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ELECTRICALBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑ PERMIT N9 14966 ❑ ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bl. Description Address of Building MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ DATE ` s 195 Contractor's License No Amt. 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 application 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 responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Signed• BY 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, servant or employee. BY AUTHORITY Permit No Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT F64 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 Robert Burton No Street Registered Architect and /or Engineer Employing Electrician's Name Lewis 0 Wagner Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 879. D1 E 97th St Street State work to be performed and purpose of building (By Floors) wires residence New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders # .... Conduit 3..* "Main Sw Amps .Main Fuses Amps Underground Type of Installation — Conduit X Tubing X B.X.L Metal Moulding MIAMI SHORES VILLAGE (Signed) N 9930 Date Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of 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 subcontractors, oy work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. (Signed) o Mas Electrician. Before me, the undersigned autho ' , n ry 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. July 14J53 Street Central Blvd My Commission Expires Notary Public, State of Florida NOTE: Jt re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials aa$' /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 12 12 25_ 2 1 1 1 / 60 2 .so CHECK /c* /6 0. F7 C 7r ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. / 1 o 1 / 1 A i P f CHECK Permit No Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT F64 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 Robert Burton No Street Registered Architect and /or Engineer Employing Electrician's Name Lewis 0 Wagner Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 879. D1 E 97th St Street State work to be performed and purpose of building (By Floors) wires residence New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders # .... Conduit 3..* "Main Sw Amps .Main Fuses Amps Underground Type of Installation — Conduit X Tubing X B.X.L Metal Moulding MIAMI SHORES VILLAGE (Signed) N 9930 Date Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of 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 subcontractors, oy work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, 1 COUNTY OF DADE. I ss. (Signed) o Mas Electrician. Before me, the undersigned autho ' , n ry 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. July 14J53 Street Central Blvd My Commission Expires Notary Public, State of Florida NOTE: Jt re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials aa$' /or workmanship. PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO REETAIN COPY) 3Q 6 / 44264-061 Date — / I F 7 4/ ! 7 6 1 43.2.Q. _J (o 7/ Job Address � Tax Folio I Legal Description 41,7 7 ,2 02 '3 L 7 3 Master Permit # 414 Owner / Lessee / Tenant Owner's Address $ ? 9 A 4 < 7 $ 7 Phone 7 .$- /1 / 3 Contracting co.,2507/ , /�' G / C-®7,/ Address 43 t /4/ 6 .5" /9- /1/ Qualifier 4/t a- i 701 2 Phone 6 / 0 9 �/ State# D oo ° l j 52 Competency# l O 81 Ins. Co. Architect /Engineer 4 Bonding Company Mortgagor ./Y7 Signature of Owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: * . * * * * * PERMIT FEE: APPROVED: Zoning Mechanical Fire Building Address Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION l'P ! r •' e jei 11-i ma 2 8 �- fe ' %f pot%/ /`'a. 7 / 5" , o /L P � ) 514/e/e e5 1 Square Ft. 5 Estimated Cost 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 AN 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 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. Signatur-' of Contractor or Date: N ary / as to Contractor o Owper - Builder Commission Expires: /{//0 Other Electrical Plumbing Engineering R -DA c5r - Builder PERMIT APPLICATION FOR'MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date O4atet Job Address eijn °l \,P Tax Folio —3 \�� e �PM ' Legal Description. !x7' 1(14c7U 13 / .7 .d',0,,,7 Master Permit # r•; . gig? liato / Lessee / Tenant Owner's Address Contracting Co.,, Fjt vr�A'i , , Address Qualifier Staten t C(ril.., (3 4, � Architect /Engineer Bonding Company Mortgagor Address Address Address Permit Type (circle one): BUILDING ECTRIC , PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Square Ft. � Estimated Cost ?1 k � 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 AN 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 ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S will be Signat Date: AFFIDAVIT: I certify that all the foregoing information is accurate and that all work done in compliance with all applicable laws regulating construction and zoning. 0000000 ore, I authorize the above -n 4�° 3 / ta„ctor to do the work stated. A HOC �\Po 0 0 0 0 (� / � / D �p oo �O 0 o V o 0 0 0 0 and /or Condo "re& id!" ' ' ° '' . S igna '`1Jot y Public Staff r <! A''' ' oDate r 4 Notary as to finer and My Commission Expires: * . * ets n ci u ^^ 2 Competency# � � \"� "� � Ins. Co._ r ��' zd , t = :- .4.Thru Regency fIth r Condo Prs tary as to Contr � - 00 00Y0 00 60 ° My Commission Expi * * * * * * PERMIT FEE: APPROVED: Fire Zoning Building Mechanical Plumbing Phone '1 -. p a '1 LoQi ©o INC .1;_. e_4-Nw . - ° ) Phone 9 wa„.„ IMEDED Other actor or Ow'n `'r ;g uilder res: 101741 qlkflic:MoTr%V N.CnOtt -- * MY COf`ll' ICf� eXP $ ;'SoS' lectrical 0 1 S Engineering Date ,94 /J Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address NE 97 � r3 1o�k Owner / Lessee / Tenant + 7 Arn.SL Owners Address? 7 60 97 SP Contracting Co. Ke ceceiri Qualifier b 4i7Q Phone e 7 C - 7 6 O 1 ' 1 ssion Expires: * * * * * * ** Fire Other PWWWWARTAer MY COMM. EXP. 9/9/96 CC226880 • BONDED Contractor or Owner- Builfier Engineering Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address ? 7 f 4/6' 1 7,57 Tax Folio Legal Description Owner/Lessee / Tenant �/ y q /9, 4S /) Owner's Address 8 79 428 8 9 75/ ,° i. / c � (4'6 5 Phone 1 § 0,0 7,03/ Contractin Co. A./ ���G�7 '/ G ��G- Address /1/6.V /We) 7f Qualifier /4/170 ofl e /Phone 0257 9O — 90 '2-- State# oa J..3 Municipal #, � .,3y07aclV Competenc ig/�Qp Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / Square Ft. Estimated Cost (value) a , `•f owner and/or Condo i'reside t Date Notary as to Owner My Commission Expires: ME SA C ft's :JMbuSSIoN A8 '-')Maiirs. 26s 2oc: FEES: PERM 'R± : ' �.,: &RADON do President la al "g Notary as to Contractor My Commission Expires: Si C.C.F.9 • O O NOTARY •- APPROVED: Zoning Mechanical Plumbing Building Historically Designated: Yes No Master Permit # (../745 9 9V) 9614.3 14.3 Electric 70P --" 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 AN 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 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. ture o Contractor or Owner- Builder TOTAL DUE /a2/:4 Date r -Boil TERESA CEJAS . -. MY COMMISSION 0 CC 835275 EXPIRES: Aug 16, 2003 "aRy fig Notary SoMoe & Bonding Co. • Engineering s Date: ATTENTION: BUILDING OFFICIAL I, the property described as: ADDRESS: c °I 7 1ii4 - aeV a Pt o SRa12.a LEGAL DESCRIPTION: Ve,.., o ao II /3206/ ory / Z 1)4.0 H44. F o P to Bz.o c le7 3 th 4 SH andS Sec -r, a+I Z P44-r look I o P4 &a 37 ! authorize k�° obtain a building permit for the following work. S A I m ®P' SEcv,2 t s STATE OF FLORIDA COUNTY OF DADE Before me personally appeared W, 0, being duly sworn upon oath says that t e statements set Subscribe and sworn to before me this 1 2- day of NOT RY PUBLIC FOR I z- �, JOY PENN :' 1*1 Notary Public, State of Florida MY COMM. EXP. 9/9/96 N° u;;, CC226680 - BONDED ���� c OWNER'S AFFIDAVIT H. eY ,e1) tCCV/' . (Lot - Block - Subdivision) 61.164/kr-RAJ certify that I am the owner of as my agent to E ch ?Zoo who by me th abov , are true and correct., 19 gz, COUNTY, STATE OF . Inspection Number: INSP -5520 Inspection Date: 01/24/2006 Inspector: Devaney, Michael Owner: Job Address: Project: <NONE> Contractor: MERRY, JAMES AND JENNIFER 879 97 Street NE Miami Shores Village, FL 33138- ADT SECURITY SERVICES, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -1 -06-65 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060142640 Lot: Phone: 305 -628 -7434 Passed Correction 'eded Failed .pection 'tee `ctiens can be scheduled until 'aid. spector Comments Page 2 of 2 Mond ay, January 23, Zoos Miami Shores Village 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING U�t _ " Jc PERMIT APPLICATION 1 , FBC 2001 Tenant/Lessee Name Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition ['Alteration Describe Work: // /9 rpj S x5 f4 P` Code Enforcement $ Total Fee Now Due $ 1 [ - (Continued on opposite side) Building Department Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) "Ti/4--P) 4 '1 r 14e r r Phone # Owner's Address > ' 77 i(' q - 9 5 L City /'11 RM S461r S State P1 Zip 33 1 3 90/ Structural Plan Review. $ Master Permit No. Phone # Permit No. f-d 1 _0 0-) Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address 77 4 - 7 • B L d 0 -ti-g7 City "i r AM • State rL. zip _ }11‘‘ _ . Qualifier ,$`rime_ / C/>4 State Certificate or Registration N CN` VI Certificate of Competency No. Phone # Square Footage Of Work: ['New ❑ Repair/Replace ?3t/q e-7/// c 2 ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $� � ma''©■ 4'e..? CCF $) . CO /CC Notary $ Training/Education Fee $ 0 . 40 Technology Fee $ Z Scanning $ J' ` CO Radon $ Zoning Bond $ 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: 1 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 issue, e absence of such posted notice, the Signature ,I.enn 1 c-e-N,-- (Y1-e c, inspection will not be approved and a reinspection fee will be charged. r ilA I W A I I I Signs . - a :12-1 C c c-' Contractor g instrum •t was acknowledged before me this ( A day of who is NOTARY PUBLIC: Sign: Print: My Commission Expires: chc 05/13/03 Owner 2 Agent nst u en acknowledged before me thi 20 /9 b by ersonally known to me or who has produced As identification and who did take an oath. APPLICATION APPROVED BY:? r a The forego day of who is p rsonally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: !et:: off !Orge II m niss!on 0D434335 s: /2 0043433`5 My Co �I7.f12007 ski * * * * * * * * # # * * *Ii4 44; * *.*14 fir #� * ? * # _�c�c��I 4 ************************** * * * * * * *** * * * * * * * * * * * * * * * * * * * * *- * * * * ** 4? - ®4/ Plans Examiner Engineer Zoning FIRE STANDPIPE .ADDENDUM TO BUILDING PERMIT APPLICATION 4, AN A£PLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER. PERMIT HAS E. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUESEQU= APPLICATIONS.) PLUMBING POOL PIPING LAWN SPRINKLER SYSTEK. GAS RANEE METER SET (GDS) GA PIPIN ELECTRICAL MECHANICAL ITEM UNIT SWITCH OUTLETS FEE ITEM SPACE HEATERS UNIT FEE TEM ATH TU3 UNIT FEE IDET LIGHT OUTLETS CENTRAL HEATING ISHWASHER ISAOSAL I RINKING FOUNTAIN LOOK DRAIN RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/MTER CHANGE A/C (WIND) A/C (CENTRAL) DUCT WORK REFRIGERATION CREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS OVEN ABOVE GROUND TANKS .AVATORY TRAY 1 WATER HEATER U.F. PRESSURE VESSELS .AUNDRY ;LOTHES WASHER MOTORS C- 1 If STEAM BOILERS MOTORS OVER 1- 3 I-P I$3T WATER BOILERS ;HOWER MOTORS OVER 3- 5 HP MECHANICAL VENTILATION ;INK, POT /3 COMP. SINK, RESIDENCE MOTORS OVER 5- 8 Hp TRANSPORTING ASSEMLIES I ;INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEM URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES I I A/C WINDOW I I REI,NSPECTJON WATER SUPPLY T0: 1 AIR CONDITIONERS I I A/C UNIT 1 STRIP HEATER I I i FIRE SPRINKLER GENERATORS TRANSFORMERS 1 HEATER -NEW INST. I I GENERATORS I HEATER - REPLACE I 1 GENERATORS TRANSFORMERS I I LAWN SPRINKLER -WELL I SPECIAL PURPOSE I SWIMdING POOL OUTLETS COWERCIAL I I WATER SERVICE SIGN TUBES SEWER CONNECTIONS • SIGN TRANSFORMERS UTILITY -SEWER 1 SIGN TIME CLOCK UTILITY -WATER 1 FIXTURES SEPTIC TAW I ANTENNA RELAY 1 TELEVISION OUTLETS 1 DRAINFIELD, 4' TILE/RES. VIOLATION PUMP S ABANDON SEPTIC TANK REINSPECTION I I SOAKAGE PIT CU. FT. mgrrin . 6 I I CATCH BASIN - DISCHARGE WELL I I I DOMESTIC WELL I I AREA DRAIN i 1 ROOF INLET I SOLAR WATER HEATER, I ! FIRE STANDPIPE .ADDENDUM TO BUILDING PERMIT APPLICATION 4, AN A£PLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER. PERMIT HAS E. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUESEQU= APPLICATIONS.) PLUMBING POOL PIPING LAWN SPRINKLER SYSTEK. GAS RANEE METER SET (GDS) GA PIPIN ELECTRICAL MECHANICAL Issue Date: 1/12/2006 Expires: 01/09/2007 Owner's Name: JAMES AND JENNIFER MERRY Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 879 97 Street NE Comments: ALARM SYSTEM Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Contractor(s) Phone ADT SECURITY SERVICES, INC 305 - 628 -7434 Primary Contractor Yes Type of Work: ALARM Additional Info: Classification: Residential 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: Total Square Feet: Total Valuation: Required Inspections Permit Status: APPROVED Permit Number: EL- 1 -06 -65 Phone: 1132060142640 Lot: PB: 0 $ 1,400.00 Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.48 $100.00 $3.00 $2.50 $107.18 Invoice Number EL - 1 - 06 - 23420 Total: rim 1 3 PAID c -J Z7/ 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. Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fite :ida, 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. Alb R p N (� Owner's Name and Address. . - n . ar No E , �"I street ....�,,...C.1...5-ire t Registered Architect and /or Engineer r 1 I - ��,'' II ^^ `` Employing Electriciaii's Name.. \ann \ .� C.YICP �... CPA Y. 1L.. No. 6 : Street...IW . 1 p.6...4Y.ee ... Location and Legal Description Lot p Block S Street and Number where work is to be performed— No....C.J • - 1 Street. ..f F..,.•. State work to be performed and purpose of building (By Floors) New Building Remodeling Additiun Repairs Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit S 1 (1 APPt LII ATI®N FOR ELECTRICAL PERMIT 88. My Commission Expires fAMI SH 'RES VILLAGE (ELECTRICAL INSPECTION DEPARTMENT (Signed) / f (Signed). Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of 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 subcontractors 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. dituata_ Date "k ) IE35 Notary Public, State of Florida No. of Stories Master Electrician. STATE OF FLORIDA, } COUNTY OP 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. NOTE: A re-inspection fee of 51.00 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•8 FIXTURES NO. LAMPS RERRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIDT CHQCR m ENT. SW. DIET. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.t HP MOTORS 141 HP NEON Qs.- TRANS. TAise /UUIw RADIO TW TOTAL CONTR. L16T ACC CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fite :ida, 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. Alb R p N (� Owner's Name and Address. . - n . ar No E , �"I street ....�,,...C.1...5-ire t Registered Architect and /or Engineer r 1 I - ��,'' II ^^ `` Employing Electriciaii's Name.. \ann \ .� C.YICP �... CPA Y. 1L.. No. 6 : Street...IW . 1 p.6...4Y.ee ... Location and Legal Description Lot p Block S Street and Number where work is to be performed— No....C.J • - 1 Street. ..f F..,.•. State work to be performed and purpose of building (By Floors) New Building Remodeling Additiun Repairs Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses . Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit S 1 (1 APPt LII ATI®N FOR ELECTRICAL PERMIT 88. My Commission Expires fAMI SH 'RES VILLAGE (ELECTRICAL INSPECTION DEPARTMENT (Signed) / f (Signed). Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of 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 subcontractors 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. dituata_ Date "k ) IE35 Notary Public, State of Florida No. of Stories Master Electrician. STATE OF FLORIDA, } COUNTY OP 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. NOTE: A re-inspection fee of 51.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship.