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EL-03-358PERMIT APPLICATION FOR MIAMI SHO 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 -7 Date / "" 1-63 Job Address Tax Folio Legal Description Historically Designated: Owner/Lessee/Tenet R 5, Pre 5 /4e A C �-fi1 vs/, A Owner's Address �O Ate / ? 577 Contracting Co. l�' 1e�- l � / /l Address Qualifier Alf / / AA e i SS# State # t- C )€) 7l©3 Municipal # 5 I r ; 5 89 DEC 0 2003 Master Permit # L ✓ zoo5 — 3 5g Phone /936 ,v : /91 $ / 0.1, Phone Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING (ELE Pi PLUMBING / MECHANICAL ROOFING �� 'l �C WORK DESCRIPTION: //AM 4 eT /7 a, 3 o e e / e-0 ST/ii J k J rt ''1GG /7 `7i: Square Ft. Estimated Cost (value) 3 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING 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 all disciplines. OWNERS ANFIIAVIT: 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. Signature of owner and/or Co , :' President s - b 7( % j f • 41111/ Date Signature of Contractor or Owner Builder C.C.F oXIBcontisildeDD 094047 ues®onded By National Notary Assn. NOTARY Date FEES: PERMIT /4 49 e RADON APPROVED: TOTAL D Zoning Building Electric • i� , � Mechanical Plumbing Structural Engineer BOND MIAMI SHORES VILLA BUILDING DEPARTM 305- 795 -2204 Bu'lding Inspection Request Dat Type Insp' Permit No. S� IRO Name) PS ) laA Address 6 , � i R L r p-..- IA 6 Phone # C - S i cP Company Inspection Date Approved Correction Re- Insp'n Fee o TIpe Insp'n Permit No. F L 0 3 - Name / e ∎ . 8 JJ ..)J1.A1 r -i ' )t U )11 ( t -% Address Approved Correction Re- Insp'n Fee MIAMI-SHORES VILLAGE BUILDING DEPARTME 305 - 795 -2204 Building Inspection Reque at T' Company y Phone � 1).S- q \I U 3 P For Inspector: 1 ? ! fN a ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET . LIGHT OUTLETS CENTRAL HEATING ' DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN • SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY . OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER / U.F. PRESSURE VESSELS CLOTHES WASHER -- MOTORS 0- 1 If STEAM BOILERS MOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8 - 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA -' RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP 5 ABANDON SEPTIC TANK REINSPECTION MAKAGE PIT CU. FT. :ATM BASIN )ISCHARGE WELL )OMESTIC WELL AREA DRAIN 100F INLET 30LAR WATER HEATER :IRE STANDPIPE l '001 PIPING • _AWN SPRINKLER SYSTEM 3AS RANGE 4ETER SET (GAS) ;AS PIPING • ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /4/2003 Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor P & M ELECTRIC INC Local Phone: 305 - 949 - 6373 Parcel # 1132060141410 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2003 -358 ST Contractor's Address: 1936 NE 148 ST Permit Status: APPROVED Permit Expiration: 5/30/2004 Construction Value: $1,310.00 Work: INSTALLATION OF A NEW 3 PANEL TO REPLACE EXISTING WIRING OF NEW H.W.H Page 1 of 1 DEC 09PAID Signed: (Contractor or Builder) BY: Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2003 -7745 Building Fee $100.00 FEE2003 -7746 CCF $1.20 FEE2003 -7747 Technology Fee $2.50 FEE2003 -7748 Training and Education Fee $0.40 Total Fees: $104.10 Total Fees: $104.10 Total Receipts: $0.00 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.