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EL-09-1313 .� v Miami Shores Village x ,)raRIM xx 10050 N.E. 2nd Avenue 3 a 0� Miami Shores, FL 33138-0000 � Phone: (305)795 2204 a �A ua±± x � r to g. Expiration: 02/10/2010 Project Address _ Parcel Number Applicant 29 105 Street 1121360050300 STEVEN RITTER Miami Shores, FL Block: Lot: Owner Information Address Phone C ell STEVEN RITTER 29 NW 105 ST MIAMI SHORES FL 33150 -1241 Contractor(s) Phone Cell Phone $ 1,000.00 STEVENSON'S ELECTRIC SERVICE C (305)253 -1500 Valuation: ._. _ . Total Sq Feet: 0 Type of Work: ELECTRICAL For Inspections please call: Additional Info: METER UPGRADE (305)762 -4949 Classification: Residential Available Inspections: Inspection Type: Underground Rough Final Meter Box Alteration Relocation Fire Alarm Service Change W. W. Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.60 EL48- 09-35636 Education Surcharge $0.20 $ 172.80 $ 172.80 $ 0.00 Notary Fee $5. Check #: 1001 Permit Fee - Additions/Alterations $160.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $172.80 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. August 14, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent ate Building Department Copy Auqust 14, 2009 — - 1 J l C� ;l/ j `S 2° �� �GrGr�� I , �� Miami Shores Village Iloma F� g AUG 0 "7 0� Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY. •.......... Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. Fj ' t31 PERMIT APPLICATION Master Permit Np. FBC 20 Permit Type; ELECTRICAL / 2 Owner's Name (Fee Sim le Titleholder) a1 !� t Phone # Owner's Address City 41' 1 64 State Zip TenanbLessee Name Phone # Email Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Gr — zip — FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zon Contractor's Company Name 60 Phone # Contractor's Address_ y e state zi 3315 �� Z , ` - Qualifier Name r� Phone # "79(-. State Certificate or Registration � 1 r® tT Certificate of Competency No Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ J Square / Linear Footage Work: Type of Work: ❑Addition ❑Alteration /I ❑New Repair/Replace Demolition Describe Work: -f- j,{,� Submittal Fee $ Permit Fee $ /,00.0® CCF $ a ta n CO /CC $ Notary $ Training/Education Fee $ 0 Technology Fe_ 4 Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ l"Jot'o See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip I 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 MPROVEMENTS 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and reinspection fee will be charged. Signature Signature Owner or Agent Contractor The for going i trument was ac wledged bef this The fore oing ins ent was acknow ged before m isa day of , 20t by day of , 20 V Rio personally known to me or who has produced who is personally knowJ o d me or who has ouc nn 2 r I -� ' identification and who did take an oath. oul I tif ication and who did take an oath. NO AR UBLIC:. k OTARY PUBLIC: ® s Si ��A��� Si Print: `t G li .���ca Print: My Commission Expires: � `= +�� My Commission Expires: • " % U 0 �• ��� APPROVED / / � Flans Examiner Zoning Engineer Clerk checked (Revised 07 /10 107)(Revised 06 /10/2009) FZ .... AUG 1 1 200 .. � • " a ... P E P� Pc .• . - •••• Miami Shores Vill- .; •••• � d �$ • APPROVED' BY � f W ZONING DEPT t BLDG DEPT go� SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULAT!O�dS 1 � LP Gym Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 I nspection Number: INSP- 121414 Permit Number: EL -8 -09 -1313 Inspection Date: August 31, 2009 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: RITTER, STEVEN Work Classification: Alteration Job Address: 29 NW 105 Street Miami Shores, FL Phone Number Parcel Number 1121360050300 Project: <NONE> Contractor: STEVENSON'S ELECTRIC SERVICE C OMPANY Phone: (305)253 -1500 Building Department Comments REPLACE EXISTING STACK WIRES IN METER AND WEATHER HEAD Inspector Comments Passed El /-- Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 August 28, 2009 Page 1 of 1