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EL-07-197Issue Date: 2/2/2007 Expires: 08/01/2007 Owner's Name: THOMAS AND REBECCA TELESCO Permit Type: Electrical - Residential Work Classification: Temp for Test Job Address: 86 109 Street NE Miami Shores Village, FL 33161- Contractor(s) TGC CONSTRUCTION INC Phone (305)866 - 1014 Primary Contractor Yes Additional Information Type of Work: elect. temp. for test 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 CCF Education Surcharge Permit Fee - New Construction Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $3.00 $2.50 $106.30 Invoice Number EL - 2 - 07 - 27427 Total: diloon Amt Due $106.30 Amt Paid FEB 0 2 PAID 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 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -2 -07 -197 Phone: (305)751 -1786 1121360110330 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Required Inspections 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. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING alfd 2/O Permit No. PERMIT APPLICATION A!lcca • FBC 2004 Permit Type (circle): Building City / 41t (WA; SAOR es State f1 Tenant/Lessee Name Electrical Owner's Address p fo Al r FEB 0 .1 2007 Pi BY. WW' Master Permit No. ,3 ,0 2...CO - 1038- Plumbing Mechanical Roofmg Owner's Name (Fee Simple Titleholder) ritcc44 '�' ( c o ,,2- Phone # ( OS-) f , 6 ( Zip N T /6 Phone # Job Address (where the work is being done) S Ai 4. / 4 ? 4 sr - City Miami Shores Village County Miami -Dade Zip 33/6/ FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name l L G. c •511zu c r t ONi Phone # 30 SG t". 1 © � Contractor's Address Ill\ Y-.A — c.oUre-545 CityT2*- 1.-tew2'502- A c' State l— Zip 7 33 t 54- Qualifier Name �a- IO -t "TELEX Phone # e3" , 1. 4 CS t Ay - State Certificate or Registration No.F-13 2.q0O 3 Certificate of Competency No. C> ,l t3 CC) 2-4 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: Te-fil f ro& Te_S * *, * * *, *, *, * * * * * * * ** * * ** ** **** * * * * * ** ** F * * * * **** *, * * * ** * ** * * *** * * * ** ** ** * * ** * * * * ** Submittal Fee $ Permit Fee $ /e040:410.0 CCF $ st CO /CC Notary $ Training/Education Fee $0 Technology Fee $ 2.•90 Scanning $ 4 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ gg Structural Review. $ Total Fee Now Due $ 0 See 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 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 t e absence of such posted notice, the inspection ll not be ayproved and a reinspection fee will be charged NOTARY PUBL Sign: Print: My Commission E Owner or Agent Contractor The foregoing instrument was acknowledged before me this S( cr The foregoing instrument was acknowledged before me this 3 I day of ZAbi 20 pjby 7' 1 4gkA11S . 7 LVSCO day off P44V P44% PeC, 20 07, by — Part '`l('b g. who is personally known to me or who has produced who • personally known to me r who has produced Tres A' 1 Sign: I u Print: My Commission Expires: e ********** 3£ 9r*irake49e k 4t9r*tk &* * ** APPLICATION APPROVED BY: (Revised 02/08/06) As identification and who did take an Signature as identification and who did NOTARY.' �LIC• 0 / z 'll i1� au Engineer Zoning ** 1 for owners: Page 1 of 2 FFB 01 2001 /Lai, BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138-2382 TELEPHONE (305) 795 -2204 FAX (305) 756 -8972 AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE (To be executed by Owner and/or Tenant, Baddiug 8e Electcicat Contractor) NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED It is understood that the temporary - electrical approval by the Miami Shores Village, Building & Zoning Department given in connection with the building being constructed under. 7 Building Permit No. 8? ZOOf " /03 Electrical Permit No. L . (` `S ' c — / /, at address: J & Al E ! O T k F ( 33/0 i AC. m liss /. /-° is being given only for construction purposes or for testing the following installations being made in said structure: A c A PPlicatc 5 L jA Sub - paragraph 4501.3 (d) (3) of the South Florida Building Code provides for a 30 day maximum approval only in an URGENT NECESSITY for electric current exists. Necessity shall include the use of current for irrigation, security, humidity control, emergency power and lighting, such as for testing or consltruction purposes, provided the Electrical Contractor and owner do hereby agree to assume the responsibility of maintaining the installation in such a manner that there is no hazard to life and property. Such approval is in no event to be considered a release of said structure for purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and an occupancy permit obtained. The undersigned also understand that the temporary-electric approval is subject to rescission and cancellation, and electric power can be cut off at the discretion of the Building and Zoning Department and will be disconnected if the building concerned is occupied before final inspections are approved and occupancy permit obtained. L (AC.M6J 7 /e 5 cc depose and say that I am the owner of the above described . • I T agreement shall not be occupied until the building contract�o -. r . , Sworn and subscribed before me this eM A day of aka U_ , Notary Pub State of 1 orsda at Large My Commission Expires: and being first duly sworn, that the structure covered in this final inspections. STUARTKANE :: MY COMMISSION i DD 582377 EXPIRES: August 7, 2010 V Balled Thru Notary Public Untie WmOn .sw 30 DAY TEMPORARY- ELECTRIC SERVICE (continue) being first duty sworn, depose and say that I am the Electrical Contractor for the above described property and that the electrical installations as now existing will not create a safety hazard if temporary - service is connected. Sworn and subscribed before me this 244 day Notary of � ate at Large notary Pub State of orida, at Large My commission expires: Sworn and subscribed before me this 2{' day of r, 2 Notary Public, State ' Florida at Large My Commiasioet Expires: SIGNATURE OF ELECTRICAL INSPECTOR Date: Page 2 of 2 by- ( name) Date: f SIGNA 714 Inv SIGN ; v' MY COMMISSION # DD 582377 STUART KANE o? EXPIRES: August 7 2010 } ...74 wNotaryPatrt*Urdsmrtels • >asw0ro111). I e �e S Co , being first duly sworn, depose and said that I am the Building Contractor of the above described property and that I will not permit occupancy of this building until final division obtained and that I have the - - "fir' insofar as . i` - ner of said property is concerned to prohibit occupancy until such final inspec Release to FLORIDA POWER & LIGHT CO. To: (name) CTRICAL CONTRACTOR LIC