ELECTRICALPERMIT NO. N'° VZS� TAX FOUO NO. U on — 103®
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: Co 5 S JU E eft
jn‘aw\ 5 ocCs • 3
2. Description of improvement: 1,< N V C kn. P►n
NOTICE OF MMENCEMENT
A RECORDED COPY MUST BE POSTED E JOB SITE AT TIME OF FIRST INSPECTION
wner(s) name and address: n e ri 1A s it ( . ore e. 1 d Iv er ccA
,d1 • S`ct eA kid tes r 331 3 9
Interest in property: , .. nun v. ar
it
re vlb ck:W / Re
NUM
11 11811891
C 0 2004R0903684-
OR Bk 22733 Ps 0028 °p (1Ps)
RECORDED 10/14/2004 14 :37 :43
HARVEY RUVINp CLERK OF COURT
MIAMI -DADE COUNTYp FLORIDA
LAST PAGE
Name and address of fee simple titleholder. .
Pak vaux, 1 e "f e,c AJ € iTO Sc e{.,t Tivt to „sue,. l - 3313b'
4 Contractor's name and address: Paul Kau-Veen cta K ,A)E cQ vtieef--
74 (67441 F) ,.136
. 5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
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:
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), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
diffe ent date is ,spec' • led)
gn ture of Owner
•
Print Owner's Name LO V MO-.A., Prepared by tO a SG�ta
Sworn to and subscribed before me this 1'4 da
Notary Public
Print Notary's Name
My commission expires:
123.01 -52 PAGE 4 8/02
s4 - •
. : a ,,,,,,. AIMEE HARRIS
r :Notary Public • State of
NlyCarmtsbnExpiresMQ24.2008
301 A/6' r:16 S`i'ee,i
• ::•43543
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building I�
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
0
MIAMI SORES VILLAGE, FLORIDA
PERMIT
B1
it
N° 5 417
Value. of
Project $
DATE ` 19
Contractor's
License No.
Work to be performed under this Permit__
Subdi-
vision
Amount of
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. 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 as
cepting this permit I assume responsibility for all work done by Dither, myself, my agent, servant or employee.
BY AUTHORITY
ASOOT
Permit No , 5 – Yii Date 6- 7, 2 - 6 5(
Application is here 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
Registered Architect and /or Engineer /
Employing Electrician's Name C • ., J , s k ( - -P^'1-P,i
Location and Legal Description Lot ! d
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Amount of Permit $
STATE OF FLORIDA, , 1
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
6 S.
No !S rfj ee t'_'�
•
No ,l...Q 1 S
Service Overhead Size Feeders Conduit Main Sw
Underground
(Signed)
Street..
Subdivision
Street
New Building }/ Remodeling Addition Repairs No. of Stories
Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Elect
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma
1 Inspecto
s an employer of
nt Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be 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-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
HATER
STRIP
HEATER
TOTAL
CONTR.
LIST
4 l/
CHECK
� 1
ir
ENT.
SW.
D1ST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
I
MOTORS
0.1 HP
M. !S
•S HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No , 5 – Yii Date 6- 7, 2 - 6 5(
Application is here 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
Registered Architect and /or Engineer /
Employing Electrician's Name C • ., J , s k ( - -P^'1-P,i
Location and Legal Description Lot ! d
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Amount of Permit $
STATE OF FLORIDA, , 1
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
6 S.
No !S rfj ee t'_'�
•
No ,l...Q 1 S
Service Overhead Size Feeders Conduit Main Sw
Underground
(Signed)
Street..
Subdivision
Street
New Building }/ Remodeling Addition Repairs No. of Stories
Amps Main Fuses Amps
Type of Installation— Conduit Tubing B.X.L Metal Moulding
(Signed)
Elect
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Perma
1 Inspecto
s an employer of
nt Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be 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-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
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.
Permit No. . . Yf77
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
Registered Architect and /or Engineer
n � �
Employing Electrician's Name
Location and Legal Description Lot
Amount of Permit $ 3
PPLICATION FOR ELECTRICAL.. PERMIT
SS.
2
'1 c , o My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
l 7 f g''''''-'"ll. No Street
Afr'
(Signed)
No /0 7.5°
/ -�/)
Block / 0 /
Street and Number where work is to be performed —No . d / 1 k..., Street ' 7
State work to be performed and purpose of building (By Floors) M-drA-4 AA-tem
New Building Fi/ Remodeling Addition Repairs...
(Signed)
Date -65
Street .... / 41 ./i 3 ?..,
Subdivision.71! xis l.r ....�� tJ
9. S r ie,l
! :Main Fuses Amps
Service Overhead Size Feeders Conduit Main Sw Amps j o
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electri -. Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio l �s an employer o
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 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 undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
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.
Notary Public, State of Florida
MOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
ii erials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'F'S
FIXTUR
NO. LAMPS
R EFRIO.
OUTLET
OUTLET
/RANGE
OUTLET
�!Q'Tre6,.
MOM"
S�
WATER
HEATER
/
/5P
'W:+FI€
CONN.
/ �
jL
/ - 1 1
,C,)
z 1
A da
1
r
TOTAL
/ y�
CONTR.
LIST
0
CHECK
�. 4
� '�
- -a ri
—{�--
e
e=7,s 4 -.'
,
, �
3 .
ENT.
SW.
D1ST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
I ,,ppp ' (((
p4
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No. . . Yf77
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
Registered Architect and /or Engineer
n � �
Employing Electrician's Name
Location and Legal Description Lot
Amount of Permit $ 3
PPLICATION FOR ELECTRICAL.. PERMIT
SS.
2
'1 c , o My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
l 7 f g''''''-'"ll. No Street
Afr'
(Signed)
No /0 7.5°
/ -�/)
Block / 0 /
Street and Number where work is to be performed —No . d / 1 k..., Street ' 7
State work to be performed and purpose of building (By Floors) M-drA-4 AA-tem
New Building Fi/ Remodeling Addition Repairs...
(Signed)
Date -65
Street .... / 41 ./i 3 ?..,
Subdivision.71! xis l.r ....�� tJ
9. S r ie,l
! :Main Fuses Amps
Service Overhead Size Feeders Conduit Main Sw Amps j o
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding
Electri -. Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio l �s an employer o
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 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 undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrician.
STATE OF FLORIDA, }
COUNTY OF DADE.
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.
Notary Public, State of Florida
MOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
ii erials and /or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date (u 30 1 1 9 7 Job Address 4.55 Al Za 9 7 St Tax Folio
434 c/. <o/
Legal Description to / " d 4-44 etc wesf-t'L of Lot / 9 Historically Designated: Yes No
Owner/Lessee / Tenant Der ni t 5 to m-tt*4- (.1e (nl
Nn.6r n( Master Permit # ( s'/3i7 ) I/5-3
Owners Address (o5 5 1V Za ) 7 Si- 1 ,t.,
Contracting Co. 2 Ete c.f - Co Address 5 41 o 9 � , A icy /1/ J ,- .0,L % ,7(
Qualifier Ic A l 1 P i, 5 . , f a p4 f-A- SS#
I ns. Co. 44.1 Love s 1 ^vS
lei 1 ,�/9-%1A 5 0 5 (u P G Address 6 co (-v . /-6, , mss d sZ�-Q 5... f'oov
Bonding Company A -
Mortgagor nJ
Permit Type (circle one):
WORK DESCRIPTION po o L
My Commission Expires:
I;t
UIILDIN
o(L- u
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
f
Address /J
Address Al 4 -
Square Ft. Estimated Cost (value)
Phone 30 5 - 7 5 9 77 ,5
PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND Y IUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMP sa OVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECO; II ■ING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
S' ture of ontractor or Owner - Builder
0 0 . pO
to Contractor o Owner-Builder Date
y Commission Expire
FEES: PERMIT 9 12442 " RADON C.C.F. NOTARY BOND
1—x-2 7
Date
ANGELA MASSIMO TANI
My Comm Exp. 5/26/2001
No. CC 767554
()Personally Known •rather I.D.
APPROVED:
Zoning Building
Mechanical Plumbing Structural Engineer
TOTAL D UE
MyAMI SHORES VILLAGE
BUILDING DEPARTMEN
305 - 795 -2204
Buildin: Inspection Request
Date_
Type Insp'n
Permit No. C a 3
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
BUILDING l
PERMIT APPLICATION L
FBC 2001
Permit Type (circle): Building Electrica Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) 3:�f1 n lS Jj k t u , IA,¢1 Phone #
Owner's Address G 55 ) -4--k St
City AA k AAA( ( s t1CA.e; .S State - t
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name D a 30 u n
Contractor's Address K) W 1
City ,J LALM. l State
$ Value of Work For this Permit
Type of Work:
Describe Work:
Total Fee Now Due $
❑ Addition
(Continued on opposite side)
Scanning $ Radon $
Code Enforcement $
20o
Miami Shores Vilia
Building Department
10050 N.E.2nd Avenue, Miami Shoies, Florida 33138
Tel - (30 ,_ 4 4 5)1756.8972
i
CrE
Qualifier 1:31 DO
_, Master Permit No. 8p 01-1256
zip _3 $
Phone #
G55 OF_ ,
County Miami -Dade Zip
NO
Architect/Engineer's Name (if applicable) Phone #
e .
State Certificate or Registration No. e3 00 00408 Certificate of Competency No.
Permit Fee $_-?a",a r
Training/Education Fee $ °
G (" Phon # (3
,3316
❑Alteration ['New
� A LJ)RikJ
Zip
Square Footage Of Work:
Permit No. &(N 34
33)35
❑ Repair/Replace
S
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ J • o6 CCF $ I ' by
Notary $ Technology Fee $
Zoning Bond $
Structural Plan Review. $
CO /CC
67 '
Roofing
❑ Demolition
C I
as
0 � ing
all
pUR
NG,
uxinvav,,. I OF
COMMENCEMENT.'
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of co mencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. ke .bsence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
APPLICATION APPROVED BY
Chc 05/13/03
E
0
U
0
L
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this The foregoing instrument was ackno
,20
Contractor
ed bef m us
_ n
day of , 20 _ , by , day of
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as i • - ntific: tion and who did take an oath.
NOTARY PUBLIC: NOTARY PU$
Sign: Sign
Print: Print "Fos s
My Commission Expires: My Commissli inn , Vteisp 20
************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** ,...... ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
...,ez#Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 12 /8/2004 Page 1 of 1
Applicant: DENNIS KLEINMAN
Owner: KLEINMAN DENNIS
JOB ADDRESS: 655 NE 97 ST
Contractor SOUNDISCOUNTS Contractor's Address: 767 NW 167 ST
Local Phone: 305/623 - 4404
Parcel # 1132060171890 Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 18 & W1/2 OF LOT 19 BLK 101 LOT SIZE
Fees: Description Amount
FEE2004 -12182 Code Enforcement Fine $100.00
FEE2004 -12303 Building Double Fine Fee $300.00
FEE2004 -12304 CCF $1.80
FEE2004 -12305 Notary Fee $5.00
FEE2004 -12306 Training and Education Fee $0.60
FEE2004 -12307 Technology Fee $7.5(1
FEE2004 -12308 Submittal Fee tio0.
Permit Status: APPROVED Permit Expiration: 6/4/2005 Construction Value: $2,400.00
Work: SOUND SYSTEM WIING (11) SPEAKERS TVS 3- MASTER PERMIT BP2004 -1256
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2004 -342
otal Fees: $364.90
Total Fees: $364.90
Total Receipts: $0.00
1/4/
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
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Eli t trical
Owner's Name (Fee Simple Titleholder) bt N t
Owner's Address ' X 6 55 N .
City µ( Alit Shoe -. State c_
Tenant/Lessee Name
Mia
Bui
10050 N.E
Tel:
Job Address (where the work is being done) 'aM
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name A O
Contractor's Address 9'O 'tf SA) •
City 1 /A114 / State
Qualifier Atete•Y0 6,A-yA
Architect/Engineer's Name (if applicable) KJ CHA
$ Value of Work For this Permit
Type of Work:
Describe Work:
At•
'4 b
Scanning $
Code Enforcement $
Radon $
Total Fee Now Due $ /3 9 •
(Continued on opposite side)
,,r..coa
ID Addition [Alteration
cam► Tt Plr.F—PTAG
1- — / f I I 5
2 tc-� r , w
0 COY
Submittal Fee $ J CC) Permit Fee $ /
* * * * * * * * * * * * * * * * * * * **
Notary $ � Training/Education Fee $
Structural I
ni Shores Village
ding Department
lnd Avenue, Miami Shores, Florida 33138
6.8972
52 0 0 R,'i r is
ounty Miami -Dade
NO
A 644. S via , Phone #
Zoning
a n Review. $
Permit No.
❑New ., I] Repair/Replace
i? 14.► t 'rCH &9
�s? - L.6 Kt �a
aster Permit No. P - O y
Plumbing Mechanical Roofing
ae. lA KLtIAMA4 Phone # 3°6 7X1.- 77S
Zip
Phone #
Phone# 34. -3
Square Footage Of Work:
* * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zip
30 ; 2 .1y -7707
Zip 33/26
CCF$
Technology Fee $ s2/
Bond $
❑ Demolition
CO /CC • —�'"�
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 Signature 0
-Owner or Agent Contrac or
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 _ , by , day of 0 C , 20 oJ( , by I 8E/CT'o 6'
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as ide . fication • did take an oath.
Agar .
My Commission Expires: My Commission Expir:: " ;.'e�� Commission # DD 035192
r : Q _ Expires June 21 2005
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i�...
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
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APPLICATION APPROVED BY:
Chc 12/15/03
-•-� > -7 'f1 is Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2004 -284
Printed: 10 /12/2004
Applicant: DENNIS KLEINMAN
Owner: KLEINMAN DENNIS
JOB ADDRESS: 655 NE 97 ST
Contractor A B DEPENDABLE SERVICE INC Contractor's Address: 14048 SW 139 CT
Local Phone: 305 - 254 -7707
Parcel # 1132060171890
Electrical Permit
Page 1 of 1
Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 18 & W1/2 OF LOT 19 BLK 101 LOT SIZE
Fees: Description Amount
FEE2004 -10025 Building Fee $192.50
FEE2004 -10026 CCF $3.60
FEE2004 -10027 Training and Education Fee $1.20
FEE2004 -10028 Technology Fee $4.81
Total Fees: $202.11
Total Fees: $202.11
Total Receipts: $0.00
aorm,t Statile. APPROVED Permit Exoiration: 4/4/2005 Construction Value: $5,500.00
Work: RELOCATE RECEPTOCALES & SWITCHES ADD LIGHTS HI -HATS- MASTER PERMIT BPO4 -1256
Signed: (INSPECTOR)
NOV 0 5 R
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: