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445 NE 96 StInspection Number: INSP -14502 Inspection Date: 04/11/2006 Inspector: Devaney, Michael Owner: JEROME, MATHURIN Job Address: 445 96 Street NE Project: <NONE> Monday, April 10, 2006 Miami Shores Village, FL 33138 -2304 Contractor: HENRY RODRIGUEZ ELECTRICAL CONTRACTOR, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: EL- 2- 06-486 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060170110 Lot: Page 1 of 2 Passed Inspector Comments M . //1 11/7/4-a ' Failed .,, Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -14502 Inspection Date: 04/11/2006 Inspector: Devaney, Michael Owner: JEROME, MATHURIN Job Address: 445 96 Street NE Project: <NONE> Monday, April 10, 2006 Miami Shores Village, FL 33138 -2304 Contractor: HENRY RODRIGUEZ ELECTRICAL CONTRACTOR, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: EL- 2- 06-486 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060170110 Lot: Page 1 of 2 Inspection Number: INSP -10739 Inspection Date: 04/04/2006 Inspector: Grande, Claudio Owner: JEROME, MATHURIN Job Address: 445 96 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Department Comments Monday, April 3, 2006 Inspection Worksheet Miami Shores Village 10050 N. d Avenue Miami Shores, FL Phot -`. (305)795 -2204 Fax: (305)756 -8972 Contractor: HENRY RODRIGUEZ ELECTRICAL CONTRACTOR, INC Block: Permit Number: EL -2- 06-486 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060170110 Lot: Page 2 of 2 Passed Inspector Comments G , / /� ee s / r yi Y k e_ a°7 A Le,,tv,,st_eeCr- ® /2S' r, 02 zEA/ter / 2 sgoveo ; -j`e i Failed Correction Needed 1 Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. / ,V7z.e00.46- until Inspection Number: INSP -10739 Inspection Date: 04/04/2006 Inspector: Grande, Claudio Owner: JEROME, MATHURIN Job Address: 445 96 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Department Comments Monday, April 3, 2006 Inspection Worksheet Miami Shores Village 10050 N. d Avenue Miami Shores, FL Phot -`. (305)795 -2204 Fax: (305)756 -8972 Contractor: HENRY RODRIGUEZ ELECTRICAL CONTRACTOR, INC Block: Permit Number: EL -2- 06-486 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060170110 Lot: Page 2 of 2 •may Miami Shores Village 3.3 1. p► 31 t ct BUILDING !' DER 2 8 inf Permit No. 4010 PERMIT APPLICATION :' ‘ e, I% aster Permit No. FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) /`1sa � oN �e« on•e E Phone # 7 7 7-1 Owner's Address '/ y.- L £ 1 6 S City , 0 ..1. • State Tenant/Lessee Name Qualifier Total Fee Now Due $ (Continued on opposite side) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: ( ; 6.8972 Architect/Engineer's Name (if applicable) Phone # Plumbing Mechanical Roofing Zip 73 /1 Phone # Job Address (where the work is being done) 1. 'J' /l/ F, 9 (s-f" City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO ' Contractor's Company Name / `4ae /�i (4.-T Phone# 3 o a' /r)6ar Contractor's Address / TJ A s / y ieL ei,- City /X4 ' 0 .- ' State IG/ Zip, 3I e e i,/e,,,; 1Z. 04 ,,,, ` ✓ State Certificate or Registration No. 5 <- ( add )V / Certificate of Competency No. $ Value of Work For this Permit IA E o a Square Footage Of Work: Type of Work: DAddition ['Alteration [New ❑ Repair/Replace El Demolition Describe Work: CY/+m.Y - v- dee rd,P c , ¢d f ee * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature X Ow11er or Agent The foregoing instrument was acknowledged before me this day of odis , by Il/ who is ersoadwn to me or who has produced NOTARY Sign: Print: My Commis As identification and who did take an oath. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B7 chc 05/13/03 1 11 The foregoing instrument was acknowledged beforr day of who is his -ARLOS RODRIGUQ �Nvi ^a5SI0N # OD 355174 NOTARY PUBLI Sign: Print: My Commission Expires: o t6 , by , to me or who has produced ification an ho did take an oath. MY u, i8DD355174 FXPIh.. ` �:r 2008 * * * * * * * * * ** a s * * *4* *;3' * * * * * * *' ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * �r" : 4 ans Examiner Engineer Zoning UTILITY -SEWER SIGN TIME CLOCK T IL ITY -WATER FIXTURES EPTIC TANK ANTENNA ELAY TELEVISION OUTLETS tAINFIELD, 4' TILE/RES. I 1 VIOLATION 'l ITP & ABANDON SEPTIC TANK RE I NSPECT ION J )AKAGE PIT CU. FT. ATM BASIN ISCHARGE WELL )M+ISTIC WELL tEA DRAIN )0F INLET )LAR WATER HEATER RE STANDPIPE COL PIPING I 1 EN SPRINKLER SYSTEM; t AS RANGE I 1 TER SET (GAS) 3 PIPIN? i I !1 ✓ L L I\ LJ V I T 4 V I-J 1 L La A. I\ V I L-. I Yl J. I r-■ a a c_ 1 v rL 1 j v I ,AN AIPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM U UNIT F FEE I ITEM U UNIT F FEE I ITEM U UNIT F FEE 310E1 L LIGHT OUTLETS C CENTRAL HEATING )ISHWASHER R RECEPTACLES 2 27 A A/C (WIND) DISPOSAL S SERVICE TEMORARY A A/C (CENTRAL) DRINKING FOUNTAIN S SERVICE SIZE IN AMPS D DUCT WORK FLOCK DRAIN S SERVICE REPAIR/IETER CHANGEDe . . / R REFRIGERATION GREASE TRAP A APPLIANCE OUTLETS P PROCESS AND PRESS PIPING INTERCEPTOR R RANGE TOP U UNDERGROUND TANKS LAVATORY O OVEN A ABOVE GROUND TANKS LAUNDRY TRAY W WATER HEATER U U.F. PRESSURE VESSELS CLOTHES WASHER M MOTORS C- 1 If S STEAM BOILERS SHOWER M MOTORS OVER 1- 3 IP H HOT WATER BOILERS SINK, POT /3 COW. M MJTCRS OVER 3- 5 I-P M MIECHAN I CAL VENTILATION SINK, RESIDENCE M MJTCRS OVER 5- 8 Ha T TRANSPORTING ASSEMBLIES SINK, SLOP M MJTCRS OVER 8- 10 Ha E ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET M MJTORS OVER 10- 25 HP F FIRE SPRINKLER SYSTEMS URINAL M MJTCRS OVER 25-100 HP C COOLING TOWERS WATER CLOSET I IIJTCRS OVER 100 I-P V VIOLATION INDIRECT WASTES A A/C WINDOW R REI,NSFECTJON WATER SUPPLY T0: A AIR CONDITIONERS A/C UNIT S STRIP HEATER SPRINKLER G GENERATORS TRANSFORMERS -NEW INST. I I I G GENERATORS HEATER - REPLACE G GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL S SPECIAL PURPOSE SWIMMING POOL O OUTLETS COMVERCIAL WATER SERVICE S - I i i EWER CONNECTIONS , ,*.SIGN T TRANSFORMERS !1 ✓ L L I\ LJ V I T 4 V I-J 1 L La A. I\ V I L-. I Yl J. I r-■ a a c_ 1 v rL 1 j v I ,AN AIPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Issue Date: 3/1/2006 Owner's Name: MATHURIN JEROME Permit Type: Electrical - Residential Work Classification: New Job Address: 445 96 Street NE Miami Shores Village, FL 33138 -2304 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 02/28/2007 Contractor(s) Phone HENRY RODRIGUEZ ELECTRICAL c Primary Contractor Yes Comments: CHANGE PANEL AND RECEPTABLES Additional Information Type of Work: 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL- 2- 06-486 Phone: 1132060170110 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,000.00 Required Inspections Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $150.00 $6.00 $3.75 $161.35 Invoice Number EL - 3 - 06 - 23980 Total: Ng 06PAM C K- L l G Amt Due $161.35 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. • J,-'.1 LOOP IJ ±? 10' phi; (J »IIN) CLIME' _.J ' 200A ABOVE ROOF 1 • • • • F111TSt IED r C . ofldci e— PLASTIC Bt.C.1 UI IG Lt 1 I^,(C SIgV MAIN CI3 PANEL 1 U•0" 11 W BF.V TI • TEiVM lour J 1is Mir z u- (i R 1.1114n R (rtilu J • WAd 14 HU- 1 SUB CD . PANEL PER S.F.fl.C, i.k1p1► t: i� ' Conductor size. 0 • Conduit size Conduit typo- 6 ' TTu roof // E5 .___ 1 Ground wlrc time_ ____._,_____ IS H. DISYOWNECT R ati np Hula Sub Bra °Icers SUB FEEDER, Ex stlnp -_ 'type Sizes Bond :1ze _ * INS EDE PANEL Rating Bond Bus • I_Oca'tlon r . a ..• AmpS • 1-- lv,ias 'V es __.._ _t• 10 _. SIGNATURE OF CONTR C0NTRAL7__ok_i1.f.E'Nc C) e) 19 )" /1 — — OR • • -- --- - -- • NOTARY r ,__.__...�.— 'Inspection Number: INS Inspection Date: 03/07/2006 Inspector: Devaney, Michael Owner: JEROME, MATHURIN Job Address: 445 96 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: HENRY RODRIGUEZ ELECTRICAL CONTRACTOR, INC Building Department Comments Monday, March 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 5)795 -2204 Fax: (305)756 -8972 Block: Petmi N mber DEL - 2 -0 6-8$6 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: New Phone Number Parcel Number 1132060170110 Lot: Page 1 of 2 Passed / Inspector Comments y -p‘,/ j_ 4AW3 ---------- 1 °,,. , �/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INS Inspection Date: 03/07/2006 Inspector: Devaney, Michael Owner: JEROME, MATHURIN Job Address: 445 96 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: HENRY RODRIGUEZ ELECTRICAL CONTRACTOR, INC Building Department Comments Monday, March 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 5)795 -2204 Fax: (305)756 -8972 Block: Petmi N mber DEL - 2 -0 6-8$6 Permit Type: Electrical - Residential Inspection Type: W W Work Classification: New Phone Number Parcel Number 1132060170110 Lot: Page 1 of 2 Inspection Date: 03/07/2006 Inspector: Devaney, Michael Owner: JEROME, MATHURIN Job Address: 445 96 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Building Department Comments Monday, March 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP -10734 Permit Number: EL -2- 06-486 Contractor: HENRY RODRIGUEZ ELECTRICAL CONTRACTOR, INC Block: Permit Type: Electrical - Residential Inspection Type: W W Work Classification: New Phone Number Parcel Number 1132060170110 Lot: Page 2 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 03/07/2006 Inspector: Devaney, Michael Owner: JEROME, MATHURIN Job Address: 445 96 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Building Department Comments Monday, March 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP -10734 Permit Number: EL -2- 06-486 Contractor: HENRY RODRIGUEZ ELECTRICAL CONTRACTOR, INC Block: Permit Type: Electrical - Residential Inspection Type: W W Work Classification: New Phone Number Parcel Number 1132060170110 Lot: Page 2 of 2 CC / /may/ APPLICATION FOR ELECTRICAL PERM IT Permit No 2 C 3 0 2 Date ! / 7 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building tit other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer ... C 4-s0-1-1 • Employing Electrician's Name/9/6 ,Qr. . . itgild .. e 7 4 0-- K.... No.... (? o Location and Legal Description Lot Block Subdivision 4i Street and Number where work is to be performed —No /.. e'4' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead' Size Feeders 1 4 0 Underground Type of Installation—Conduit Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ,'6 C- 111■1Cy Conduit ` I r Main Sw c s' ', Amps Main Fuses Amps Tubing B.X.L .Metal Moulding (Signed) tOW (Signed) No Street S CL C Street./ W / 1/ Street Repairs No. of Stories Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I �° Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all 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 neceuary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'7 FIXTURES NO. L REPRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL CLIST LIST j /� 3 , CHECK Oy tt ca t / a , 'M] ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTOR{ 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST 2 D o 9 - v CHECK b0 CC / /may/ APPLICATION FOR ELECTRICAL PERM IT Permit No 2 C 3 0 2 Date ! / 7 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building tit other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer ... C 4-s0-1-1 • Employing Electrician's Name/9/6 ,Qr. . . itgild .. e 7 4 0-- K.... No.... (? o Location and Legal Description Lot Block Subdivision 4i Street and Number where work is to be performed —No /.. e'4' State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead' Size Feeders 1 4 0 Underground Type of Installation—Conduit Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ,'6 C- 111■1Cy Conduit ` I r Main Sw c s' ', Amps Main Fuses Amps Tubing B.X.L .Metal Moulding (Signed) tOW (Signed) No Street S CL C Street./ W / 1/ Street Repairs No. of Stories Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I �° Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all 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 neceuary by improper notice for inspection, or faulty materials and /or workmanship. Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT p APPLICATION FOR ELECTRICAL PERMIT Permit No A 1 L b � Date / 0 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. Registered Architect and /or Engineer Employing Electrician's Name No (9 ®0 " f Street Cam. z. - . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding ' Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractor, on work to be performed under this permit, as are licensed by Miami Shores Village. ss. (Signed). No T J Street 2 f �. ` Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all 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 7, 3 �s CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST T / G� / v CHECK Owner's Name and Address MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT p APPLICATION FOR ELECTRICAL PERMIT Permit No A 1 L b � Date / 0 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. Registered Architect and /or Engineer Employing Electrician's Name No (9 ®0 " f Street Cam. z. - . Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding ' Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts hi obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flo a Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractor, on work to be performed under this permit, as are licensed by Miami Shores Village. ss. (Signed). No T J Street 2 f �. ` Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all 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. I SWITCH S� O U TLETS LIGHT PLUG RECE•P'T'S FIXTURES N O. LAMPS REFRIG. OUTLET IRON O UTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP H EATER TOTAL STR Fi / // 6) / 0 UTLETS !/ ? c / (/ l _A �CL 11 > _ ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1-5 HP N EON TRANS. RADIO TOTAL R / / CHECK / e° Q / L � ® Permit No /6849 Datd/A Application is hereby mad for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein describe 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 uilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specificatio./must be kept at building during progress of work. Owner's Name and Address.. Registered Architect and /or En Employing Electrician's Name.. New Building Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. APPLICATION FOR ELECTRICAL PERMIT SS. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Location and Legal Description Lot � Street and Number where work is to be performed —No T' No 4 1 7 ‘fr i Street State work to be performed and purpose of building (By Floors Overhea Service d Size Feeders .s ' Conduit.. Main Sw Amps Street .� No.. Street e.:a Block Subdivision % �✓C%x�: .:fir' , Remodeling Addition Repairs No. of Stories Main Fuses Amps Type of Installation— Conduit Tubing B.X.L Met ding amr.,.. N �`� _ ; (Signed) �-. trical Inspector. The undersigned applicant for this building permit does hereby certify that he unders . .s and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspectio n e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contrato , on work to be performed under this permit, as are licensed by Miami Shores Village. - --.'– , , . (Signed) ) , 4 4 ,i �; Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials /and /or workmanship. Inspection Date: 07/13/2006 Inspector: Grande, Claudio Owner: Job Address: Project: <NONE> JEROME, MATHURIN 445 96 Street NE Miami Shores Village, FL 33138- Contractor: BENNETT ELECTRIC SERVICES CO Building Department Comments Wednesday, July 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -14318 1111 1 A RECD Permit Number: RC -4 -06 -893 cL Block: Permit Type: Residential Construction Inspection Type: Final Work Classification: New Phone Number (305)757 -2147 Parcel Number 1132060170110 Lot: Phone: 305/759 -1665 Page 1 of 2 Y l � ! l/ Passed V y� ,/ Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 07/13/2006 Inspector: Grande, Claudio Owner: Job Address: Project: <NONE> JEROME, MATHURIN 445 96 Street NE Miami Shores Village, FL 33138- Contractor: BENNETT ELECTRIC SERVICES CO Building Department Comments Wednesday, July 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -14318 1111 1 A RECD Permit Number: RC -4 -06 -893 cL Block: Permit Type: Residential Construction Inspection Type: Final Work Classification: New Phone Number (305)757 -2147 Parcel Number 1132060170110 Lot: Phone: 305/759 -1665 Page 1 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 4IZ I3( ' • 2 k t 05) 756.8972 BUILDING lj AtF 0 7, DOE Permit N PERMIT APPLICATIOtT . FBC 2004 Permit Type (circle): s c � Ele rical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) I A "4"'h ✓r 0 ...+4,Phone # Owner's Address 4'1 q 6 S City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 41,5" iv € 9 ,fa St City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name R 'et.. r h " Contractor's Address Co S O e 1.4 t:--r City ps„ii >' State g- Qualifier Name ■ 3 - : , , P as )„._, State Certificate or Registration No. E eOO 6 �� Architect/Engineer's Name (if applicable) Value of Work For this Permit $ IOO Type of Work: ['Addition ❑Alteration Describe Work: ! C .M Master Permit No. Phone # ` 3 ate' 731 ) L 6 Zip 3 3 ( 36 Phone # Certificate of Competency No. Phone # Square / Linear Footage Of Work: Structural Review. $ Total Fee Now Due $ 36 75'7 -2rY7 ❑ Repair/Replace ❑ Demolition ******** * * * * * * * * * * ** * * * * * * * * * * * * * * * * * *, F * * * * * * * * * * * * * * * * * * * * * * * * * * * **** Submittal Fee $ Permit Fee $ // if:. CCF $ d . CD ° CO /CC Notary $ Training/Education Fee $ . Technology Fee $ a • - 9 Scanning $ l • W. Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ 1Ia• See Reverse side -+ 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. Owner or Agent The foregoing instrument was acknowledged before me this Signature day of A •-• 1 , 2066 , by M Qr., , who is personally known to me or who has produced NOTARY PUBLI Sign: Print: My Commissio APPLICATION APPROVED BY: (Revised 02/08/06) xpires: As identification and who did to CARLOS RODRIGUEZ COMMISSION M DD 355174 EXPIRES: OW* 23, 2008 Bonded 'Vim M I!V U Signature The foregoini. instrument was acknowled d before me this4M day o f t ( r • 1l , 20 vd , by O -h A t' who is personally known to me or who has produced oath. as identification and who did take an oath. NOTAR ' . BLIC: Sign: Print: My Comm ****************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** EXPIRES: Octob r 23, 2008 irasa.d rhh, Notary Public Underwriters Contractor * * * * * * ** Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 2 C0 ( 0 - es PERMIT NO Cr3 TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street /address: 44.5 1,-)E. 46. s'F'ree-t IA ' Si.c "e-s c1 33)3t c v • c - F+ s + 1 `7 Le-SS N S r + a (1r. CS I--d ► s ►zQ. 1 7 _ 0 . ( 1 C 1 0 le 1 i •-' 2. Description'of improvement: G e ►.3e a:tp r i rr 5+Llt0 4 A • 3. Owner(s) name and address: I'Vt A+1, i •-• Jer`on•� 4 I- 1 1 - 5" N 9 s ft F^ Interest in property: O r Name and address of fee simple titleholder: 4. Contractor's name and address: 6Z'- Q-41' C' )Zc-•n S ' -ii �A Coq oo Li E +' G-r e--1 3 3) 3 V 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: J f A Amount of bond $ )`-t ) 6. Lender's name and address: j t 1 P. 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: M A4L. uv• N :Se o4, ► E 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Flprida Statutes. Name and address: N I p 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner Print Owner's Name M v r ' Sworn to and subscribed before me this Notary Public Print Notary's Na e My commission expir , i EXPIRES: October23, 2008 Bonded Tau Notary Public Underwriters 123.01 -52 PAGE 4 8/02 STATE OF FLORIDA, COUNTY OF DADE I HEREQY CERTIFY that this is a true p of the original file �jn this office on • (/ clay of , A 0 20 6 and and Official Seal. N LERK, coo /t an. County Courts ,a—AL D.C. WITNESS my •HAR By c'o r. h 2 • , 200C. 1111111 11111 111111111111111 11111 11X1111111111 CFN 2006803 ,`8232 OR Bk 24415 Ps 3411; (fps) RECORDED 04/11/2006 11:56:26 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE 4.9s 14,,q6‘4 i M • A�•�� si,,r f\ 31)3 Prepared by -7c- 2'' v Address: 69 D O N c, 4 C-r ill/l , o,,v... c- t 3313 1 Issue Date: 4/19/2006 Owner's Name: MATHURIN JEROME Permit Type: Residential Construction Work Classification: New Job Address: 445 96 Street NE Comments: SLAB FOR GENERATOR Additional Information Miami Shores Village, FL 33138- Fees Due CCF Education Surcharge Permit Fee - New Construction 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 $0.60 $0.20 $100.00 $9.00 $2.50 $112.30 Permit Expires: 04/07/2007 Contractor(s) Phone Primary Contractor BENNETT ELECTRIC SERVICES CC 305/759 -1665 Yes Type of Construction: SLAB Stories: NA Front Setback: NA Left Setback: NA Bedrooms: NA Plans Submitted: Yes Certificate Date: 4/7/2006 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. Parcel #: Block: Section: Footer Column Pads Stem Wall Footer Density Termite Letter Slab Fill Cells Columns Second Floor Slab Spot Survey Tie Beam Bond Beam Second Floor Tie Bond Beam Rake Beam Special Inspection Letter Trusses Plan Submittal Floor Trusses Roof Trusses Roof Sheathing Wall Sheathing Window and Door Buck Wire Lathe Window Door Attachment Framing Insulation Drywall Screw Final PE Certification Shutter Attachment Shutter Final Final Ruilrlinn Invoice Number Amt Due RC - 4 - 06 - 24529 $112.30 Total: ApR 2'5 PAID CFG Sao l Permit Status: APPROVED Permit Number: RC -4 -06 -893 Phone: (305)757 -2147 1132060170110 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 800.00 Amt Paid 11 -<3n 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 -14326 Inspection Date: 07/13/2006 Inspector: Devaney, Michael Owner: JEROME, MATHURIN Job Address: 445 96 Avenue NE Project: <NONE> Building Department Comments Wednesday, July 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Miami Shores Village, FL 33138- Contractor: BENNETT ELECTRIC SERVICES CO JUL 1 A RFCil Block: Lot: Permit Number: EL -4 -06 -894 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Generator Phone Number (305)757 -2147 Parcel Number 1132060170110 Phone: 3051759 -1665 Page 2 of 2 Passed Inspector Comments / // / 3 ' '' / e, ( Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -14326 Inspection Date: 07/13/2006 Inspector: Devaney, Michael Owner: JEROME, MATHURIN Job Address: 445 96 Avenue NE Project: <NONE> Building Department Comments Wednesday, July 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Miami Shores Village, FL 33138- Contractor: BENNETT ELECTRIC SERVICES CO JUL 1 A RFCil Block: Lot: Permit Number: EL -4 -06 -894 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Generator Phone Number (305)757 -2147 Parcel Number 1132060170110 Phone: 3051759 -1665 Page 2 of 2 1 .a. Miami Shores Village 10050 N E.2nd Avenue, Miami Shores, Florida 33138 Te : (305) 795.2204 Fax: : (305) 756.8972 yy BUILDING _-� — ° g- © . r �� v Permit No. 1 PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) / • 0 N, & Phone # 311 S' -7 s' '- '2 / 7 Litys- Nr 96 Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 6 9 6 s 'f" City Miami Shores Villa .e County Miami -Dade Zip Is Building Historically Designated YES NO )t, Contractor's.Company Name � ,•, �Q r . Phone # 3 0 5 '7 j I L 6 Contractor's Address(o b N C. /4- City t4• e....; Qualifier 3 k . P I,— $ Value of Work For this Permit Total Fee Now Due $ 1 4 35 (Continued on opposite side) Building Department State Architect/Engineer's Name (if applicable) Phone # Master Permit No. ?,C-- 0(p— 8q3 umbing Mechanical Roofing Zip 3 - 5 1 3 State Certificate or Registration No. oat) 6 �'� Certificate of Competency No. Square Footage Of Work: Type of Work: ['Addition ❑AlterationIew ❑ Repair/Replace p 11 Demolition Describe Work: 1...4 - sc-G. S Ya. t q� t2r,� .,— * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ --;,0' 4 6 CCF $ 7 - 2 0 CO /CC Notary $ Training/Education Fee $ 2- . 4v Technology Fee $ 9 . -] E Scanning $3 . CO Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 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 4- --e Owner or Agent The foregoing instrument was acknowledged before me this ' day of per . , 20 &C, by 1/11141 .J a e who is personally known to me or who has produced NOTARY Sign: Print: My Commission Expires: APPLICATION APPROVED BY: chc 05/13/03 - J:�i ui vh '� � � 'r OMMISSION # DD 355174 1 t EXPIRES'. October 23, 2008 • tweed Thu Wary PIS U dS(""KKe id take an oath. ### # # ###### # # ## ## # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # -t. ^ IP Conrractor/ The foregoing instrument was acknowledged before me this 4 1 day of,/3e, : 1 , 2O, by 1. „1 P who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBL ' - Sign: Print: My Co ission xpEire- /k ::>tip JUAN CARLOS RODRIGUEZ n : EXPIRES: October 23, 2008 Bon.jr.d Thou NN2■ J. sa e- ilnAununtwr.. ***************************************************************************** * * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * # * * * * * * * * * * * * * * * * * * ** f Plans Examiner Engineer Zoning ITEM 1ATH TW UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE fIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AWDS DUCT WORK FLOOR DRAIN SERVICE REPAIRA€TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP I-OT WATER BOILERS SINK, POT /3 COIF. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 Hp TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 1G- 25 HP FIRE SPRINKLER SYSTEMS . URINAL MOTORS OVER 25-100 HP COOLING TOWERS HATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WIDOW I REI.NSPECTJON ,WATER SUPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I 'HEATER -NEW INST. I I GENERATORS HEATER - REPLACE I GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE I SWIMdING POOL OUTLETS COM4dERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS ..SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP E ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. 2S/L Ge. CATCH BASIN (» 0,.+...¢,,:h 4. " — rJSa1 i 4tA ,, DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET i SOLAR WATER HEATER =IRE STANDPIPE I I 'IDOL PIPING -AWN SPRINKLER SYSTEM' SAS RANGE ; I ETD, SET (GAS) 1 3As PIPIN I I. ) n Li i \L.Li114 1 V U U 1L1.11 1 \'J f L 1 iiVlt 1 !'l4 E. • 1 f :ANtALPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Issue Date: 4/19/2006 Owner's Name: MATHURIN JEROME Permit Type: Electrical - Residential Work Classification: Generator Job Address: 445 96 Avenue NE Miami Shores Village, FL 33138 Comments: HOOK -UP TRANSFER SWITCH FOR GENERATOR Additional Information 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 Permit Expires: 04/07/2007 Contractor(s) Phone Primary Contractor BENNETT ELECTRIC SERVICES CC 305/759 -1665 Yes Type of Work: GENERATOR Additional Info: Classification: Residential 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. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL - - - 894 Phone: (305)757 -2147 1132060170110 Lot: PB: Total Square Feet: 0 Total Valuation: $ 11,200.00 Required Inspections Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $7.20 $2.40 $392.00 $3.00 $9.75 $414.35 Invoice Number EL - 4 - 06 - 24528 Total: APR 2 5 PAID 44 -0e, tc. Amt Due $414.35 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.