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37 NE 97 St (6)PAY TO THE ORDER OF Miami Shores illage 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 10/11/2002 Applicant: PAUL Owner: CALLI JO ADDRESS: 37 NCB 97 Contractor ATLANTIS ELECTRICAL CORP Local Phone: Parcel # 1132060130980 Work: s. o Permit Status: APPROVED Permit Expiration: INSTALLATION OF NEW OUTLETS FOR NEW ADDITION ATLANTIS ELECTRICAL CORP. 12803 SW 20TH TER. PH. 305 -551 -9002 MIAMI, FL 33175 COMMERCEBANK NATIONAL ASSOCIATION 1601 East 41h Avenue Hialeah. Florida 33010 13 FOR 000 3 3 5 30 a:0670 L0 509ae 1, 38700 L 59511°06 lectrical Permit Permit Number: EL2OO2 =333 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 BLK 7 LOT SIZE 100.000 4/9/2003 CALLI PAUL ST Contractor °s Address: 12803 SW 20 TERR o,o0 Construction Value: $3,100.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. ---1 ki Q., i .i U 10 —( DATE 1 $ DOLLARS 3353 63- 1050/670 8 1 ,s 0 Total Fees: WOO Total Receipts: $0.00 Seerny rove. Page 1 of 1 Re- inspection ation herefor in strict compliance with all cations that may have been submitted to or if the plans are changed without )nsibility for a thorough knowledge of the at he assumes responsibility for work done is pertaining thereto and in strict conformity tsponisibility for all work done by either CONTRACTOR New Construction Name P1l LA rSii EZEll\1CAL. Gti-Z Alteration Exterior License No. S ri t 0 000 .2 Repair Address 4 �- (c)- 63 St...) J-0 ...-t i /a tt ( L 3 - 341 Demolish � Telephone3p )JJ 1 '"J 0�.. Fax 53 c-J �_ 11 1 Qualifier Name Fl`f C l , C.a - Y Foundation Only TYPE OF MANAGEMENT (1 ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'! Attachment Other Add'l Detachment Other 171 1 - T ::1 1 ,1'" :I INSTRUCTIONS!- The 1'ollowing steps must be taken to a permitfrotn' the M a i Sho es Vil'la1;e: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. Job Address: `1 t ' S�t �t.n,c l St��. s �L Address Apt. Folio Number Lot Block Subdivision PB I PG Current Use of Property (1 - 11 -- 5. Q. 4 Proposed Use of Property Tenant Information PERMIT TYPE ( ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other t/ PE MIT CHANGE (r/ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER Name C Q Address Home Telephone Business Telephone Fax PERMIT APPLICATION Master Permit No. ?)? a0.-2,-(sr? Subsidiary Permit No. 1/' - Q() � City State Zip Description of Work �' � (� ° of l"-2 u ° 24 I-- v—Q- C. cQ cQ . fi Linear Feet Zoning Square Feet Units Floors O Va1ue of Work 3 • 3 0 Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Bldg Value ENGIINEER Name License No. Address Telephone Fax Page 2 I 1POICIA Ni' NOT1('1:S DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signat e of • wner Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: STATE OF FLORIDA, CY OF MIAMI -DADE Signature of Contractor / Qualifier .L C- t.j c s _ P 3 Print Name Sworn to and subscribed before me this [[[ SEAL: Public tate of ' orida n PERMIT APPLICATION day ol7 ec , ure of N Personally known OR, Produced Identificatio Personally known OR, Produced Identification )) // Type of Identification Produced: Type of Identification Produced? 2. � T6g ELECTRICAL TYPE Minimum Fee Q'I'1'. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair (fly. A/C Central 1 -3 Ton Fan Outlet, Wall '23 Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch /0 Signs A/C Central 8-15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PIHI) Temp Serv., Construction Compactor Low-volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low-volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low-volt, Television Service, Number of Amps Water Heater New MECHANICAL TYI'1• Minimum Fee QTY. TYPE Condensate Drain QTY. T1 Generator Q•I'Y. 'I'YI'f: Refrigeration, Tons Q'fl'. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic IInspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUi\1 RING TYPE PI. A/C Condensate QTY TYPE Drains, Roof QTY "I'1'1'E Miscellaneous Fixture ()Ty. "I'YI'i Soakage Pit ()Ty. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well ]Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: A. PERMIT APPLICATION DATE: /; 49 7 SECTION BY DATE Zoning Electrical / ,o1,��r' Mechanical Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY ('IIF.('KLIST U OWNER - BUILDER FORM (Attach) 0 FIRE DEPARTMENT APPROVAL (Commercial / multi - family) O CONCURRENCY (New Construction) O OTHER (Specify & Attach) PER111T FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary REVIEWED AND PREPARED BY: ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) 5 (s .6. x/1000 x (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ DATE: / 7 CONDITION OFA PPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Permit No M AM SHoRC S VOILLACC ELECTRICAL INSPECTION DEPARTMENT AFFLLOCAT0 0 N FOR [ IL[ L C T O t AL F M O T Application is hereby made for the approval of the detailed statement of the p ns and specification: ner. with submitted for the building or other structure herein described. This application is made in complia . and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Flori..a all ordinances • Miami Shores Village and all ules and regulations of the Building Division of Miami Shores Village shall be complied with, whe.her herein speci.ied or not. A copy of approved plans and specifications must be kept at building during ; rogress of wo, Owner's Name and Address. ... Co.Ho Gib spll.o. ....._ No.... 37 . Eo ... Street_.. ... 97th. . Streets Registered Architect d or Enginrer . Employing Electricians Name. . Bros o Electric Corp. No 1387 . Location and Legal Description .ot . ...... .. ........... . Block Street and Number where work is to be performed —No . . 9 7 t h . Street. ... 3- 7. E State work to be performed and purpose of buildings (By Floors).... ... New Budding ... . . . ..... .... Remodeling..._.. _ Addition . Repa:rs. Service Overhead Size Feede Undergr :rid Type Installation — Conduit. ... -.- ..Co duct. .T big.. . ..Main Sw .B.X L . Amount of Permit $ ..... .. 2o .. READY...FQR. - F.INALdSi ... The undersigned -pplicanl or this build' g pe' it doe hereby ce tify that he understands and labor under the . to +ida W,,rkmen s Compe: sat:on Act, being Section 5966, Compiled General Laws has complied v.ith the provisions thereof. and will require simii ::- compliance from all contractors or work to be performed under this permit; and will post o, cause to be posted for inspection on the site as are required b: the Act The undersign. d agrees to c. plo ' only such sub contractors, on work to licensed by Miami Shores `'illage (Signed) OF FLORIL•A, 1 COUNTY OF DADE. 1? ss. . Amps. .. . . .Metal Moulding. D te.. .. 611.6/ 6 S Subdivision.... ........ r„ ..Main .uses. 77% .street . .. o .. o 54th o St. ...No. of Stories A Master Electrician. ....Amps El-ctr. al Inspector ccepts his obl.gatii.ns as an employer of of Florida P .rmanent Supple, ent an. sob- contractors employed by him in the of the work sue., public notice or notices be , .'rforn ed under this perm., as a e 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 constru. tion, a d he ha carefully r the foregoin 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 LIGH - OUTLETS PLUG REC' 'P'T - S ■ 1XTURES NO LAMPS REFRIG. 01'TL -. IRON RANCE OUTLET OU'LET RANG/ CL`NN WAT' R HEAT :R N.. ..-. CONN So. HE ER STRIP HEATED' TOTAL CONTR LAST CH :Eli ENT. S' . DI - 1 C AS. E: V :E . _ P. SERV.C' P•RM •■O.O 0.1 HP . TORS 1 -S HP Ni-' N TRr.N' RADIO TOTAL Co; . u:T 1 pump 1 CHE.K Permit No M AM SHoRC S VOILLACC ELECTRICAL INSPECTION DEPARTMENT AFFLLOCAT0 0 N FOR [ IL[ L C T O t AL F M O T Application is hereby made for the approval of the detailed statement of the p ns and specification: ner. with submitted for the building or other structure herein described. This application is made in complia . and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Flori..a all ordinances • Miami Shores Village and all ules and regulations of the Building Division of Miami Shores Village shall be complied with, whe.her herein speci.ied or not. A copy of approved plans and specifications must be kept at building during ; rogress of wo, Owner's Name and Address. ... Co.Ho Gib spll.o. ....._ No.... 37 . Eo ... Street_.. ... 97th. . Streets Registered Architect d or Enginrer . Employing Electricians Name. . Bros o Electric Corp. No 1387 . Location and Legal Description .ot . ...... .. ........... . Block Street and Number where work is to be performed —No . . 9 7 t h . Street. ... 3- 7. E State work to be performed and purpose of buildings (By Floors).... ... New Budding ... . . . ..... .... Remodeling..._.. _ Addition . Repa:rs. Service Overhead Size Feede Undergr :rid Type Installation — Conduit. ... -.- ..Co duct. .T big.. . ..Main Sw .B.X L . Amount of Permit $ ..... .. 2o .. READY...FQR. - F.INALdSi ... The undersigned -pplicanl or this build' g pe' it doe hereby ce tify that he understands and labor under the . to +ida W,,rkmen s Compe: sat:on Act, being Section 5966, Compiled General Laws has complied v.ith the provisions thereof. and will require simii ::- compliance from all contractors or work to be performed under this permit; and will post o, cause to be posted for inspection on the site as are required b: the Act The undersign. d agrees to c. plo ' only such sub contractors, on work to licensed by Miami Shores `'illage (Signed) OF FLORIL•A, 1 COUNTY OF DADE. 1? ss. . Amps. .. . . .Metal Moulding. D te.. .. 611.6/ 6 S Subdivision.... ........ r„ ..Main .uses. 77% .street . .. o .. o 54th o St. ...No. of Stories A Master Electrician. ....Amps El-ctr. al Inspector ccepts his obl.gatii.ns as an employer of of Florida P .rmanent Supple, ent an. sob- contractors employed by him in the of the work sue., public notice or notices be , .'rforn ed under this perm., as a e 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 constru. tion, a d he ha carefully r the foregoin 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. \ : APPLECATB LLN F ELECT Permit No 6 l r 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 2._. Registered Architect and /or Engine fi'_ State work to be performed and purpose of building (By Floors) New Building 1- _- ___-- -_____ Remodeling Addition. Service Overhead Size Feeders Underground Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. as. My Commission Expires gArlAVA SHORES VB LL GE ELECTRICAL INSPECTION DEPARTMENT ,� N Conduit /4 2 - Main Sw No.______�_�`� Employing Electrician's Name / Location and Legal Description Lot .1 _5 L Bloch Street and Number where work is to be performed —No 37 Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) AL FE OT Date Repairs Street No. of Stories!f! r 2. _(Signed)! A– ------------ -- - - -_ — _�. Electrical Inspector. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice fox ' materials and /or workmanship. Notary Public. State of Florida Master Electrican. No._� . " - --- � z��____ Street -- 7 -' �r Subdivision_0 %% „^_ Main Fuses__ /f>. rL _____Amps. 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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as licensed by Miami Shores Village. are 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, that be has carefully read the foregoing application, and that he did sign the same, and that all therein by him stated are true. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL C L s T R I J � (� C'D F: D 7 l ' - , ' C • d . / / CHECK _ ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1-9 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK \ : APPLECATB LLN F ELECT Permit No 6 l r 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 2._. Registered Architect and /or Engine fi'_ State work to be performed and purpose of building (By Floors) New Building 1- _- ___-- -_____ Remodeling Addition. Service Overhead Size Feeders Underground Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. as. My Commission Expires gArlAVA SHORES VB LL GE ELECTRICAL INSPECTION DEPARTMENT ,� N Conduit /4 2 - Main Sw No.______�_�`� Employing Electrician's Name / Location and Legal Description Lot .1 _5 L Bloch Street and Number where work is to be performed —No 37 Amps. Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) AL FE OT Date Repairs Street No. of Stories!f! r 2. _(Signed)! A– ------------ -- - - -_ — _�. Electrical Inspector. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice fox ' materials and /or workmanship. Notary Public. State of Florida Master Electrican. No._� . " - --- � z��____ Street -- 7 -' �r Subdivision_0 %% „^_ Main Fuses__ /f>. rL _____Amps. 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 com- plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as licensed by Miami Shores Village. are 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, that be has carefully read the foregoing application, and that he did sign the same, and that all therein by him stated are true. - r \BUILDING ELECTRICAL PLUMBING Owner of Building • CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA p �� 194 Contractor'0 C License o: PERMIT N? 5716 Work to be performed under this Permit Bl. Architect i *Contractor �, , or Builder • Legal Loin, / 1 Description Address of 3 7/1/6. P Value of Amt. of /4 es Building Project Permit This permit is granted to the contractor or builder named above to co 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 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 knowl�•. 4 e� of t ordfnances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specificatio �' ii? �' .: ssumes respon- sibility for work done by his agents, servants or employees. • Signed. Subdi- vision INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance mti pertaining thereto and in strict conformity with the plans, drawings, statements or specific. '..ns submitted to the proper a In accepting this permit I assume responsibility for all work do j by eit�aer 'self, my ervant 7 ployee. By regulations Shores Village. Permit No Owner's Name and A Employing Electrician's Name New Building Remodeling 7, (6 Service Overhead Size Feeders Underground APPLOCATl DR ELECTRICAL OCTAL PC R M IT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herew submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv ;Ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or En sneer Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) m i l °.W SH R E S VOILA C 0 [ L[ CTIt3ICI L, OFISP CTION D(EI'ARTMI:=NT a Conduit.. Z- Main Sw / No ff7 Street.. 7/1.2 °-t Street /'Q. / Block Subdivision. Type of Installation— Conduit ✓ Tubing... .. B.X.L.. Metal Moulding Street Addition Repairs No. of Stories Amps Main Fuses . / S Amps A r ectrical Inspector. ons as an employer of Amount of Permit $ ... (Signed) )\ iZS"- P✓c�61's E -2 ^C -45 -51..4 The undersigned applicant for this building permit does hereby eel tify that he understands and accepts his obli� i f.4. bo r under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws S has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to licensed by Miami Shores Village. 1 STATE OP FLORIDA, } COUNTY OP DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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 therein by him stated are true. 88. (Sig` ' Y 7 Master Electrician. fits y of Florida Pe!manent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are and take acknowledgments, personally did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when ouch re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLaTS LIGHT OUTLETS PLUG RECE'P•T'S FIXTURES NO. LAMPS RaFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HIATeR STRIP HEATER 0121/- AA(_ 4/ ��- TOTAL GLIOr LID, / Z - cf (; 2 CHQCR 7 ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. PAOTORS 0.1 HP MOTORS 1•9 HP NEON TRANS. RADIO TOTAL CONTR. LICIT / CHacR Permit No Owner's Name and A Employing Electrician's Name New Building Remodeling 7, (6 Service Overhead Size Feeders Underground APPLOCATl DR ELECTRICAL OCTAL PC R M IT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herew submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv ;Ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Registered Architect and /or En sneer Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) m i l °.W SH R E S VOILA C 0 [ L[ CTIt3ICI L, OFISP CTION D(EI'ARTMI:=NT a Conduit.. Z- Main Sw / No ff7 Street.. 7/1.2 °-t Street /'Q. / Block Subdivision. Type of Installation— Conduit ✓ Tubing... .. B.X.L.. Metal Moulding Street Addition Repairs No. of Stories Amps Main Fuses . / S Amps A r ectrical Inspector. ons as an employer of Amount of Permit $ ... (Signed) )\ iZS"- P✓c�61's E -2 ^C -45 -51..4 The undersigned applicant for this building permit does hereby eel tify that he understands and accepts his obli� i f.4. bo r under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws S has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to licensed by Miami Shores Village. 1 STATE OP FLORIDA, } COUNTY OP DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths 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 therein by him stated are true. 88. (Sig` ' Y 7 Master Electrician. fits y of Florida Pe!manent Supplement, and sub-contractors employed by him in the of the work such public notice or notices be performed under this permit, as are and take acknowledgments, personally did sign the same, and that all facts My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when ouch re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ / DATE ' 19 ELECTRICAL � PERMIT PLUMBING N9 6555 contractor's ti T ROOFING ❑ License »o. ❑ Work to be performed under this Permit_ Owner of Building Architect Contractor ;? or Builder Description II Bl L Subdi_ Legal Lot vision Address of Value of 1 Amount of Building Project $ II 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 applica- tion 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 or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. 1 INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinan 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. • CONTRACTOR OR BUILDER BY AUTHORITY '; AOOOT �' Service Overhead Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. Underground Size Feeders ss. 1 O MAMI sHnnEs VOLLAGE ELECTRICAL INSPECTION DEPARTMENT AFPLiCA II N FoR ELECTRO AL PC QMUT Permit No Date 1 " 0 / / i 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 L .b ..:: No Registered Architect and /or En ineer- m! / Employing Electrician's Nae. ('. :�' ` lA ¢ 1q,a • J 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 Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act The undersigned agrees to employ only such cub - contractors on work to (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as ar. licensed by Miami Shores Village. d �[ (Signed) Street Master Electricia 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. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / l/ CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Service Overhead Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. Underground Size Feeders ss. 1 O MAMI sHnnEs VOLLAGE ELECTRICAL INSPECTION DEPARTMENT AFPLiCA II N FoR ELECTRO AL PC QMUT Permit No Date 1 " 0 / / i 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 L .b ..:: No Registered Architect and /or En ineer- m! / Employing Electrician's Nae. ('. :�' ` lA ¢ 1q,a • J 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 Conduit Main Sw Amps Main Fuses Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act The undersigned agrees to employ only such cub - contractors on work to (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as ar. licensed by Miami Shores Village. d �[ (Signed) Street Master Electricia 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. MIAMI _SHORES VILLAGE, FLA. N9 6225 SOB s t C R ' ADDRESS 2 Co 9n ST t INSPECTION t A7 TIME READY I V 0 u f I rA-0 " 9 ° ® °Ml REMARKS • cu.�o INSPECTOR- DATE MIAI4L $H VILLAGE, FLA. N® 4 o JOB Cc 0, .� ADDRESS - 1 /J INSPECTION FV-P Qv., TIME READY p REMARKS: INSPECTO 6266 //- DATE 1 L1ZCTROCAL INSPECTION CTION D[ PARTMENT AFFILICATO N F o Q ELC CST OC AL P R OT ( Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :ida, and all provisiono of the Lawo of the State of Florida, all ordinanceo of Miami Shores Village and all ruleo and regulationo of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved piano and opecificationo must be kept at building during progress of work. eE7 / 47 street 3)OC��.F).5/ Owner's Name and Address No treet .... Registered Ar and / Engineer Employing Electriciaft's Name. / 7 / 4217 C/ (41-- Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No.. ........ 3.7... � �� ? ) '�� ' Street State work to be performed and purpose of building (By Floors) 't <" Dr-if New Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, } COUNTY OF DADS. 0 (Signed) Data / Q i C�7 7r Service Overhead Site Feeders Conduit Main Sw Ampa Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding C2 Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations ao an employer of labor under the Florida Workmen'o Compensation Act. being Section 5966, Compiled General Laws of Florida P'manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or oub- 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 10 employ only such sub contractors, on wor to be performed u >." er this 1 s as are licenoed by Miami Shores Village. tie Matter Electrician. so. Before me, the underoigned authority, a notary public, duly authorized to adminioter oaths and take acknowledgments, personally appeared to me well known, and who, being by me firot duly sworn, upon oath deposes and says that he io the of the above described conotruction, and he has carefully read the foregoing application, and that he did sign the same, and that all facto therein by him otated are true. My Commiocion Eupire° Notary Public, State of Florida NOTE: A re•inopection fee of 0.00 will be made when ouch re•inapection io made necessary by improper notice for inspection, or faulty material° and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECe'P'T•S FIXTURES NO. LAMPO RaPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL � " " CONTR. LIOT CoaQCR N /J // /i 0 ENT. SW. DIST. CAS. SERVICE TAMP. SERVICE PERd. MOTOR0 0.1 HP PMOTORG 1.8 HP NEON TRANS. RADIO TOTAL Comm. LIOT CHECK 1 L1ZCTROCAL INSPECTION CTION D[ PARTMENT AFFILICATO N F o Q ELC CST OC AL P R OT ( Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiu :ida, and all provisiono of the Lawo of the State of Florida, all ordinanceo of Miami Shores Village and all ruleo and regulationo of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved piano and opecificationo must be kept at building during progress of work. eE7 / 47 street 3)OC��.F).5/ Owner's Name and Address No treet .... Registered Ar and / Engineer Employing Electriciaft's Name. / 7 / 4217 C/ (41-- Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed— No.. ........ 3.7... � �� ? ) '�� ' Street State work to be performed and purpose of building (By Floors) 't <" Dr-if New Building Remodeling Addition Repairs No. of Stories STATE OF FLORIDA, } COUNTY OF DADS. 0 (Signed) Data / Q i C�7 7r Service Overhead Site Feeders Conduit Main Sw Ampa Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding C2 Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations ao an employer of labor under the Florida Workmen'o Compensation Act. being Section 5966, Compiled General Laws of Florida P'manent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or oub- 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 10 employ only such sub contractors, on wor to be performed u >." er this 1 s as are licenoed by Miami Shores Village. tie Matter Electrician. so. Before me, the underoigned authority, a notary public, duly authorized to adminioter oaths and take acknowledgments, personally appeared to me well known, and who, being by me firot duly sworn, upon oath deposes and says that he io the of the above described conotruction, and he has carefully read the foregoing application, and that he did sign the same, and that all facto therein by him otated are true. My Commiocion Eupire° Notary Public, State of Florida NOTE: A re•inopection fee of 0.00 will be made when ouch re•inapection io made necessary by improper notice for inspection, or faulty material° and /or workmanship. Type Insp'n Permit No. Name C Address Compan Phone # For Inspecto Approved Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 wilding Inspection Request Time (VOL Name & Date Re -Insp' n Fee —. io ,_,Y/2 // i /7 Y MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n ) 6-;t C 1 L- ---- Permit No. ` ,A — Y 3 ) Name 0/1 I Address �� 7 5 Compan 4 �. G- ,2 t 5' Phone # For Inspecto l ;f Name & • . - Approve P �0 Correction ® ‘7752/Z'l •7 Re- Insp'n Feel, 0- 3 c 9 1 --- 0 5 o ,// �- f'r l 2 c A/4 Va 6em2- J T72' ' &e-e7 i& Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/28/2003 Applicant: PAUL Owner: CALLI J = ADDRESS: 37 Contractor BRINKS HOME SECURITY INC Local Phone: 305 - 558 - 6625 Permit Status: APPROVED Permit Expiration: Work: BURGLAR ALARM If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00 Whict — - -- - - -- – , r n -z. ��- �••.•+ �••�.._•...• ,,�..��.: �.�.�,. - „. -.� ..- ,.n..... -tea. r i t h a n r r d d a m r n f. S r r F a r A / n r_ d r t a i l s This Permit is granted • ordinances pertaining the and approved by the prop authorization. A further c ordinances and regulatior by his agents, servants o. In consideration of the' with the plans, drawings, myself, my agent, servan Parcel # 1132060130980 Fees: FEE2003 -1256 FEE2003 -1257 Description Building Permit Application Fee CCF Total Fees: Amount $60.00 $0.60 $60.60 Total Fees: $60.60 Total Receipts: $0.00 Signe 9 L . Signed: c _ , NE 97 BRINK'S BIOME SECURITY 5765 N.W. 158TH STREET MIAMI LAKES, FL 33014 PAY TO THE ORDER FOR nQ Ation661-€ Bank of America. Customer Connection �� n °00a069u° Electrical Fermat Permit Number: EL2003 -49 8/27/2003 CALLI PAUL ST Contractor's Address: 5765 NW 158 ST Construction Value: $199.00 \b b rM00 & 20o b 5 5 6 b 0.38 b 511° Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15 & 16 DATE - c)7 t)/ BLK 7 LOT SIZE 100.000 4069 32 -1 /1110 TX 0 44es is /) /.aO 0 ,1nce DOLLARS e PROPERTY OWNER New Construction Name S R A 1-1 CA LL? Address 3 .. 7 IAA t is aA t g. q 7 S p-(o (E 5 �?- 4C s 3 138 Home Telephone 3 05_ 75 — + b ,).- Business Telephone Demolish Fax Relocation of Structure TYPE OF MANAGEMENT (1 ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'll Attachment Other Add'] Detachment Other • •.• , •« :inn' -,i* >. y • • INSTRUCTIOITS owing steps must be taken to obta a permit From the l�iiLLn)i SI;o�es i6lage: Step I. Complete the attached permit application which must be signe4l ' tQe Qrogtlry n r:tfd'quolleler. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your applicatei. Il lofPrewlit will fie,done, a roofing application must be submitted along with this permit application. • •• • • • • • ••• o• Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: Address Folio Number //'5d °C' 0/1 ff Lot Block Subdivision PB PG �f Current Use of Property �'" Proposed Use of Property Tenant Information PE MIT TYPE ( ) Building Electrical Mechanical (Plumbing LPGX Roofing (Fence Other ARCHITECT Name License No. Address Telephone Fax 7 /ye 9 7 �7-- Apt. ]PERMIT CHANGE ( ) Chg. Contractor ]Renewal (Revision ]Extension Supplement Reinspection • • • •• •• • • • • • • • • • • • • • • • • • • • • • • • • • . 0 ° • • • • • • • • ° • ° •• •• • • • • Mastgr Pegnit l\o. ° Subsidiar�•Pe>:nit tor• • • • • •••• ••• ••• • • • iW /AM / ,P4 r6-5 City State Description of Work Zoning Linear Feet Square Feet its Value of Work Bldg Value Tax Assessed/Appraised alue Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR PERMIT APPLICATION Floors 33 .5/3 e Zip Telephone o - � Fax (ll, v Qualifier Name `�� Page 2 • •• •• • • • •• •. • • • • • • • • • • • • • • • . • • • • • • • • • • • • *410 • • • • 000 • • I\11'OR'f.‘N'I' NOTICES • • • DO NOT BEGIN ANY WORK WITHOOT JLA3119G RECE3VEDyOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION tut4imited to Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays: 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERtts S11 KgP't.F$Et FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM DING tro4cE0 ICY eQQIP ?ENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewiflli.. •. : : • • : : • .. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is• required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1. �I FI awn - - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, Ip Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORI DS,�C�OUNTY OF MIAMI -DADE Signature o Owner ^�a . NU; int Name om 2 and subscribed before m /�� • y of J w Signat tary Pdblic - State SEAL: Personally known • '•' e7lt,"PI•oduced Identification Type of Identification Produced: STATE OF FLORI! = C!1J TY OF MIAMI -DADE Signat 4 Prin Name Sworn to apAsubscribed b Signatu SEAL: 11ic ',tyro PERMIT APPLICATION EX! RES: Juntui,2.004 ':drr:.i' �w Personally known OR, Produced Identification Type of Identification Produced: ,., L1c ]CAL: l'1'I. minimum Fee _• r '—.- - - T � -- f QTY. TYPE Dryer ., ... r -- ---- _ _ , ..,�T. L -_.�1 (1T'. 1'_'1'C - - •Oatlet, p . li , it e • (111'. 'I 1'1'1'; Service epair QTY. A/C Central 1 -3 Ton Fan Odtm, wall • • • • • • • Heating Strips, each Service, Temporary A/C Central 4 -7 Ton ]Fire Pump Outlet, Switch Paint ]Booth Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Piping, Flammable Liquid Space Heater (kw) A/C Central 16-20 Ton ]Fixture Light NH Parking Lot Lights Process/Pressure Piping Spas/Hot Tubs A/C Central 20+ Ton t ! -1 Plugmold/Strip Pressure Vessel Subfeeds, No. of Amps A/C Window FPL - Load C tral Posts Swim Pool, Commercial Air Conditioners Garbage Disposal MI Range/Range Top Swim Pool, Residential Chiller ., / `-M Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Deep Freezer ! Refrigerator, Domestic Temp for Test - 30 days Low -volt, Fire Renew - Temp Service Pump, Sprinkler Utility - Sewer Demolition ]Low -volt, IIntercom/Teleph. Repair Circuits Ice Maker Pump, Sump Dishwasher ]Low -volt, Television Service, Number of Amps Dishwasher Indirect Wastes MECHANICAL TITE Minimum Fee QT 1'. TYI'E Condensate Drain QTY'. 11'1'1? Generator ()Ty. TYI'E Refrigeration, Tons ()Ty. A/C Central, Tons „.. +, QT). Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint ]Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic IInspections ]Barbecue Fire Sprinkler System Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance ...., ,_. PI�U�91311�' t TYPE A/C Condensate .,�..� - QTY. _ .r. 1 1 7 "v I' PE Drains, Roof Q'I IY. ..c ,��, ec= ,�.,,-1 ^.-Tr "I'1'PE Miscellaneous Fixture QTY. -ter-- ___, , .- fl'I'E Soakage Pit „.. +, QT). Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply INN Page 3 0 • • O • • • • • • • • • • O • • • • • • • • 0 • • • • • • • • 0 • • • • • • o 0 011 • • • • 000 • ••• • ••• • •• • 000 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being pariormed•atnd gtianiiti(ie the space provided below. 0 RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review REVIEWED AND PREPARED BY • •• .. • • • .• •. • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • •••. • ••••••• • ••• • • .• • • CHECKLIST • • • • • • • • • IJ PROOFtr OWNERSHIP (Attach) •• ••• •• • • • •• • • • • ❑• FIRS F EZE$M 'PJ OVAL ••• • •: (Septic L Seiler • •. ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ (� $ ( ( sq.ft. = x/1000 x ¢.60) $ (¢.005 / sq.ft.) $ (¢•01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE / , 4 2 . 3 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat Time Type Insp n Permit No. 7) Name e L r Address ,9 C l 7 .S Company Phone # For Inspecto Approved Correction Re- Insp'n Fee 72 .E - . (, 1 C 1 r� 1 ' 47-1 r / -/fly' c-) �sz 3° MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Date Type Insp Permit No Name Address A— Company Phone # For Inspector: /�� Nam Approve �� /. Correction Re- Insp'n Fee 20 03 - ?J 6 / — -eat r® ,R 57'Z / i v--d- 7i -