335 NE 101 St (11)BUILDING
PERMIT APPLICATION
F >#3c 20(11
Permit 'I'Y1ie (circle):
. •.Ill \.{•1 N 11 V 1 I 4.41±, Va../
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305)
Electrical Plumbing
Owner's Nance (Fee Simple hh Tit leholder)Ct�,sc.�t� R Z
()wnci Address 3')$ I V E 1 C' L S 1" :4_ 4 _
(11 pq Slate y
'1 rnanl /Lessee Nance Phone #
.loh Address (where the work is being done) L = t-� . t"
Permit N
Mechanical
('icy Miami Shores Village County Miami -Dade Zip .
Is Building Historically Designated YES NO ✓
Zip
r
ri023 -oa>
Rooting
Phone #�' 5 Z ! (a .. •Z• Z . '1
C'ontractor's Company Name tl C6/ 44, ter Phone #/i 3 (' � 1- ((� _ 1. - ? 4
('onl 'ado, 's Address
('ily Slate Zip
Qualifier
Stale ('ettificale or Regisltalion No. Certificate of Competency No.
Architect /Engineer's Name (if applicable) Phone /t
$ Value of Work For this Pertnil:
4. l, S Footage Of Work:
Type o!' Work: ❑Addition ❑Altera [New ( (/R { epa / ir /Replace ❑ Demolition
Describe Work: fL1rv� J <. e✓ IJ e \kt% i < 6 ' , . , ' e �! F'd` V,
Submittal Fee $
Nol 'Training /Education Fee $
Scanning S
('ode Enforcement $
Radon $
Total Fee Now Due $
(Continued on opposite side)
* * * * * * * * * * * * * ** * * * * ** * * * * * ** F * * * * * * ** * * * * * * * * * ** * * * ** * * * **
Permit Fee $ 3 � ,5 CCF $ d CO /CC
Technology Fee $ s 6 3
Zoning
Structural Plan Review. $
Bond $
/f1(9
Bonding Company's Name (if applicable) —
Bonding Company's Address -
City
Mortgage l .endcr's Name (if applicable)
Nlurtgage Lender's Address
City
Signature
Owner or 'Agent
The foregoing instillment was acknowledged before me this _L;li
day ofre..N.C. 21)e5, by C( T) Is (I D F Iii k; t Z_
who is personally known to me or who has produced
APPLICATION APPROVED BY:
())/13'03
Slate
State
*
Signature
Zip
Zip
Application is Hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to n►eel 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,
('ONSIIL'l' WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to :l pplicunt: As a condition to the issuance u/ a building permit with an estimated value exceeding $2500, the applicant must
pronci.se in good find, 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 c f the recorded notice of commencement tnus•1 be posted al the job am
liar the first inspection which occurs ser'eu (7) days ufier the building permit is issued In the ub.s•ence (f such posted notice, the
Inspection will not be approved utnf.4r- 3''inspecliott will be charged.
FEB 18
Contractor
'I'I►e foregoing instrument was acknowledged before me lhisf j�
day ofii:.•2ic'e'.1?../ _, 20 e by/)j( l-tpe4t ) a_z_
who is personally known to me or who has produced
?
As identilication ;rwJ.Md�1Jid.l:au:.:w. _ ficalio►eana „�); �1 �i!�h
MAYLIN Y. MADRID as identi
- —
446t- �t/ Commn occaseels)
NOTARY PI1t3LIC: r Comms DOO2�esMN TARY PUBLIC: j Bonded ME>�es21l2oa
i a ° maxi ' 7 -� 4` Bru
ee
a N 0) 4251
5igu: o- . y/ 'mix ` _ Bonded ewe (B00)432•t254 Sign 4 _46 . (-), ti- - s Flog.
/ F.onde Notary Aar.. Inc ' .” i
Priut: r • L ' 1 1 L 7 ' t ' � C 1 �`.�r� ` Pr:( di'' ' /
My Commission Expires: f My Commission Expires: ./
kk kA kk**: tkk k* ki.*********************************k i.* k**k it************* * ** ** *******k* *** *** *k* *k** **kk Akk
Plans Examiner
Engineer
Zoning
Aar„ Inc
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/2/2005
Applicant:
Owner:
JOB ADDRESS: 335 NE 101 ST
Contractor
Local Phone:
Parcel # 1132060135211
Building Permit
Permit Number: BP2005 -228
Contractor's Address:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 18 & W4OFT LOT 19 BLK 38 LOT SIZE
Fees: Description Amount
FEE2005 -2636 Building Fee $345.00
FEE2005 -2637 CCF $7.20
FEE2005 -2638 Training and Education Fee $2.40
FEE2005 -2639 Technology Fee $8.63
FEE2005 -2640 Scanning Fee $9.00
FEE2005 -2641 Submittal Fee ($50.00)
Total Fees: $322.23
Total Fees: $322.23
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 8/15/2005 Construction Value: $11,500.00
Work: REMODEL BATHROOMS AND KITCHEN
Signed:
(INSPECTOR)
Page 1 of 1
NAAR 0 3 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:
A
Lt.Pkvie VI-'‘
5
71 ")\ vgri
‘
0
•
5
enarAlet
c
0
01
T
00
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. 1772Z- 37 y d q7 /
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and In accordance with Chapter 713, Florida Statutes, the following information
Is provided In this Notice of Commencement.
1. Legal description of prope and street/address: E-C i PM D 10 -'10 LOT k $
W LOT OLk LO-c' S12c-� 80. K I I5"
E NE. )01 5H s, (- 3313?
2. Description of improvement: �� ^ d "t �
3. Owner(s) name and address: t Q� 0 CM.. CND �- ! �
9,2_5 N& qg� p�t1��1, �►�r� =s,
Interest In property: C-S c\-e/tn - \ - 0\ ,k■ t 'Jr rL Q,,lLP, COUNTY C. C■!1')E
I HEREB�J Er2TIt Y Mai this Is a fru' it 'J1 we
4. Contractor's name and address: N ► MINES
iAF V
Name and address of fee simple titleholder:
Notary Publi
Print Nota Na
My commission expires:
123.01 -52 PAGE 4 8/02
254:
Florida Notary Assn.. Inc
111111111111
CFN 2005R0210026
OR Bk 23131 Ps 4472; (1Ps)
RECORDED 03/03/2005 09:05:05
HARVEY RUVIN► CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
•
I
ey
5. Surety: (Payment bond required by owner from contractor
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13( Florida Statutes,
Name and address: N �/' "�
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florifla Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differe ate is,pe ' ed)
Signature of Owner r ��
Print Owner's Name 0/P010 S QU a OI 6 a Z Prepared by
Sworn to and subscribed before me this l(e day of Ffe 0 f, 20 O.
Address: 7r) f- / 3 0 .1)A.
'1}
MAYUN Y. MADRID
Expires 2/1/2000
I 331(pl
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: PL2005 -57
Printed: 3/2/2005
Applicant:
Owner:
JOB ADDRESS: 335 NE 101 ST
Contractor PLUMBERS ENTERPRISE CORP Contractor's Address: 2900 NW 33 AVE.
Local Phone: 305 - 633 - 9994
Parcel # 1132060135211
Plumbing Permit
Permit Status: APPROVED Permit Expiration: 8/15/2005 Construction Value: $1,190.00
Work: PLUMBING FOR REMODELING OF KITCHEN AND BATHROOMS - MASTER PERMIT 05 -228
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 18 & W4OFT LOT 19 BLK 38 LOT SIZE
Fees: Description Amount
FEE2005 -2646 Building Fee $160.00
FEE2005 -2647 CCF $1.20
FEE2005 -2648 Technology Fee $4.00
FEE2005 -2649 Training and Education Fee $0.40
Total Fees: $165.60
Total Fees: $165.60
Total Receipts: $0.00
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:
BUILDING
PERM IT APPLICATION
roc 2001
cit Mt Zr,�s'. � ��Stat '� 1
'1'enanl /I.essee Name
$ Value of Work For this Permit
('ode Enforcement $
Total Fee Novi Due $
(continued on opposite side)
r.i lx.{.1111 N11V1 VIJ T 111 %A.{,
Building Department
1005( N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electrical 1'luntbiug Mechanical Rooting
Owner's Name (Fee Simple Tillehold A ( err)C� v Q r - i v Phone # \�05� 2 1 tc 2 2. Z.11
()«vnei's Address i O L S +r-
contractor's Company Na►ue 7c> U1- '1A, *`) R.p eA �)<
('nnhacl Address 71�7C0 Il) &) J F --r /,1
('il ��� 4 Stale r ipe too.
►)oalilicr
mkento A CI L ' -DJ
t 90
Structural Plan Review. $
Permit No. ?L QS 5 7
I iaster Permit No. 3 povO S -° '
Zip
Phone #
.lob Address (where the work is being done) ] '> S / V E_ 1. o £, S --k-,—.«_ +-
('iI Miami Shores Village County Miami -Dade Zip ?. % .3 `g
Is Building historically Designated YES NO %/
Architect /Engineer's Name (if applicable) Phone #
. Phone #; T ✓`_9991
Zip '.5 / (4
Slalc ('eililicale or Registration No.a.Ft.,ri )k--) 72 Certificate of Competency No.
Square Footage Of Work:
Type of Work: ❑Addition ['Alteration ❑New [ .Repair/Replace ❑ Demolition
v 1,01.-1 ►escribe Work: o r+ 0 e.. N • y a.1-1 Ci K ''I' f G in ca 17
**************************** Fe * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /6e CCF $
Notary $ Training /Education Fee. $ r ? 6 Technology Fee $
Scanning $ Radon $ Zoning Bond $
CO /CC �""
/4iw)t-zr
Bonding Company's Name (if applicable)
Hooding Company's Address
City
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. 1 understand that a separate permit must be secured for ELEC'RICAI. WORK, PLUIVIBIN(i, SIGNS
WI 4 .1.I.S, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable law's regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE T() RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEM ENTS TO YOUR PROPERTY. IF YOU INTENT) TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO Ole
(OMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant trust
promise in good faith that u copy of the notice of commencement and construction lien law brochure will be duhi eyed to the person
whose property is subject to attachment. Also, a certified copy oldie the recorded notice of commencement waist be posted at the job stir
li the first inspection which occurs seven (7) days (flier the building permit is issued. In the absence of such pasted notic c, ifn•
inapaclioll will not be approved and a I'eiIiSpeCtioll fee will be charged.
Sign
My Commission Expires:
Signature - _ Ow Agent
The foregoing instrument was acknowledged before Ole This Al
dad' oft r'(rY 20 �5 , by ColAt_Di/ '41f)fl t s 1
who is personally known to nie or who has produced
As identification and wlio did take an oath
NOTARY PUBLIC:
{ rX � �I Ih MAYLIN Y eMM E
Print: t i
sw,,,n,, ' Comm* DIXON*
'qPY P•. — Expires 2r1R00S
* * * * * * * * * * * * * * * * * ** *lc k4c *YC'R 3c ti i c +
Florida Notary Assn., Inc
APPLICATION APPROVED BY.
Clio 115'13
State -- Zi p -- -
*
Contractor
The foregoing instillment was acknowledged before toe this ) fl -
cla of `r= t `i4/ 20 C_T, by , ;'?
who is personally knowz to me or who has produced
as identification and who did tale an oath.
NOTARY PUBLIC:
Paint: Y ' i + `` !
My Commission Expires MAYLIN Y. MADRID 1
Comm# D00268619
* * * *c A A A
e YN
7I
Bonded thru (800)432 -4254
Florida Notary Assn.. Inc
■
* • * * * * ********** * *•4.4 * * * * * ** * * * * * ** * * * ** * * * * ** 4 i• *bd••4 * * + *a.:l:4..1..1..l:.l.
Plans Examiner
Engineer
Zoning
ADDENDUM TO BUILDING PERMIT APPLICATION
'AN APPLICATION•FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, Tit OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
TEM
ATH TUB
UNIT
1
FEE
' 50
ITEM
SWITCH OUTLETS
UNIT
5
FEE
, ,.
ITEM
SPACE HEATERS
UNIT
FEE
IDET
LIGHT OUTLETS
6
' -
CENTRAL HEATING
ISOMER
1
f(‘)
RECEPTACLES .1„3..
_
2gp
A/C (HIND)
ISPOSAL
SERVICE WORMY
A/C (CENTRAL)
R INKING FOUNTAIN
SERVICE SIZE IN AMPS
CLOT WORK
LOOR DRAIN
SERVICE REPAIR/METER CHAIEE
REFRIGERATION _
REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTOR
RANGE TOP
INCERCKUND TANKS
AVATORY 1 i7 e1L .
2 110
OVEN
WATER HEATER
ABOVE GROUND TANKS
U.F. PRESSURE VESSELS
RY TRAY
.AJ)
IOTNES WASHER
MOTORS 0- 1 If
STEAM BOILERS
KKR
2
. 40
MOTORS OVER 1- 3 1P
HOT WATER BOILERS
;INK, POT/3 COMP.
MOTORS OVER 3- 5 IP
MECHANICAL VENTILATION
;INK. RESIDENCE
1
90
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
;INK. SLOP
MOTORS OVER 8- 10 IP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
_
FIRE SPRINKLER SYSTEMS
P INAL
MOTORS OVER 25-100 HP
COOLING TOWERS
RATER CLOSET
3
Z
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES-
A/C WINDOW
REINSPECTION
RATER SUPPLY T0:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
-
HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER-REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PLRPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
_
WATER SERVICE
SIGN TUBES
iEWER CONNECTIONS
SIGN TRANSFORMERS
ITILITY -SEWER
SIGN TIME CLOCK
NT I L ITY -WATER
FIXTURES
;EPTIC TANK
ANTENNA
FLAY
TELEVISION OUTLETS
IRAINFIELD, 4' TILE/RES.
VIOLATION
'UArP & ABANDON SEPTIC TANK
RE INSPECT ION
0AKAGE PIT CU. FT.
:ATCH BASIN
)ISCHARGE WELL
,
GMIESTIC WELL
-
1REA DRAIN
IOOF INLET
OLAR WATER HEATER
IRE STACCP IPE
POOL PIPING
AWN SPRINKLER SYSTEM
AS RANGE
_
ETER SET (GAS)
b
AS PIPING
_
ADDENDUM TO BUILDING PERMIT APPLICATION
'AN APPLICATION•FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, Tit OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
BUILDING
PERMIT APPLICATION
IT Jac 2001
•
Permit 'Type (circle): Building C Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) C /44 L . Al 1' j • one #
()w nci's Address 3 ) N % / fi r,` 1 S -t-
('ify hi hall cite, State FL Zip
'Icnanl /Lessee Name
.Ioh Address (where the work is being done)
('ily Miami Shores Village County Mi n •ade Zip
Is Building Historically Designated YES NO
Contractor's Company Name p2 S t' . :4 - ;C Phone # 3CS 1 .N 7 &))
('onliaclur's Address r 31 ¶ Nc(i' 3o
('ily
Qualifier
'I otal Fee Now Due $
Di 11
$
Value of Work For this Permit
(('outinned on opposite side)
V Al- 1 Wil 11 tiJ i lV 1 ' 'L) V 1 11 W{.t)`J
Building Department
10050 N.E.2nd Avenue, Miami Shot , Florida 33138
Tel: (305) 795.2204 Fax: (30, 756.8972
9
3 3c NE. /67 St
Code Enforcement $ Structural Plan Review. $
Phone #
Slate PL.- Zip ) /J )
Architect /Engineer's Nance (if applicable) Phone #
.Permit No.
Master Permit No. /
Slate ('eitilicate or Registration No. ere 00 / /0 2 Q Certificate of Competency No. f 7 2 33
Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ['New VRepai r/Replace ❑ Demolition
Describe Work: 1ZL GZ(Z/l , ��C%Z Lt- J
******* *********************Fees******************************
Submittal Submittal Fee $ Permit Fee $ /✓rD o'o CCF $ 0 6'-/t) 0 /CC
Notary $ '—' 'Training /Education Fee $ 'as) Technology Fee $
Scanning $ Radon $ Zoning Bond $
/it. t)b 217
Bonding (Company's Nanie (if applicable)
Bonding Company's Address _
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address -- - _
('ily ._ State
Application is hereby made to obtain a pern►it 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 ELECI'RICAI. 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."
Nuln:e to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant mist
promise in good fcait/t that u copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property 1.v subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted ill !he jug sn.
/or the first tarspectiori which occurs seven (7) days after the building permit is issued. In the absence of such posted nutter, lit :
inspection will not be upproveel- crr�id 0 reinspection fee will be charged.
Signature -
Ossjur4tr Agent
l'iinti
My Commission Exiiirne•
* *A * * * * * * * * * ** * *4* *,
The foregoing instrument was acknowledged before me this
day o .1 2(1 K, by ��}U )i 1 C' (v t_:` L-
who is perso nall' known to me or who has produced
As identification and who did take an oath.
NO'T'ARY PUBLIC:
Sign: 71
{
L II,)
MAYLIN Y. MADRID
* * * *Li vithittaket.**
Expires 2/1/2008 I
Bon 4 7.d thru (000)434.42541
Fknda Notary Assn., Inc
*T * # * * * ** * * * ** 414VV " PPRIPVMCI 4P*41M.0.0.114 Iri***** * *4
APPLICATION APPROVED
chi
05 11.3
Zip
Zip
NOTARY PUBLIC:
Sign:
Print:
Commission Expires:
1
Signature - - ✓ C 5! /�L�1C�.Z 0
,./Contractor
The foregoing instrument was acknowledged before me this /y
day of - - - , 20(_c, by y/ c l 1 (r o
who is personal nowl90 me or who has produced
as identification and who did lake an oall►.
i OFFICIAL NOTARY SEAL
JEANNINE RAMIREZ
y NOTARY PUBLIC STATE Or FLORIDA
r � MISSION NO. DI]075222
LL MIStai ` /ixP. DEC 15,2o35
Plans Examiner
Engineei
Zoning
ITEM
BATH 11.8
UNIT
j
FEE
4.50
ITEM
SWITCH OUTLETS
UNIT
5
FEE
, .•
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
b
-,
CENTRAL HEATING
DISHWASHER
J.
J O
RECEPTACLES
IL
MO
A/C (WIN))
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/WIER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY 1 %13iL
?
2 J4 C
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
2.
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
],
R4,
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
3
140
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
FIXTLRES
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
ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR. UILbING 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
ELECTRICAL
MECHANICAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2005 -68
Printed: 3/2/2005
Applicant:
Owner:
JOB ADDRESS: 335 NE 101 ST
Contractor CPS ELECTRIC, INC.
Local Phone: 305 - 607 -8221
Parcel # 1132060135211
Electrical Permit
Contractor's Address: 1315 N. W. 30 AVE.
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 18 & W4OFT LOT 19 BLK 38 LOT SIZE
Fees: Description Amount
FEE2005 -2642 Building Fee $150.00
FEE2005 -2643 CCF $0.60
FEE2005 -2644 Training and Education Fee $0.20
FEE2005 -2645 Technology Fee $3.75
Total Fees: $154.55
Total Fees: $154.55
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 8/15/2005 Construction Value: $440.00
Work: ELECTRIC FOR KTCHEN AND BATHROOMS REMODELING - MASTER BP2005 -228
Signed: (INSPECTOR)
c,
&
c
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: