EL-05-317Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/9/2005
Applicant: ANTHONY
Owner: HYNES
JOB ADDRESS: 302 NE 100
Contractor SANDERS ELECTRIC INC
Local Phone: 305 -624 -1003
Parcel # 1132060135470
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2005 -317
HYNES
ANTHONY
ST
Contractor's Address: 3915 NW 164 ST
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 11 & 12
BLK 40 LOT SIZE 100.000
Fees:
FEE2005 -12205
FEE2005 -12206
FEE2005 -12207
FEE2005 -12208
FEE2005 -12209
FEE2005 -12210
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
Permit Status: APPROVED Permit Expiration: 3/7/2006 Construction Value: $350.00
Work: REPAIR EXISTING 200 AMP SERVICE PANEL
SEP 0 9 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.
Signed: (Contractor or Builder) BY:
3815 61
MIAMI SHORES VILL '
BUILDING DEPARTMENT
4 0 '
Building Inspection Request
Date 5' 6°,0 '5 --
Type Insp'n" f/ ��
Permit No. Al `-.R- eo'�S - 3 /•
Name
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
3 ®'z "® S
0 7.5 24/— /4
❑ P5' e /'0,-
Name
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305 - 795 -2204
Building Inspection Request
Date F e' `
e/1 4 m
Type Insp'n
Permit No. �e°� i')
r f
Address ' ®` /4""'E O 5
Company eo'V'■®G •C' dti
Phone # ° ‘ .e-0/ r /‘,0)
Inspection Date
Approved
Correction
❑ -
Re- Insp'n Fee ❑
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Elec
M echanical Roofing
Owner's Name (Fee Simple Titleholder) p *cm lad_ (f 1 � Phone # 305 7 5
Owner's Address 302_ M /CO 'St
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name SA i JD e.1T2t. rite_ Phone # 305 62.4- ( 0D3
Contractor's Address 39 l5 U lid 1 1 4 e
City CIAMPQ I a- -' % S state 'L._ Zip 35051
Qualifier 14 Q.M .1 . b o
State Certificate or Registration No. C - 13 CIO Z/c3ip Certificate of Competency No. bbCD ( 3 J
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: ['Addition
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Oa
❑Alteration
Zip
ster Permit No.
1I38
Phone #
Phone #
Square Footage Of Work:
Permit No. 31
❑New epair/Replace ❑ Demolition
Describe Work: f / 1 X d_5 5 I act. t z OJT 'a 1)
****************************F ***********************4c**
*4c **
Submittal Fee $ Permit Fee $ / e CCF $
Notary raining/Education Fee $ Q • 2 -0 Technology Fee $ - eti
Scanning $ wo 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.
T 44.-1.../.--......„.,
er or Agents Contractor
The foregoing instrument was acknowledged before me this 52 ' • The foregoing instrument was acknowledged before me this S
day of d 1�1 20 c5, by Kt MAY Lam 00b4 , day of . , 20 OS by , _- _ —,..
who is personally u to me or who has produced `t D • who is personally known to me or who T as prod ced
ND As identification and who did take an oath. ; identification oath.
NOTARY P Vargas NOTARY PUB _
r, on 101)23 930
Print: _ Print:
,., uiditf4Y , Inc
My Commissi n Expires: " "' My Commis n Expires:
Signature
APPLICATION APPROVED BY:
Chc 05/13/03
dosieo
�/ ✓� /_-_ `i Plans Examiner
Engineer
Zoning
nl_in 1
DRAINFIELD, 4" TILE/RES.
...... ......... ..... .. ... -
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
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
(AN AEPLICATLOrFOR 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.)
ITEM
PLUMBING
BATH TUB
BIDET
DISHWASHER
DISPOSAL
DRINKING FOUNTAIN
FLOOR DRAIN
GREASE TRAP
INTERCEPTOR
LAVATORY
LAUNDRY TRAY
CLOTHES WASHER
SHOWER
SINK, POT /3 COMP.
SINK, RESIDENCE
SINK, SLOP
TEMPORARY WATER CLOSET
URINAL
WATER CLOSET
INDIRECT WASTES
WATER SUPPLY TO:
A/C UNIT
FIRE SPRINKLER
'HEATER -NEW INST.
HEATER - REPLACE
LAWN SPRINKLER -WELL
SWIMMING POOL
WATER SERVICE
SEWER CONNECTIONS
UTILITY -SEWER
UT I L I TY -WATER
SEPTIC TANK
ADDENDUM TO BUILDING PERMIT APPLICATION
ELECTRICAL
MECHANICAL
UNIT
FEE
ITEM
SWITCH OUTLETS
LIGHT OUTLETS
RECEPTACLES
SERVICE TEMPORARY
SERVICE SIZE I N AIDS
SERVICE REPAIR/M€TER CHANGE
APPLIANCE OUTLETS
RANGE TOP
OVEN
WATER HEATER
MOTORS 0- 1 HP
MOTORS OVER 1- 3 HP
MOTORS OVER 3- 5 HP
MOTORS OVER 5- 8 HP
MOTORS OVER 8- 10 HP
MOTORS OVER 10- 25 HP
MOTORS OVER 25-100 HP
AIR CONDITIONERS
watts OVER 100 If
A/C WINDOW
STRIP HEATER
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
SPECIAL PURPOSE
OUTLETS C01J ERCIAL
SIGN TUBES
SIGN TRANSFORMERS
SIGN TIME CLOCK
FIXTURES
ANTENNA
UNIT
FEE
ITEM
SPACE HEATERS
CENTRAL HEATING
A/C (WIND)
A/C (CENTRAL)
DUCTWORK
REFRIGERATION
PROCESS AND PRESS PIPING
UNDERGROUND TANKS
ABOVE GROUND TANKS
U.F. PRESSURE VESSELS
STEAM BOILERS
HOT WATER BOILERS
MECHANICAL VENTILATION
TRANSPORTING ASSEMBLIES
ELEVATORS/ESCALATORS
FIRE SPRINKLER SYSTEMS
COOLING TOWERS
VIOLATION
REINSPECTION
UNIT
FEE