EL-05-224Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/5/2005
Applicant: PETER
Owner: MARGOLIS
JOB ADDRESS: 1301
Contractor MARDECK ELECTRIC INC
Local Phone: 954/888 -1765
Parcel # 1132050140020
NE 100
Permit Status: APPROVED Permit Expiration:
Electrical Permit
Permit Number: EL2005 -224
MARGOLIS
PETER
ST
Contractor's Address: 13750 SW 37 CT
Legal Description: GORDON TRACTS
Page 1 of 1
PB 55 -20 TRACT B LOT SIZE SITE VALUE OR 18814 -0493
Fees:
FEE2005 -9190
FEE2005 -9191
FEE2005 -9192
FEE2005 -9193
FEE2005 -9194
FEE2005 -9195
FEE2005 -9196
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Submittal Fee
Total Fees:
Amount
$150.00
$1.20
$5.00
$0.40
$3.75
$3.00
($50.00)
$113.35
Total Fees: $113.35
Total Receipts: $0.00
M a 0 D --- K-- -EL3
le-- (3243
12/25/2005 Construction Value: $1,500.00 ( 4..- (2 ( at
Work: REPLACE EXISTING 400 AMP METER CAN WITH 400 400 AMP METER MAIN COMBONO MAIN BREAK ON OUTSIDE
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:
cc
I nG.
BUILDING
PERMIT APPLICATION
FBC 2001
City 41%9p„ i fI•(L/ vi ( /,off State
Tenant/Lessee Name
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305 "7 au 8972 'e 10
.17,1 a , 2E5 Permit No.
Mjister Permit NH WO y- ii-05/
Permit Type (circle): Building 1 Electrica Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Pi. te- /OA GA 11f Phone #
Owner's Address /7D Nt.' /0O .1 /* t
PC
Zip
Job Address (where the work is being done) /30 / /••c• /00 lj
Phone #
City Miami Shores Vill County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name mQ/LQ 4-- c -e LJ-r e..e. j,..L Phone #
Contractor's Address / ?710 I t- 3 1 c1
City DO ;G-' State ff..
Qualifier /-c. QF ^ c- Kc'rL#)Qv,
State Certificate or Registration No. CC 13 0 0 2.55 Z Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Type of Work: ['Addition ['Alteration ['New Repair/Replace ❑ Demolition
Describe Work: gC' c vet Blo t
40 e v,
4 - ga 4 e *** * **** **** * * * * * * * ** * * * **** Fees ** * * ** * ** * * * * * *** * * ** * * * * ** * **
Submittal Fee $ . 00 Permit Fee $ / pp e '-' 77� CCF $ 1 • 20 CO/CC
Notary $ :�• CO W Training/Education Fee $ , 4D Technology Fee $ -3• 45
Scanning $ .3 • CO Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ 1 I 3 v 3
(Continued on opposite side)
roo. 0
Zip 22,7
5.Cy 6.r
0 Square Footage Of Work:
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
NOTARY PUBLIC: NOTARY PUBLI
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED B
Chc 05/13/03
Owner or Agent Contractor �J y(
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ^'V
day of , 20 by , day Qf � , 20 O , by i Y lli1. oec1G e IAA►
'
who is personally known to me or who has produced who rsonally known to me or who has produced
As identification and who did take an oath. dentification and who did take an oath.
* * * * * * * * * * * * *i ************ *** ***9r4r*****4eakkah*** oti&** * **** * ** *** *** * ** *ae********
sanded Thru
phr Rnnrl(n„ Cn Ins
* * * * * * * * * * * * * **
Sign:
Print:
My Co
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
.7"- 4 I � 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 I N AbPI/ ADO
i
DUCT WORK
REFRIGERATION
PROCESS AND PRESS PIPING
FLOOR DRAIN
c RVICE REPAIR/METER ► .,et p .
GREASE TRAP
APPLIANCE OUTLETS
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 OVER 1- 3 HP
HOT WATER BOILERS
S11JK, POT /3 COMP.
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
r
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 CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
R00F INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
(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
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/5/2005
Applicant: PETER MARGOLIS
Owner: MARGOLIS PETER
JOB ADDRESS: 1301 NE 100 ST
Contractor MARDECK ELECTRIC INC
Local Phone: 954/888 -1765
Parcel # 1132050140020
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2005 -224
Contractor's Address: 13750 SW 37 CT
Page 1 of 1
Legal Description: GORDON TRACTS PB 55 -20 TRACT B LOT SIZE SITE VALUE OR 18814 -0493
Fees: Description Amount
FEE2005 -9190 Building Fee $150.00
FEE2005 -9191 CCF $1.20
FEE2005 -9192 Notary Fee $5.00
FEE2005 -9193 Training and Education Fee $0.40
FEE2005 -9194 Technology Fee $3.75
FEE2005 -9195 Scanning Fee $3.00
FEE2005 -9196 Submittal Fee ($50.00)
Total Fees: $113.35
Total Fees: $113.35
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 12/25/2005 Construction Value: $1,500.00
Work: REPLACE EXISTING 400 AMP METER CAN WITH 400 400 AMP METER MAIN COMBONO MAIN BREAK ON OUTSIDE
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: