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ELC-05-389Inspection Date: 03/17/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES DD OQ Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: MASTEC NORTH AMERICA, INC Building Department Comments Thursday, March 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 257 -3095 Page 2 of 2 Passed Inspector Comments / ( / /( ( Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 03/17/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES DD OQ Job Address: 602 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: MASTEC NORTH AMERICA, INC Building Department Comments Thursday, March 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 257 -3095 Page 2 of 2 BUILDING PERMIT APPLICATION FBC2001 (for 6e / / Sou t/h Permit Type (circle): Building Is Building Historically Designated $ Value of Work For this Permit Type of Work: DAddition Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ - - (Continued on opposite side) Training/Education Fee $ Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305 795.2204 Fax: (305) 756.8972 tEdEOVED Permit No. CLOS - 39 YES pAlteration * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * * * * * ** Permit Fee $ Structural Plan Review. $ NOV c ' 0 Ma to Fermi • Mechanical Roofing Owner's Name (Fee Simple Titleholder) N/A - k'o/1c i'n riy+ht of- way Phone # ---- Owner's Address City - State Zip Tenant/Lessee Name Plumbing Phone # Job Address (where the work is being done) e',10,4/ P ` ®F 6o 2 /tL ?b T" City Miami Shores Villa a County Miami -Dade NO M cis Contractor's Company Name 8 ELL -co o" "I Phone # Contractor's Address q/01 Sv/ 2 `f rw Sr Zip 33/3 30s - 4 /09 - /.5 / City /'/ /Otr /Nt / State FL Zip 3 3 / 6 S Qualifier State Certificate or Regish ation No. ON P L C Certificate of Competency No. v/' FILE Architect/Engineer's Name (if applicable) Al . , / , V / L ®C J ,? o Phone # 3 0S - 222 - ®9 `1 2 / 000 Square Footage Of Work: :New 1 Repair/Replace ❑ Demolition Describe Work: BELLSo v TH 313 / SMP ® / 2 /✓ - PL4 CI N 6 ` PVC CA/ 6 r %/fi (lac R16Oer- Df-v►'e9Y FOR TE`CCo/vt s &RvicEs r'3- /L Gn/ --ceErcm Peovi DE 6 , * * * * * * * * * * * * * * * * * * * ** CCF $ CO /CC Technology Fee $ Zoning Bond $ e 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 Owner or Agent The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B Chc 05/13/03 Signature Contractor The foregoing instrument was acknowledged before me this day of ,20 ,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Engineer Zoning Issue Date: 1/26/2006 Expires: 11/09/2006 Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH Permit Type: Electrical - Commercial Work Classification: Addition/Alteration Job Address: 602 96 Street NE Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Contractor(s) MASTEC NORTH AMERICA, INC Phone 305 - 257 -3005 Primary Contractor Yes Comments: BELLSOUTH JOB # 5MP05142N PLACING PVC RUN IN THE PUBLIC RIGHT OF WAY FOR TELECOM SERVICES Type of Work: RIGHT OF WAY Classification: Commercial Additional Info: PVC CONDUIT 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: ELC2005 -389 Phone: (305)754 -9541 1132060141410 Lot: PB: Total Square Feet: 0 Total Valuation: $ 17,000.00 Re • uired Ins • ections Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Fees Due Amount Total: Invoice Number ELC - 1 - 06 - 23626 Total: Amt Due $0.00 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. 4 v IqvI SHORES PERMIT EOP R/W 5' SDWK GRASS BST 1 0' XI 0' EASEMENT NE 96TH ST SEE DWG 2 PROPOSED STREET 2 -4' PVC, LIGHT / 2-2' PVC 5' STRI P BST EASEMENT FUTURE BST CABI NET PROP 2-90' , 6' R PC 4' C BENDS & 2 -90', 6' R PC 2' C BENDS CONC ENCASE RES CHURCH TOP 00 8 HOURS BEFORE YOU DIG 4 G CALL SUNSHINE 1 -800- 432 -4770 IT'S THE LAW I N FLORIDA CONTACT: TERRI TICKET No.Cs): 293505728 DATE/TIME. 10/20/05 03:40PM NOTE: PLACE BURIED FACIL. AT 30° DEPTH Exchange: Phone: MIAMI Authorization: 5MP05142N RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *R21.I METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *RI9.5 @BellSouth Telecommunications PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES 602 NE 96TH ST Designer: Manuel Docurro 305 - 222 -0942 Dwg. 3 of 3 10/21/2005 10: 19: 21 AM 111 111111 111111111111 0 0 00 MIAMI SHO ES EOP R/W PRESBYTERI AN ' CHURCH MEDIAN GRASS 5' SDWK NE 96TH ST STREET LIGHT DRAIN TOP 0 0 vIqvI SHORES PERMIT PROPOSED 281' 2- 4' PVC, 2 -2' PVC - PROPOSED GRADUAL SWEEP SOW CUT & REST u RE /orr/ / /uiv...;......-- 90' t it 11 66' TO C, 0, PROPOSED STREET CUT & RESTORE ASPHALT TUP CNOTS AT BASE OF POLE DRWY ENTRANCE TO PARKING LOT S EXIST BOX W/ FPL METER 5 - 1 ----- FPL POLE PROP FPL HH / SRVC POINT PROPOSED SDWK CUT & RESTORE FETCH 4 8 HOURS BEFORE YOU DIG CALL SUNSHINE 1- 800 - 432 -4770 IT'S THE LAW IN FLORIDA CONTACT: TERRI TICKET No.(s): 293505728 DATE /TIME: 10/20/05 03:40PM NOTE: PLACE BURIED FACIL. AT 30" DEPTH / i RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *R21.I METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS #R19.5 PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES Exchange: Designer: Phone: @ BellSouth Telecommunications 602 NE 96TH ST MIAMI Manuel Docurro 305 - 222 -0942 Authorizatlon: 5MP05142N Dwg. 2 of 3 / / 10/21/2005 10: 19: 21 AM Alt r) rn O 0 0 t EOP R/W MI AMI SHORES PRESBYTERI AN . CHURCH MEDIAN GRASS 5' SDWK NE 96TH ST STREET LIGHT DRAIN PR POSED GRADUAL SWEEP SDWK CUT & RES`f u RE 7' TOP 00 vIPv I SHORES P PROPOSED 281' 2- 4' PVC, 2- 2' PVC ol/Av'w":"►; ___ 90' TUP CNDTS 2" AT BASE �1� OF POLE 3 � 66' ) TO Co O, ASPHALT PROPOSED STREET CUT & RESTORE -RvIT DRWY ENTRANCE TO PARKING LOT S EXI ST BOX W/ FPL METER E(I ST FPL POLE PROP FPL HH / SRVC POI NT PROPOSED SDWK CUT & RESTORE <ETCH 4 8 HOURS BEFORE YOU DIG CALL SUNSHINE 1 -800- 432 -4770 I T' S THE LAW I N FLORI DA CONTACT: TERRI TICKET No.(s): 293505728 DATE /TIME- 10/20/05 03:40PM NOTE: PLACE BURIED FACIL. AT 30° DEPTH / � RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *R2I.I METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *RI9.5 ' / ® BellSouth Telecommunications PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES Exchange: 602 NE 96TH ST MIAMI Designer: Monuel Docurro Phone: 305 - 222 -0942 Authorization: 5MP05142N Ng. 2 of 3 10/21/2005 10: 19: 21 AM z m 0) VIqVI SHORES PERMIT S<ETCH KEY MAP PROPOSED 2-4' PVC, 2 -2' PVC-FOR PWR J SEE DETAI L ON DWGS 2 -3 ECEOVED <LO: - 8i 4 8 HOURS BEFORE YOU DIG CALL SUNSHINE 1 -800- 432 -4770 IT' THE LAM IN FLORIDA CONTACT: TERRI TICKET No.tsl: 293505728 DATE /TIME: 10/20/05 03:40PM RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS #R2I.I METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS 18 RI9.5 PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES Exchange: Designer: Phone: ® BellSouth Telecommunications 602 NE 96TH ST MIAMI Manuel Docurro 305 - 222 -0942 Authorization: 5MP05142N Dwg. 1 of 3 10/21/2005 10: 19: 13 AM vIgNI SHOR C BST EASEMENT -S PERMIT KEY MAP NE 96TH ST MI AMI SHORES PRESBYTERI AN CHURCH PROPOSED 2 -4' PVC. 2-2' PVC-FOR PMR S FETCH SEE DETAI L ON DWGS 2 -3 �NIS MUST BE GN JOB AT TIME Of INSPECTION /1 / 48 HOURS BEFORE YOU DI CALL SUNSHINE 1- 800 - 432 -4770 I T' S THE LAM I N FLORI DA CONTACT: TERRI TICKET No.Ish 293505728 DATE /TIME: 10/20/05 03:40PM RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS #R2I.I METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *RI9.5 PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES Exchange: Phone: @BellSouth Telecommunications 602 NE 96TH ST MIAMI Designer: Manuel Docurro 305 - 222 -0942 Authorization: 5MP05142N Dwg. 1 of 3 10/21/2005 10: 19: 13 AM vIQvI SHORES PERMIT S EOP R/W GRASS _ 5' SDWK GRASS BST 1 0'X10' EASEMENT NE 96TH ST <I- TCH 5' STRI P BST EASEMENT FUTURE BST CABI NET SEE DWG 2 PROPOSED STREET 2 -4' PVC, LIGHT / 2-2' PVC ( PROP 2- 90' , 6' R PC 4' C BENDS & 2 -90° , 6' R PC 2' C BENDS CONC ENCASE MEDI AN RES CHURCH 8' tc TOP 00 00 N 01 3 O N 4 8 HOURS BEFORE YOU DIG CALL SUNSHINE 1- 800 - 432 -4770 IT'S THE LAW IN FLORI CONTACT: TERRI TICKET No.(s): 293505728 DATE /TIME• 10/20/05 03:40PM NOTE: PLACE BURIED FACIL. AT 30" DEPTH /1 RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *R21.I METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *RI9.5 Designer: Exchange: PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES Phone: ® BellSouth Telecommunications 602 NE 96TH ST MIAMI 305 - 222 -0942 Authorization: 5MP05142N Monuel Docurro Dwg. 3 of 3 10/21/2005 10: 19: 21 AM