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EL-05-371
IrC65 4 11.16 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / fr"' ' � Type Insp'n )6095:7, L t Permit No.6 • 2 x•-' 77 / Name Cie? ? "- Address r ®r A-'e 1 A / �I tJ V 0 3 2005 Company air - y / 4047- Phone # - of Inspection Date 2 f' 47 Approved Correction Re- Insp'n Fee .4-'4° 7 %toe MIAMI'SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date / /--"e" Type Insp'n Permit No. 2V e".a ?'" / Name if Address ,/4' / AO' 5 / Company ‘re Phone # A/G 3g4'5 " Inspection Date 2 X. e' 4 co Approved Correction Re-Insp'n Fee 1' 1 .e; BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) Owner's Address © ( VE 10 5 City D ov t i P ®f t State P7 Zip . 3313 & Tenant/Lessee Name Job Address (where the work is being done) 01 Are 1 5+ Zip 313,!? (-26 _ Contractor's Company Name C 7 deC4 Phone # & 2 Contractor's Address l 5(g a `3N-A • City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO City e State . C Zip �� V- Qualifier C e .) State Certificate or Registration No.62, /30 1 3 f �J Architect/Engineer's Name (if applicable) Phone # r S 3 $ Value of Work For this Permit Total Fee Now Due $ (Continued on opposite side) I l43D � .500 Phone # ster Permit No. LC6 umbing Mechanical Roofing S Phone # (.305-)-7...6-e_ 5 Co f �pe Certificate of Competency No. O t4 000 5 Square Footage Of Work: Type of Work: DAddition DAlteration ONew Repair/Replace 0 Demolition Describe Work: 9,52.. (Ace ' c c d - ** ** * * **** ** * * * ** * * * * * * * * * ** F ees * * ** * * * ** * * * *** *** * * * * * * ** * * ** Submittal Fee $ Permit Fee $ /eye" • ev 4 CCF $ 0. Cod CO /CC Notary $ S,00 Training/Education Fee $ 0.2 Technology Fee $ Z • 60 Scanning $ 3 • CO 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 AN'N'I)AVIT: 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. W 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 certVied 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 Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20 , day of ,20 who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print My Commission Expires: My Commission Expires: Contractor * ************ * ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY chc 05/13/03 Plans Examiner Engineer Zoning AN .11P1 CATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDEN1DUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWN -.R' 5 NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLUMBING ADDENDUM I U dUI LuiNta rcr ri ELECTRICAL MECHANICAL iEW MB UNIT FEE ITEM UNIT SWITCH OUTLETS FEE ITEM SPACE HEATERS UNIT FEE ATH CENTRAL HEATI LIGHT OUTLETS IDET A/C (WIND) ISHWASHER I RECEPTACLES 1ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) IRINKIIt FOUNTAIN SERVICE SIZE IN AMPS MCI WORK - LOOR MAIN —_ SERVICE REPAIR/METER (MANGE 1 REFRIGERATION TRAP —_ APPLIANCE OUTLETS PROCESS AND PRESS P1P1NG I 3REASE !NTERCEPTOR RANGE TOP UNDERGROUNA TANKS OVEN AV�YY TRAY WATER HEATER :LOTHES WASHER __ MOTORS 0- 1 I-P MOWER MOTORS OVER 1- 3 I-P 3 INK POT /3 COMP. MOTORS OVER 3.- 5 HP -� ABOVE [MOUND TANKS — U .F . PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION , 3INK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSE&BLIES FINK, SLOP —_ MOTORS OVER 8- 10 If TEMPORARY WATER CLOSET __ MOTORS OVER 10- 25 HP URINAL MOTORS OVER 25-100 If ELEVATORS/ESCALATORS F IRE SPRINKLER SYSTEMS COOL TOWERS WATER CLOSET MOTORS OVER 100 I-P -_ VIOLATION I ND I RECT WASTES I A/C WINDOW I RE I NISF;ECT J ON WATER SUPPLY TO: I AIR CONDITIONERS I A/C UNIT STRIP HEATER I F IRE SPRINKLER I GENERATORS TRANSFORMERS I HEATER -NEW INST. I GENERATORS TRANSFORMERS -_ ( HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL —_ SPECIAL PURPOSE SWIMMING POOL __ OUTLETS COMf,ERCIAL WATER SERVICE —_ SI TIEES SEWER CONNECTIONS •SIGN TRANSFORMERS _ UTILITY -SEWER SIGN TIE CLOCK UTILITY -WATER FIXTIRES SEPTIC TANK ANTENNA RELAY 1 TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPT IC TANK RE I NSPECT I ON SOAKAGE PIT J. FT CATCH BASIN DISCHARGE WELL DOMESTIC WELL 1 AREA MAIN ROOF INLET I I SOLAR WATER HEATER F IRE STANd1P IPE POOL PIPING LAWN SPR SYSTEW I I GAS RANGE I I METER SET (abs) 1 I I ( GAF PIPik• ` I I I I I AN .11P1 CATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDEN1DUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWN -.R' 5 NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLUMBING ADDENDUM I U dUI LuiNta rcr ri ELECTRICAL MECHANICAL ►11 =� r1 7 ' LOOP ii DE 30' 1 (MIN) • • 1 ( ' ;= o0A METER 2' ABOVE ROOF w • • • • a- Pt-Ante FIPITSIIED ciRAI1E • •• � ••••• • ••• •./-.....+ s 1 , • • . , MAIN CB • • PVC SLE:C PANEL • 1.1"0" MN 11EP TI I ri MAIM T►�ITJQ • 1F.vl )Nt1• C1..NIP 0.11•111 au� g111u • • SUB C 13 . PANE`. 1t1JL1� UI< ' MAST . 1 - 100 1 0 \ \ Conductor sltr a� - Conduit stz c_2 .,.L Conduit type.- i•Glh_ kA° C Thr • 11I1�. DIS YONIIECT Rafinp L 6 ® _Amps Mux% - Amps • :Tub I3rack'cars Amps WS EDE PANEL Rating 2_E IAi,ps Bond Bus '%'es • L oCr - tlo n_ Z Ga, Iry PER S.F.II.C, 4506,21D) SUB FEEDER Ii ravnd wlrc • S ( M AT U R E QF COIIT R AC T • • 62 cook` New .. EMIG — Mg I. < _ Type /U size Bond :Ttzg3 • • NOTARY � • .._•.•.., _.,,--_•,. .•...�,_...••...- -. .•..._.. --•. • • \z/ 1-- .D • • • Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2005 -371 Printed: 11/2/2005 Applicant: JOSE GRAVIE Owner: GRAVIE JOSE JOB ADDRESS: 101 NE 105 ST Contractor CITY ELECTRICAL CONTRACTORS CORP Contractor's Address: 15622 SW 32 TERR Local Phone: Parcel # 1121360050090 Legal Description: DUNNINGS MIAMI SHORES EXT NO 1 Fees: Description Amount FEE2005 -14020 Building Fee $100.00 FEE2005 -14021 CCF $0.60 FEE2005 -14022 Notary Fee $5.00 FEE2005 -14023 Training and Education Fee $0.20 FEE2005 -14024 Technology Fee $2.50 FEE2005 -14025 Scanning Fee $3.00 Total Fees: $111.30 Total Fees: $111.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/30/2006 Construction Value: $500.00 Work: REPLACE OLD METER CAN Page 1 of 1 PB 41 -51 LOT 9 BLK NOV 0 2 PAID / 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: