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ELECTRICAL
Type Insp'n W W Permit No. E (d -IJU 3 1 Name ecl3t60 Address 2i — Iv tot S-- Company J pho Phone# C Jc 3 a - , q Inspection Date 3 `tJ - a‘31c3L Approved Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui ding Inspection Request Date (a Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTM _ T 305- 795 -2204 Building Inspection Re. u- t Date 31 3, Type Insp'n Permit No. f- I 0-00 -3 I. Name CstO Address c7 tJL ~ / ' 0 t Compan ' \ \ nco -c- Phone # Inspection Date Approved Correction Re- Insp'n Fee 3 L rit Le __Y__6z7v2.4all MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Date 67 / 4V Type lnsp'n L Permit No. € {` 2 c, e;,- — ' 7 Name a r Correction Re- Insp'n Fee Address � ✓`— - /o/ ' Company �L Phone # Inspection Date Approved CI Date ! Type Insp'n OO 3 4 E tQC' Permit No. E a - (a Name E cl uaVct O 0_0,S7-Kb Address g o —7 10 1 3T Company ?k3e E1QC+r; co,4 Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE 0 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 505 - 345 -(0 kaO MIAMI SHORES VILLAGE BUILDING DEPART 305- 795 -2204 Bui lding Inspection Reques Date (orit O Typelnsp'n CArvt- JA CU d, Permit No. EL 2ew 1f - `vl Name LZw"b Address a8 7 N C Inspection Date G l 8 ! d Approved Correction Re- Insp'n Fee W/ r Company 0 C As &6P:C Phone # 9 — — "V& — jU �p 6 29.ru` / rte MIAMI SHORES VILLAGE r d BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / C Type Insp'n G C.Xc akej cake Permit No. / — /03 Name Address g 7 Air: / / S Company Phone # Inspection Date Approved Correction Re- Insp'n Fee fri.- ©c0) i s,z Miami Shores Village BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) 4- yam • Owner's Address eo �a /0/ '7 / City �/Aroe// _ State "P/, Zip Tenant/Lessee Name 4061)• Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Phone #� l j' 3 � jr� Contractor's Address 1 /8 " City Qualifier Type of Work: Describe Work: Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical State / $ Value of Work For this Permit / 7 ti6 4 5 .:- // Architect/Engineer's Name (if applicable) Phone # ['Addition El Alteration ['New * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ a ,4 304 Permit Fee $ O ® a Notary $5' Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Zoning Permit No. Master Permit No. Plumbing Mechanical Roofing 44 - ¢ O Phone # 7�1/ – �l✓� � � Phone # LAS County Miami -Dade Zip NO Zip Square Footage Of Work: 8 Repair/Replace CCF$ ^ ULUG LO rEn 9i 20 Amiamatm Nm,u ei 3l CO /C C ['Demolition Technology Fee $ Bond $ Bonding Company's Name (if applicable) • Bonding Company's Address City State Z Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 and a3einspection fee will be charged. Signatur My Commission Expires: Chc 12/15/03 Owner or Agent The foregoing instrument was acknowledged before me s day of i /.4 , 200___Y_, by _ i ell Oa who is personally known to me or who has produced 7) L c ,,lit ti i,e-Is identification and who did take an oath. NOTARY /PXIB LI C: Sign: e 1„)i) 4 { �Att U Print: � G R � qs 4 U FFn . ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: C!At i,;OYANY SEAL A )YS J VIUJJl ,9 ?'ISSIC 1 NUMCF■ OD J1091 E::PIR! S ibiAF, 1,2CJ& Signatur Zip Contractor The foregoing instrument was acknowledged before me this day of gjd ,g , 200Z by 7 z,, who is personally known to me or who has produced 'cation and who did take an oath. NOTARY PUBLI Sign: "Ol 1 Print: 4 ti; M YJ. 4 .` • t My Commission Expires:, `" ; `0\ i JOTARY SEAL _'_:,OYS J VIU AR Ir.:SION NUMBER D0091094 COMMISSION EXPIRES MAR 1,2006 (Certificate of Competency Holder) State Certificate or Registration No. 6 ® ' Z / Certificate of Competency No. e: V/2 7 ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** .� /-?W e'e/ Plans Examiner Engineer Zoning ITEM BATH 118 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 CHANGEZ,Af REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (ROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASTER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If 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 SWIM,IING 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 DRAINFIELO, 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 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 • DRIP LOOP FO BE 30' (AFG (MIN) •i-i — ( 200A . 'I ETER 2' MOVE ROOF 1 • 1 r ammo tusuuel s a ru ue Ear-10)4 • •.i Cyr PVC SLEC [:LdeeP o �.J • FIIITSI1ED GRADE MAIN CD PANEL I�1JL1� Ui< • NU,S — U 00• 0 ' 0 � Pro' Conductor st e • Conduit stze ,_,,••■ Conduit type - Thru roof Y E5 __ NO MI *CS N►cw4 tEMt IIur CLASP 0 NIN I1E1 TII I U I fl t1 t ' pun Qutu SUB CB PANEL Ground) wk-e s2r MAIN. DISYONIHECT. R a ti np ZOL: .ArePS Main 0 ,_,_ Ar►ps :Tub 73reQlcers • Amps SUB FEED New Type..-_L s1z Bond :i DIME PANEL PER S.F.II.C, 4505.2(D) • R ntenO Bond Buss Yes __.._ _t . lo . L oce: • ,CONTRA. ID L.L LNG : +LGG .0.40 S 1t;NAT RE OF CONTRACTOR NOTARY • (\iR ri \z/ JD_ 1 DRIP LOOP - 1 BE 3 0' AFC; (MIN) CL,UIP hlEl'ER i 2' ABOVE ROOF 1 •• •• MIMED GRAZE • •• .me.- ••• •••■••• MA]N Cl3 PANEL a" 101W1 euaa +e +— PLArlIC i "10.4111116 PVC �,. .. • 1 • WO' ti 11 l)EP TII • • • Now • • M/011 I •1041 rE.a4 UUP CLAW avo_ x u• tunuNn RON Quin • • • SUD C �PANCL PER S.F.I1.C. 4506;?0) • .CONTRt1 NOJARY • '1•Ic�pl� !: r/ Q Conductor sue ' Condulmt ere_ Conduit 3j•pe: _. Thr u Yes"_. __ NO • SUB FEED Ground were _site • • • SIG AT RE OF COt( RACTOR • MW. DISYOW13ECT R a b np Z42419 AMps 1' U � _Anpe Sub Ilrea$cers ; Arq • New Typo Bond a ENS EDE PANEL • Rating • O 0e - _ a,P s Bond Bus . %' es __NU ,Loccetbn • .... -••••. 1=•• .— move Womb • • • Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/6/2004 Applicant: EDUARDO Owner: CASTRO JOB ADDRESS: 287 NE 101 Contractor ALL PHASE ELECTRICAL Local Phone: 305 - 362 -5669 Parcel # 1132060134830 Permit Status: APPROVED Permit Expiration: 8/3/2004 Work: CONVERTION OF ELECTRIC SERVICE Signed: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2004 -31 CASTRO EDUARDO ST Contractor's Address: 11899 NW 91 AVE Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 BLK 35 LOT SIZE 102.570 X 115 Fees: FEE2004 -1316 FEE2004 -1317 FEE2004 -1318 FEE2004 -1319 FEE2004 -1320 FEE2004 -1321 Description Building Fee CCF Notary Fee Scanning Fee Training and Education Fee Technology Fee Total Fees: Amount $100.00 $0.60 $5.00 $3.00 $0.20 $2.50 $111.30 Total Fees: $111.30 Total Receipts: WO?"' ( L CA 3 t3 Construction Value: $1,000.00 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: Page 1 of 1 NE. LJ 40• Q 10 a CV LC, LOCAT 1 ON MAP SCALE I" = 200' 40' 6 11 12 13 ° 14 NE. LEGAL DESCRIPTION: Lots 22 6 23. BIock 35 according to the PI at o the Public Records PROPERTY ADDRESS: NOTE: THIS IS NOT A VALID SURVEY WITHOUT THE UNDERSIGNED SURVEYOR'S SIGNATURE AND EMBOSSED RAISED SEAL 15 16 17 18 19 50' 4 20 3 50' 2 21 23 -t0 8Y' 30 30 SURVEYOR'S NOTES: 1. TYPE OF SURVEY: AS BUILT 2.ALL DISTANCES AND BEARINGS /ANGLES SHOWN MATCH RECORD DISTANCES 6 BEARINGS UNLESS OTHERWISE NOTED. 3. PROPERTY AREA: 11,655 SQUARE FEET - 4.THIS PROPERTY IS LOCATED IN FL000 ZONE X. BASE FLOOD ELEVATION: - - - -, AS PER F. E. M. A. MAP COMMUNITY N ° :120652,PANEL N °0093. SUFFIX J. LAST REVISED ON JULY 17,1995. 5.LEGAL DESCRIPTION AS PROVIDED BY: OWNER 6.USE OF PROPERTY: RESIDENCIAL 7. UNDERGROUND FOOTINGS, FOUNDATIONS. UTILITIES, OR SEPTIC TANKS WHERE NOT LOCATED BY THIS SURVEY. 8.THIS SURVEY HAVE BEEN PREPARED WITHOUT THE BENEFIT OF A TITLE SEARCH, THEREFORE THERE MAY BE ADDITIONAL RESTRICTIONS, EASEMENTS,OR RIGHT OF WAY OF OTHERS THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY 9.ALL ELEVATIONS THUS ✓ ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929, AS MEASURED FROM MIAMI -OADE COUNTY BENCHMARK N° N -397, I NDEX: 3100, ELEVATION: 9.80'. AND I S A PK.NAIL AND BRASS WASHER IN TOP OF CATCH BASIN. NE. 103rd ST. - - -33' NORTH OF C/L NE. 2nd AVE. - - -65' WEST OF C/L J. F. LOPEZ & ASSOC I ATES, INC. CONSULTING LAND SURVEYORS AND PLANNERS CERTIFICATE N' LB.3192,STATE OF FLORIDA 7900 NW.155th STREET. SUITE 104, MIAMI LAKES, FLORIDA, 33016. Ph:(305) 828 -2725 Fax :(305) 828 -3589 I HEREBY CERTIFY: THAT A SURVEY OF THE PROPERTY AS DESCRIBED I N THE FOREGOING CAPTION HAS BEEN MADE UNDER MY DIRECTION AND MEETS THE MINIMUN TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61-G17 -6, FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES, AND IS TRUE AND CORRECT TO THE BEST OF KNOWLEDGE,. BELIEF AND PROFESSIONAL JUDGEMENT. F. I.P. ID. C. 8. S. L. F. E. M. F. E. G. F. E. A/C E. M.. JOSE F. LOPEZ, P. M. Prof ssional Surveyor 6 Mapper N °3086,State of Florida 1 of "AMENDED PLAT OF MIAMI SHORES SECTION NO. i• thereof. as recorded in PI at Book 10. at Page 7 0 of Dade County, Florida. 287 NE. 101st Street, M i a m i Shores, F l or i da. 33138 LEGEND: • WOOD POWER POLE WATER METER OVERHEAD ELECTRIC LINE TILED AREAS CONCRETE AREAS S.I.P.= SET 1 /2'IRON PIPE WITH SURVEYOR'S CAP N•LB.3192 = FOUND 1/2' IRON PIPE • IDENTIFICATION • CONCRETE BLOCK STRUCTURE o LOWEST FLOOR ELEVATION o MAIN FLOOR ELEVATION GARAGE FLOOR ELEVATION AIR CONDITIONER ELECTRIC METER F. I. P. 1/2" NO ID. F. I. P. 3/4" NO ID. SKETCH OF SURVEY sc A LE :1 "= 2 o ' 0. 1' CLEAR 0.5' CLEAR 0 4 ' CLEAR 0. 1' CLEAR 15'ALLEY 90 0 , ry k kA Q 4 aJ DOb FE.UCE q0 32.65' I9 5'S l O:Zw:1t NE. 04 0 C1 r\ co z ¢ W cr cr 0 . / 2 ° Q 2 ,5 ' 4 "_ t ' x• 7 1 4'. G4' o 26,6 "a i / COVERED PORGY 0 O/ 10'ASPHALT PAVEMENT 102.46' 77. 53' .2 / \ p/ 19.5' ASPHALT PAVEMENT =- TER t c� / S7ZRy G- B.S. ,2Es /DE,t/CE Ale 28 L•F: : / /2S' / /,07'MtEr //. BDO .102: 57' t9' 26, 6 SEr NAIL & CAP 23' p14,vrte?b y` 1� ' �rL 4i iOist !/- ST. O UT 30" F. I. P. 1/2" NO I D. 13 Cr) w Z \0� e ecm r L ff ers, b S yttio "�/\ L-j2 /3 r.� fro/ ° y D Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2004 -103 Printed: 4/28/2004 Applicant: EDUARDO CASTRO Owner: CASTRO EDUARDO JOB ADDRESS: 287 NE 101 ST Contractor ALL PHASE ELECTRICAL Local Phone: 305 - 345 -6480 Parcel # 1132060134830 Work: A ELECTRICAL INSTALATON OF OUTLETS Signed: (INSPECTOR) Electrical Permit Contractor's Address: 11899 NW 91 AVE Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 BLK 35 LOT SIZE 102.570 X 115 Fees: FEE2004 -4197 FEE2004 -4198 FEE2004 -4199 FEE2004 -4200 FEE2004 -4201 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $100.00 $0.60 $5.00 $0.20 $2.50 $108.30 Total Fees: $1p8.�30 420.5 Total Receipts: 10 ,3a Permit Status: APPROVED Permit Expiration: 10/17/2004 Construction Value: $360.00 JUN 1 1 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: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address 7-e ? iv City H /Ar't 1 ,S/+o/t./ State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contra City is Address 1, $ Value of Work For this Permit * 3 G 0G Type of Work: ['Addition ❑Alteration Describe Work: Code Enforcement $ Structural Plan Review. $ Total Fee Now Due 5), 3D (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 ElecWeal- Plumbing Mechanical k UA4W0 C r Phone # 3 - 7.! -+-1 /0 / s-/ Ac1E AS County Miami -Dade Zip NO State Zip -7_7/3 Phone # ❑New ❑ Repair/Replace in1.r'i74-4 f - T OF Elr t' rl.c 7—s' R CER D /PP1S200 Permit No. El 2.0 04-103 Master Permit No. e PctOL/ _ ..s6 Square Footage Of Work: n> /A- Roofing Phone # : % %�/ Y� lO 0O Zip �01� _ Qualifier W Architect/Engineer's Name (if applicable) .E VA z-? 0 e- Z Phone # . 3 0 S .f S Z (o / / ( ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $50 ' C�0 Permit Fee $ /t©�' O CCF $ t 6 CO /CC Notary 8- Training/Education Fee $ a 0 Technology Fee $ , S a Scanning $ Radon $ Zoning Bond $ 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 s: Owner or Agent The foregoing instrument was acknowledg day of , 20 _, by who is personally known to me r e+1�h ' produced My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 before me this The fore ing instrument was acknowledged before me thi day of i I , 20 , by P d'0 L **************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. — 0490 � � wian is sonally known to me or who has produced ` _J. As 'd fic Lion and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: 1 NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Certificate of Competency No. GIi40:01%llz7 i'7'P1ans Examiner Engineer Zoning 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / / ' /7 - gS J b Address .t,7 tie / ,/ Tax Folio Legal Description t57 Qualifier Z X - EZ ODO State # Municipal # Historically Designated: Yes No Owner/Lessee / Tenant lC Master Permit # cP /3� Owner's Address Phone / x.74 f 03 Contracting Co. � � Address //9J) 9/ SS# - 45-7 7 Competency # /72-7 Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - /e.--e.7 / 70/6) GU/ � ©� ✓ Gv e-7� A494, Square Ft. 2/4'0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named ntractor to do the work stated. Signature of owner and/oyCondo President Date Notary as o Owner My Commission-Expires: or Condo President OFFICIAL AL MANUEL QU INTERO NOTARY COMM SSION NO. CC235608 FLORIDA MY COMMISSION EXP. NOV l EES: PERMIT �S RADON //` 5' Date Address Address Address s?, Estimated Cost (value) 4 "49 e of Contractor or 0 • er -Buil Notary as to Contractor a Owne - Builder My Commission Expires: C.C.F. NOTARY OFFICIAL NOTARY SEAL MANUEL QUINTERO NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC235608 MY COMMISSION EXP. NOV. 23,1996 Date , - Date TOTAL DUE dig b✓ APPROVED: Zoning Building Mechanical Plumbing Engineering Electric / �S (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ITEI4 UNIT FEE ITEM UNIT FEE ITEM BATH RE SWITCH OUTLETS 27 810E7 OE S � SPACE HEATERS 0 DISHWASHER LIGHT GiT OUTLETS 4 ,, — CENTRAL HEATING RECEPTACLES l'p A/C (WINO) DISPOSAL SERVICE TE),POUARY DRINKING FOUNTAIN FLOOR ORA1N GREASE TRAP WATER SUPPLY TO: A/C UNIT PLUMBING HEATER -NEW INST. GENERATORS TRANSF01 €RS HEATER - REPLACE GENERATORS TRA? FORAERS LAWN SPRINKLER -HELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS SIGN TUBES SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY-WATER F IXTT.RES SEPTIC TANK ANTENNA RELAY GRAINFIELD, 4' TILE/RES. FLIP & ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN 0ISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET :I.AR WATER NEATER r IRE STANDPIPE 'OOL PIPING LAWN SPRINKLER SYSTEM r,AS RANGE ''EIER SET (GAS) i4s PIPING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL SERVICE SIZE IN AMPS /tV / 9%4'2' SERVICE REPAIR/1EETER CRAKE REFRIGERATION APPLIANCE OUTLETS 3 / -4)-r' PROCESS INTERCEPTOR RANGE To LAVATORY OVEN LAUNDRY TRAY A/C WINON itAxf e WATER HEATER - / CLOTHES WASHER MOTORS 0- 1 FP SHOWER MOTORS OVER 1- 3 HP SINK. POT/3 COMP. MOTORS OVER 3- 5 HP SINK. RESIDENCE MOTORS OVER 5- 8 If SINK. SLCP MOTORS OVER 8- 10 EP TEbPORARY WATER CLOSET MOTORS OVER 10- 25 If URINAL MOTORS OVER 25-100 If WATER CLOSET MOTORS OVER 100 If IIOIRECT WASTES AIR CONDITIONERS 3 7a,) / :4/ STR IP HEATER ,4O AC4.) / F IRE SPRINKLER GENERATORS TRANSFC MFRS TELEV IS ION OUTLETS VIOLATION RE INSPECTION 20 A/C (CENTRAL) IJIET WORK ;z4 UNOERGiCUFQ TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAD BOILERS COOLING TOWERS VIOLATION REINSPECTION MECHANICAL AND PRESS PIPING HOT WATER BOILERS MECHANICAL VENT IUTION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATCRS FIRE SPRINKLER SYSTEMS UNIT FE PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date // -/+ y'Job Address 2/7 /ti& /O / 6/" Tax Folio Legal Description /d - a. Z 3 os aL Owner/Lessee / Tenant E ciche C4.5 7ie., 0 Master Permit # `T -5 .38 - ‘k Owner's Address Phone Contracting Co. Qualifi Historically Designated: Yes No State # Municipal # Competency # / / Ins. Co. Address / /, f/A 2? yd SS# -'// Phone a‘ 2 -6 5 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDIN a ELECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION C` O y /Z � T . ' - v ?o AtY i�aTt/ Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done incompliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named c tractor to do the work stated. Signature of owner / / -9 - 9S 1 !/— 5 ',/ M ary to er and/or Condo President Date My Commission Expires: OFFICIAL NOTARY SEAL MANUEL QUINTERO NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC235608 MY COMMISSION EXP. NOV. 23,1996 FEES: PERMIT (eV RADON d/or Condo President Date S gnature of Contractor or Owner-Build C.C.F. Notary as to Contractor or Owner - Builder My Commission Expires: OFFICIAL NOTARY SEAL MANUEL QUINTERO NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC235608 MY COMMISSION EXP. NOV. 23,1996 NOTARY TOTAL DUE 1 - 1 . - 5/ Date Date APPROVED: Zoning Building Mechanical Plumbing Engineering Electric