EL-04-340Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
190 98 Street 1131010260010
Miami Shores, FL 33138- Block: Lot:
Contractor(s)
Phone
ADT SECURITY SERVICES, INC (786)331 -3967
CeII Phone
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Expiration: 1 2/09/2009
Owner Information Address Phone Cell
Valuation:
Total Sq Feet:
Type of Work:
Additional Info:
Classification: Residential
Fees Due
Expired Permit Renewal Fee
Total:
Amount
$100.00
$100.00
Invoice #
EL-6-09 -35047
Check #: 2068
Total Amt Paid Amt Due
$ 100.00 $ 100.00 $ 0.00
Applicant
MARIA AMELIA RAVELO
$ 1,000.
0
For Inspections please call:
(305)762-4949
Available Inspections:
MARIA AMELIA RAVELO 190 NW 98 ST (305)756 -4299
MIAMI SHORES FL 33150 -1739
Inspection Type:
Underground Rough
Final
Meter Box
Alteration
W. W.
Relocation
Fire Alarm
Service Change
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.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
June 10, 2009
June 10, 2009
Date
1
(Aqtcsk �.
NAPA far..
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple `� T{ Is
Owner's Address l C ID I l s tS [•
City (g-y" S1rNon.e-S State Fi
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 3 �J ► 3 8
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name ' b 1 . e Phone #
ls� 'b Q
City //
Y ( tM a ) hG.l� State ` Zip 3 364
ContractAr's Address cp
Value of Work For this Permit $
Qualifier Name -eo Ac i , € iii Phone # 95 q().- 2 3 75 State Certificate or Registration No.64 h p / 1 2 j Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable)
Type of Work: ❑Addition ['Alteration
Describe Work: RP L oj
New
******* * * * *x * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * *xxxxx * * * * * * * *'x * * *dc * * * **
Submittal Fee $ Permit Fee $
Notary $ Training /Education Fee $
Scanning $ Radon $
Structural Review. $
Miami Shores Village 7 t - g 6
� cot,
Building Department ms 1Qek.L.)
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Master Permit No.
Phone #
Zip_ (38
Phone #
Square / Linear Footage Of Work:
DPBR $
Bond $ Code Enforcement $ Double Fee $
Permit No. eL 0200 / - 3
?s4- 9i 2 3?
❑ Repair /Replace ❑ Demolition
F $ CO /CC
Technology Fee $
Zoning $
Total Fee Now Due $
See Reverse 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: 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 issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,20_,by , day of ,20,by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
xxxxxxxxxxxxxxxxxxxxx xx war xxxxxx xxxxxxxxxxxxxx xxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxicxxxx
APPLICATION APPROVED BY:
(Revised 02/08/06)
Plans Examiner
IAl. ' 'r e Engineer
Zoning