EL-05-76Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/2/2005
Applicant: FELIX REYES
Owner: MARTHA HENRIQUEZ
JOB ADDRESS: 41 NW 102
Parcel# 1131010180110
Signed:
(INSPECTOR)
Electrical Permit
Permit Number: EL2005 -76
MARTHA HENRIQUEZ
FELIX REYES
ST
Permit Status: APPROVED Permit Expiration: 8/27/2005 Construction Value: $200.00
Work: BURGLAR ALARM, (1) MASTER AND (8) DEVICES
Page 1 of 1
Contractor BRINKS HOME SECURITY INC Contractor's Address: 9960 N. W. 116TH WAY, SUITE 12
Local Phone: 305 - 887 -8455
NAR 0 3 pA1D
Legal Description: NAVARRO SUB PB 12 -59 S100FT OF E25FT LOT 21 & ALL LOT 22 & LOT 23
Fees: Description Amount
FEE2005 -2760 Building Fee $100.00
FEE2005 -2761 CCF $0.60
FEE2005 -2762 Training and Education Fee $0.20
FEE2005 -2763 Technology Fee $2.50
FEE2005 -2764 Submittal Fee ($50.00)
Total Fees: $53.30
Total Fees: $53.30
Total Receipts: $0.00
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:
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
DatE /4
T Insp'n ci r rrm
Permit No. j 105 1 C _
Name En( tq
Address 41 NW 102-s+
Company
Phone #
Inspection Date 005
Approved
Correction
Re- Insp'n Fee
Fol
Miami Shores Village Building Department
Permit Number FL O5 7
Review Completion Date
WADING
PERMIT APPLICATI
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder) - q __.� ;(.� Phone #
Owner's Address L I \
City ∎Ce-s .i^ ren State
Tenant/Lessee Name
Job Address (where the work is being done) L/ / /) to / t )
City Miami Shores Village
Is Building Historically Designated YES NO
Contractor's Company Name gY))i k Home, Sett
/' ? o ,jw 1l WerAi
Contractor's Address
City
Qualifier
Type of Work: ['Addition
Describe Work: P1t. (4
ry/6ts - _
1di e
0( 4:r---5111
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
State
$ Value of Work For this Permit 4/ 63")-1)
[Alteration
� � r
Total Fee Now Due $
County Miami -Dade
Permit No.
Master Permit No.
Plumbing Mechanical Roofing
Zip 5 1 -ZD
Phone #
Zip 33/50
Phone # C. 2 05) ' 687 - SL SS
Zip 33/7'
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
Submittal Fee $ S ®— Permit Fee $ /4 0 c e CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
F/ o -76
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
g te
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 of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for F.i .F,CTRICAL WO LUMBING, 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 the absence "f such posted notice, the
inspection will not be approved and a reinspection fee will be charged
' Signature , 2-
1 c Signature
Owner or Agent Contractor
—The foregoin io ( i 1 . el t was-acknowledged-before me- this —g -The- foregoin P�� A . A A ent was-aekno : -• methr - –
day of ' , • 200`, by a,, / Ri-J •GZ, day of . ' , 20bf by
who is personally known to me or who has produced who is personally known to me or who has produced
identificati n an who did take an oath.
NOTARY
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
Chc 12115/03
NOTARY PUB
Sign:
Print:
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
******************* ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *********************** * * * * * * * * * * * * * * *** * * * * * * * * * * * * **
40 de ` Plans Examiner
Engineer
Zoning
Primary Zone:
0800 SINGLE FAMILY RESIDENCE
CLUC:
0001 RESIDENTIAL- SINGLE FAMILY
Beds/Baths:
2/1
Floors:
1
Living Units:
1
Adj Sq Footage:
1,326
Lot Size:
8,602 SQ FT
Year Built:
1950
Legal Description:
NAVARRO SUB PB 12 -59 S100FT OF E25FT LOT 21 & ALL LOT
22 & LOT 23 LESS E43.5FT BLK 1 LOT SIZE IRREGULAR OR
17487 -2015 0197 1
Year:
2004
2003
Land Value:
$85,926
$47,656
Building Value:
$79,640
$77,571
Market Value:
$165,566
$125,227
Assessed Value:
$74,432
$73,044
Homestead Exemption:
$25,000
$25,000
Total Exemptions:
$25,000
$25,000
Taxable Value:
$49,432
$48,044
Folio No.:
11- 3101 - 018-0110
Property:
41 NW 102 ST
Mailing Address:
FELIX REYES &W
MARTHA HENRIQUEZ
41 NW 102 ST MIAMI SHORES FL
33150 -1229
Sale O/R:
17487 -2015
Sale Date:
1/1997
Sale Amount:
$78,500
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ITEM
BATH TUB
UNIT
FEE
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
ITEM
SWITCH OUTLETS
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK, POT /3 CM.
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
_
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES -'
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
'HEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTIRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
C/a L-/ ,
c-q
DISCHARGE WELL
9
DOMESTIC WELL
k 06z.--4,1
AREA DRAIN
ROOF INLET
--
SOLAR WATER HEATER
�
(
,
F IRE STANDPIPE
'f
POOL PIPING
°'`
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
ADDENDUM TO BUILDING PERMIT APPLICATION
(Ai? APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRI
MECHANICAL