EL-05-153Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/6/2005
Applicant:
Owner:
JOB ADDRESS: 602 NE 96
Contractor ALL TECH ELECTRIC INC
Local Phone:
Parcel # 1132060141410
Electrical Permit
Permit Number: EL2005 -153
ST
Contractor's Address: 1793 W 37 ST 6
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE
Fees: Description Amount
FEE2005 -7290 Building Fee $875.00
FEE2005 -7291 CCF $15.00
FEE2005 -7292 Training and Education Fee $5.00
FEE2005 -7293 Technology Fee $21.88
FEE2005 -7299 Scanning Fee $3.00
Total Fees: $919.88
Total Fees: $919.88
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $25,000.00
Work:
Signed: (INSPECTOR)
Page 1 of 1
CK 63431/53
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:
FBC 2001
BUILDING
PERMIT APPLICATION
$ Value of Work For this Permit
Total Fee Now Due $
(Continued on opposite side) 0 1 —1 ce$'
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. ` : /`
J"'1 S3
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
1A411 1.1
Owner's Name (Fee Simple Trtleholder9 J' ` cha41 Phone # ft)5 — 761-" - 1 ki
Owner's Address 6D'4 i4- 9C, - '1 3 City RAM l 1 O:/ State 'ft, Zip 3 3 ( 3? 2 7+2
Tenant/Lessee Name Phone # h
Job Address (where the work is being done) 2. NE C( 4,
Master Permit No. BP /910
City Miami Shores Village County Miami -Dade Zip ?j 3 13 a
Is Building Historically Designated YES NO
\Contractor's Company Name 41 t oe2c__ . f _ c Phone # t_.3v i3 LT -- Z941
i ! Contractor's Address / 7z3 W. 3 75 y ,- s,.
Cit ( . 4 State rL • d Zip 33.01z...
Qualifier �. L -.e. J L.
State Certificate or Registration No. � 1 D 0 /(3 Certificate of Competency No.
Architect/Engineer's Name (if applicable) KW 1 1y Phone # 75 + • 2.%5
ooc
Structural Plan Review. $
Square Footage Of Work:
Type of Work: ['Addition ['Alteration New ❑ Repair/Replace ❑ Demolition
Describe Work:
****************************F
Submittal Fee $ Permit Fee $ ,9 >-J .s.®
Notary $ ,,./ Training/Education Fee $ 5 - co
Scanning $ 3 ' Radon $ ,„ — Zoning ,— Bond $ —°*---
Code Enforcement $
CCF $ ,/S. ` CO /CC
Technology Fee $ • 10?
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.
day of
who i
Owner or Agent
The foregoing instrument was acknowledged before me this 4 The foregoing instrument was acknowledged before me this
2(!, by
me or who has produced
'denti ' tion and who did take an oath.
Chc 05/13/03
/A'
rsonally kno
NOTARY PUBLIC:
Sign:
APPLICATION APPROVED BY:
20 64, by , day of
who i
meor who has produced
As identification and who did take an oath.
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Signature
Contractor
ofr
NOTARY PUBL /
Sign: � � J ' ....c R / /
Print: . , Z 1 Print: Il_ /- ' " ,. . f - .. r :� , , .
My Commission Expires: th/Commisslon DD0838Tq My Commission Expires: z Al Bonded thru (800)432 -4254
* ' ' n & Florida Notary Assn., Inc
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
40/tee y cP1ans Examiner
Engineer
Zoning