744 Inspection Date: 08/03/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Project: <NONE> Wednesday, August 2, 2006 Miami Shores Village, FL 33138- Contractor: HI VOLTZ ELECTRIC INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 LB 0 8 MO Block: Permit Number: EL -2- 06-488 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Repair Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -24814 Inspection Date: 08/15/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: LUMINARY EFFECTS INC Buildin4 Deaartment Comments Tuesday, August 15, 2006 XS 1 7 DECO Permit Number: EL -6-06 -1721 Permit Type: Electrical - Residential Inspection Type: /f Work Classification: Addition /Alteration Block: Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: (561)395 -3810 Page 2 of 2 Passed Inspector Comments /' / I°' ,;'dam 62 t" / G % 2. _ . Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -24814 Inspection Date: 08/15/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: LUMINARY EFFECTS INC Buildin4 Deaartment Comments Tuesday, August 15, 2006 XS 1 7 DECO Permit Number: EL -6-06 -1721 Permit Type: Electrical - Residential Inspection Type: /f Work Classification: Addition /Alteration Block: Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: (561)395 -3810 Page 2 of 2 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -6 -06 -1721 Invoice Number: EL -6 -06 -25363 Applicant: PAUL AND SUZY MOSHEIM Company Name: Date Wednesday, July 12, 2006 07/12/2006 Check Payment Type Check Number 13724 Owner Address: 1098 NE 96 ST MIAMI SHORES, FL 33138 Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Amount $375.75 Change $0.00 Total Payment: $375.75 Page 1 of 1 nspection Number: INSP -20962 Inspection Date: 08/04/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: LUMINARY EFFECTS INC Building Department Comments Thursday, August 3, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 0 8 EC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Permit Number: EL -6-06 -1721 Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: (561)395 -3810 1 Page 2 of 2 Inspector e( 0 .F US Comments d ►` C -o i(4 out #4-- mkt 11f\ Pi/c.. w PIO beK de 11)A)1, J �M Y - OM 192 (7` ealcil em �. 0y) tga ) a bcog. ceyvi re.(1, _ ` � -e Vl o 1 f �T'� "As i u, 01-' Passed Failed )°,/ D Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. nspection Number: INSP -20962 Inspection Date: 08/04/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: LUMINARY EFFECTS INC Building Department Comments Thursday, August 3, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 0 8 EC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Permit Number: EL -6-06 -1721 Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: (561)395 -3810 1 Page 2 of 2 In Inspection Date: 08/01/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: LUMINARY EFFECTS INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 fE 02 Permit Type: Electrical - Residential Inspection Type: Underground Rough Work Classification: Addition /Alteration Block: Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: (561)395 -3810 Monday, July 31, 2006 Page 1 of 2 Y ' d ` Passed l )0(0 Ins Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until In Inspection Date: 08/01/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: LUMINARY EFFECTS INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 fE 02 Permit Type: Electrical - Residential Inspection Type: Underground Rough Work Classification: Addition /Alteration Block: Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: (561)395 -3810 Monday, July 31, 2006 Page 1 of 2 Issue Date: 6/27/2006 Expires: 12/24/2006 Owner's Name: PAUL AND SUZY MOSHEIM Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 1098 96 Street NE Comments: SITE LIGHTING Additional Information Miami Shores Village, FL 33138- Contractor(s) Phone LUMINARY EFFECTS INC (561)395 - 3810 Type of Work: Additional Info: Classification: Residential Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 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 Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Building Department File Copy Applicant Signature Amount $6.00 $2.00 $350.00 $9.00 $8.75 $375.75 Permit Primary Contractor Yes Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -6 -06 -1721 Phone: (305)757 -8233 1132060143460 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 10,000.00 Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final Invoice Number EL - 6 - 06 - 25363 Total: Amt Due $375.75 c11 0312A- pa 1 2 PQpC 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 . BUILDING PERMIT APPLICATIO FBC 2001 BY: Permit Type (circle): Building Plumbing Mechanical Roofing Owner's blame (Fee Simple Titleholder) Me �� , // J ' 7e Phone # _F®r° 7-' ° go ?3 3 Owner' Address ` A ?® A. e • ?6 ¢ �) e ei 9" Cit �,� , S6v 's State /� Tenant/Lessee Name Phone # ,/o' //• 3? .96 a a(v.. 3r68 Adowif ,QPDVS cet: 3 /0-37 4, ,"i' Rae /e Job Address (where the work is being done) S��e City Miami Shores Village County Miami -Dade Zip a. /fir Is Building Historically Designated YES NO Contractor's Company Name Li /rya 1'l/ 111PGI I n e • Phone # 3q J - 3go Contractor's Address r// Vla r irenz e City ,8000L /6-16 n State ,L Zip 33433 Qualifier m a D. Cro SS Architec ngineer' Name (if applicable all / 44� 02/ Phone # 5767 c27V $ Value of Work For this Permit. ®® Square Footage Of Work: Type of Work: ddition Iteration ❑N ew ❑ Repair /Replace ❑ Demolition Describe Work: 5',/ y ee .4/4 7'j 4' G Submittal Fee $ Permit Fee $ _KC r 4 ' 1 ' CCF $ . Notary $ Training/Education Fee $ 2 .cr) • Technology Fee $ E3 . - ]S Scanning $ `:3 C7C7) . Radon $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ s7S. 75 (Continued on opposite side) Miami Shores Village Building Department (0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 MMEEVU' -- 1 1 Permit N — ii* 2 6 DOE `Master Permit No. Zip 3 / 3r- oars-d___ * * ** * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * ** * * * * * * * * * * ** Bond $ P l 1 2 aJ 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 afid 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: YDUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RES 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 ch posted notice, the inspection will not be approved and a reinspection fee will be charged. O o 1 40 The foregoing instrum was acknowledged efore me this day of Jllne , 20 by An I /1 PY wbo is Eersonal known to me or who has produced As identification and who did take an oath. NOTARY Sign: Print: My Commission Expires: 0,/, * * * * * * * * * * * * * * * * * * ***************************************************** * * * * * * * * * * * *** * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 10/14/03 I .� ! /. . - JONES MY COMMISSION # 00327211 EXPIRES: • ugust 25.2008 U AW7•NOTARY M - FI• Notary Discount Assoc. Cu- P L C: Signature /4 '2' Contractor n The foregoing instrument was acknowledged before me this 9 lis day of Vine , 20dlip by hark ► • C oss who is peonaUv known to me or who has produced as identification and who did take an oa NOTARY PUBLIC: gn: (Certificate of Competency Holder) y Commission Expir State Certificate or Registration No. gC /36O,3Og Certificate of Competency No. /IV r" A i __ 6 ��i" 0 tans Examiner Engineer Zoning DATE: STATE OF FLORIDA (>QrW - 00 ATTENTION: BUILDING OFFICIAL Type of Identification: ( ) DID TAKE OATH OWNER'S AFFIDAVIT p U py ,� �� �^ ADDRESS: /0 (b 4/6 / Zug � ; ' / i, J IOi't°� , � c � 3 - , /3t LOT: BLOCK: 8 / SUBDIVISION: l� /47� / 5 0/ 'P.S r I authorize , �(�//.t�v4/ ° s! q(le444 my agent to obtain a building permit for the following work: /rle sib / r & Sworn to and subscribed before me this Personally Known to me. °W day of S.i? Phut. /1406/1,E1./4 61/eV 1/815e certify that I am the owner of the property described as: PLEASE PRINT OWNER'S NAME OR OWNER AGENTS NAME 0 NER'S SIGNATURE OR OWNER AGENTS SIGNATURE 2 0 by: ( )e) Produced Identification ( DID NOT TAKE OATH ATURE OF NO 'Lr'Y PUBLIC C ney e ,�� e 5 COUNTY OF -DADE 8 IN. Sakai, Notice of Commencement must be filed if the job valuation of $ 2,500.00 and /or more in labor and material Notice of Commencement must be posted prior to the job commencing. Notice of Commencement should be filed at: 22 NW 1st Street, Miami, Florida SYDNEY C. JONES MY COMMISSION # DD32721 I 0;0 EXPIRES: August 25, 2008 � I- 800- 3•NOTARY FI. Notary Discount Assoc. Co. Return to: (enclose Self - addressed stamped envelope, Name: Address: This Instrument Prepared by : Address: ! � U/ � A /� /� 33 f i J z 3 Property appraisers Parcel Identification (Folio) Number(s): Permit No. State of Flori� County of Aah 5. Surety: Address: 7. Name: Address: X Owner's Signature STATE OF FLORIDA, COUNTY OF MOE I MERE CERTIFY that this is e : t ,of The origins! in this office on y °f SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORD DATA NOTICE OF C The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is provided in the NOTICE OF COMMENCEMENT. Legal description of pro erty (include Street Address, if available) / 7/ 30 ,706 -6/V--. 3.446 ri°1 q . c 3 • Cvl3 - /0 37- 47 mil- 3/ General description of improvements l`` , 6 4v 77,f, �a� Sup sie% 1. Owner's Name: pMi ST Address: / �9 S" ti C q Mo -eft -33/ 3� Sao reS f 2. Owner's interest in site of the improvement c-a4' } 3. Fee Simple title holder (if other than owner) Name: Address: 4. Contractor:% f/4,09 1 ?c Address: 7/70 /— ;" ze aoc'7 # / / 33f 33 6. Any person making a loan for the construction of the improvements: Name: Address: 11111111111111111 1111111111111111111111111111 Person within the state of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. In addition to himself owner designates Of To receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b) Florida Statutes. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is pecified). Notary Sign re Sic►e Printed No ry Signature Pau rrlp stiel hP5 SYDNEY C. JONES MY COMMISSION # DD327211 FXPIRFS• August 25. 2008 I R00.0.J�N ° 34 OTARY FI. Notary Discount Assoc. Co. Sworn to and subscribed before me this �'(/ day of 2oob Owner's Printed Signature CFN 2O06RO692339 OR Bk 24664 F9 4464; (199 RECORDED 06/26/2006 11 :31 :40 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE