EL-04-347Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2004 -347
Printed: 12/15/2004
Applicant: DENNIS KLEINMAN
Owner: KLEINMAN DENNIS
JOB ADDRESS: 655 NE 97 ST
Contractor PROTECT- O -LARMS INC
Local Phone: 305 -944 -9218
Parcel # 1132060171890
Electrical Permit
Contractor's Address: 1121 S 21 AVE
Fees:
FEE2004 -12683
FEE2004 -12684
FEE2004 -12685
FEE2004 -12686
FEE2004 -12687
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Submittal Fee
Total Fees:
Amount
$150.00
$0.60
$0.20
$3.75
($50.00)
$104.55
Total Fees: $104.55
Total Receipts: $104.55
Permit Status: APPLIED Permit Expiration: 6/7/2005 Construction Value:
Work: BURGLAR ALARM
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
DEC 15 PAID
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
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building lectrica) Plumbing
Job Address (where the work is being done) t ' 65 M 6 a1 * - -.
$ Value of Work For this Permit
Type of Work: DAddition
Describe Work: AJ a f 1A.'\
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Master Permit No. c a�— "1
Permit No.
/
Mechanical Roofmg
Owner's Name (Fee Simple Titleholder) pe t1'), L3r aVAeti hone # O5 = 15 (1-"1 °t
Owner's Address to 55 M
City ' mt o Sin 0 r es State v-1 Zip 33138
Tenant/Lessee Name Phone #
City Miami Shores Village County Miami Dade Zip 5. t 3 "
Is Building Historically Designated YES NO L/
- Of 3°C 14 4
Contractor's Company Name �� -0 0�.1 '1,,� Phone # ! 3 4 &
Contractor' Address 1 g ° N
City
L O� State Zip c1
Qualifiers W ' �Oi
Architect/Engineer's Name (if applicable) Phone #
Submittal Fee $ 5'® Permit Fee $ /J9
Square Footage Of Work:
teration ❑New Et/Repair/Replace ❑ Demolition
'K ')o•w4 �NOi
CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
MIAMI SHORES VILLAGE
BUILDING DEPARTME OC6
305- 795 -2204
Buil• ._ spection Request
Date / f_
��
j
Type Insp'n 9 VJ dint, 7 //...-/ ;1 e)
Permit No. fr `' 2 d a' //
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
Name
MIAMI SHORES VILLAGE
BUILDING DEPARTMENTS6C
305-795-2204
spection Request
Date l
Type Insp'n iee"Pii di"r 74(7
Permit No. 2 C 1 -
Address 65 ,9
Company
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
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