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278 NE 97 St (8)Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2004 -332 Printed:11 /30/2004 Page 1 of 1 Applicant: ARTLES MICHELLE FITTS Owner: FITTS ARTLES MICHELLE JOB ADDRESS: 278 NE 97 ST Contractor P & M ELECTRIC INC Contractor's Address: 1936 NE 148 ST Local Phone: 305 - 949 -6373 Parcel # 1132060133990 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 & E1/2 OF LOT 4 BLK 30 LOT SIZE Fees: Description Amount FEE2004 -11896 Building Fee $226.00 FEE2004 -11897 CCF $3.60 FEE2004 -11898 Notary Fee $5.00 FEE2004 -11899 Training and Education Fee $1.20 FEE2004 -11900 Technology Fee $5.65 FEE2004 -11901 Scanning Fee $3.00 FEE2004 -11902 Submittal Fee ($50.00) Total Fees: $194.45 Total Fees: $194.45 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/18/2005 Construction Value: $5,600.00 Work: ELECTRICAL SERVICE UPGRADE KIT HI -HATS GFI D.W DISP. SW1CHES-MASTER BP2004 -1427 OEC 0 1 PAID Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: v4iN I t C:7 r - ( ' W. Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 S Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) 04,t( 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) f r;1 -� Phone # Owner's Address ). 7 All-: 97i 5 City / 4/1). .5'.6 -e State P/f`. _ Zip .��$ S' C Tenant/Lessee Name Phone # Job Address (where the work is being done) o- 7e Aiv 9 7 S; City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name / Phone # �C'_ 5 ` l 1 Contractor's Address / �` /�/ � i e / (, V5 q . 7a City Ai CIi.dyl' • State /l Zip Qualifier ._�F - 77 Architect/Engineer's Name (if applicable) Phone # Cl Type of Work: EAddition r l. Iteration ❑New Describe Work: y C =�r . r ^4 J. /c/L), ,, j i;�r�� k Permit No. Permit No. ', w itj el- /9,1 7 Square Footage Of Work: ❑ Repair/Replace ❑ Demolition 1. - -;j —.{ * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * *** ** ** * * * * * * * * ** * * ** * * **: * * ** Notary $ Submittal Fee $ �• .co Permit Fee $ ' 0" , a - CCF $ 3 .� CO /CC 'raining/Education Fee $ 1 1 1 9 Technology Fee $ � , 45 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ ` Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 0 er or Agent The foregoing instrument was a day of , 20 _ by who is personally known to me or who has Chc 12/15/03 As identification and wh did take an oath. D NOTARY PUBLIC: NOTARY PUBL Sign: Sign: Print: Print: My Commission Expires: My Commission Expir owledged before me this The foregoing instrument was acknowledged before me this day of ' ' , 20 —, by oduced who is personally wn to me or who has produced identification and who did take an oath. Ir. '�r9 1111 . \ nn ,. Eo. r l'cr I,., ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. *-* ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: :445-) ' L- ',"4/'efk ; � - /f''i diirats Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS 494 Ay DUCT WORK REFRIGERATION FLOOR DRAIN SERVICE REPAIR/METER CHANGE GREASE TRAP APPLIANCE OUTLETS ,$" 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 If HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL (1 2/0 ¢u. 26Oanp Meter/ ain Panel °°A' ELECT YMAIL CONTRACT® 1936 N.E. 148th Street North Miami, Florida 33181 (305) 949-6373 Dade CC016353 Broward CC086 -CME- 1046 -X 5C, branch Bond. No. 4 gr. weed. Greg Miller 278 NE 97th Street Miami Shores, PL. 33138 Existing fuse box to remain as "splices only" 9a° gr. mods min. 6 °apart This drawing prepared and submitteed by: Scott Thrasher for P & M Electric, inc. EC13001875 * PROPOSAL* * * *PROPOSAL* * * *PROPOSAL* * * *PROPOSAL* * * * *PROPOSAL* Submitted to: Greg Miller 278 NE 97 St. Miami Shores, FI. 33138 Job Name: Service upgrade / Kitchen P & M ELMIIIC, INC. 1936 NE 148th Street • N. Miami, FI. 33181 • USA Phone 305 - 949 -6373 • Fax 305 - 949 -4957 of VC, , j November 19, 2004 We hereby submit specifications and estimates for: Installing new 200amp service ( meter / riser /panel ), relocating breaker panel to the outside, leaving splice box with branch circuits to remain in existing panel location. Installing/ wiring of (4) new recessed hi -hats in kitchen, wiring and installing of appliance outlets: micro, frig, dishwasher /disp., oven, and under cabinet lighting. Price includes labor, materials, tax, and permit. Price does not include patching of walls, ceiling, or roof, if necessary. Price does include the cost of fixtures. We hereby propose to furnish labor and materials - complete in accordance with the above specifications, for the sum of: $5,600.00 with payment to be made as follows: Forty percent to start- forty percent at rough and remaining twenty percent at completion. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specification involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate to be paid at receipt of invoice. All agreements contingent upon strikes, accidents or delays beyond our control. This proposal subject to acceptance within sixty days and is void thereafter at the option of the undersigned. The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. ACCEPTED: Signature ACCEPTANCE OF PROPOSAL U" Date r 1 49n Q Y Scott Thrasher President MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 6/ /C5 Type Insp'n � �� h Permit No. 05 Name Address Company • i E . )VC. /C e'�_ Phone # (30'4) J - 7 O ci Inspection 'Date Approved Correction ❑ ',) °° ®� Re- Insp'n Fee ❑ Approved CUI1ection 23 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dater0/Z` /05 Type Ins 'n ROU l� YP P Permit No. — 15 Name `-/' r�Y N 1 I) r Address 2 48 C r3 St Company Phone # C(54 - 334 Inspection Date CA /30 / v Re- Insp'n Fee ❑ o VILLAGE, FLA. Z (t) JOB ADDRESS N9 6690 INSPECTION 2 - ( e I': • TIME READY //--• 2 / • ''-')(; REMARKS. J /11-2— Cy INSPECTOR DATE STATE OF FLORIDA, , l COUNTY OF DADE. 1t S S. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT h Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot112 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 21or.dn, 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...:.,.. ' L.:.. No ..0 <. - Street ,.�_ Registered Architect and /or Engineer .—,. f Employing Electrician's Name L No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 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) 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 st.b•contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ' ' 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 LICHT OUTLETS PLUG RECE'P'T'S FIXTURES No. LAMPS v1 EFRIG. OUTLET IRON OUTLET RANGE OU', LET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER �� . _` r TOTAL CONTR. LIST CK'ECX SCYA:. ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO CONTR. LIST c. rte CHECK STATE OF FLORIDA, , l COUNTY OF DADE. 1t S S. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT h Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or ot112 structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, 21or.dn, 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...:.,.. ' L.:.. No ..0 <. - Street ,.�_ Registered Architect and /or Engineer .—,. f Employing Electrician's Name L No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories 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) 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 st.b•contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) ' ' 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 PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician NO. Outlets Motors STREET Receptacles Generators Stoves dd [iami c fhores d I.11age F L O R 1 D A OFFICE OF ELECTRICAL. DEPARTMENT Miami Shores Village, Fla., 19 LO CATI O N PART OF LOT Water Heaters NUMBER OF Signs LOT ]3L'K DESCRIPTION OF WORK ;billboards • This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. '; i ' _, 19_ / f 1 { / J ' Dated (Seal) Other Apparatus SUBDIVISION ■9 504 Permit Fee , Electrical Inspector. MIAMI SHORES VILL GE PERMIT Office of Electrical Inspector No. CERTIFICA'T'E OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by ' Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits � Range e < watts. Water Heater watts Power: Connected load H P Space Heaters watts Other Apparatus ELECTRICAL INSPECTOR. CEILING BRACKETS RECPTACLES SWITCHES STOVES WATER HEATERS •IGNS i OTHER APPARATUS BRACKETS OUTLET MAIN • BRANCHES BASEMENT_ 1 ,/ FLOORS FIXTURES ONLY NUMBERS OF TOTAL SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS OUTLET MAIN SUBS BRANCHES BASEMENT_ 1 ,/ ,, FIRST SECOND THIRD FOURTH A ••S LOT NUMBER „p '' BLOCK NUMBER sy STREET AND NUMBERS OWNER OCCUPANT BUILDING- -NEW OR OLD (UNDERLINE WHICH) APPLI CATION SIDF DATF No. A 6' ELECTRICAL DIVISION OF THE CITY OF Desiring your certificate of Approval, application is hereby made for an inspection installation in the premises stated below, for which undersigned agrees to correct any the National Electric Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR WILL BE RETURNED ;; - y SUBDIVISION d OCCUPIED As WORK -- ADDITIONAL, NEW. ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH Moron VOLTS TOTAL AMPS PHASF 198__ MIAMI of the electric infractions of APPLICATION KIND OF INSTALLATION REMARKS CONTRACTOR BY RECEIVED BY INSPECTOR PROGRESS WILL. INSPECT AGAIN ROUGH WIRING FINAL No. CORRECTED TEMPORARY DAYS DATE ISSUED OPEN OR CONCEALED INSPECTION WANTED ADDRESS SPACE BELOW FOR INSPECTOR'S USE ONLY INSPECTED - KNOB. RX.. EX., MLDG.. CONDUIT, METALLIC TUBING FEE REMITTED INSPECTOR BUILDING ELECTRICAL PLUMBING Owner of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N2 8962 Work to be performed under this Permit DATE 194 Contractor's License No. Architect Contractor or Builder Legal Lot Bl. Subdi- Description vision Address of Value of Amt. of Building Project 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- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with anv plans, 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 permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility 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 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, servant or employee. BY AUTHORITY Permit No a.. /,..p' STATE OF FLORIDA, COUNTY OF DADE. } as. c ; :� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address r F No Street Registered Architect and /or Engineer Employing Electrician's Name .� ° No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No .1:.._'..! {.. '� ' Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs..... No. of Stories • Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. f` • (Signed) Date r( / n 9/ Master Electrician Amps 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 hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST , � • - y ?% �.l CHECK _ __ _ ' ra ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Y A Permit No a.. /,..p' STATE OF FLORIDA, COUNTY OF DADE. } as. c ; :� MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address r F No Street Registered Architect and /or Engineer Employing Electrician's Name .� ° No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No .1:.._'..! {.. '� ' Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs..... No. of Stories • Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. f` • (Signed) Date r( / n 9/ Master Electrician Amps 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 hire stated are true. My Commission Expires Notary Public, State of Florida NOTE: re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials /or workmanship. 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 cescribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, ' ?lorfde, 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 Divis *_'ms 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 / r �I .A No Street Registered Architect and /or Engineer Employing Electrician's NameL..4..... (w t� a.... ,71? AyN . /.g : �'ffi:raft,,e Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. j,. G State work to be performed and purpose of building (By Floors) ...,:. New Building Remodeling Addition C/ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTME:NT AWF!-ICATION FOR ELECTRICAL PERMIT q Date d Street Repairs.. No. of Stories Service Overhead Amps Main Fuses A Amps. ee Size Feeders Conduit Main Sw Am s.. s Underground p Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ s ~ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under t is 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 ere licensed by Miami Shores Village. STATE OP FLORIDA, , 4 COUNTY OF DADE. 1 j SS. (Signed)....sra� al4aster 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 facto therein by him stated are true. My Commission Expires Notary Public, State of Florida NOT rA re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty material and /or workmanship. SWITCH LIGHT OUTLETS OUTLIITG PLUG RECE•P'T'S FIXTURES NO. LAMPS 'tEFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TD`<'AL CO TR. LIST r I t ��+ 9- �F �' CHECIL l/ / E NT. DIST. SW. CAB. SERVICE TEMP. SERVICE PERM. ,. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TO 'i A:, CONTR. LIST 1_1.....- dZ. CHECK 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 cescribed. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, ' ?lorfde, 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 Divis *_'ms 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 / r �I .A No Street Registered Architect and /or Engineer Employing Electrician's NameL..4..... (w t� a.... ,71? AyN . /.g : �'ffi:raft,,e Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No. j,. G State work to be performed and purpose of building (By Floors) ...,:. New Building Remodeling Addition C/ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTME:NT AWF!-ICATION FOR ELECTRICAL PERMIT q Date d Street Repairs.. No. of Stories Service Overhead Amps Main Fuses A Amps. ee Size Feeders Conduit Main Sw Am s.. s Underground p Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ s ~ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under t is 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 ere licensed by Miami Shores Village. STATE OP FLORIDA, , 4 COUNTY OF DADE. 1 j SS. (Signed)....sra� al4aster 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 facto therein by him stated are true. My Commission Expires Notary Public, State of Florida NOT rA re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty material and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 6088 CONTRACTOR OR BUILDER Work to be performed under this Permit 31 Subdi- v ision DATE Contractor's License No. 195 Value of Amount of Project $ " 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans 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 permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed 11Y: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY NO. STREET PART OF LOT LOT BL'K SUBDIVISION ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building_ Couractor or Electrician Outlets Motors Dated Receptacles Generators Stoves OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla DESCRIPTION OF WORK Water Heaters This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. �l In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Vil:age. C_ft4!ores9 llage F L O R I D A NUMBER OF LO CATI 0 N Signs Billboards 19 ; Other Apparatus N° 504 Permit Fee , Electrical Inspector. (Seal) PERMIT APPLICATION FOR M][AMI SHORES VILLAGE Date ' 21 p 2. Job Address 274' # 97 J Tax Folio ll PM' e g9, Legal Description 5 'k 4 / _?(,9 / 5 //' -' Owner Lessee / Tenant 7 - ?47,-Z. Lessee 4 N#�C Master Permit 452 Owner's Address !7 /V 9 7 Phone Contracting Co. #14 ' r f�c Address ,/,6e 4/' -? �' ✓, d'fd" ' Qualifier :&644( SS# Ja/ - 23 -. -, 2# Phone 94,c— d State #4.%2 Municipal # Competency # T Y2 i Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN 4 4/6.< otO,tute' WORK DESCRIPTION .3 r Square Ft. Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio „and Ftfthg,r re_. authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * * ft Qy- Zoning Building Mechanical Plumbing_ V4 . JOSEPHINE CHURCH 't ihttrlie, Stab of t �� w *1I% J w Builder Signature of C Date: ' tar as to Cont ct Rid' eP-B y Commission Expires' [] DID take an oath, or -DID NOT take an oath. rint e or stamp name of Notary P'ub ie 02.2 O/ 7,� (. t�b l a ' V known r1OR Produced I.D. i� 5 . * ** FEES: PERMIT *)( RADON C.C.F. NOTARY lf2 62 TOTAL DUE : APPROVED: Fire Other Electricall0 *41 Engineering 7f Permit No Amount of Permit S STATE OF FLORIDA, 1 COUNTY OF DADE. B8' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 Vilage, 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 Euildi:.g 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... J �/ o f'L tt ..d No._ 2 8 Registered Architect and /or Engineer 0 Employing Electrician's Name.. � .. .�9 s�'C .. .... ..b 4 it ' A i To.../ C.a d.; ....l.G . Xric Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 56 State work to be performed and purpose of building (By Floors) f�.S1.Pe4 -� New Building Remodeling Addition 'S Repairs No. of Stories Street Street...: .J Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing ( B.X.L Metal Moulding - (Signed) Elg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig as as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra rs 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. (Signed) f /e 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 REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. N EAT. CONN. signet HEATER STRIP H EATER TOTAL CONTR. LIST a --- A I/ . 7 , CHECK G "` ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. _- MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK 7f Permit No Amount of Permit S STATE OF FLORIDA, 1 COUNTY OF DADE. B8' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 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 Vilage, 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 Euildi:.g 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... J �/ o f'L tt ..d No._ 2 8 Registered Architect and /or Engineer 0 Employing Electrician's Name.. � .. .�9 s�'C .. .... ..b 4 it ' A i To.../ C.a d.; ....l.G . Xric Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 56 State work to be performed and purpose of building (By Floors) f�.S1.Pe4 -� New Building Remodeling Addition 'S Repairs No. of Stories Street Street...: .J Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing ( B.X.L Metal Moulding - (Signed) Elg Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig as as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra rs 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. (Signed) f /e 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. PERMIT APPLICATION TOR MIAMI SHORES VILLAGE Datc /D 49 Job Address p N f7 1` 5 • 6 70 E 7 S ��Cti2 Tax Folio //�° �� %� i � �',I. � � i�� % Legal Description -&T '. / // e ?tom ? Historically Designated: Yes N / ►1 /Tenant,, l Ch die.) 4 Jl 01 7- I -F-t-, Master Permit # 5 g Owncr's Address a 7 8 N • E • 9 7 S 7" E T Phonecyds - - 75 - s'66 Contracting Co. Qualifier • 44 Ci-24-C Statc # F &O 'O Municipal # Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle onc): BUILDING ELECTRICAL PLUMBING MECiANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1)/Ly t / 64 _7171J Square Ft. 1?stimated Cost (value) p 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 madc to obtain a permit to do work and installat;on as indicated abovc, and on the attached addendum (if applicable). I ccrtify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits arc required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I ccrtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constriction and zoning. Furthermore, I authorize the above- natmcd contr • ctor to th work stated. , r%. /0 Signature of ow= y and/cai_Condo President Ibatc 4 P DFFRAK T1It_YF1 No�ry, ^ � t ei Datc +1rl t5 Y5,2001 M ; ion s EDTHRU OF F1* ATLANTIC ".O "D!NG CO., INC. FEES: PERMIT . 3..� ' � RADON APPROVED: Zoning Mechanical Plumbing SS# , - Phone Ins. Co. Notary as to Contractor or O4ier- Builder Vpiuniaiditr, (1ir I r ' n COMMISSION f CC 631227 4 Ar EXPIRES MAY 5, 2001 ONDED OF Pb. ATLANTIC B ®ONDING CO., INC. THRU C.C.F. • kG NOTARY TOTAL DUE Building Electrical >1 7 i ` ctor or Owncr -B ildcr Datc Date 3 Engineering BUILDING ELECTRICAL PLUMBING PERMIT N? 4298 Work to be performed under this Permit` A Owner of Architect Contractor or Builder f, Legal Lot Description ti MIAMI SHORES VILLAGE, FLORIDA Bl. Subdi- vision CONTRACTOR OR BUILDER BY Address of rr' Value of Amt. of Building' } Project Permit • DATE AUTHORITY 194._ Contractor's License No. / This permit is granted to the contractor or builder named above to cons the building or to install the equipment or device descrige`i1 fa.t apapplyf cation herefor in strict compliance with all ordinances pertaining thereto and w.th the understanding that the work will he performed in compliance with y plans, drawings, statements or specifications that may have been submitted to a nd approved by the proper municipal authorities. This Permit may be revo ed 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 whit this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinance and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes r spon- sibility 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 tl work covered hereunder in compliance with all ordinances and ?gulations 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, servant or employee. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA 0 DATE 195 PERMIT NA 6 __ 25 Contractor's ❑ License No. Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER Bl. Signed. Work to be performed under this Permit Subdi- v :.sion Value of Amount of Project $ 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, 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 permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 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 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2005 -150 Printed: 5/10/2005 Page 1 of 1 Applicant: GREGORY & KELLY MILLER Owner: MILLER GREGORY & KELLY JOB ADDRESS: 278 NE 97 ST Contractor Local Phone: Electrical Permit Contractor's Address: Parcel # 1132060133990 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 3 & E1/2 OF LOT 4 BLK 30 LOT SIZE Fees: Description Amount FEE2005 -5790 CCF $0.60 FEE2005 -5791 Notary Fee $5.00 FEE2005 -5792 Training and Education Fee $0.20 FEE2005 -5797 Building Fee $100.00 FEE2005 -5798 Technology Fee $2.50 FEE2005 -5800 Scanning Fee $3.00 Total Fees: $111.30 Permit Status: APPROVED Permit Expiration: 11/2/2005 Construction Value: $300.00 Work: RELOCATION LIGHT CLOSER TO NEW DOORS IN POOL HOUSE - MASTER PERMIT BP2005 -436 Total Fees: $111.30 Total Receipts: $0.00 o fre Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Code Enforcement $ Total Fee Now Due $ BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical] Plumbing Mechanical Roofing ��G �� %�i Phone # Owner's Address A//: Owner's Name (Fee Simple Titleholder) City 7-1/4,44,' 67% �? State JP% Tenant/Lessee Name Job Address (where the work is being done) c) 72? City _ Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO X- Contractor's Company Name / /fir ms-/ �; Phone # _ SC' 3 Contractor's Address / 2 33 fl/E. / ?-/ S/ City X. �"�if:. -� . ' State ,1 . Zip _) Qualifier -- - S_e ,�: %� _ �; fLS 4% �— State Certificate or Registration No. LTC_/ ?7 73 Certificate of Competency No. Phone # Square Footage Of Work: Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition alteration New ❑ Repair/Replace ❑Demolition Describe Work: 1 j � � •) �� o�� a �� ' � �� . � C - �' c ****************************F ****************y,****** **y, *x:<*** Submittal Fee $ — Permit Fee $ / 2 7 G94i2 CCF $ ' CO /CC Notary $ ' Training /Education Fee $ Technology Fee $ S ts' Scanning $ Radon $ Zoning_ Bond $ (Continued on opposite side) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Miami Shores Village Building Department Structural Plan Review. $ Permit No. E l C Master Permit No. K , J: `..)- e "; Zip a S'/ .fi Phone # Zip Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this day of who is personally known to me or who has produced Chc 05/13/03 ,20_,by As identification and who did take an oath. e.„ev,.. Contractor The foregoi instrument was acknowledged before me this CO day of who is personally known to me or who has produced entification and who did take an oath. , 20 by C I CV\ 1 / 4 01 NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission xpires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY ;.c ��c � .j7 P lans Examiner Engineer Zoning