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EL-08-1600BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 1o050 N.E.2nd Avenue, Miami Shores, Florida 33138 T , ` ;� ;._ ;� 56.8972 600Z 130 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) P\Npg. A SI N (3rGV_- Phone # 309 in Owner's Address \ 3 NC 10 ST ST City Miglrni slimes State LC) -lt)PE Zip Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) \ 3 NC 1,01V St. City Miami Shores Village County MiamPD'ade Zip 3 t 3 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Pity WOli LE ccCUR IT`I" L,LG Phone # ( 6 - 71 - 1 y 6" - 123 Contractor's Address 12- i S Sg NbN1 1.1. Rds �� Cit O1acM State UTG -1 Zip Qualifier Name ) 01 C i< OL 1 V . Phone # 3S2 ' 53 ( 8 ° 09 9 State Certificate or Registration No. E G 13005329 Certificate of Competency No. E -MAIL: azpli nnaJecuility Corn Architect/Engineer's Name (if applicable) Value of Work For this Permit $ q > 00 Type of Work: DAddition DAlteration Describe Work: IN ST CI L L A 1 tolv 0 P LOW Square / Linear Footage Of Work: Training/Education Fee $ Technology Fee $ Permit No. E L 8 0v aster Permit No. 0 (ireC‘ Pe f-e - e-- Phone # ❑ Repair/Replace ❑ Demolition E F U R(7 Pt Rm S`CST ******** * * * * ** * ** * * ** * ***** ** ** * ** * * *** Fees******** * * ** * * * ** *** * *,* **** * * * * *** * * *, *** *,r* vd CCF $ CO /CC Permit Fee $ ' - Submittal Fee $ Notary $ DPBR $ Zoning $ Radon $ Scanning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side � -' 'LA SC c-olL L 'PINNa1GLE 0 B01 WHEN J11- 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. 1 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. 1 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 m LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit lvith 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. absence of such posted notice, the inspection will not be ap #roved and a reinspection fee will be charged. ji Signature Signature • .. Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of D C - 1 - - - ,200C1,by , day of 3e Ay , 20 CPI,by Tack H' ®LIUCV, who is personall known to me or who has produ t.C1 ' fol..- who is personally known to me or who has produced ,�,r. as identification and who did take an oath. Sign: Print: NOTARY PUBLIC: My Commission Expires: �' (Revised 02/08/06) ..S 5 31 As identification and wlto did take an oath. n *'' 1 B % APPLICATION APPROVED BY: NOTARY PUBLIC: CA � Ns. Sign: \, der ma do7 cb - 4 `;" ``�, � Print: A rl (� C i(1 S & 1 � ��019 or l 2O O ° 2 M Commission Ex fires: g toco., ��� �9 My P vo a " a° Notary Public State of Florida * *fatten MkSrisalli o My Commission DD529964 , Expires 05114/2010 i Plans Examiner Engineer Zoning Project Address 113 101 Street Miami Shores, FL 33138- 1132060131910 Block: Lot: DANIEL AND CARLOS DOWER Owner information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Contractor(s) PINNACLE SECURITY LLC Phone Cell Phone (801)437 -1020 (352)538 -0496 Fees Due CCF Education Surcharge Expired Permit Renewal Fee Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.80 $0.20 $100.00 $5.00 $100.00 $3.00 $2.50 $211.30 Building Department Copy Address Parcel Number Authorized Signature: Owner / Applicant / Contractor / Agent 1600 ntial affil Expiration: 0/10112999 Phone Type of Work: BURGLAR ALARM Additional Info: Classification: Residential Invoice it EL -10-09 -36192 EL -9-08 -32901 Check #: 980 Total Amt Paid Amt Due $ 100.00 $ 100.00 $ 0.00 $ 111.30 $ 111.30 $ 0.00 Applicant Cell JORGE ARDURA 113 NE 101 ST MIAMI SHORES FL 33138 -2320 Valuation: Total Sq Feet: $ 1,000.00 0 Date For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: 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: 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. Futhermore, I authorize the above -named contractor to do the work stated. October 20, 2009 October 20, 2009 1 Project Address JORGE ARDURA Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $100.00 $3.00 $2.50 $111.30 Building Department Copy Monday, September 22, 2008 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Expiration: 03/2112009 Parcel Number Applicant 113 NE 101 Street 1132060131910 Miami Shores Village, FL 33138- Block: Lot: Contractor(s) PINNACLE SECURITY LLC Phone CeII Phone (801)437 -1020 (352)538 -0496 Authorized Signature : Owner / Applicant / Contractor / Agent Valuation: Total Sq Feet: Type of Work: BURGLAR ALARM Additional Info: Classification: Residential Total $ 0.00 $ 0.00 Payment Type : Amt Paid I Amt Due Net ov $ 0.00 PAIL DANIEL AND CARLOS DOWER Owner Information Address Phone Cell 113 NE 101 ST MIAMI SHORES FL 33138 -2320 $ 1,000.00 0 Available Inspections: Inspection Type : 1 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 . September 22, 2008 Date 1 cl\u\uE kvig �ulltu� ookei Q 7 sipata m4 rz BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titlehholder) vlt\r . Owner's Address ! l )JE 1 J ( City 101(0 gibleS Vi kilt State F[ Tenant /Lessee Name E -MAIL: Job Address (where the work is being done) WLh CdzVe, City Miami Shores Village FOLIO / PARCEL # Contractor's Company Namailifide, ScnrtTY /J_C. 11 rJ ddrlf / Ail Contractor's Address City 04 State_ Qualifier Name Filtic ()Oaf State Certificate or Registration No. a/1033 3 "l E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ /1.00 Type of Work: ['Addition ['Alteration Describe Work: fA lw alavv Notary $ 5 Scanning $ 3.65 Bond $ Code Enforcement $ Miami Golan v 71 to ar ami Shores Village ' t.�31- u P T Building Department t26.1.7,51'...oiqi, 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ECENNE y SEP 0 3 2008 __Va9 County Miami -Dade Is Building Historically Designated YES NO 1/ Training /Education Fee $ Radon $ DPBR $ Zip 33 /3 D Double Fee $ Permit No. Master Permit No. Phone # )05 -4111 Phone # Phone # Phone # Zip Zip r4d ,5 Phone # Certificate of Competency No. Square / Linear Footage Of Work: EL oft- Iwo ❑ Repair /Replace ❑ Demolition 'xxz sYxxxxxxaYaY xnY xx Fees * *trzxz'r*wwa xxxx' r' 4xx'°' cxz 'c'cika°zxxz'Y'c*'4'B******* Submittal Fee $ Permit Fee $ / ®®` ®® CCF $ 4,0 cotcc Technology Fee $ Zoning $ Structural Review. $ Total Fee Now Due $ N. 36) See Reverse side -> Bonding Company's Name (if applicable) Bonding Company's Address T City State %U Mortgage Lender's Name (if applicable)i Mortgage Lender's Address YON ` e / • City State 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ap roved and a reinspection fee will be charged. rs !ssa Y the absence of such poste�otice, t The for o , instrument as acknowledged be day of , 2000, by who s personally known to me or who has produced NO TA Y PUBLIC: Sign: Print: My Commission Expires: Owner or Agent expires r �; ***** �-. — — a: x�Y ie iax9cxa4 ak do aY'x �c �YxxxaYxxxuxx�xxxxxxotux$exx W S � .c x xxx>c4c &u:cxoYxxx�Y aYfcarxxde &xxzxxxat icxr d is icx zcxxSFR g,0 APPLICATION APPROVED BY: (Revised 02/08/06) s identification and who did take an o Signal Signatur Contractor The fo(The foregoing instrument was acknowledged before me this day of jday of 200a by ct C l� who islwho is personally known to me or who has produced as identification and who did take an oath. ett> NOTARY PUBLIC: 46 " Print: . ',', ,E ' My Comm! Plans Examiner Engineer Zoning