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EL-05-37
MIAMI SHORES VILLAGE dos _ BUILDI DEPARTMENT 365 -795 -2204 Buildin Inspection Request Date & D u� ,.gyp Type Insp'n l' (ec va 1 (� fiA-& p© fl Permit No. E 1..,- b01 Name Address P lia led yL0 Ag 1b1 -1-0 Company • 15 Q. let C Phone # 1b� - 117 ' q5' r Inspection Date 0 6 1 b A) Approved Ind Correction ❑ �l�.��/f i' 44 Re- Insp'n Fee ❑ Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2005 -37 Printed: 1/28/2005 Applicant: ARCHDIOCESE OF MIAMI Owner: MIAMI ARCHDIOCESE OF JOB ADDRESS: 415 NE 105 ST Contractor MOODY ELECTRIC INC Local Phone: (305)758 -2000 Parcel # 1122310430010 Legal Description: Contractor's Address: 669 NW 90 ST Fees: Description Amount FEE2005 -1183 Building Fee $390.00 FEE2005 -1184 CCF $0.60 Total Fees: $390.60 Total Fees: $390.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/26/2005 Construction Value: $0.00 Work: HOOK UP ELECTRICAL FOR 22 CARNIVAL BOTHS Signed: (INSPECTOR) Page 1 of 1 r?q3' 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: BUILDING PERMIT APPLICATION FBC 2001 Architect/Engineer's Name (if applicable) Si Value of Work For this Permit Type of Work: DAddition Describe Work Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State Permit Type (circle): Building ,•00# Owner's Name (Fee Simple Titleholder) 3 . � ( Z/ffl(L Owner's Address r 1: f 5 City / I4 DNew Master Permit No. Plumbing Mechanical Roofing Zip 1,e) Tenant/Lessee Name Phone # Job Address (where the work is being done) 4/5 Ale OS S City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name �D POW � �lej C' //U �- Phone # G�Y1Sg" S Contractor's Address ob.?? A)f City 1 State Zip Qualifier J O HM MOOD-6( State Certificate or Registration No. eeereN/V Certificate of Competency No. Permit No. - f:105-31 - Phone # C°2UU�i� fSet7r74's Square Footage Of Work: /ti 0 Repair/Replace 0 Demolition Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Structural Plan Review. $ tido SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil / r din Inspection Request Date 6 /0g 0 � Type Insp'n , (2&frt CQ 1 101k17/ e n Permit No. G La-b b 31 Name Alice, &rte Address 1 L. -[ Q J 1 54"• Company J R G L 1etl ►k Phone # - i , . 1q7. 6 5 6 Inspection Date 0 V t0/0 Approved E Correction ❑ 4 e Re- Insp'n Fee ❑