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EL-05-94Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/24/2005 Applicant: LAURIE ANNESE Owner: ANNESE LAURIE JOB ADDRESS: 9510 BISCAYNE BLVD Parcel # 1132060142880 Electrical Permit Permit Number: EL2005 -94 Contractor ATLANTIS ELECTRICAL CORP Contractor's Address: 12803 SW 20 TERR Local Phone: (305) 551 -4043 Legal Description: MIAMI SHORES SEC 3 PB 10 - 37 LOT 3 - A LESS TRIAG PORT DESC AS BEG NELY Fees: Description Amount FEE2005 -3682 Building Fee $150.00 FEE2005 -3683 CCF $0.60 FEE2005 -3684 Notary Fee $5.00 FEE2005 -3685 Training and Education Fee $0.20 FEE2005 -3687 Technology Fee $3.75 FEE2005 -3691 Submittal Fee ($50.00) Total Fees: $109.55 Total Fees: $109.55 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/12/2005 Construction Value: $300.00 Work: RELOCATE 2 OUTLETS AND 1 SWITCH Signed: (INSPECTOR) Page 1 of 1 MAR 28 RID 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: Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 1\ Bu d Inspection Request 1 Date ° i 1 N " J Approved Correction Re- Insp'n Fee n el os -qL Name a.khk S i Address Q 5' 0 b !a► CC.9)( _ ` 1 orn Company AtkCn LS. Phone # Inspection Date A 1 b El MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu''1 ding Inspection Request Date Type Insp'n Permit No. 61 03- qt� Named 51 Address Q, _`, caLcikv compan kc Phone # Inspection Date A - 5 Approved Correction ,/,-=-S, v " Re- Insp'n Fee ❑ PERMIT APPLICATION FBC 2001 BUILDING Permit Type (circle): Building Tenant/Lessee Name City Miami Shores Village GtSC ?WD State gna4 rapv- tAt Job Address (where the work is being done) c p Aevj QL Is Building Historically Designated YES Contractor's Address City ri Qualifier .rs,l C.% S' c g $ Value of Work For this Permit Type of Work: DAddition Describe Work: (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd venue, Miami Shores, Florida 33138 Tel: ( 1 2204 Fax: (305) 756.8972 ,lam 00 County Miami -Dade NO be- teration ❑New S Code Enforcement $ Structural Plan Review. $ 4.5*- Total Fee Now Due $ l G Permit No. Master Permit Owner's Name (Fee Simple Titleholder) 1,A rt. Phone # Owner's Address CA,S1 b city r %pdY1i 4OU ) Zip 33 r '8 Phone # Plumbing Mechanical Zip 05 13c8 Contractor's Company Name NiL.t iv 1 t rc�l� T�1C CrS�P, Phone # , ` SOD 2. `2-8 O3 • .Cn-> [f State (-k-- Zip 33 ` - Roofing Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ❑ Repair/Replace ❑ Demolition Sw IT . _1 **************************F Submittal Fee $ ! . Permit Fee $ .00 r CCF $ e CO/ Notary $ Training/Education Fee $ 0 , Technology Fee $ 3, 5 Scanning $ Radon $ Zoning Bond $ Chc 12/15/03 Owner or Agent The foregoing instrument was acknowledged before me this �Q day of oCirt 2005, by who is personally known to me or who has produced As identification and who did take an oath. NOTAR Sign: Print: My Commission Expires: State Certificate or Registration No APPLICATION APPROVED BY: Cat — on '.11 '; ExpirPc• Jul l 3, 2007 t' Bonded Thru Atlantic Bonding Co., Inc. N 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 AbHDAVIT: 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 will not be approved and a reinspection fee will be charged. Signature (Certificate of Competency Holder) My Commission Expires: Certificate of Competency No. c R1L__br 11/4- Contractor The foregoing instrument was acknowledged before me this 2.2 day of Ca012uAR( , 20 06, by Fl2A,NS `cc) ?(L , who ispersonally kilt who me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: • Alicea ArleniS cea. _ Commission#DD296544 i � 011 ' >* ) ''''' Atlantic Bonding Co., Inc. ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** AS — Plans Examiner Engineer Zoning ITEM BATH TUB UNIT • FEE ITEM SWITCH OUTLETS UNIT ( FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING BISHWASIE;R RECEPTACLES L F 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 FP _ STEAM BOILERS SHOWER. MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 HP 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 T0: 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 COM4ERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAIHFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. • CATCH BASIN 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 , II PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (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.) ELECTRICAL MECHANICAL