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EL-09-2006 EL F I o^vr lf bzj .,f, �sK °Rn y Miami Shores Village y �+ 10050 N.E. 2nd Avenue or�� l;t�7a`Ft311 Miami Shores, FL 33138 -0000 ��` ��• f, Phone: (305)795 -2204 hzH �f#a..l?�VV3 ... Expiration: D6/201 P roject Address P arcel Number Applicant 117 103 Street _ 1121360130810 MAIKEL LOPEZ Miami Shores, FL 33138 Block: Lot: Owner Information Address _ Phone Cell MAIKEL LOPEZ 19891 24 Avenue AVENTURA FL 33180 - Contractor(s) Phone Cell Phone Valuation: _ $ 1,000.00 BROADVIEW SECURITY (305)406 -3940 Total Sq Feet: 0 Type of Work: ELECTRICAL For Inspections please call: Additional Info: ALARM (305)762 -4949 Classification: Residential Available Inspections: Inspection Type: Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.60 EL -12 -09 -36563 $ 104.60 $ 54.60 Education Surcharge $0.20 Permit Fee - Additions /Alterations $100.00 EL -12 -09 -36563 $ 104.60 $ 104.60 $ 0.00 Scanning Fee $3.00 Check #: 1002306 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $0.80 Total: $104.60 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. December 08, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy December 08, 2009 1 Miami Shores Village Building. Department ��- >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ,- � ��- rn ,, BUILDING Permit No.`l 1 _ o`� PERMIT APPLICATION Master Permit No. FBC 200' Permit Type (circle): Building d4ect Plumb' Mechanical Roofing Owner's Name (Fee Simple Titleholder) ��1 s �aDr/ ho Phne # Owner's Address � A10 ,/63 city l S�;-t 5 State t Zip 3313] Tenant/Lessee Name Phone # Job Address (where the work is being done) 7 A/0 1Z) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name !/ GGJ 2G Phone # Contracto 's Address City 1J0 State Zip . Qualifier Il Architect/Engineer's Name (if applicable) Phone # 0 zo— $ Value of Work For this Permit �0 • Square Footage Of Work: Type of Work: []Add* ion ❑Alterati New [I Repair/Replace El Demolition Describe Work: 4v Submittal Fee $ Permit Fee $ I OD - ( n /(J CCF $ •(-0 Notary $ Training/Education Fee 0 Technology Fee $ Scanning $ 3 "OD Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ ' V (Continued on opposite side) ti 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, t applicant must promise in good faith that a copy of the notice of commencemelp6d construction lien law brochure will be delive d to the person whose property is subject to attachment. Also, a certified cop of the recorded notice of commencement must be p ted at the job site for the first in ection which occurs seven (7) days after a building permit is issued In the absence of su posted notice, the ; inspection wi not e approved and a reinspection fee w' be charged. Signature Signature r Age �ontractor The foreg ng instrum t s ackn w geefore me this 3 The fore mg instrument was acknow dged be re me this 3 day of z 2 4 , by Lti H 5 s�Z a ,�-eZ day of G • , 20 by v l3� who is personally known to me or who has produced who is personally known tome or who has produced As identification o did take an oath. as identification and who did an oath. NOT P IC• NOTARY PUBLIC: Sign: Print: ° p, ^ � ,Hp lf Public State of f�rida �F., r t: e k. ` Xrnr; DD809998 ? eyr+CrSS Garda My Co is ' n Expire 07129/20/2 Commissi xptre , ° . M Commission DD809998 (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Chc 10/14/03 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 O DISCIPLINE APPLIED FOR: PERMIT # PLUMBING ELECTRICAL MECHANICAL [DH M UNIT FEE ITEM UNIT FEE ITEM UNIT FEE H TUB SWITCH OUTLETS SPACE HEATERS WASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES FLOOR DRAIN A/C (WIND) SERVICE TEMPORARY A/C (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS INTERCEPTOR DUCT WORK SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS LAUNDRY TRAY PROCESS AND PRESS PIPING RANGE TOP CLOTHES WASHER OVEN UNDERGROUND TANKS SHOWER ABOVEGROUND TANKS WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP SINK, RESIDENCE. M STEAM BOILERS MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP TEMPORARY WATER CLOSET MECHANICAL VENTILATION RA MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP WATER CLOSET ELEVATORS /ESCALATORS MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP WATER SUPPLY TO: COOLING TOWERS MOTORS OVER 100 HP VIOLATION A/C UNIT A/C WINDOW FIRE SPRINKLER REINSPECTIO 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 REI PECTIO 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 Miami -Dade My Home Page 1 of 2 My Home MIAMUD3AD3E Show Me: Property Information Legend Search By: Property Address Boundary Selected Property Text only §�E.1CA4T�7 S ' Property Appraiser Tax Estimator 4V Street 3 9 � Pro erty_ Appraiser Tax Highway C ompariso n, Miami -Dade County � m Summary Details: rn water Folio No.: 11 -2136- 013 -0810 Property: 117 NE 103 ST Nl 104 ST Mailing DENNYS GONZALEZ ddress: yy E 117 NE 103 ST MIAMI FL r 3138 -2328 S Property Information: I rimary Zone: 1000 SINGLE FAMILY I RESIDENCE LUC: 0001 RESIDENTIAL- t ST /Baths::: SINGLE FAMILY eds /Baths: 1 loors: ivin Units: 1 d' S Foots e: 1,303 Lot Size: 225 SQ FT ear Built: 1939 Digital Orthopholography - 2007 0 112 ft MIAMI SHORES SEC 5 PB 10 -47 LOT 17 & W1/2 Legal LOT 18 BLK 122 LOT Description: SIZE 75.000 X 123 CDC 4329 -3192 02 2006 1 My Home I Property Information I Propert}/_Taxes R 24329 -3192 0206 00 1 My Neighborhood I Property Appr aiser Assessment Information: ear: 2009 2008 Home 1 Using Our Site I About I Phone Directory I Privacy I Disclaimer and Value: $142,387 1$216,17 Building Value: $107,038 1$113,892 Market Value: $249,426 330,068 ssessed Value: $249,426 330,068 If you experience technical difficulties with the Property Information application, 6. Taxable Value Information: or wish to send us your comments, questions or suggestions please email us at Webmaster Y ear: 2009 2008 Applied Applied T axing Authority: Exemption/ Exemption/ Web Site Taxable Taxable ® 2002 Miami -Dade County. Value: Value: All rights reserved. Regional: $0/$249,426 $0/$330,068 County: $0/$249,426 $0/$330,068 Ci $0/$249,426 $0/$330,068 chool Board: $0/$249,426 $0/$330,068 Sale Infor mation: Sale Date: 2/2006 S ale Amount: 370,000 S ale O /R: 4329 -3192 Sales Q ualification Sales which are qualified Descri lion: View Additional Sales Additional Informat C lick her eto see more inform f or this p roperty: -- - -- -- - - -- C ommunity Development District C ommunity Redevelopment Area http: / /gisims2. miamidade .gov /myhome /propmap.asp 12/4/2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 133955 Permit Number: EL -12 -09 -2006 Scheduled Inspection Date: January 25, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: LOPEZ, MAIKEL Work Classification: Alarm Job Address: 117 NE 103 Street Miami Shores, FL 33138- . Phone Number Parcel Number 112136013081 Project: <NONE> Contractor: BROADVIEW SECURITY Phone: (305)406 -3940 Building Department Comments BURGLAR ALARM Inspector Comments Passed Faded Correction�%� Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 22, 2010 For Inspections please call: (305)762 -4949 Page 15 of 18