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EL-05-288Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/18/2005 Applicant: THOMAS AND SANDRA Owner: CHAILLE JOB ADDRESS: 1480 NE 103 Contractor SECURITY LIMITED, INC Local Phone: Parcel # 1132050310070 Signed: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2005 -288 CHAILLE THOMAS AND SANDRA ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 2/11 /2006 Construction Value: $1,970.00 Work: BUGLARY ALARM BY: Page 1 of 1 Legal Description: RE -PLAT OF TR C MIAMI SHORES BAY PARK ESTS PB 64 -97 LOT 16 Fees: FEE2005 -11346 FEE2005 -11347 FEE2005 -11348 FEE2005 -11349 FEE2005 -11350 FEE2005 -11351 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $150.00 $1.20 $5.00 $0.40 $3.75 $3.00 $163.35 Total Fees: $163.35 Total Receipts: $0.00 pbb 'o MID ,c z IZ1 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. MIAMI SHORES VILLAGE .� .0 BUILDING DEPARTMENT eks. 305 - 795 -2204 Building Inspection Request Date `1405 TypeInsp'n EL Moot S(5r0,4 Permit No. f-12.005 _ rC.8/5 Name No, lilt Address t `0b NE- 51 Company 5eCUYiTy boitird,m4c, Phone # Q ° g 5 Inspection Date Approved Correction Re- Insp'n Fee MIAMI SORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 11405 Type Insp'n EL A1Gv M `a1 j1 I ou i1 Permit No. 0.2.005 Name C1c 1�� Address " 11 f in Company a./1 (T' Lamb , P lone # Q °,` " C OL - 87 5 Inspection Date Approved°` Correction 3 Re- Insp'n Fee ❑ BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building Tenant/Lessee Name City Miami Shores Village Is Building Historically Designated YES State Certificate or Registration No. i G C) OrZ 1 Architect/Engineer's Name (if applicable) $ Value of Work For this Permit l p) q90,0(1) Type of Work: lddition ❑Alteration Describe WQrit Submittal Fee $ Total Fee Now Due $ 1 f73. a5s (Continued on opposite side) IttiC f17, Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) ( 0 {' t. i-tto 1 L( .1r , Phone # 3 (� Owner's Address 1105 e)I1 City A-M 1 State FL Zip Job Address (where the work is being done) I LI N (^ 1 (3 �� L , Contractor's Company Name ' ' U 1 ifY) f T 1 � _ Phone # Contractor's Address tit Ili 1) R 1-t u F\ 1 R • Cit State Ft_ Zip Qualifier ftfL P FtC l•.l 2 -� Permit Fee $ Notary $ 5.00 Training/Education Fee $ Scanning $ 3 -C Radon $ Code Enforcement $ Structural Plan Review. $ Phone # Permit No. 10S Master Permit No. 13 P a ( Sf $ Plumbing Mechanical Roofmg County Miami -Dade Zip NO Q• 4-0 Certificate of Competency No. Phone # 3 3 3-3_ Square Footage Of Work: [New ❑ Repair/Replace 1, 0 ❑ Demolition CCF $ ) - 20 CO /CC ----- Technology Fee $ • 75 Zoning Bond $ 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 the absence of such posted notice, the inspection 11 not be approved < nd ' '-A > ction fee will be charged day of who is persona NOTARY P Sign: Print: chc 05/13/03 The foregggoing instrument was acknowledged be fare me this . The for oing instrument was ackno edg;4 ; �.��. / day o ( 20 , byarI Zt ��, e ms , 20 My Commi . sion Expires: * * ** *star ** Owner or Agent APPLICATION APPROVED BY: o me or who has produced who is personally known to me or who has produced identification and who did take an oath. 1984 7 • Ponded That !antic Rnnding Co.. Inc. ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** Signature NOTARY PUBLIC: Sign: Print: My Commiss as identification and who did take an oath. MINDY HALLQUIS �`1 • D0012A443 * * * * * * * * * * * * ** ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor Engineer Zoning Plans Examiner ADDENDUM TO BUILDING PERMIT APPLICATION rr.s d • (AN 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 ELECTRICAL MECHANICAL ITEM BATH TUB UNIT • FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) 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 STEAM BOILERS CLOTHES WASHER MOTORS 0- 1 If SHOVER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5= HP `- TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS 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 TIRES . SEWER CONNECT I ONS SIGN TRANSFORMERS .. UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA , RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. O;'➢(n' CATCH BASIN DISCHARGE WELL COMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION rr.s d • (AN 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 ELECTRICAL MECHANICAL