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EL-10-220Project Address 286 107 Street Miami Shores, FL Owner Information MARTIN POLITI Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Expiration: 08/16/2010 Parcel Number 1122310130450 Block: Lot: 286 NE 107 ST MIAMI BEACH FL 33161 -7063 Phone Applicant MARTIN POLITI Cell Contractor(s) BROADVIEW SECURITY Phone CeII Phone (305)406 -3940 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $3.00 $0.80 $104.60 Building Department Copy February 24, 2010 Invoice # EL -2 -10 -37042 Invoice Total Amt Paid Amt Due $104.60 $104.60 $0.00 Check #: 1002664 Valuation: Total Sq Feet: Type of Work: ELECTRICAL Additional Info: ALARM Classification: Residential $ 200.00 0 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: 1 2 BUILDING PERMIT APPLICATION FBC 2004 City ►' 10 FYI') Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) 21(.1) {vE 10 5+ Value, of Work For this Permit $ Miami Shores Village D argil 1IS Building Department FEE 1 201 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State F L cO Bond $ Code Enforcement $ Double Fee $ .......... Permit No. EL 10 - Z ? D Master Permit No. Permit Type: Electrical Owner's Name (Fee Simple Titleholder) mull fl P01 I A Phone # Owner's Address '_.??L® NE 10 3 Zip 33 1 1 Phone # City Miami Shores Village County Miami -Dade Zip /(Q FOLIO / PARCEL # I I- 2261 - O 1,3 - O Is Building Historically Designated YES NO Contractor's Company Name 5COQd\ reW rrArI Phone #4 . 3Q l U Contractor's Address B 1� ui E1 *101 City �'fl.— State 1 L Zip 33` Qualifier Nam C S 1 1 Phone #(2C5 D . 1 C 1 4 0 State Certificate or Registration No. 0--4 Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: Type of Work: ddition ❑Alteration :New ❑ Repair /Replace ❑ Demolition Describe Work: �j , h tat-- ") ( hi ********* * * * ** * * * * * * * **,* ** ****** **** *** F * * * * * * * * * * * *,* * * * * * * * * * ** * * * * ** Submittal Fee $ Permit Fee $ /0745 CCF $ 01P 0/CC Notary $ Training /Education Fee $ (o,(0 Technology Fee Scanning $ e0 Radon $ DPBR $ Zoning $ Structural Review. $ Total Fee Now Due $ I(O4'e0O Sec Reverse side - 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 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 certified copy of the recorded notine of commencement must be po ed at the job site for the first inspection which oc urs seven (7) days after the building permit is issued In the absence of suc posted notice, the inspection will n be approved a a reinspect • j will be c arged. 4_4 a 1 ►�! Signature Owner or Agent _ ontractor The foregoing instrument was acknowle ged before me this /6 The foregoing instrument was is; before me this /44 Po day of 6 b , 20/ d , by!'7A4fr f t' � , day of 6' edn , 20 /Q by l /a ecare /J- who is personally known to me or who has produced who is personally known to me or who ha produced As identification and who did take an oath. NOTARY PUBLIC: Si Print: M ' ommission Expir wwwww******'*** ** * [ ****************** **** *** * **** ***********'K* * *** * * * * **** ***** ** *******'fit'*****'* APPLICATION APPROVED BY: (Revised 02 /08/06) Signature Sign as identifi NOTARY PUBLI Print: My r • mission Expi: Plans Examiner Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS ' CENTRAL HEATING DISPOSAL RECEPTACLES NC (WIND) FLOOR DRAIN SERVICE TEMPORARY NC (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 ABOVEGROUND 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 • UTI JTY - 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 Pti A1 ell . . DOMESTIC WELL Oe I C -.�� k AREA DRAIN CO c'1 O I PC3Of I t 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 Scheduled Inspection Date: August 04, 2010 Inspector: Devaney, Michael Owner: POLITI, MARTIN Job Address: 286 NE 107 Street Project: <NONE> Contractor: BROADVIEW SECURITY Building Department Comments August 03, 2010 Miami Shores, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Phone Number Inspection Number: INSP - 149667 Permit Number: EL -2 -10 -220 For Inspections please call: (305)762 -4949 c(Y Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Parcel Number 1122310130450 Phone: (305)406 -3940 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 21 of 26