165 NE 98 St (10)R" \
-J
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
Permit Type (circle): Building Electric Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) - et 1 / (' f) Phone # 7 ) -/ z cti
Owner's Address (G nI [ Gj
City h\*) { " F S State f Zip 3313 S
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 1 PJ C
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO
Contractor's Company Name j}11, LL h) (k u l U1 (✓?
Contractor's Address 3 pi 1� '
City "T is -, yU State f
Qualifier 1 �(� i i 3
$ Value of Work For this Permit
Education/Training Fee $ , o D
Permit No -L L 2 X3--31 -
Master Permit No. ! 90 3- 18
Zip
Phone# - C- , 41CJ - // /
Zip -5.312 L
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Architect/Engineer's Name (if applicable) Phone #
Architect/Engineer's Address
City State Zip
Square Footage Of Work:
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ❑Addition ['Alteration 1=1New ❑ Repair/Replace ❑ Demolition
Describe Work: /t r - L c
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
County Escrow Fee $ 5Z ' OO t cM5 -3 Permit Fee $ 740 / Notary $
Tech $3 , Scanning $ Radon $
Code Enforcement $ Bond $ Struct. $
Minus Plans Check Fee $ Total Fee Now Due $ /0 (t "-S ( (Continued on opposite side)
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 Signature
who is personally known to me or who has produced who is
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
Chc7/7 /03
NOTARY PUBLIC:
7.,4&
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this / 7
day of , 20 _, by , day of , 20 by
ersonally kno
Sign:
Print:
My Commission Expires:
e or who ha roduced
as identification a I • o did take an oath.
SHERMAN
of Flay lop
Comm. No. DD 1824w;
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. E C 0 0 6 1 S / . Certificate of Competency No.
LUG'a' `` Plans Examiner
Engineer
Zoning
Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2003 -372
Printed: 12 /22/2003
Applicant: GILBERTO
Owner: MEJIA
JOB ADDRESS: 165 NE 98
MEJIA
GILBERTO
ST
Contractor SHINE MAINTENANCE ELECTRICAL Contractor's Address: 7323 NW 8 ST
Local Phone:
Parcel # 1132060132330
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 23 & E1/2 LOT 22 BLK 17 LOT SIZE
Fees: Description Amount
FEE2003 -8509 Building Fee $150.00
FEE2003 -8510 CCF $0.60
FEE2003 -8511 Training and Education Fee $0.20
FEE2003 -8512 Technology Fee $3.75
Total Fees: $154.55
Total Fees: $116.o5
Total Receipts: $0.00
.--cZy t o ki,r-sJ
Permit Status: APPROVED Permit Expiration: 6/1/2004 Construction Value: $600.00
Work: ELECTRICAL FOR NEW SWIMMING POOL
Signed: (INSPECTOR)
Page 1 of 1
DEC 2 3 PAID
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:
by
for °
MIAMI SH S VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERT}FIAS THAT the wiring and apparatus installed at
PERMIT
No.
/fr / =
Address
owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
f
Size of Service F- e .4~, Number of Lighting Circuits
Range .t » y ; = b - �r r 4 - watts. Water Heater watts
Power: Connected load H. P. Space Heaters P' ` • _ watts
Other Apparatus X
ELECTRICAL INSPECTOR.
OUTLETS
MOTORS
RECEPTACLES
INSULATION
STOVES
WATER H'TERB
SIGNS
BILLBOARDS
OTHER APPARATUS
MAIN
SUB
BRANCH
Basement
I 1
/ 1 /
( C
First
1
FLOOR
NUMBER OF
SIZES OF
INSULATION
OPEN OR
CONCEAL'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
1
Second
Third
Fourth
Other
Floors
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for issuance of permit for electrical installation as described below, and for
inspection of sane after installationx -�-
�,. � i Y
Owner
Building Contractor
Electrical Contractor
Location of proposed work: Lot % ? 2 z ' Block
Building: Old or new / •
Description of proposed work
Details of proposed work:
Number of Motors
l � ( '� ,
Additional Information �! a, f '
Signature of Applicant
r
H P Volts
Address (if other than owner or contractor)
efboresllage
A 1 D A
/.
Date
11
Number of stories / Used as
Amps
(SPACE BELOW FOR INSPECTOR'S USE 0
Address
/
T7' ' t • y
/7,C3
' t"
193
Subdivision ,,/7/7/r:
Phase
i ed
Work begun Inspected!/
Work finished Final inspection 1' {
Inspector
a.
NO.
Motors
Receptacles
STREET
PART OF LOT
LOT
BL'K
r° liz s'' F D`!`o
SUBDIVISION
I ..L ..er
P
t
' i
7 e 5 1
3 , i
•
1 7
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
(� _
f,
•
z
1 -� --
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Build r r /-.0 rL ' k) t f . 4
Contractor or Electrician TO r f E o
1
Shores Village.
Dated
, 19
aiami tfhores9' llage
F L O R ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla ,
NUMBER OF
LO CATI ON
DESCRIPTION OF WORK
19 e
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the,,plans and specifications unaut d by
this Department.
ectricalIns
tor.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformit' with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance wit all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, gla all rul0ed reoctrical Department of Miami
(Seal)
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building Miami Shores Village, Fla , 19
Contractor or Electrician
NO.
1
t .J
Outlets
Motors
Receptacles
STREET
Generators
Stoves
eiami fhoresc llage
F L O A ID A
OFFICE OF ELECTRICAL DEPARTMENT
PART OF LOT
Water Heaters
NUMBER OF
LO CATI 0 N
Signs
LOT
BL'K
DESCRIPTION OF WORK
Billboards
Other Apparatus
SUBDIVISION
Permit Fee
f
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
this Department.
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
he Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of th
state of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miar
' hores Village.
Dated , 19
NO.
,, ,„.,/ STREET t
PART OF LOT
LOT
BL'K
Water Heaters
SUBD
' S ,r
Other Apparatus
f. , f x
P ` �
;mo
L.r
!
f
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
.120
/f
1
,/,,
•.
le 4s . 7
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building . r•
Contractor or Electrician
Dated
r
41iami cSlioresTllage
F L O R ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , C 19~
LO CATI 0 N
DESCRIPTION OF WORK
NUMBER OF
f
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shoes Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon aiy. change in the plans and specifications unauthorized by
this Department.
N? 446
.4 1, 1 ( .40 4 . ;17'
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
;bores Village.
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
Water Heaters
Signs
SUBDIVISIQN
- -Other Apparatus
1
�
/
f
�, O
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
- -Other Apparatus
Permit Fee
/ fi
ELE
•
N. B. —This Per .e on display on the premises during
the • onstrucgion.
Owner of Building
1
tractor or Electrician
. tL PERMIT
Miami cShores9llage
F L O A ID A
OFFICE OF ELECTRICAk. DEPARTMENT
Miami Shores Village, Fla , 4` _, 19
LO CATI 0 N
N° 476
DESCRIPTION OF WORK
NUMBER OF
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulation, or upon any change in the plans and specifications unauthorized by
this Department.
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Flori4, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village. ' /
f
Dated
19- (Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
d
/
Billboards
Other.Apparatua.. ,
f
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other.Apparatua.. ,
Permit Fee
E
f
'
. � N i c
71,-(41
ELECTRICAL PERMIT
N. B. —This Per r ,t be on display on the' premises during
the Construction. C
—
f
Owner of Building ! /
tractor or Electrician . ' ,,,
Shores Village. /
Dated •' ('" `-' ` -' , 151:
t�diiami cShores9 llage
F 1. 0 A 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , ' 19
LOCATION
DESCRIPTION OF WORK
NUMBER OF
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulation; or upon any change in the plans and specifications unauthorized by
this Department.
•
N° 476
•
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
;. .
/4.4
2/1 vite„ii
-Ile
/7
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
44 f
01 7
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
Owner of Building
Cofactor or Ele ' icia
•
construction.
Dated f '' , 193/
ddliami chores llage
F L O R 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
4e/A')`
Miami Shores Village, Fla ,
DESCRIPTION OF WORK
NUMBER OF
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
this Department.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do f proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rut- and regulations the Electrical Department of Miami
Shores Village.
LO CATI 0 N
1 9
N° 743
, Electrical Inspector.
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
Billboards
Other Apparatus
j
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
r
ELECTRICAL PERMIT
N. B.—This Permit must be on display on the premises during
construction. / i#!
Owner of Building
Contractor or Electrician
Dated 401"-- , 1924
aiami =.ilhorescillage
F L 0 R 1 D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla ,
C " " LO CAT O N
DESCRIPTION OF WORK
NUMBER OF
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
this Department.
N° 743
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rule& and regulations ,pf the Electrical Department of Miami
Shores Village.
(Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIV1 N
Signs
Billboards
Other Apparatus
Permit Fee
z4 y
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
z4 y
j Frj
c :
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Cctor or Electrician ' tr
Shores Village.
Dated , 19
iami =_rhores9' llage
F L O A ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla., <' 19
LO CATI O N
DESCRIPTION OF WORK
NUMBER OF
N° 446
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon friiy change in the plans and specifications unauthorized by
thi epartment.
, Electrical Inspector.
..,
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
(Seal)
RANGE
OUTLET
RANGE
CONN.
WATER
H EATER
W. HEAT.
CONN.
ACE
HATER
STRIP
H EATER
TOTAL
MOTORS
0.1 HP
MOTORS
1.5 HP
N EON
TRANS.
RADIO
TOTAL
Permit No
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 eer. 1/ J, No 165 Street NtFs 98 St,
Registered Architect and /or Engineer
,IrA No 1564 2
Type Insp'n
Name
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPAR
305- 795 -2204
Building Inspection Reque
Date
Correction
Re- Insp'n Fee
Permit No.
me \l o
Address 1 ( 5 N [ c "I 8
GT
: s- Zi (- 5535
Inspection Date 3)1P-
Approved 13
❑
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT J
APPLICATION FOR ELECTRICAL PERMIT
e as owner
Date Rey. ..8..1961
Block Subdivision
Street
tion X Repairs No. of Stories
Sw Amps Main Fuses Amps
X.L Metal Moulding
Electrical Inspector.
certify that he understands and accepts IS obligations as an employer of
$n 5966, Compiled General Laws of F rids Permanent Supplement, and
compliance from all contractors - -or sub paactors employed by him in the
re posted for inspection on tli� site of the work su h public notice or notices
such sub•contractors, on work to be perforrded Under this ,permit, as are
(Signed
Master Electrician.
y authorized to administer oaths and take acknowledgments, personally
h deposes and says that he is the
Foregoing application, and that he did sign the same, and that all facts
Notary Public, State of Florida
re- inspection is made necessary by improper notice for inspection, or faulty