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1135 NE 100 St (5)Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 'Printed: 2/7/2005 Applicant: THOMAS Owner: WENSJOE JOB ADDRESS: 1135 Contractor JES ELECTRIC Local Phone: 305 - 218 - 9492 Parcel # PARC2003 -17 ST NE Legal Description: Signed: (INSPECTOR) Electrical Permit Permit Number: EL2005 -44 WENSJOE THOMAS 100 Permit Status: APPROVED Permit Expiration: 7/30/2005 Construction Value: Work: TV OUTLETS, PHONE AND SPEAKERS -LOW VOLTAGE Signed: (Contractor or Builder) Contractor's Address: 7285 W. 34 LANE BY: $500.00 Page 1 of 1 Fees: FEE2005 -1548 FEE2005 -1549 FEE2005 -1550 FEE2005 -1551 FEE2005 -1552 FEE2005 -1553 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Submittal Fee Total Fees: Amount $100.00 $0.60 $5.00 $0.20. $2.50 ($50.00) $58.30 Total Fees: $58.30 Total Receipts: $0.00 C 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. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/7/2005 Applicant: THOMAS Owner: WENSJOE JOB ADDRESS: 1135 Contractor JES ELECTRIC Local Phone: 305 - 218 - 9492 Parcel # PARC2003 -17 ST NE Legal Description: Signed: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2005 -44 WENSJOE THOMAS 100 Contractor's Address: 7285 W. 34 LANE Permit Status: APPROVED Permit Expiration: 7/30/2005 Construction Value: $500.00 Work: TV OUTLETS, PHONE AND SPEAKERS -LOW VOLTAGE BY: co Page 1 of 1 Fees: FEE2005 -1548 FEE2005 -1549 FEE2005 -1550 FEE2005 -1551 FEE2005 -1552 FEE2005 -1553 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Submittal Fee Total Fees: Amount $100.00 $0.60 $5.00 $0.20 $2.50 ($50.00) $58.30 Total Fees: $58.30 Total Receipts: $0.00 Q 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 pertainin coreto 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. BUILDING APPLICATION` - " FBC 2001 Permit Type (circle): City Contractor's Address City .i, 0 Qualifier Miami Shores Village Building Department 10050 N.E.2ud Avenue, Miami Shores, Florida 33138 Tel: 30p■r5722i14.Eax: (305) 756.8972 • ,115716-67 Job Address (where the work is being done) Building Electrical Owner's Name (Fee Sim le Titleholder) ✓ .4- 4 / .4- 4USice Phone # 3ClS --e 3-- S y ,O City ribtridl'i State Ft, Zip 3,3i q' Tenant/Lessee Name Phone # Miami Shores Village County Miaini -Dade Is Building Historically Designated YES NO (/ Contractor's Company Name '.J t:. S (-75 State State Certificate or Registration No. Certificate of Competency No. _9.9 000 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: Describe Work: Submittal Fe Notary S Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Addition / ❑Alteratiop , ^ LO w V A' - r v C) L` Training/Education Fee $ 9 _ bid / I&S A>1 100 Permit No. Master Permit No. et, i oo �- mbing Mechanical Roofing Zip Phone # (,`.0.5) 1 ( — . 9 Zip 3 v 1 Square Footage Of Work: ❑ Repair/Replace 33/3 ❑ Demolition _A * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * ** / Permit Fee $ /mm CCF $ 0 ' �i V CO /CC 0 . A.5-0 Technology Fee $ Radon $ Zoning Bond $ Structural Plan Review. $ 4 5-pos 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) • 'ys after the building permit is issued. In the absence of such posted notice, the inspection will not • e approved •nd a reinspe 1 % n fee will be charged. Owner Age)//' n istnnnent was ackn‘wl; • ..; d before me this who is sonally known to /L MAW • 1 P ri • r 71W1° The fo lys 1 • • ==.l T' NOTARY S My Commission Expires: Chc 05/13/03 or to has produced identificati ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** APPLICATION APPROVED BY and who did take an oath. Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to ine or who has produced as identification and who did take an oath. NOTARY PUBLIC: P Gi rl. Gonell (,'omnu to 1 Expitemmay 26, 2008 B onded - Two Atlalttl ilifncs n'Expires: & * * * * * * * * * * * * * * * * * * * * * * * * * * ** � * * * * ** ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS QVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 1 'HEATER -NEW INST. GENERATORS TRANSFORMERS i HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS : SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FiXTLRES _. SEPTIC TANK ANTENNA • RELAY TELEVISION .OUTLETS -4 DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECT ION SOAKAGE PIT CU. FT. CATCH BASIN - --_( °-€ DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION ROR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE ,.bWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL • q/ MIAMI SHORES VILLAGE nip BUILDING DE 305 795 -2204 PARTMENT aomZ Building Inspection Request Date � � � <) �.� Jo / e1A fr Type Insp'n L /JLJ P/;#1 y r Permit No. L ? Q'®' 5iy Name e-- eJ - ' 5,> Pd Address f� �� , / 7� / Company J S RL pc Phone # Inspection Date Approved Correction Re- Insp'n Fee ❑ // 7--,4)/ "s � ,�� Z0 a MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Z.5 Type Insp'n t 1fl) ^C fn - Permit No. � °° n� E 104 ov Name u -Q. 0f Address 1 i6 we- 1W s Company 0 (Anal Phone # Inspection Date . Approved Correction ❑- �p ✓�`y�✓` Re- Insp'n Fee ❑ Date Type Insp'n Permit No. Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil . ing Inspection Request Name W€ Address 11 SS 1 W , Company 3es 1eci c31. (wz ❑ 1 9'v �,�a 5 Permit Type (circle): Building Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: 305 795.2 04 Fax: 305) 756.8972 PE E6 ED BUILDING JUL ' �� PERMIT APPLICATI N FBC 2001 .•••••■••, Job Address (where the work is being done) 11 1 CO 54' City Miami Shores Village County Miami -Dade is Building Historically Designated YES NO PE EOVE JUL 005 / Permit No. E - -7 Master Permit No. Bpi? s- 9S4 Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Z{r1Orr)O (AI.JPY)SJC) rr e . Phone # 30S 5 3 -SiCo- Owner's Address Il C) t /v F /15 A City ah f fr"vl State Zip 331 81 Tenant/Lessee Name Phone # zip 3 - 3[,..3& - 1) Contractor's Company Name T. E _ s . & to r 7 Cj Phone # 30, ale' 2 (( 7,4- Contractor's Address 4-Z .9.1 CO Z 4 1— L>u City 4 ( f! , ( t'd 14 State \ 1 -- Zip a 3 0 \ 6 Qualifier . j .0 . %p -c:.--,..1 C.""' State Certificate or Registration No. Z \ 3 00 Z 6 ... Certificate of Competency No. & QUO l Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ❑Addition EAlteration Describe Work: 1 Z Q m P r 1Z -J- * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ / 0" " ef9G CCF $ C7' C= CO /CC Notary $ .b' 00 Training /Education Fee $ CD- 20 Technology Fee $ Z - �J Scanning $ Z• 0° Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) /11. ['New Square Footage Of Work: t ❑ Repair/Replace ❑ Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 20 --/ • wn: o /gent The foregoing ins ment ∎as acknowledged before me this 1 04 by ,f AL/Is sonally• wn to me or who has produced As identification and who did take an oath. NOTARY PU,: ' : NOTARY PUBLI Sign: `� �_ ��� Sign: Print: e Lxp�r�� m e..125 * * * * * * * ** * * * * * * * * * * * * * * * ** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *. * * * * * * * * ** Signat day of who My Com ssion Expires: APPLICATION APPROVED BY: chc 05/13/03 Signatur ,day of who is p ,'I r 9 C`nt` or My Commi Sion Expires: J. 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 , n a r- nsp e will be charged. * * * * * * ** The foregoing ins ment was acknowledged before me this 1 lly known to e o as i ' - fication and who did take an oath. has produced * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Plans Examiner Engineer Zoning Page 1 of day of Notary Public, State of Florida at Large My Commission Expires: %' . 1. vu/ BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138.2382 TELEPHONE (305) 795-2204 • FAX (305) 756-8972 AFFIDAVIT FOR 30 DAY TEMPORARY- ELECTRIC SERVICE (To be executed by Owner and/or Tenant, Building & Electrical Contractor) NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED It is understood that the temporary- electrical approval by the Miami Shores Village, Building & Zoning Department given in connection with the building being constructed under: Building Permit No. Z t - O � S Electrical Permit No. Et OS c"- at address: ‘no /'1(i j S kGres 1 FC' ( 8' for owners: d" �O cam- *e,krs(Cf-C.- is being given only for construction purposes or for testing the following installations being made in said structure: Sub - paragraph 4501.3 (d) (3) of the South Florida Building Code provides for a 30 day maximum approval only in an URGENT NECESSITY for electric current exists. Necessity shall include the use of current for irrigation, security, humidity control, emergency power and lighting, such as for testing or construction purposes, provided the Electrical Contractor and owner do hereby agree to assume the responsibility of maintaining the installation in such a manner that there is no hazard to life and property. Such approval is in no event to be considered a release of said structure for purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and an occupancy permit obtained. The undersigned also understand that the temporary- electric approval is subject to rescission and cancellation, and electric power can be cut off' at the discretion of the Building and Zoning Department and will be disconnected if the building concerned is occupied before final inspections are approved and occupancy permit obtained. , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree Vered in s agreement shall not be occupied until th building contractor has ob • ' a • •ro - • I 1 1. Sworn anti subscribed before me thi Fri .7. •. J 30 DAY TEMPORARY-ELECTRIC SFRVICE (continue) ,-)VL© &3- being first duly sworn, depose and say that I am the Electrical Contractor for the above described property th t the electrical installations as now existing will not create a safety ba7ard if temporary- service is con cted. Sworn and bscri i d before me this .....„ day of Notary Publi' , State of Florida at Large My commission expires: (1/01-k&& L - O 'e, , being first duly sworn, depose and said that I am the Building Contrar of the above described property and that I will not permit occupancy of this building until final division obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy until such final inspections are obtained. Sworn and ubscri d before me this _ day or) I V Notary Public, State of Florida at Large My Commission Expires: SIGNATURE OF ELECTRICAL hiSPECTOR Date: Page 2 of 2 by: ( name) Date.: To: (name) SIGNA CTOR � 0,9; ;ion 2� 1 y Ju 3,2(10 i SI r NAIL .- RY ^P Release to FLORIDA POWER & LIGHT CO. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/18/2005 Applicant: THOMAS Owner: WENSJOE JOB ADDRESS: 1135 Contractor Local Phone: Parcel # PARC2003 -17 ST NE Legal Description: Fees: FEE2005 -9771 FEE2005 -9772 FEE2005 -9773 FEE2005 -9775 FEE2005 -9776 FEE2005 -9777 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $100.00 $0.60 $5.00 $0.20 $2.50 $3.00 $111.30 Total Fees: $111.30 Total Receipts: $0.00 C CC Permit Status: APPROVED Permit Expiration: 1/10/2006 Construction Value: $100.00 Work: TEMP FOR TEST Signed: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2005 -232 WENSJOE THOMAS 100 Contractor's Address: Page 1 of 1 01 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. BY: • MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 O \ Buildi • Inspection Request Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee l ❑ A /7`/fyL a'.s 3'52,D D • MIAMI SHORES VILLAGE ,�►l/ r BUILDING DEPARTMENT ILO 305- 795 -2204 Building Inspection Request Date 8117 S Sy Type Insp'n F� 'G I 21 EL2 T-3ZZ Permit No . /� fin;/ � � /� Name WG1 \ x_ . Address 113.5 NE i CO 34 Company V W 1 l e Phone # Inspection Date Approved Correction Re- Insp'n Fee rff" lB 7J�,iS '4C7es - ,�` Yv !� `( Approved Correction Re- Insp'n Fee SHORES VILL``% . C, jMIAMI BUILDING DEPARTMENT �® 0� 305- 795 -2204 Building Inspection Request Date l Type Insp'n Final Permit No. I_ 103 Name UUPn3 JUe Address 1 IS S !JC W&- Company Phone # 166 41a I q 31( Inspection Date 8/Z5 dit ►l2ffif /lisp 1$jSG. 00 Inspect Date Approved Date Type Insp'n Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING 'DEPARTMENT 305- 795 -2204 Builc]png Inspection Request 0 Permit No. &40.- 0 v a Name Address 3 e- Company Phone # 78 — U u ce `,GK T //7'$ qa tt MIAMI SHORES VILLAGE BUILDING DEPARTMENT �+ 305- 795 -2204 Building Inspection Request Patellas Type Insp'n . nriA 1e._ , w� Permit No. t� Name �er 1l/_ Address �� S N6 l i Company Phone # Inspection Date - 7/2- CO Approved ❑ Correction ✓��f` ms Re- Insp'n Fee ❑ oair x vc ,v ,0 - Miarni Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/18/2003 Applicant: THOMAS Owner: WENSJOE JOB ADDRESS: 10015 Contractor JES ELECTRIC Local Phone: 305 - 218 -9492 Parcel # PARC2003 -17 Legal Description: Signed: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2003 -382 WENSJOE THOMAS BISCAYNE BLVD. Contractor's Address: 7285 W. 34 LANE Page 1 of 1 Fees: FEE2003 -8411 FEE2003 -8412 FEE2003 -8413 FEE2003 -8414 FEE2003 -8415 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $491.00 $7.20 $5.00 $2.40 $12.27 $517.87 Total Fees: $517.87 Total Receipts: $0.00 4 \ 30\ 2, 6 PAID Permit Status: APPROVED Permit Expiration: 6/15/2004 Construction Value: $12,000.00 Work: ELECTRICAL FOR NEW HOUSE 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. BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/24/2005 Applicant: THOMAS Owner: WENSJOE JOB ADDRESS: 1135 Contractor JES ELECTRIC Local Phone: 305 - 218 -9492 Parcel # PARC2003 -17 ST NE Legal Description: Electrical Permit Permit Number: EL2003 -382 WENSJOE THOMAS 100 Contractor's Address: 7285 W. 34 LANE Page 1 of 1 Fees: FEE2003 -8411 FEE2003 -8412 FEE2003 -8413 FEE2003 -8414 FEE2003 -8415 FEE2005 -10456 FEE2005 -11438 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Re- Inspection Fee Re- Inspection Fee Total Fees: Amount $491.00 $7.20 $5.00 $2.40 $12.27 $75.00 $75.00 $667.87 Total Fees: $667.87 Total Receipts: $517.87 Permit Status: RE- INSPECTI *trfillExpiration: 2/14/2006 Construction Value: $12,000.00 Work: ELECTRICAL FOR NEW HOUSE Signed: (INSPECTOR) 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: Tenant/Lessee Name " e /E0 v DE 2003 BUILD PERMIT APPLI AEI i N FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) 1i1 0/1 Owner's Address / O / Th € ji J City 4 /)M State - $ Value of Work For this Permit l�c Type of Work: ❑Addition ['Alteration Describe Work: Miami Shores Village Building Department N.E.2nd Avenue, Miami Shores, Florida 33138 el: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) ( City Miami Shores Village County Miami-Dade Is Building Historically Designated YES . NO ✓ Contractor's Address 4 ��� �� —� �-' L A-/ City /C i State Qualifier t -7 z, 6 SO Notary L. o 0 Training/Education Fee $ o s .' f7 Submittal Fee $ Permit Fee $ ?/' ‘ Permit No. 3 g Master Permit No. 1" n 2b03- q5 Plumbing Mechanical Roofing (;Wr `f ye Phone # gar— f, 7Y 6. f0 zip ,1 ` New Phone # 1 J 1 t1ecr — zip ) ,g9 Contractor's Company Name � � - ��>�� �` a Phone # Zip ,2 &.(5 l63 Architect/Engineer's Name (if applicable) 4 / J'/1 Phone # Square Footage Of Work: &2,r * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ❑ Repair/Replace ❑ Demolition CCF $ "I o� C7 Technology Fee $ I , �1 Bond $ Scanning $ Radon $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 5) ] 1 (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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days ajier the building permit is issued. In the absence of such posted otice, the inspection will not be approved and a reinspection fee will be charged. Signatur Signature Owner or Agent The foregoing instrument was acknowledged before me this The foreg 'ng instrument was acknowledged be day of , 20 _ , by , day of , 20� , b who is personally known to me or who has produced who is personally known to me or who has produced / Z — identification and who did take an oath. As identification and who did take an oath. sip -L;,$• NOTARY PUBLIC: Sign: Print: My Commission Expires: State Certificate or Registration No. APPLICATION APPROVED Chc 10/14/03 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) ore me thi 1 0 . ,a 111. ctor ` ,` °7 My Co ission DD15n04 or n , Ettpires November 15, 200E My Commission Expires: Certificate of Competency No. - %CPlans Examiner Engineer Zoning ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** * * * * * * * * * * * * * ** * * * * * * ** * * * * * * * * * * * * * * * * * * ** [EM ATH TU3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGHT OUTLETS (,0 CENTRAL HEATING 'SMASHER RECEPTACLES 120 A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 1INKING FOUNTAIN SERVICE SIZE IN AMPS L{O l9 ��R J DUCT WORK LOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION ' EASE TRAP APPLIANCE OUTLETS (v PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP 1 , UNDERGROUND TANKS AVATORY OVEN ABOVE GROUND TANKS AUNDRY TRAY WATER HEATER I U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 If STEAM BOILERS HOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS EMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS RIVAL MOTORS OVER 25-100 HP COOLING TOWERS ATER CLOSET MOTORS OVER 100 HP VIOLATION NDIRECT WASTES - A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS 4-To0 2. - A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • I HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES EWER CONNECTIONS SIGN TRANSFORMERS TILITY -SEWER SIGN TIME CLOCK TILITY -WATER FIXTURES EPTIC TANK ANTENNA . ELAY TELEVISION OUTLETS RAINFIELO, 4' TILE/RES. VIOLATION Uhf & ABANDON SEPTIC TANK REINSPECTION _ OAKAGE PIT CU. FT. l ja ATCH BASIN � �� :ISCHARGE WELL OMESTIC WELL REA DRAIN OOF INLET 1 'OLAR WATER HEATER c I IRE STANDPIPE COL PIPING AWN SPRINKLER SYSTEM AS RANGE ETER SET (GAS) AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 < Building Inspection Request A ag E105 (3205-q5q Address I n-5 ' ( C) G Company ()Je1 U `r Phone # >'0‘ L/ 46' Inspection Date Approved Correction Re- Insp'n Fee Date Type Insp'n Permit No. Inspection Date Approved Correction Re- Insp'n Fee 2245 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Oral) C_An Name OUP 1 SiCJC� Address P 1 3S NE, 100 s Compan 0 VU IvG-12 S • e Phone # o -of MIAMI SHORES VILLAGE BUILDING DEPARTMENT 4 305- 795 -2204 \ V Buil ing Inspection Request Date Z �JvcL �A�� Type Insp'n LL Permit No. 1 c: �/� 4 ;3 Name cue' S l Address � 1' J J 161 5-1— Compan ( Phone # Inspection Date 0 "W-7>i Lam' Approved Correction Re- Insp'n Fee ❑ S 4/// e ,027"A. z, 11 (7 G/ , `Vc‘ P.1 1/) Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -73 Printed: 3/12/2004 Applicant: THOMAS WENSJOE Owner: WENSJOE THOMAS JOB ADDRESS: 10015 BISCAYNE BLVD. Contractor JES ELECTRIC Local Phone: 305 - 218 -9492 Parcel # PARC2003 -17 Signed: Legal Description: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Contractor's Address: 7285 W. 34 LANE Page 1 of 1 Fees: FEE2004 -2655 FEE2004 -2669 FEE2004 -2670 FEE2004 -2671 FEE2004 -2672 Description Notary Fee Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $5.00 $100.00 $0.60 $0.20 $2.50 $108.30 Total Fees: Total Receipts: $0:00 Permit Status: APPROVED Permit Expiration: 9/7/2004 Construction Value: $10,200.00 Work: TEMPORARY FOR CONSTRUCTION MAR 15 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. BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Job Address (where the work is being done) Total Fee Now Due $ S 3,11) (Continued on opposite side) .; N di Miami Shores Village uilding Department 50 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) — 71■0/1 e,../-s \01 Phone # _'O 5 [ :SYGO Owner's Address 17 ( /U // S s i .r39 .4 /'id trful ( fL. ; City /'1 / ►ftY'l ( State �L Zip 33/ &1 Tenant/Lessee Name Phone # City Miami Shores Village County Miami -Dade Zip 3 3( S.& Is Building Historically cally Designated YES NO Contractor's Company Name J t S Li- �'_G(�flr C . Phone # Contractor's Address (A) t ( L iftr'Q Permit No. Master Permit No. EpaCOK- 9S j Plumbing Mechanical Roofing City 1 - `i State - ' Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ['Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: 1 'e pa4 Ny e`e_C›�Te, rJJC,-f * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $_ D.,, Permit Fee $ / b O . CCF $ e 6 0 Coicc Notary $ S� O(: Training/Education Fee $ , A 0 Technology Fee $ 2 IS 0 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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. Signa Chc 12/15/03 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: ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** d l o APPLICATION APPROVED BY „- ,:# /ir The • egoing insl u day of ent was ac 2tD', b or State Certificate or Registration No. Certificate of Competency No. tractor pwledgjed before me this who is personally known to who has produced FL_) L 5.30D-yas• �- 4CS- asdentification and who did take an oath. NOTARY P Sign: I _ .�. Print: � , a n o Angela M t : ff /) N:Y Crrnmissioo oii wL1au My Comml§s�ion gxpires: Z!CV ^vfnter J, '.006 a Ettpircu (Certificate of Competency Holder) ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** � // I '"? ew*Kans Examiner Engineer Zoning