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101 NE 102 St (3)I _ _ 10050 N.E.2nd Avenue �,y�,� ores, Florida 33138 L _.__" T it es" 7 an(3 5) 756.8972 p 5 I 6C ZOO, BUILDING t E r, " 21103 Permit No. PERMIT APPLICATION_ FBC 2001 Permit Type (circle): Building Electrical / Owner's Name (Fee Simple Titleholder) // e a L' id • ` / Phone # 3 0 7' 7.3 ,/ 0 Owner's Address / 0 / /7 .(,,[l 1 0 '7 (R-9 City m /Q to) 5.h 04.6 State Fin . Tenant/Lessee Name Phone # Job Address (where the work is being done) / A/ j &/ /b2 41 City Miami Shores Village County Miami -Dade Zip � ei /SD Is Building Historically Designated YES NO Contractor's Company Name i' 2 X et eL // e4z Contractor's Addre 4 A/ 6 ?Zvi' City �� j /.0 State .1` Zip 33/ ..74e Qualifier ./.7"C7,4 L?` -/3 -e-P $ Value of Work For this Permit 0 ' Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department Plumbing Master Permit No. Zip 3 7 / S� Phone # 2S 9 s / Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ❑A 'lion ❑Alteration , ❑New ❑ Repair/Replace ❑ Demolition Describe Wor e--e/ * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 5() ('k I9i2 Permit Fee $ / 424P ° v CCF $ ) ti D Notary $ r, .C Training/Education Fee $ . Technology Fee $ ,S c Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Mechanical Roofing Bonding Company's Name (if applicable) 1 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 CONDMONERS, 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 , ' I be delivered to the person nt must be post - ' tie job site absence of suc posted notice, the whose property is subject to attachment. Also, a certified copy of the recorded notice of comme for the first inspection which occurs seven (7) days after the building permit is issued. inspection will not be approved and a reinspection fee will be charged. Signature /1'', . J7/ / / Owner or Ageiw Sign: Printfl Q Q My Commission Expires: State Certificate or Registration No. Chc 10/14/03 c The foregoing instrument was acknowledged before me this day of \ \-•C �. , 29 -, by ,i who is personally known to me or who has produced As ide{�4ificatiop who did take an oath. NOT LY PU IAC: =, m!11 Ss l Vargas mmission ODD23I984 re • Ju 13 Bonding Co., Inc. **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Contractor The foregoing instrument was acknowledged before me this2''f day of KID) , 2003 by I-' 11-.1s000 3 , who is personally known to me or who has produced it 'i I55325 . O as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: (Certificate of Competency Holder) Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning M H TUB UNIT FEE ITEM . SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE • ET LIGHT OUTLETS CENTRAL HEATING ,WASHER RECEPTACLES A/C (WIND) ?OSAL SERVICE TEMPORARY A/C (CENTRAL) NKING FOUNTAIN SERVICE SIZE IN .WS J DUCT WORK DRAIN SERVICE REPAIR/MIETER CHAFE / REFRIGERATION .R .ASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING "ERCEPTOR RANGE TOP UNDERGROUND TANKS 'ATCRY OVEN ABOVE GROUND TANKS INDRY TRAY WATER HEATER U.F. PRESSURE VESSELS ITHES WASHER MOTORS 0- 1 HP STEAM BOILERS IWER MOTORS OVER 1- 3 FP HOT WATER BOILERS iX, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION •X. RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES X, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS PCRARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS. INAL MOTORS OVER 25-100 HP COOLING TOWERS TER CLOSET MOTORS OVER 100 HP VIOLATION OIRECT WASTES A/C WINDOW REINSPECTION TER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFCRMERS HEATER- REPLACE GENERATORS TRANSFCRMERS LAWN SPRINKLER WILL SPECIAL PURPOSE • SW I)J I NG POOL CUTLETS COM ERC I AL WATER SERVICE SIGN TUBES WER CONNECTIONS SIGN TRANSFORMERS ILITY -SEWER SIGN TIME CLOCK ILITY -WATER FIXTLRES ?TIC TANK ANTENNA LAY TELEVISION OUTLETS AINFIELD, 4' TILE/RES. VIOLATION MP & ABANDON SEPTIC TANK REINSPECTION AKAGE PIT CU. FT. TCH BASIN SCHARGE WELL 'MESTIC WELL EA DRAIN ' = :OF INLET �� :LAR WATER HEATER ` RE STANDPIPE == CI. PIPING CNN SPRINKLE SYSTEM - LS :TER SET (GAS) .S PIPING -_ PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION 4 APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. 3TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL 1 • RV10E Ybi At S led-1 .1 • :• ALL ;CoN'Du ; S►ZED T T14RU ROOF H f~1GHT Ascri G. ROOF - Mt:• 2'0" .MA' .38'' MltNt! RISER 2 ". 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E CC,: - -, 40.1.11?. ! . ? 5 0 9 4 ; • 1 Cw.P ; ; 1 ; : • 1 • 1 . ■ 1 1 I GROUND tNG • F1.ECTRa!0P. S :.'. - C.NIRLY_.._ITH . 250:.1.1 2 11 :.W il. ., APP•t -I CA51 -e. - ' _ ;.: .• ; E • ; .. � , " � 1. o_ � ' ND. w .3J5t-lI N CZ6.. `2.5c� -"1Z I Cc.i) 1 : . . : .... :... • :.. I. ! .. ' !33 :FPL: ) QutRt= S, Mt~ t_.R; 5'' - -�0`! AP.A• ..GRr ., I ..:. 1 I_. ' ! (...To: GCNTtr R O..ME`i'ER -) :....: ' • . : : • 1 A PPROVED.: • . :. . . . . • l C .`RJC:AL.. D.IV.(S.i4N.:. • 1 MI ELECTRICAL INC Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2003 -352 Printed: 12 /2/2003 Applicant: H Owner: MORGAN JOB ADDRESS: 101 NW 102 Contractor M I ELECTRICAL INC Local Phone: 786- 295 -9521 Parcel # 1131010220050 Signed: Electrical Permit MORGAN H ST Contractor's Address: 411 NE 87 ST Page 1 of 1 Legal Description: GOLD CREST A SUB PB 21 -56 LOT 13 AND BLK 1 E1/2 OF LOT 14 LOT Fees: Description Amount FEE2003 -7635 Building Fee $100.00 FEE2003 -7636 CCF $1.20 FEE2003 -7637 Notary Fee $5.00 FEE2003 -7638 Training and Education Fee $0.40 FEE2003 -7639 Technology Fee $2.50 Total Fees: $109.10 Total Fees :$1. ,Q Total Receipts: 0.00 51 1-0 Permit Status: APPROVED Permit Expiration: 5/29/2004 Construction Value: $1,200.00 Work: RELOCATE EXISITNG OVERHEAD SERVICE INSTALL NEW 200 AMP METER COMBO INSTALL NEW GROUNDING ROD (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: Die MIAMI SHORES VILLAGE Permit No Owner's Name and Address Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ' ° ) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 6urv1 (Signed) (Signed) No I `a r Street .... /.: Jr, Registered Architect and /or Engineer / 5' �/ Employing Electrician's Name..�.. 1� / Y L C rre T I F (- TR IL d x. e NO... .,0. v (( `f" Soeest e $ u Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Master Electrician. -+ _3, a �0 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida /' ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST / G'• r cl _ CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. M OTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST / 1 CHECK r F/L rea Die MIAMI SHORES VILLAGE Permit No Owner's Name and Address Amount of Permit $ ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date ' ° ) Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. 6urv1 (Signed) (Signed) No I `a r Street .... /.: Jr, Registered Architect and /or Engineer / 5' �/ Employing Electrician's Name..�.. 1� / Y L C rre T I F (- TR IL d x. e NO... .,0. v (( `f" Soeest e $ u Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Master Electrician. -+ _3, a �0 Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding lectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida /' ermanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. I ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA Cl. DATE - 195 0 PERMIT N° _ 1667 Contractor's License No. ❑ ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER B1 Subdi- vision Value of Project $ u Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time 11 the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY e6-• Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at buliding during progress of work. o i-r Owner's Name and Address O • N. Mart el No Street Registered Architect and /or Engineer Employing Electrician's Name L ewi s O. Wa ne r N 9 9 30 Street Central ,Blvd Location and Legal Description Lot 1 5 Block 13 Subdivision Y Street and Number where work is to be performed —No 101. N E• Street State work to be performed and purpose of building (By Floors) Wire Residence New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss ' APPLICATION FOR ELECTRICAL PERMIT 6 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires Date 102nd. St, (Signed ) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, oo work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). . f .. 4�-1 Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials a /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'8 FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP H EATER TOTAL CONTR. LIST 15 15 28 15 1 1 1 / .43) 2 a! V CHECK <3 /i11 / V D ? - 7.s ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. SS - M OTORS O.1 HP M OTORS N EON 1.8 HP TRANS. RADIO TOTAL C LIST R' 1 /Y) 1 /jJ 1 / o0 1 / 05) 1 3 - Hp AC / � 1 CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at buliding during progress of work. o i-r Owner's Name and Address O • N. Mart el No Street Registered Architect and /or Engineer Employing Electrician's Name L ewi s O. Wa ne r N 9 9 30 Street Central ,Blvd Location and Legal Description Lot 1 5 Block 13 Subdivision Y Street and Number where work is to be performed —No 101. N E• Street State work to be performed and purpose of building (By Floors) Wire Residence New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps .Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ STATE OF FLORIDA, } COUNTY OF DADE. ss ' APPLICATION FOR ELECTRICAL PERMIT 6 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT My Commission Expires Date 102nd. St, (Signed ) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, oo work to be performed under this permit, as are licensed by Miami Shores Village. (Signed). . f .. 4�-1 Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: re•inspection fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials a /or workmanship.