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EL-06-2441Issue Date: 10/3/2006 Owner's Name:.ANGELIQUE VILUS Permit Type: Electrical - Residential Work Classification: Repair Job Address: 101 105 Street NW Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 hone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 04/01 /2007 Contractor(s) Phone C &M ELECTRIC SERVICES INC (754)367 -7240 Primary Contractor Yes Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -9 -06 -2441 Phone: 1121360080160 Lot: PB: Total Square Feet Total Valuation: Required Inspections 0 $ 325.00 Additional Information Type of Work: Classification: Residential Finance Copy Additional Info: Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $3.00 $2.50 $106.30 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 pertain' thereto and in strict conformity with the plans, drawings, statements or specifics ns submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Final Invoice Number EL - 10 - 06 - 26299 Total: _0) 4 61621 Amt Due Amt Paid $106.30 NOV 15 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS; STATE AGENCIES, OR FEDERAL AGENCIES. Check Info Account: Amount: 106.30 Check #: 0969 Posted Date: 11/20/2006 Bank of America, N.A. Member FDIC. ©2005 Bank of America Corporation. All rights reserved. WINS SIEVE FRANCOIS N ITH CT, "COAL FL aampaim 969 for i :o6 34010 2??i 004.43 43'0 ?F4u Oq 9 Page 1 of 1 https: // direct. bankofamerica. com/ ImageBofaDirect /ImageAccess/ViewerPrint.j sp?timestamp=1 1 64 122... 11/21/2006 Date Wednesday, January 17, 2007 11/15/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -9 -06 -2441 Invoice Number: EL -10 -06 -26299 Applicant: ANGELIQUE VILUS Company Name: Owner Address: 101 NW 105 ST MIAMI SHORE, FL 33150 -1 Job Address: 101 105 Street NW Miami Shores Village, FL 33138- Payment Type Check Number 969 Amount $106.30 Change $0.00 Total Payment: $106.30 fif051, of 1 Lewis Steve Francois 20653 NE 7 Court Miami, FL 33179 -2413 Dear Owner, re: Your check number #969 You are hereby notified that a check, numbered 969 in the face amount of $106.30 issued by you on November 15, 2006 drawn upon Bank of America and made payable to Miami Shores Village, has been dishonored. Pursuant to Florida law, you have 7 days from receipt of this notice to tender payment of the full amount of such check plus a service charge of $25, if the face value does not exceed $50, $30 if the face value exceeds $50 but does not exceed $300, $40, if the face value exceeds $300, or an amount of up to 5 percent of the face amount of the check whichever is greater, the amount clue being one hundred thirty-six dollars and thirty cents ($136.30). ThIs amount must be paid via certified funds (Le. cash, money order, cashiers check or credit card.) At this time, your building permit is no longer valid. We have instructed our building offidals and public safety officers to cease any work until such time payment is received. Unless this amount is paid in full within the time specified above, the holder of such check may turn over the dishonored check and all other available information relating to this incident to the state attorney for criminal prosecution. You may be additionally liable in a civil action for triple the amount of the check, but in no case less than $50, together with the amount of the check, a service charge, court costs, reasonable attorney fees, and incurred bank fees, as provided in State Statute 68.065. PLEASE GOVERN YOURSELF ACCORDINGLY! Sincerely, MIAMI SHORES VILLAGE ark A. Malatak hief Financial Officer MAM:Ik Enclosure cc: *Miami- Shores Building- Department 'N Miami Shores Village Code Enforcement Department Homeowner — 101 NW 105 Street MIAMI SHORES VILLAGE 10050 N.E. 2ND AVENUE MIAMI SHORES, FL 33138 FINANCE DEPARTMENT (305) 795 -2207 Thursday, November 30, 2006 Check Info Account: Amount: 106.30 Check #: 0969 Posted Date: 11/20/2006 Bank of America, N.A. Member FDIC. ©2005 Bank of America Corporation. All rights reserved. LEWIS STEVE FRANCOIS N 20653 MICf. MIAMI, FL 33119 Ps 10 Order of 4e t) Ralik* l 4 AIr 063 10p$T7 I kir r ' V I o O 1. *: 3`90?"000 honor 99 0341/031 a Page 1 of 1 https: // direct. bankofamerica. com/ ImageBofaDirect /ImageAccess/ViewerPrint jsp?timestamp= 1164122... 11/21/2006 Issue Date: 10/3/2006 Owner's Name: ANGELIQUE VILUS Permit Type: Electrical - Residential Work Classification: Repair Job Address: 101 105 Street NW Miami Shores Village; FL 33138- Contractor(s) Phone C &M ELECTRIC SERVICES INC (754)367 -7240 Primary Contractor Yes Additional Information Type of Work: Classification: Residential Additional Info: 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $106.30 Invoice Number EL - 10 - 06 - 26299 Total: J Amt Due $106.30 Amt Paid NOV 1 5PAID Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 04/01/2007 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -9 -06 -2441 Phone: 1121360080160 Lot: PB: Total Square Feet: 0 Total Valuation: $ 325.00 Re • uired Ins • ections Final NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Owner's Name (Fee Simple TitlehotdPr\ Owner's Address _ City M/ State Tenant/Lessee-Name �� � �, C� � //l ar p i,� /®I nroU Plumbing Mechanical Roofing g. r / Phone �y /f < i3 Zip Job Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # /(_ (2. C x , or 6 Is Building Historically Designated YES NO Value of Work For this Permit $ 3 Type of Work: (]Addition ['Alteration ['New Describe Work: Permit No. L _ - Master Permit No. ob-- ) q 5 1 Phone # 33 / Z7 s c � Zip ' 3 f--.1 -oco --‘051 Mr3MIMMT SEP 2 9 2006 f 2t 1Phone # 76V 3 67 7240 Contractor's Company Name Contractor's Address ? 20 /red P4.15 Cit Cee-onear Aotee State F4 Zip 3 3 '73 Qualifier Name 9 I d6W 0.44-0041-70- Phone # TJ 4 3 6' 7 7 ' State Certifica,t1 or Registration No. ,Fe® 000 a 1/6 Certificate of Competency No. , 000 £/ '/6 Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: Repair/Replace Submittal Fee $ Permit Fee $ /e7 to • ere- ere-0 CCF $ 0130 CO /CC Notary $ Training/Education Fee $ 0- Technology Fee $ 2 Scanning $ c0 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ p Structural Review. $ Total Fee Now Due $ Il ' See Reverse side --> ❑ Demolition Bonding Company's NAme-(it-appliikl � - Bondin Eognp�any' Address i� ty 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 cert fed 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 Owner or Agent / The foregoing instrument was acknowledged before me this ( I.h day of l—_, 20, by who is personally known to me or who has produced ? —V) 40 -t,l aVAs identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC-MA _ 01 M Allit I a p ia Si p rest NOM 29, 2008 Print 2'nnded Thnn Atlantic Rnnriiv,g Co , toe. • My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature "�� Contractor The foregoing instrument was acknowledged before me this ZS dayof S &p Ma , by who is personally known to me or who has produced l 3OC yy Y -as identification and who did take an oath. NOTARY PUBLIC: N TARY?IJB CGSTA wit? Pon. e. My Commission Expires: Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS L7 SPACE HEATERS DISHWASHER LIGHT OUTLETS AO CENTRAL HEATING DISPOSAL RECEPTACLES ✓ A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5-8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS/ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION A/C UNIT • NC WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE/RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION 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 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. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL