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EL-04-250Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -250 Printed: 8/30/2004 Applicant: MICHAEL MEYER Owner: MEYER MICHAEL JOB ADDRESS: 530 N.E. 96TH ST. ST. Contractor CESAR ELECTRIC CORPORATION Contractor's Address: 3634 SW 112 AVE Local Phone: 305 - 221 - 5721 Parcel # PARC2004 -3 Legal Description: Page 1 of 1 Fees: Description Amount FEE2004 -8783 Building Fee $100.00 FEE2004 - 8784 CCF $0.60 FEE2004 -8785 Notary Fee $5.00 FEE2004 -8786 Training and Education Fee $0.20 FEE2004 -8790 Technology Fee $1.10 Total Fees: $106.90 Total Fees: $106.90 Total Receipts: $106.90 Permit Status: APPROVED Permit Expiration: 2/23 /2005 Construction Value: $100.00 Work: TEMPORARY ELECTRICAL POLE Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING latik Permit No. 6P d ( Z l 0 PERMIT APPLICATION agter Permit No. EC- / (7 FBC 2001 Permit Type (circle): Building X Electrical Owner's Name (Fee Simple Titleholder) / A. o t y 1012�.f j e{ Phone # / - -/ 2. Owner's Address '� J 162- '1 City i Sl.�tg. -5 State . Tenant/Lessee Name Phone # Job Address (where the work is being done) S-34) ew ' ' 5 7 City 1Vliiami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name ( '� 6 `� I O{� 1 Phone # ® G O 9Z/ 1 Contractor's Address 6 3 4 La-3 \ City /4/ 9,t State P--C3 Zip 3 5 16 S Qualifier C State Certificate or Registration No. LC 0 60 2.2.6. 7 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ❑Addition Describe Work: ItY b'R -aa l , a ? ,r5 '{K:I?•Ytel - 10W Submittal Fee $ Notary $ (Continued on opposite side) Scanning $ Radon $ Total Fee Now Due $ 1 OP . — 1 0 Miami Shores Village Building Department 10050 N.E.2nd Avenue ' orida 33138 Tel: (30 ) V. 1 = L 6 ❑Alteration ❑New �lL i fe te. Plumbing Mechanical Roofing Zip 3345Y Certificate of Competency No. **************F s ****************************** Code Enforcement $ Structural Pla_ Review. $ Cd l zip 2 3e Square Footage Of Work: ❑ Repair/Replace ❑ Demolition CCF $ • 2.0 CO /CC Technology Fee $ 1- � t34 -SO 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 ET .RCTRICAL 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 whic occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection w of be app • d and a reinspection fee will be char Si The fore day of who is perso My Co Contractor (� before ; u e this / The foregoing instrument was acknowledged before me this,C day of / 20dLq, by CGSAk. ab/14 1eS, own to me or who has produced who is personally known to me or who has produced 3i U&e. As identification and who did take an oath. w as identification and who did take an oath. /3G /00— 06— 3 V3 — Owner or Agent instrumenA wps ac 20 by APPLICATION APPROVED BY * * * * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 Signature NOTARY PUBLIC: NOTARY ' is Sign: AIK%.4 Print: .:-, 'tr= Expires; �ni d ; 2 _ My Commission Expires: ssion Expires: Q, y xp invoistatiON4iNahik************************ ************** ********* * Sign: Print: xammer Engineer Zoning 1 BUILDING AND ZONING DEPARTMENT 10060 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138 -2382 TELEPHONE (3061 796-2204 FAX (305) 758-8972 AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE (To be executed by Owner and/or Tenant, Bum & Electrical Contractor) NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED It is understood that the temporary- electrical approval by the Miami Shores Village, Building & Zoning Department given in connection with the building being constructed under. Building Permit No. ge O4 ai t Electrical Permit No at address: 30 N-- 96 s� EL zoo Lk- /47 for owners: L/ ci/i4 CL A-45- VG*4..< is being given only for construction purposes or for testing the following installations being made in said structure: Sub - paragraph 4501.3 (d) (3) of the South Florida Budding Code provides for a 30 day maximum approval only in an URGENT NECESSITY for electric current exists. Necessity shall include the use of current for irrigation, security, humidity control, emergency power and lighting, such as for testing or contraction purposes, provided the Electrical Contractor and owner do hereby agree to assume the responsibility of maintaining the installation in such a manner that there is no hazard to life and property. Such approval is in no event to be considered a release of said structure for purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and an occupancy permit obtained. The undersigned also understand that the temporary-electric approval is subject to rescission and cancellation, and electric power can be cut off at the discretion of the Building and Zoning Department and will be disconnected if the building concerned is occupied before final inspections are approved and occupancy permit obtained. 1, depose and say that I am the owner of the above described property, and tha I agree that the agreement shall not be occupied until the building contractor has obtained roval of final • Sworn and subscribed before me this c 1 day of Notary Pu lic, State of Florida at Large My Commission Expires: Page 1 of 2 ommi ^,ea.. D23I984 _J � 13, 2.007 .9 "•... •'QQ.' - :. ndcd Thru Atlantic Bonding Co., Inc. 30 DAY TEN4POR1\itY- ELECTRIC SERVICE (continue) , being first duly sworn, depose and say that I am the Electrical C tractor for the above described property and that the electrical installations as now existing will not create a safety hazard if temporary- service is cone ted. c>c ' i 4e -' 4 SIGNATURE OF ELECTRICAL CO =7 ' TOR --- �� P 3 62- / ©0m6 m o orida at Large Sworn and subscribed before me this day of e g Notary Publi c State of My commission expires: 1, , being first duly sworn, depose and said that I am the Building Contractor of the above described property and that I will not permit occupancy of this building until final division obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy until such final inspections are obtained. SIGN • ' i ' l OF BUJLDZIG CONTRA Sworn and subscribed before 11 ��methis 7 day of C�K Notary Public, State of Florida at Large My Commission Expires: SIGNATURE OF ELECTRICAL INSPECTOR Date: Page 2 of 2 by: ( name) Date: SIGNATURE 0j OTARY Release to FLORIDA POWER & LIMIT CO. To: (name)