ELECTRICALMIAMI SHORES VILLAGE
BUILDING DEPARTM T
305- 795 -2204
Buil¢ ling Inspection Requ
Date
Type Insp'n ' Q.GCi c( .
Permit No. f 1 a604 ( 1Q3
Name
Address N` c Y/ J�
Compan 5onc501
Phone #
Inspection Date 423
Approved
Correction ❑ 2 4720,0%ce
Re- Insp'n Fee ❑
Name
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMEN
305- 795 -2204
Buildi fig Inspection Request
Date
A na I
Permit No. l.J l v W 3
l'(
Type Insp'n
Inspection Date
Approved
Correction
Address pc(
Company O
Re- Insp'n Fee ❑
Phone #
MIAMI SHORES VILLAGE ' i
BUILDING DEPARTMENT •
305- 795 -2204
BuilditleT ti'n Request
�L„
Date
t naI f
Permit No. C !Ocr — ' 3
Name "t ' 1 'l.!
Address -" L q 34
Company CU-
Type
U
Type Insp'n
Inspection Date [
Approved 0 _.,`
Correction ❑ , e e
Re- Insp'n Fee ❑
t 4 ' )
MIAMI SHORES VILLAGE Q J
BUILDING DEPARTMENT C
305- 795 -2204 ��''JJ""
B uild i g Inspection Request
Date' g"
Type Insp'n Fi no 1
Permit No.
Name 0rr 1 ��
Address 1 " q eS
Company
Phone #
spection Date 0--)
�C)
Approved 4 1 r
Correction -Of
Re- Insp'n Fee ❑
V' r
1-
d7� i / /, �,4--- oec, 7
4/ A --- , 64 e/ 17- >•jzt r se/ ?f
fr'a7 772
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT CC '
305- 795 -2204 �
Buildiy 'etton Request
Date
Type Insp'n j ` lCi
Permit No. C, ceC CAH 0
r iC
Name �'
Address `- N q Cl4
Company
Correction
Phone #
Inspection Date raj J a_C
Approved 47r,
Re- Insp'n Fee ❑
/
4 c / f� 4'/ > /i\7/ ? f
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Date 2 Qt( Job Address
Legal Description J l,/ L404
Owner / Lessee / Tenant ks (,Ey
kihr . d W r - �9 P'nfL / zc
` rtL t S
Contracting Co. V►' k t4_( � Lee2 rtG Address
ti - V S
Owner's Address
Qualifier
State#
Architect /Engineer
Bonding Company
Mortgagor
Competency #
Signature of Owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
* . * . * * * * *
PERMIT FEE: APPROVED:
CVO`(" /' 4) Zoning
gX, 00
(OWNER TO RETAIN COPY)
Building
SSA Phone
Address
Address
Address
Tax Folio # 5Z4( /JOy,a 9
Master Permit #
Phone
r1.4 1,o !'s LB:
Ins. Co.
G 2( - 4-64 -6
Permit Type (circle one): BUILDING PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated CostVXR)7
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 accur _ .:t all work
will be done in compliance with all applicable laws regulating •.struction a.• zoning.
Furthermore, I authorize the above -named contractor to do the wor
Signature of Contractor or Owner -B
Date:
N ark as to Contractor 9r wner- Builder
My Commission Expires:lifie /qo
* * * * * *
Fire Other
lectrical
Mechanical Plumbing Engineering
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Job Address
Contracting Co.
State# EC DOOD U 67
PERMIT FEE: APPROVED:
29 AL F. 9 6 CT
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
WORK DESCRIPTION E4e721, /C
Signature of Owner and /or Condo President
Date:
Zoning Building
Mechanical Plumbing
(OWNER TO RETAIN COPY)
Date:
ture
Fire Other
Tax Folio //e2,046136836/73
Legal Description /J (O w.7 s.0 ,/4 Master Permit # 1/9)/7
7
Owner / Lessee / Tenant L/ / S'
Owner's Address 29 N, 5 Q phone
/114d 170 e7iti f 4/z Address 822- 6;0 1/ 7e-rk
0 #(f4Ji) � . M ,46r74424g Z SS# phone OZ cz 2 z z
Qualifier
Competency# Ins. Co. �Le/c. .1/f
Permit Type (circle one): BUILDING LECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
7O.0 ¢% /d boo Lh
Square Ft. Estimated Cost
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. 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 1 - regulating construction and zoning.
Furthermore, I authorize the above -named contrac or to d• the work stated.
of Contrac'or or 0 -,1"r- Builder
NOTARY AUNI. STATE OF FLORIDA.
MY COMMISSION EXPIRES: SEPT. 27, 1992.
DO DED / R NOTARY PUBLIC NDD EERW T ERB.
Notary as to Owner and /or Condo President Notary as • Contract •' or Owner - Builder
My Commission Expires: My Commission Expires:
* * * * * * * * * * * * * *
Electrica
Engineering
(o f
.04).4 $09/
: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address oz - / -J 1 ST• Tax Folio 0 2, x(94.- O/ 3 -' as-30
Legal Description
(lI I A-M ( SGT o r e S SP.G / A'v►n t> 1P4 (Q_7/LT s / S AC K' �D
Owner / ,Lessee Tenon M A - (C1 bOC ((Q Master Permit it 37At3
o F- ST. ./ (() i .rk — /O(o
Owner s Address � L �rtr�iC ( c. V v� / � L Phone 7
Contracting Co. ,A.M Sea/ ( Sul SZ�14" S Address /p .n. SIO• 011/er/14 -P_ r�'D
W M � Lt i f G (kTA-v -- sS4/ Ph one 4 7 / 7 0 F 33"
Qualifier •
State 4�roo 0 0/ Municipal 40 Competency 0 Ins.Co.
, i
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one):. BUILDING ELECTRICA PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION /QcnJ JO (f j 6 Steyr, S1L ---
I
/ - CmAyr I 8—be v ; ce5
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, ROOPING 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 % ,' zo Furthermore, I
authorize the above —named contractor to do the work stat
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires: ,
R:S ire steAXrNE M. SANCHEZ
MY COMMISSION B CC 383081
EXPIRES: June 14, 1998
°Q' Banded Thni Notary Public Undennitem
x
S
Notary as t
My Commiss
caner— Builder
der
** * * * * * * * * * * * **
FEES: PERMIT ; RADON C.C.F. •* NOTARY TOTAL DUE
APPROVED: Fire Other
Zoning Building Electrical
Mechanical Plumbing Engineering
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:�'i ;f.-°:< MYCOMMISSr�
W =�'z EXPIRES: Juno 14, 198
Bcnded Thru Notary Public Undery
PAGE . 0102
P. 01
Permit No
STATE OF FLORIDA,
COUNTY OF DADE.
}
Service Overhead Size Feeders
Underground
Amount of Permit $__! 1 _' D
ss.
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 oomph d with, whether her in specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address_________ > ~ G t.. ) t L v • ° l
{ ,. No. ''� — _ ,
Registered Architect and /or Engineer
r_
Employing Electrician's Name__—____
-- --- ----- - - - - -- ------- - - - - --
l T 1 c c / No-. --
' • /
Location and Legal Description Lot 1 Block Subd;v}sion__
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_ _T________— Addition.___ — __Repairs No. of Stories
(Signed)
7 e
Type of Installation — Conduit_____ ______Tubing__________ B.X.L.______ Metal Moulding
D .__ VW _
Conduit Main Sw.— ____1_! Amps Main Fuses
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that/11e understands and accepts his o 1 ons as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent 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 p osted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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 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
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
/
W. HEAT.
CONN.
I
SPACE
HEATER
J
STRIP
HEATER
TOTAL
/af
CONTR.
LIST
N c. 0
/�
-2�
`-
d
---/---
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
Permit No
STATE OF FLORIDA,
COUNTY OF DADE.
}
Service Overhead Size Feeders
Underground
Amount of Permit $__! 1 _' D
ss.
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 oomph d with, whether her in specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address_________ > ~ G t.. ) t L v • ° l
{ ,. No. ''� — _ ,
Registered Architect and /or Engineer
r_
Employing Electrician's Name__—____
-- --- ----- - - - - -- ------- - - - - --
l T 1 c c / No-. --
' • /
Location and Legal Description Lot 1 Block Subd;v}sion__
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_ _T________— Addition.___ — __Repairs No. of Stories
(Signed)
7 e
Type of Installation — Conduit_____ ______Tubing__________ B.X.L.______ Metal Moulding
D .__ VW _
Conduit Main Sw.— ____1_! Amps Main Fuses
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that/11e understands and accepts his o 1 ons as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida rmanent 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 p osted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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 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.
.UILDING
LECTRICAL
LUMBING
��
)weer of
tlilding � , L
rchitect
MIAMI SHORES VILLAGE, FLORIDA
DATE r ::��, AJ / . .�
PERMIT N? 8495 Contractor's
ense No
Work to be performed under this Permit
/
4e 7
; ontractor
r Builder
egal Lot
)escription
01 ddress of C Value of Amt. of
uilding / ` i `' Project Permit �V /
This permit ? g .,
ranted to the contractor of /builder named above to construct the building or to install the equipment or device described in the appli-
ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
lans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
t any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
gulations pertaining to the work covered hereby whether shown on the plans or drawings p in the stateme or specifications and tl t he assumes respan-
bility for work done by his agents, servants or employees.
CONTRACTOR OR BUILDER
Bl.
'Signed:
Subdi-
vision
TNSPE
OR
In consideration of the issuance to me of this permit I agree to perform the irk covered hereunder in compliance with all or
ertaining thereto and in strict conformity with the plans, drawings, statements pecifications submitted to the proper authorities
i accepting this permit I assume responsibility for all work done by either myse , my agent, servant or employee.
BY AUTHORITY
.
194p
ces and regulations
iami Shores Village.
BUILDING NOV 0 5 2.00 Permit No. E IOct— 313
PERMIT APPLICATION .. . I Master Permit No.
FBC 2001
Permit Type (circle): Building Electrical • Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) f( ,3 ,d,, V -1 .,> 1kur,- ,." ; ',, , Phone # ,N, y -I , - 7 '),
Owner's Address `� is . i L, ,;W : ¥ co 11 name clone( p �
City� 1f`r'v� .i,'� -p� State I Zip -V' 4
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Mi
Tel
City Miami Shores Village County Miami ade
is Building Historically Designated YES NO V
Contractor's Company Name �,.1�'1 � L ri�"`. Phone #sU f �
Contractor's Address f
City 1\
Qualifier L..tk(',. ,
(Continued on opposite Side)
Total Fee Now Due $
t:
State Certificate or Registration No. :..
Type of Work: ❑Addition
Describe Work:
❑ Alteration
State
❑New
Code Enforcement $ Structural Plan Review. $
s, Florida 33138
756.8972
Zip
Zip '%
L
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit Square Footage Of Work:
ckl Repair/Replace ❑ Demolition
4 334
Submittal Fee $ 5 ,n0 Permit Fee $ 7522 ei ' CCF $ /' CO /CC
Notary $ Training/Education Fee $ C '4 0 Technology Fee $
* *** * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Scanning $ Radon $ Zoning �` Bond $
Bonding Company's Naive (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 whi h occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be a a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of i/eY , 20 by k i 4e O TC !)
NOTARY
Sign:
Print:
My Comm. sion Expires:
* * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
own to me or who has produced
As identification and who did take an oath.
ho is perso
******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
NOT ARY PUBLIC
Sign.
Print:
• Jui My Com ssion Expires:
Signature �Q
Contractor
The foregoing instrument was acknowled ed before me this 4
day of NO ki , 2039, by F m ond° ) r, g
who is personally kno . • to me or who has produced t�
� � 1 entification and AtieVMOS
;o s
a. C• � • IOII #DD231984
2007
•rt
** A***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
ont+ r i
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
•
ROMANELLO RESIDENCE
29 NE 961 STREET
MIAMI SHORES, FL.
200 AMP MAIN
DISCONNECT
DAST.
PlEa.
AM'
42 CRG
3 • 2/0 MU AUG CO
IN 2" CONDUIT rti
3 • 2/0 NW AI13 CO
•3 GROUND WIRE
IN 2° CONDUIT
METER
200 AMP
Smith 4 Smith es i en Corp Inc.
In a660GIatIon With
Arthur
G. P le,
L ic.. 1114 A pr -14 y
EXISTING
I •3 CU GROIND TO COLD WATER
PIPE t 2— 5/8'X 8' -0" LONG
DRIVEN INTO GROUND, 6' -0' APPART
EXIST. CIUP.
0
ELECTRICAL RISE DIAGRAM 1\1.T .S.
ROMANELLO RESIDENCE
29 NE 96 STREET
MIAMI SHORES, FL.
3 • 2/0 TI-&U AWG CO
N 2° CONDUIT
t00 AMP MAIN
DISCO + ECT —
UST.
PAWWL.
ZOO AtP
42 ciRC
1
3 • 2/0 NW AWG CO
0 3 GR06PID WIRE
IN 2' CONDUIT
0
METER
200 AMP
Smith 4 Smith Deli
in a880Giation with
Arthur G. Pyle, r�
L i c. * 1114
EXISTING
I •3 CU GROUND TO COLD WATER
PIPE 4 2- 5/8°X 8' -0 LONG
DRIVEN INTO GROUND, 6' -0' APPART
EXIST. C.WP.
0
ELECTRICAL RISER DIAGRAM N.T .S.
_
}
Pgsde as Idioms
Ws POOPOeS hereby to Hookah
p
s: (305) 443-s808. c
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ra miaow at►ma 1 b leas walla Aa out rMae_/tie.eA.irrriwr
aaowdsewtar doll imam Par stiwretiwM` r hem hot gnrtdns 11aiMli
sass egos 10 r aseoutae astir gm Wile aim sal ell W ore as NM tesrtt awe
a
e a alm i Oma wort *Om aaelrees sr elite hood eaaaan omega M ha aid aaseaao o
vegeea rr ..ertts w big
we dam ruhadA specifications and estimate, for:
, ,) /4' e4sov.4 ..Arc, 4 04 /b'a c4A4fi
ado, "LG ,(/ec./ Z4 civp 43 /lk:I re.. ad,0
/ /4;424- awd ..2704/p414.-- Aiew
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7 /' • / 4, ay 4/4/-
ti& tr w GG de A/
�Q 200 f/ 0
and
, ,d lapor. amide . la accordance with these cmcI 1oea for tb sus
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L
/ 'ACCIPLIMS a P1101 — ties — yOlmOlfaM and oodeioet; we
the wort as epeet!!ed Peament b Node es .._
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2
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imeneem
MDI�7fb /eepsed a
_ --
ss rast�.rar■ --
[IAMI SHORES VILLAGE
UILDING DEPARTMENT
305- 795 -2204
Buildirig Inspection Request
n 5r v . C)
0(4- )3
Fee ❑
\ w _ �., J am„
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui� g Inspection Request
Date LI . T -
1 Im 3yv. ,
Permit N (� t L./q_ ) 3
Name C
Address
C1 NJE
comp ani -- 1_3
Type Insp'n
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/16/2004
Applicant: MADELEINE
Owner: ROMANELLO
JOB ADDRESS: 29
Parcel # 1132060130830
Signed:
NE 96
(INSPECTOR)
Electrical Permit
Permit Number: EL2004 -313
ROMANELLO
MADELEINE
ST
Contractor SANSON ELECTRICAL PLUS INC Contractor's Address: 3995 SW 4 ST
Local Phone: 305 -443 -8808
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 6 LOT SIZE 100.000
Fees: Description Amount
FEE2004 -11356 Building Fee $150.00
FEE2004 -11357 CCF $1.20
FEE2004 -11363 Training and Education Fee $0.40
FEE2004 -11364 Notary Fee $5.00
FEE2004 -11365 Technology Fee $3.75
Total Fees: $160.35
Total Fees: $160.35
Total Receipts: $ .Og
C/a •
Permit Status: APPROVED Permit Expiration: 5/4/2005 Construction Value: $1,800.00
Work: SERVICE UPGRADE
,NOV 1 7 PAID
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:
•
Contractor's Company Name
Submittal Fee $
Notary $
Scanning $
(Continued on opposite side)
Owner's Address
City
Tenant/Lessee Name
$ Value of Work For this Permit
Total Fee Now Due $ / 0v- 0 ' S
Miami Shores Village
Building Department
1 V `C \V IE D 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
tf:1 ti
BUI 'DING. r .
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) /fic!e 0 r teo. Phone #
9 Imo, E >(,s
State
Zoning
Zip
Phone #
Permit No.
Master Permit No.
6I— Z.0o 4 - -16
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: ['Addition _ ❑Alteration �� / ❑New El Repair/Replace
Describe Work: C /If r' £7 C J /c hci)T
Permit Fee $ / e7 G'
Training/Education Fee $
Radon $
* * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * * * * * *� * *
CCF $
Technology Fee $
Bond $
Code Enforcement $ Structural Plan Review. $
Phone # O r- -P4 c
CO /CC
❑ Demolition
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 pennit 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 The foregoing instrument was acknowledged before me this
day of , 20 , by , day of , 20 _ , by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
APPLICATION APPROVED BY
Chc 05/13/03
Contractor
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
********************* * * * * * * * * * * * * * * * * * * * * * * * * * *. * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ans Examiner
Engineer
Zoning
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Architect/Engineer's Name (if applicable)
$ Vaiue of Work For this Permit /tea 0.
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. L''
Master Permit No. ,Bp 2 00 $1' G 3'7
Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) g fi• /fAlsf6t Phone # k 7- 5 05/
Owner's Address 29 Nom. 9'6 , ` / .
City 7)7/ 4.41 i (•ees State / li). Zip 33 f 3 8'
Tenant/Lessee Name Phone # 2e2.- 2/ 33
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historical) Designated YES NO 1s
Contractor's Company Name 5 14a.So,e) rrec. /iU� / PLS. Phone # 986 3 2 4'093
Contractor's Address 3995 gw s/
City /%. i . State F Zip 9 3 / 3 l c.
Qualifier ..l u/':</'
Phone #
Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration New [eRepair/Replace ❑ Demolition
Describe Work: /V-C , Ov7 / i J Sc4d, -. Mead, p of-Le- .-+ GA •
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /m® 'a'' CCF 8/ CO /CC
Notary $ Training/Education Fee $ _. D Technology Fee $ a . s O
Scanning $ Radon $ Zoning Bond $
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.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Signature 4i(e)
Signature HIV J� 1\,
Owner or Agent V Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowled ged Wort: me this _
day of , 20 _, by , day of J vAJ 7 , 20 O ¢ by (e / •Imo _2 , 71,4,e N v-f:.i
who is personally known to me or who has produced who is personally known to me or who has roduced
l - - --
As identification and who did take an oath. ( L o pc T G25 - i 5� o / identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: 40 Ai A Lia. 124
My Commission Expires:
1 , p. 2 uo
O •
o Dl°`l
>if�L
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
**************** * * * * * * * * * * * * * * * * * * * * * * * * * * * *. ** * * * * * ** ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY.
Chc 12/15/03
; )60`!G
Plans Examiner
Engineer
Zoning
F1 /2P
W/NOAD
cP
CONC
24.40'
0
8
o
c3 100.00' P& 4
\1.30
26.80'
8.00' ASPHALT PAVEMENT
ONE STORY
RESIDENCE
# 29
0
15.90'
13.70' o
7.00' GRASS PKWY
2.00' VALLEY GUTTER
0
° CONC
0
4ce
12.90'
o
m
1 .40
0
5.00' CONC SWK 100.00' P ads
NE 96 STREET
27.90'
16.40'
0
0
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37.50'
,
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0
0
0
Ft /2P
W/t10/1D
F1 /2.P.
W/110/10
m
0
1.
0
0
0
0
0
12.00' GRASS PKWY
q- o
N
Legal Descripti'
Lot 15 +16, Blo
MIAMI SHOT
the plat thereof
70, of the Pub!
Florida.
NORTH
SCALE: 1/20
C.
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Si
Fl
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Pr
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Certified To:
MADELEIN.
o EVANS, FI
2 0.00' ASPHALT PAVEMENT AMERICAN
ITS SUCCEE'
M GUE ES NO BA
LAND SURVEYUNG D�1C O
LAND PLANNERS — SURVEYORS
6 CORAL WAY
MIAMI, FLORIDA 33155
Phone: (305) 740 -3319 Fax: (305) 669 -3190
740 -3320
— ti
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6 RESIDENCE 1.4011
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0
ca
8.00' ASPHALT PAVEMENT
100.00' P&M
NE 96 STREET
20.00' ASPHALT PAVEMENT
It
0
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Legal Description:
Lot 15 +16, Block 6, of AN AMENDED PLAT OF
MIAMI SHORES SECTION NO. 1, according to
the plat thereof as recorded in Plat Book 10, at Page
70, of the Public Records of Miami -Dade County,
Florida.
NORTH
SCALE: 1/20
Community Number: N/A
Panel Number: 0093
Suffix: J
Data of Firm Index: 3/2/1994
Flood Zone: X
Base Flood Elevation: N/A
Date of Completion: 01/22/04
Property Address:
29 N.E. 96 STREET
• MAMI SHORES , FL 33138
Survey: M20700
Certified To:
MADELEINE ROMANELLO, CATLIN, SAXON,
EVANS, FINK AND KOLSKI, P.A., FIRST
AMERICAN TITLE INSURANCE COMPANY,
ITS SUCCESSORS AND /OR ASSIGNS.
{ N. E.
N.E. •
9.,
•
SIGNED
GENERAL NOTES:
N. E
E L.
91T^
' • — ' • .. . .. • I .. . : . ,-&. . .
I N C 93" •
� r r - -- r £ .s
5 ET
J_R .i.• •
_ jam_
• i
A rl D G6ib 0 5 u L 4 r '1 A P. 0
3=f •
•
•
' 1 .
•
Tn�ET
I) LEGAL DESCRIPTION PROVIDED BY OTHERS.
2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER
RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT.
3) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER
IMPROVEMENTS WERE NOT LOCATED.
4) ONLY VISIBLE ENCROACHMENTS LOCATED.
5) WALL TIES ARE TO THE FACE OF THE WALL.
6) BEARINGS REFERENCED TO LINE NOTED AS B.R.
7) NO IDENTIFICATION FOUND ON PROPERTY CORRNERS UNLESS NOTED.
8) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSE ►! SEAL.
9) DIMENSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE OWN.
10) ELEVATIONS IF SHOWN ARE BAS D UPON N.G.V.D. 1929 UNLESS 0 ' ERWISE
NOTED.
11) THIS IS A BOUN'ARYSURVEY ES 9THERWISE NOTED.
1 HEREBY CERTIFY T T THIS BOUND ;' Y[YIIRVE IS A TRUE P CORRECT
REPRESENTATION OF SURVEY PREP • ' A " DE MY DIRECT N.
IG , EL E
.S. \NO.5
TAT OF F
INOSA
01
ORIDA
FOR THE FIRM
THIS SURVEY IS INTENDED FOR ORT AGE OR REFINANCE PURPOSE ONLY,
EXCLUSIVELY FOR THIS USE BY ' HOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT
TO BE USED FOR CONSTRUCTIO PERMITING, DESIGN OR ANY OTHER USE WITHOUT
WRITTEN CONSENT OF MIGUEL ESPINOSA.
MIGUEL ESPINOSA
LAND SURVEYING, INC.
6494 S.W. 24 STREET
MIAMI, FLORIDA 33155
PHONE: (305) 740 -3319
LB # 6463
A
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ADDITION
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ANCHOR EASEMENT
ALUMINUM
ASPHALT
BUILDING CORNER
BROWARD COUNTY RECORDS
BUILDING
BLOCK
BENCHMARK
BOUNDARY
BACK OF WALK
CALCULATED
CATCH BASIN
CONCRETE BLOCK STRUCTURE
CHORD DIRECTION
CABLE JUNCTION BOX
CHAIN LINK FENCE
CONCRETE MONUMENT
CORRUGATED METAL PIPE
CONCRETE
CORNER
COVERED
DEED
DEED BOOK
DADE COUNTY RECORDS
DRAINAGE EASEMENT
DEPARTMENT OF TRANSPORTATION
END OF FENCE
EDGE OF PAVEMENT
EDGE OF WATER
ELECTRIC
ELEVATION
ENCLOSURE
ELECTRIC METER
EASEMENT
FENCE CORNER
FENCE LINE
FINISHED FLOOR
FIRE HYDRANT
FOUND IRON PIPE
FOUND IRON ROD
FOUND NAIL
FOUND
FOUND NAIL & DISC
FOUND NAIL & TAB
FLORIDA POWER & LIGHT
GARAGE
GUY WIRE
HEAD WALL
IDENTIFY. IDENTITY
INVERT
IRON ROD
IRON PIPE
LENGTH
LICENSED BUSINESS
CHORD DISTANCE
LEGAL DEGCRIP-T40N-
LOWEST FINISHED FLOOR
LIGHT POLE
LAND SURVEYOR
LEGEND OF SURVEY ADDRE111ATION5
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MAINT
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OFFICIAL RECORDS BOOK
OFFSET
OVERHEAD WIRES
PLAT
PARCEL
PLAT BOOK
POINT OF CURVATURE
POINT OF COMPOUND CURVATURE
PERMANENT CONTROL POINT
PAGE
POINT OF INTERSECTION
PARKER KALON
POINT OF BEGINNING
POINT OF COMMENCEMENT
POWER POLE
PERMANENT REFERENCE MONUMENT
POINT OR REVERSE CURVE
POINT OF TANGENCY
PAVEMENT
RADIUS OR RECORD
RECORD
REINFORCED CONCRETE PIPE
RESIDENCE
RETENTION / RETAINING
RANGE
RIGHT - OF - WAY
SANITARY
SOUTHERN BELL TELEPHONE
SCREEN
SOUTHEAST
SECTION
SEWER
SET NAIL & DISC LB #6463
SCREEN PORCH
5E71/2" PIN & CAP LB #6463
STATE ROAD
SET REFERENCE CORNER
STATION
STORM
STORY
SUBDIVISION
TANGENT
TOP OF BANK
TEMPORARY BENCH MARK
TRANSFORMER
TOWNSHIP
TYPICAL
UTILITY EASEMENT
UNDERGROUND
WOOD
WATER METER
WATER VALVE
% /A ; 1\ ■■
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m INO/MI/
MIMI 'WWI
VMS
■%•tr /ff.
Phone: (305) 740 -3319
740 -3320
Mvi
GUEL EBP NO SA
_AND SUUO YlNG, D CO
LAND PLANNERS — SURVEYORS
6494 CORAL WAY
MIAMI, FLORIDA 33155
Fax: (305) 669 -3190
on:
ck 6, of AN AMENDED PLAT OF
;ES SECTION NO. 1, according to
as recorded in Plat Book 10, at Page
is Records of Miami -Dade County,
)mmunity Number: N/A
net Number: 0093
tffix: J
Lta of Firm Index: 3/2/1994
.)od Zone: X
:se Flood Elevation: N/A
- lte of Completion: 01/22/04
operty Address:
N.E. 96 STREET
IAMI SHORES , FL 33138
°rvey: M20700
E ROMANELLO, CATLIN, SAXON,
NK AND KOLSKI, P.A., FIRST
TITLE INSURANCE COMPANY,
,SORS AND /OR ASSIGNS.
GENERAL NOTES:
I HEREBY CERTIFY T
REPRESENTATION OF
SIGNED
I) LEGAL DESCRIPTION PROVIDED BY OTHERS.
2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER
RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT.
3) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER
IMPROVEMENTS WERE NOT LOCATED.
4) ONLY VISIBLE ENCROACHMENTS LOCATED.
5) WALL TIES ARE TO THE FACE OF THE WALL.
6) BEARINGS REFERENCED TO LINE NOTED AS B.R.
7) NO IDENTIFICATION FOUND ON PROPERTY CORRNERS UNLESS NOTED.
8) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSE . SEAL.
9) DIMENSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE ' OWN.
10) ELEVATIONS IF SHOWN ARE BAS D UPON N.G.V.D. 1929 UNLESS 0 ERWISE
NOTED.
11) THIS IS A BOUN +ARYSURVEY ES T'HERWISE NOTED.
T THIS BOUND
SURVEY PREP
INOSA
01
ORIDA
MIGUEL ESPINOSA
LAND SURVEYING, INC.
6494 S.W. 24 STREET
MIAMI, FLORIDA 33155
PHONE: (305) 740 -3319
LB # 6463
IS A TRUE A P CORREC1
MY DIRECT N.
THIS SURVEY IS INTENDED FOR ORT AGE OR REFINANCE PURPOSE ONLY,
EXCLUSIVELY FOR THIS USE BY ' HOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT
TO BE USED FOR CONSTRUCTIO \PERMITING, DESIGN OR ANY OTHER USE WITHOUT
WRITTEN CONSENT OF MIGUEL ESPINOSA.
FOR THE FIRM
A
A/C
ADD
ADJ
AE
ALUM.
ASPH
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BLDG
BLK.
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ENCL.
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F/L
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FH
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END
FN &D
FN &T
FP &L
GAR
GAW
HW
ID
INV
IR
IP
L
LB
LC
LC)
LFF
LP
L5
ARC LENGTH
AIR CONDITIONER
ADDITION
ADJACENT OR ADJOINING
ANCHOR EASEMENT
ALUMINUM
ASPHALT
BUILDING CORNER
BROWARD COUNTY RECORDS
BUILDING
BLOCK
BENCHMARK
BOUNDARY
BACK OF WALK
CALCULATED
CATCH BASIN
CONCRETE BLOCK STRUCTURE
CHORD DIRECTION
CABLE JUNCTION BOX
CHAIN LINK FENCE
CONCRETE MONUMENT
CORRUGATED METAL PIPE
CONCRETE
CORNER
COVERED
DEED
DEED BOOK
DADE COUNTY RECORDS
DRAINAGE EASEMENT
DEPARTMENT OF TRANSPORTATION
END OF FENCE
EDGE OF PAVEMENT
EDGE OF WATER
ELECTRIC
ELEVATION
ENCLOSURE
ELECTRIC METER
EASEMENT
FENCE CORNER
FENCE LINE
FINISHED FLOOR
FIRE HYDRANT
FOUND IRON PIPE
FOUND IRON ROD
FOUND NAIL
FOUND
FOUND NAIL & DISC
FOUND NAIL & TAB
FLORIDA POWER & LIGHT
GARAGE
GUY WIRE
HEAD WALL
IDENTIFY, IDENTITY
INVERT
IRON ROD
IRON PIPE
LENGTH
LICENSED BUSINESS
CHORD DISTANCE
LEGAL DESCRIPTION
LOWEST FINISHED FLOOR
LIGHT POLE
LAND SURVEYOR
LEGEND OF SURVEY ABBREVIATIONS
M
MAINT
MH
N0.
N.T.S.
0/H
0.P.
O.R.B.
0/5
0/W
P
PAR
PB
PC
PCC
PCP
PG
PI
PK
POD
POG
PP
PRM
PRC
PT
PVMT
R
REC
RCP
RES
RET
RNG
R/W
SAN
SBT
SCN
SE
SEC
SEW
SN &D
SF'
SP &C
SR
SRC
STA
5TM
STY
SUED
T
TB
IBM
TRANS
STWP
TYP
UE
UGD
WD
WM
WV
MEASURED
MAINTENANCE
MANHOLE
NUMBER
NOT TO SCALE
OVERHANG
OPEN PORCH
OFFICIAL RECORDS BOOK
OFFSET
OVERHEAD WIRES
PLAT
PARCEL
PLAT BOOK
POINT OF CURVATURE
POINT OF COMPOUND CURVATURE
PERMANENT CONTROL POINT
PAGE
POINT OF INTERSECTION
PARKER KALON
POINT OF BEGINNING
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POWER POLE
PERMANENT REFERENCE MONUMENT
POINT OR REVERSE CURVE
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PAVEMENT
RADIUS OR RECORD
RECORD
REINFORCED CONCRETE PIPE
RESIDENCE
RETENTION / RETAINING
RANGE
RIGHT - OF - WAY
SANITARY
SOUTHERN BELL TELEPHONE
SCREEN
SOUTHEAST
SECTION
SEWER
SET NAIL & DISC LB #6463
SCREEN PORCH
5E71/2" PIN & CAP LB #6463
STATE ROAD
SET REFERENCE CORNER
STATION
STORM
STORY
SUBDIVISION
TANGENT
TOP OF BANK
TEMPORARY BENCH MARK
TRANSFORMER
TOWNSHIP
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UTILITY EASEMENT
UNDERGROUND
WOOD
WATER METER
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Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2004 -163
Printed: 6/15/2004
Applicant: MADELEINE
Owner: ROMANELLO
JOB ADDRESS: 29 NE 96
Contractor SANSON ELECTRICAL PLUS INC Contractor's Address: 3995 SW 4 ST
Local Phone: 305 -443 -8808
Parcel # 1132060130830
Signed:
ROMANELLO
MADELEINE
ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 6 LOT SIZE 100.000
Fees: Description Amount
FEE2004 -6132 Building Fee $100.00
FEE2004 -6133 CCF $1.20
FEE2004 -6134 Training and Education Fee $0.40
FEE2004 -6135 Technology Fee $2.50
Total Fees: $104.10
Total Fees: $104.10
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 12/11/2004 Construction Value: $1,200.00
Work: NEW OUTLETS, NEW SWITCHES, NEW SMOKE DETECTOR, NEW GFI
(INSPECTOR)
J et .. P�o�
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: