EL-04-184Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/12/2004
Applicant: JANET DAVIS
Owner: DAVIS JANET
JOB ADDRESS: 1225 NE 101 ST
Contractor SANDERS ELECTRIC INC
Local Phone: 305 - 624 -1003
Parcel # 1132050250060
Legal Description:
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2004 -184
Contractor's Address: 3915 NW 164 ST
Permit Status: APPROVED Permit Expiration: 1/5/2005 Construction Value: $900.00
Work: ROIUGH OUTLETS FOR NEW KITCHEN FIXED APPLIANCES
Page 1 of 1
PB 42 -25 BAY BREEZE SEC MIAMI SHORES LOT 7 & E45FT OF LOT 8
Fees: Description Amount
FEE2004 -6942 Building Fee $100.00
FEE2004 -6943 CCF $0.60
FEE2004 -6944 Notary Fee $5.00
FEE2004 -6945 Training and Education Fee $0.20
FEE2004 -6946 Technology Fee $2.50
FEE2004 -6947 Scanning Fee $3.00
Total Fees: $111.30
Total Fees: $111.
Total Receip
1,3o
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:
MIAMI SHORES VILLAGE
BUILDING DEPART T
305- 795 -2204
Bui ding Inspection Request
Date 7 G
Type Insp'n 1
Permit No. 6 11 ()Li
Name
Address I22 ! vt ID/5i
Company cSon 1. fS )ec,
Phone #
Inspection Date gig%
Approved
Correction ❑ .4 i
Re- Insp'n Fee ❑
Tenant/Lessee Name
BUILI ING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building � ` 1 — Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) T� �1; I !! a vk e- 16.- ,,& Phone # 33 S — 1 5 I —7 1
Owner's Address I �� N E 10 L & -,
City At\ \ i \ S VL- S State F L_ Zip 3` 3 8
Phone #
Job Address (where the work is being done) I D...', 5 NJ ( ` + & +A d
City Miami Shores Village County Miami -Dade Zip : 3 13 8
Is Building Historically Designated YES NO e<
Contractor's Company Name arektrS afetile VC • Phone # (_) (D2• ° 1(X)
Contractor's Address 1C! )5 t\I w 9 .
City WITOPri State R. Zip °)
Qualifier ' P
Architect/Engineer's Name (if applicable) Phone #
Architect/Engineer's Address •
City State Zip
$ Value of Work For this Permit A / r T •
Number of: Bays Stories Families Bedrooms Baths
Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: M. ' � 4 C`C1 mrr--An - V-60 LbQ S
County Escrow Fee $—0O ° 0 Permit Fee $ / ®' a"4e' Notary $ - v
Education/Training Fee $ ■ 0 Tech $ ' canning $3, O 0 Radon $
Code Enforcement $ Bond $
Miami Shores Village
Building Department
Minus Plans Check Fee $ Total Fee Now Due $
1
v
Permit No. 0 131
Master Permit No.
Square Footage Of Work:
trust. $
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
(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)(
chc7/7 /03
1412e/L-
Owner or Agent
The foregoing instrument was acknowledged before me this (0
day of , 20 ' by "Sblnyl veal Pia2tio Y►'1 ,
who is persona ly known to me or who has produced J `5 i2
Signature
The f; ego _ instrument was acknowledged before e thi
day of
who is " ersonally known to me or who has produced
Contractor
4 3 As identification and who did take an oath. as i cation and who did take an oath.
OW l< , lf ,,, , o
,u_
Angela M Becker
i fi ^ I� R/ Ce iniCRitil 02 9 ir) {
My Commission Expires: °'"`�C My Commission Ex
Y ?cP ,ln Y ryeirQ3 November 11A,Pr l
* * * * * ***** * * *** ** **** *** * * * ** ". ************************** *** ******* *** ** **************** r************ *******
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
dm
APPLICATION APPROVED BY: %� /� /; j /fy _ . 4 1' 1 :3' / Plans Examiner
Engineer
Zoning
ITEM
BATH 11.8
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
4
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERIROUM) TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 If
STEAM BOILERS
SHOWER
MOTORS QVER 1.- 3 HP
HOT WATER BOILERS
SINK, POT /3 COW.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
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
_
•
HEATER -NEW INST.
GENERATORS TRANSFORMERS
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
FIXTURES
SEPTIC TANK •
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT C1.J. 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
°L
PLUMBING
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.)
ELECTRICAL
MECHANICAL