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444 NE 96 St (17)Issue Date: 3/1/2006 Owner's Name: NEIL & ELIZABETH ROSEN Permit Type: Residential Construction Work Classification: Kitchen Cabinets Job Address: 444 96 Street NE Comments: NEW KITCHEN CABINETS Additional Information Miami Shores Village, FL 33138 Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Amount $3.60 $1.20 $5.00 $168.00 $9.00 $4.20 $191.00 Permit Expires: 02/22/2007 Contractor(s) Phone Primary Contractor HOME OWNER Yes Type of Construction: KITCHEN CABINETS Stories: NA Front Setback: NA Left Setback: NA Bedrooms: NA Plans Submitted: Yes Certificate Date: 2/22/2006 Occupancy: Single Family Exterior: NA Rear Setback: NA Right Setback: NA Bathrooms: NA Certificate Status: NA Additional Info: NA In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Invoice Number RC -3 -06 -23966 Total: cC MAR 0 3 Parcel tt: Block: Section: Re•uired Ins Framing Insulation Drywall Final • I ID Permit Status: APPROVED Permit Number: RC- 2- 06-446 Total Square Feet: Total Valuation: Amt Due $191.00 Phone: 305 - 576 -5900 1132060140580 Lot: PB: 210 $ 5,600.00 Amt Paid . ` I G I .. Ct) 0 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Number: INSP -10359 Inspection Date: 11/06/2006 Inspector: Grande, Claudio Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, November 3, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 rgB HIN cL Block: Permit Number: RC- 2- 06-446 Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Page 2 of 2 1 I Passed Inspector Comments t Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -10359 Inspection Date: 11/06/2006 Inspector: Grande, Claudio Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments Friday, November 3, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 rgB HIN cL Block: Permit Number: RC- 2- 06-446 Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Page 2 of 2 nspection Number: INSP -10655 Inspection Date: 10/31/2006 Inspector: Devaney, Michael Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Project: <NONE> Contractor: PENTAGON SECURITY SYSTEMS Building Department Comments Monday, October 30, 2006 Miami Shores Village, FL 33138 -2304 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: EL -2- 06482 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number 305 - 576 - 5900 Parcel Number 1132060140580 Lot: Phone: (305)219 - 0131 Page 1 of 2 Passed Inspector Comments 4,../.1.":„..0, Failed , -'1C' ? /,.���;r Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. nspection Number: INSP -10655 Inspection Date: 10/31/2006 Inspector: Devaney, Michael Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Project: <NONE> Contractor: PENTAGON SECURITY SYSTEMS Building Department Comments Monday, October 30, 2006 Miami Shores Village, FL 33138 -2304 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: EL -2- 06482 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number 305 - 576 - 5900 Parcel Number 1132060140580 Lot: Phone: (305)219 - 0131 Page 1 of 2 { / \\ j Inspection Date: 09/11/2006 Inspector: Devaney, Michael Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: PENTAGON SECURITY SYSTEMS Building Department Comments Friday, September 8, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 SEP 13 RECD Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Block: Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Phone: (305)219 -0131 Page 2 of 2 cffitz-,/ f Passed Inspector Comments 5 64,2,/ , 2t / ..2- ,j1 // t L--e_ c '— 9 &, jL j p J Z ec;ni >% � � `� 7 _,. P ' -- fi ? Failed Correction Needed d , / / /p9/ 7 .* Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until { / \\ j Inspection Date: 09/11/2006 Inspector: Devaney, Michael Owner: ROSEN, NEIL & ELIZABETH Job Address: 444 96 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: PENTAGON SECURITY SYSTEMS Building Department Comments Friday, September 8, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 SEP 13 RECD Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Block: Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Phone: (305)219 -0131 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building '/ Electrical Plumbing Mechanical Roofing Name (Fee Simple Titleholder) fl t 7 Phone # Owner's Address 3M90 City 7/ State L Zip Y E /'L Tenant/Lessee Name / J�9/� Phone # .V.5 7 7/P/ Job Address (where the work is being done) 4 /E 7 '' S City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name ®WE& Phone # Contractor's Address City State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Per 5 ?) Type of Work: Describe Work: c� ��14 7 Total Fee Now Due $ Miami Shores Village (Continued on opposite side) ❑Addition ['Alteration Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ❑New 00 'cl1C'b' d la /7 Al ACCEDUE Permit No. ►lC 1b Master Permit No. Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fes * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Repair /Replace ❑ Demolition /1t F PY/ t oe-6 Submittal Fee $ Permit Fee $ , OB CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 1 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 conunenced 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will a .'e • ,roved • d : reinspection fee will be charged. Z1 r/ Signature Owner or Agent Contractor The foregoing instrument was acknowlled j ed before me this ?� The foregoing instrument was acknowledged before me this day of (h(� , 20 (G , by lad /' (�i1/l i'/lt day of , 20 _, by who is personally known to me or who has produced /77)/041 'S If who is personally known to me or who has produced 1 ).50 - 41")0 '0 As identification and who did take an oath. as identification and who did take an oath. NOTARY PU IC: Sign: Print: / 1 0 tIC L i ' My Commission Expires: MONI Sign: a' , .0"'"742,- . MY COMMISSION # DD 483995 Print: A ' Bonded EXPIRES: ue N otary Public Underwriters APPLICATION APPROVED BY: chc 05/13/03 Signature NOTARY PUBLIC: My Commission Expires: ** p ** ** ** O* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** / 2—/t, Plans Examiner Engineer Zoning Inspection Date: 09/11/2006 Inspector: Devaney, Michael cQ� Owner: ROSEN, NEIL & ELIZABET4 Job Address: 444 96 Street NE Project: <NONE> Building Department Comments Friday, September ts, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 rrnt# Nrtb�r L 2 �$ Miami Shores Village, FL 33138 -2304 Contractor: PENTAGON SECURITY SYSTEMS Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Block: Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Phone: (305)219 - 0131 Page 1 of JZ d' e ,, � j � j"G/ ` e ,i_ / 7 9 ej' LA _ x 7/ - • assed Inspector Comments 67 i "'CP',4 r v }" c at%' :. „ ,/r� ' / _ l C l /��/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . � . 9 cg//c // until Inspection Date: 09/11/2006 Inspector: Devaney, Michael cQ� Owner: ROSEN, NEIL & ELIZABET4 Job Address: 444 96 Street NE Project: <NONE> Building Department Comments Friday, September ts, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 rrnt# Nrtb�r L 2 �$ Miami Shores Village, FL 33138 -2304 Contractor: PENTAGON SECURITY SYSTEMS Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Block: Phone Number 305 - 576 -5900 Parcel Number 1132060140580 Lot: Phone: (305)219 - 0131 Page 1 of • OWNER BUILDER DISCLOSURE STATEMENT I N E/I- 3SFAJ being the legal property owner, for the property Located at: W7 /V/., �� J Legally described as - Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),1nd I have read and understand the following disclosure Statement, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one- family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the constriction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal Licensing ordinances. Any person working on your building who is not Iicensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. 1 foregoing instrument Was acknowledged before me this 4. day of , 20 ()16 By Produced f V1Res tI( R �JLY 3 Owner Owner VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT DISCLOSURE STALE: ENT who is personally known to me or who has 41 4-- 4 as identification and who did take an oath. riff ICA USSETH DIAZ :r MY COMMISSION # DD 483995 • • ` EXPIRES: October 20, 2009 Banded Th,u Nobly Pudic Undonelats NOTICE OF :OMMENCEMEN E A RECORDED COPY MUST BE POSTED ON THE JOB SITE JT TIME �lOF FIRST INSPECTION F =RMT NG d�% AL TAX FOLIO NO `� ! v •" " UU STATE OF FLORIDA.: O^UN7Y OF MIAMI -D,LDE THE UNDERSIGNED nereov dives notice mat imorovements will oe mace to certain real orooerty. no in accoroance with Cnapter 713, Fionczt Statute:, me tol owino information is orovioeo in tills Notice of Commencement. vt. L gal aescnation of ro eny and street /ag; ess �/ 7 �! 96 Description of Improvement 1(70/9 ,4, ��// S • �• 2. Owners) name and address: , 7t 7 Interest in property Name and address of tee simple titleholder: 4. Contractors name and adares• 4(�/ /C2 Surety: (Payment bond reouired oy owner from contractor. Name and address Amount of pond S• 6. Lender's name and address: G. =Y,o -lion Gate of t' is //' Signature o Uwne: J ]� Nam_ JE /L— 1C StJ\ _-Sworn tG and suoscrioeo before me tnis D13 oav c' FQio C)r r: (;PtI•iA, • -r y th•,„fr ht 5 ,. •`ice on ,_y1 any) • / y.Yd :;v3Y HUViN, CLERK Y — — — 30o I/1- 7 ' ° 'rvE hire --44 7. Persons within the state of Floriaa designated by Owner upon wnom notices ther documents may be served as proviaed by Section 712.13(1)(a)7., Fiorida Statutes, Name and address: 8. In addition to himself. Owners designates the following personis) to receive a copy of the Lienors Notice as provided in Section 712.13(1)(b). Florid& Statutes. Name and address: once of Commencement: (the expiration oate is 1 year from the date of recording unless a : r!' , ;:a MY COMMISSION it DD 483995 EXPIRES: October 20, 2009 Nrji( p Bonded thn, Nctry RA* Undenvier: f :FN 2006R019494-1'; OR Bf: 24262 Ps 0617; (10s RECORDED 02/23/2006 10:53:47 HARVEY RUVIN, CLERK OF COURT MIAMI - DADE COUNTY, FLORIDA LAST PAGE 111111111111111 111111111111111111111111111 V — retar 06 Fr i ves tic 725 - 6 33 -4g O L core_:: � N, wd/4 -k 6%~ A-/ 3 3/3 3' Co N 11,4/ GePGe L7 i 6'/? / 7 w� � � � ,� r (' DC24 4 Al ri � / ,/71 ,/ 9 ) ' p ,� I/ /T' a irs' /./ e 7 7 7 % peacock 24" 3 CSB36SU 36" •• • L 552" 111" 63" V72 9 ... i SB n 39" 39 • • • • • •• •••.••• • • • • •••••••••• • • • • • • • . .. • ••• •• • •• • • •••• •• • • • • • • • • • •• .•• • • • • • • • • • 1 • • : • • • • • • • • •• • • .... All dimensions size designations given are subject to verification on job sltE aid • adjustment to fit job conditiore. , • • • • • • •• •• ••• • • ,�ccyrocb 5 • ••• • • • • • • • • • • • ••• • R-O(o 4'./ CS B R 36SUPSR j 36" 4:3 2" This'is an original design and must not be released or copied unless applicable fee has bee paid or job order placed. • • •• • Fl a 24" / 12" Designed: 5/20/2005 Printed: 5 /20/2005 nra „ ins. :. CO CO r N N N N peacock 33" 11 33" 66" .. • • • • • • • • • • 18" W183 .•• 18" • • • 117" • • • W3 321 30" - / 12" • • •• • • • •• 30" • • ••• ••• ••• • • . • • • • • • • • • • • • • • • • • • • • • • • • • All dimensions _size desi ons given are subject to verification on j413 site and : adjustment to fit job conditions.• • • • • 0 • • • • • • . • • ••• • • • if CNN lOGlf f/� • • • • • • • • • •• • • •• • This is an original design and must not be released or copied unless applicable fee has b een paid or job order placed. • • • 00 ❑ ❑ 00 W123 6R De 24" 9WH6L 39" C 336SUPSL 36" i El 1 / 12 " i Designed: 5/20/2005 Printed: 5/20/2005 L Drawing #: 1 • • ••• ••• ••• • • • • • • • • • • • • • • • •o • • • • • • • • • 0 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • . • • •• •' • • • • •• • • • • ••• •• • ••o •• • • • •• • • • • • • • • • • •• o• • • • peacock Note: This drawing is an artistic •intbrppA w tstio of the general appearance of a lt desrt. / is noemeant to be an exact • oreyditiQn. • • • • • •• •• • ••• • • 20 200 TECNNOIOGIIS Designed: 5/20/2005 Printed: 5/20/2005 r)r'awine t7 • •• ••• • • • • • • • • • • • • • • • •• • • • • • • •• •• • ••• • • • • • • • • • •• • • • • • • • • • • • • • •• ••• •• • • • •• • • ••• ••• • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • 0 • • • • • • • • • •• • • ••• • • • • • • Note: This drawing is an artistic ant•rpyetajion of the general appearance of •the design. It is pot meant to be an exact !rendstion! • • • • •• •• • •• • • 20 20 Designed: 5 /20/2005 TECHNOLOGIES �i/��/ Printed: 5 /20/2005 peacock 1 Drawing #: 1 co 0 0) 3 9 peacock U369024 •• ••• • • •x] • • q • • •• •• •• 75" • • • •• ••• • • • • • • • • • • • • • • • • • • • • • O • • • • • • • • • O • • • • • • • • • • • • • • • • • • • • U3 All dimensions size desk do s given are subject to verification on si and adjustment to fit job condIional • • • • • • • • • •• •• • ••• • • • ?C 01? ff/ • • • • • • • •• • • • • • 6 9 324 :36" El 4 I Drawing #: I This is an original design and must not be Designed: 5/20/2005 •eleased or copied unless applicable fee has Printed: 5/20/2005 been paid or job order placed. • • • • (0 in /' -- — 24" J U 0 CO U Ol000 peacock 36" 553' • • • . • • • • • •o • • • • • •• • 111" 63" 39" .:n • •• • • • • o • • •• • •• ••o 7 / 55+' - -- — 7 / 24" )/ i • • • • • • • •• • • • •• ••• ••• ••• • • • • • • • • • • • • • • • • • • • 36" —\ DC2436R • • • • • • • • • • • • All dimensions size desi'nations giv subject to verification or E si a and adjustment to fit job condition% • • • • •• • ••• • • . • •• • • • • •• • • ••• • n are rn N w w 0 0 0 N N 0 A W N N This is an original design and must not be i re 1eased or copied unless applicable fee has b een paid or job order placed. • • • • 0) W 1 Pp 1 Designed: 5/20/2005 Printed: 5/20/2005 Drawi ng 0: 1 ro 24" ,r 30" 48" peacock •• ••• • • • • • •• • • •• ••• • • • 30" 54 168" DC24 6 t— CSB36SU 1 SR 1 776 ✓j W3 )36 0 CEO IMO 24.DISHW 3 3 36 40824 CPI W 2 3 6 36" / I( 24" / 1" I 24" 'I • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • •• •• • • •• 36" • • ••• •• • • • • • ••• • • o • • • • • • • • •o • • 0 • • • • • • O • • • • • • • • • , • • • • • • •. • • 36" All dimensions _size designations given are subject to verification on jcirioile end • • adjustment to fit job condittaps. • • • • • • • • • • • • • •• •• • ••• • • 20 200 y s • • • •• • • • • • • • • • • ••• • E P 2 9 6 -v 42" S 48" • B-42 This is an original de:sibm and must not be released or copied unless applicable fee has ben paid or job order placed. • • •• • 42" . /1/ I 24" 1E1 3 Designed: 5/20/2005 Printed: 5/20/2005 Drawing p: I Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: 3/1/2006 Expires: 02/22/2007 Owner's Name: NEIL & ELIZABETH ROSEN Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 444 96 Street NE Contractor(s) Phone PENTAGON SECURITY SYSTEMS (305)219 -0131 Primary Contractor Yes Comments: ELECTRICAL FOR KITCHEN Additional Information Miami Shores Village, FL 33138 -2304 Type of Work: KITCHEN CABINETS Classification: Residential Additional Info: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Building Department File Copy Applicant Signature Amount $0.60 $0.20 $5.00 $150.00 $3.00 $3.75 $162.55 Permit Invoice Number EL - 3 - 06 - 23965 Total: X 03 C L - m Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL - 06 Phone: 305 - 576 -5900 1132060140580 Lot: PB: Total Square Feet: 100 Total Valuation: $ 450.00 Re • uired Ins • ections Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final Amt Due $162.55 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.