EL-03-136Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2003 -136
Printed: 2/14 /2005
Applicant: ANDREW OSOLASE
Owner: OSOLASE ANDREW
JOB ADDRESS: 10101 NW MIAMI CT
Contractor MIZPAH ELECTRICAL INC
Local Phone: 305 - 620 -2701
Parcel # 1131010210080
Contractor's Address: 20049 NW 66 PL
Legal Description: 1 53 41 HAMILTON TERR A SUB PB 15 - 75 W1/2 OF LOTS 10 & 11 BLK 1 LOT SIZE
Fees: Description Amount
FEE2003 -3664 Building Permit Application Fee $60.00
FEE2003 -3665 CCF $0.60
FEE2005 -1871 CCF $0.60
FEE2005 -1873 Building Fee $100.00
Total Fees: $161.20
Total Fees: $161.20
Total Receipts: $60.60
Permit Status: APPROVED Permit Expiration: 8/15/2005 Construction Value: $800.00
Work: ELECTRICAL SERVICE UPGRADE- RENEWAL OF PERMIT ON 2/14/05
Signed: (INSPECTOR)
Page 1 of 1
ma
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:
S VILLAGE
PARTMENT Ck�
305 - 795 -2204
Building Inspection Request
Date s
Type Insp'n
Permit No.
Name .. ^^��
Address / 0/ 0 r 01,0
Approved
Correction
Re- Insp'n Fee
Company
Phone #
Inspection Date
?kb/
❑ fd/J•1�lz00
MIAMI SHORES VILLAGE
tUII:DING DEPARTMENT 0
' 305-795-2204
wilding Inspection Request
Date
Type Insp'n
Permit No. /
Name 1114/0
Address / C 0/ / N ° 5
Company
Phone # 7gb/ -
Inspection Date
Approved I3"
Correction
Re- Insp'n Fee ❑
O
"/"1/7 eC.4
BUILDING
PERMIT APPLICATIO
FBC 2001
Permit Type (circle): Building
ivliami mores v silage
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 :5 - 0 1 Vt—E Phone #
Owner's Address t 01 0 1 i\l/ V., y,, i III j
City C/A/tr.:144 1 5 �5 State Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County . Mianu -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name MV - 7.- f 1 LI( -(Z( 'e_ l" t Phone #
Contractor's Address 2 x. /4t ) 6 6
Cily vvi
Qualifier 1
State Certificate or Registration No. '� P- / 7 ,, Certificate of Competency No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Total Fee Now Due $
(Continued on opposite side)
/ca
State
Permit No. C 0D'5—
Master Permit No.
Plumbing Mechanical Roofing
Phone #
:>- R7
Zip D/\
Square Footage Of Work:
Type of Work: ❑Addition ['Alteration ❑New ❑ Repair/Replace
❑Demolition
Describe Work: � � -r Dies- e �
** * ** * * * * ** * * ** * * ** *** ******F ** *** ** * * * * * * * * * ** * *** * * * * * * **
Submittal Fee $ Permit Fee $ / IOC o rD CCF $ ° Gi CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 will not be approved and a re'nspection fee will be charged.
Signature
Owner or Agent
Signature
Contractor
The foregoing instrument was acknowledged before me this 141 The foregoing instrument was acknowledged before this 1I)
day of Tel:) , 20o5by ndra] C60103 y day o by L. j f &
who is personall�wn to me or who has produced
NOTARY P
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Chc 05/13/03
As identification and who did take an oath.
Commission D
Elires: Jul 1
*W* ** *lirt 9sTiii
oFw �,` A tlantic Bonding C
•
NOTARY PUB
{ , y 4
OMB R P.
ssion Expires: L
r who has produced
cation and who di take an oath.
**+ k** ** * ** **** ** * * * ** * ** ** * * * * ** * * **
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
} PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
V 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • �' x -3OS ?56 -8977
If_ / O Job Address /0 1 ®1 AM M WOO Tax Folio 1 l0 / 9gx-,10
-
y
Legal Description B d Historically Designated: Yes
4 Y ■ De Z t) U ® Z a Master Permit #
er's Address /0/0 / N M to k1) c-T
v Owner/J.,essee/Tenet
a s
ontr ng Co.' f f" ^ ` VZ,Pc c & , L
Qualifier g v! C9i
State # lid- OO u 7)- Municipal #
WORK DESCRIPTION: 2Zre-14
as to Owner and/or Co
FEES: PERMIT
Signature of owner and/or Condo President
My ' ommissio u Efpires
. 4,11,11„1% C. MARIE BREVI - SCHOOP
,1s. Notary Public - State of Florida
.__
11,1yCommissinnExpiesJarril,
Commission S DDO84183
Assn.
APPROVED:
Competency #
Phone
Address
+ P
Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ( ELECTRICAL PLUMBING MECHANICAL
vt a & eLe
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I tmderstann that separate permits are required
for all disciplines.
OWNERS A»IDAVIT: 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. ' ermore, I authorize the above named contractor to do the work stated.
Zoning Building Electric
6 ' ice
/f/ee its
ROOFING
Si ature of act
Notary as t - 'L :udder
My Commission Exp
Date
Date
�FR� JOSEPH CALIX'►L
C.C.F , r� ' sr�rE � BOND
EXI►IRES 5/17/2004
207
BONDED THOU ASA
1Vl['11+
Mechanical Plumbing Structural Engineer
P H
pev. 4 Xi
44/1,,it ,4011-01
Wk.,/ 9e-1-4/
te7,0/ e / eK
EA .
TH TUB
UNIT
.
FEE
au
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS •
UNIT
FEE
ET
LIGHT CUTLETS
CENTRAL HEATING
S;:WASHER
RECEPTACLES
A/C (WINO)
s l
SERVICE TEM RY ®(
�
A/C (CENTRAL)
INKING FOUNTAIN
c VICE S I' i
"
MOT WORK
.0CR DRAIN
SERVICE REPAIR/IETER CHANCE
REFRIGERATION
EASE TRAP
APPLIANCE OUTLETS
PROCESS AM PRESS PIPING
Te�CEPTCR
RANGE TOP
UhDERGAWUNO TANKS
NATCRY
OVEN
ABOVE MUM O TANKS
L RY TRAY
WATER HEATER
U.F. PRESSLRE VESSELS
.OTHES WASHER
MOTORS 0- 1 IP
_.—�
STEAM BOILERS
tWER
MOTORS OVER 1- 3 tP
HOT WATER BOILERS
NX, POT/3 COMP.
MOTORS OVER 3- 5 NP
MECHANICAL VENTILATION
ti.(. RESIDENCE
MOTORS OVER 5- 8 tP
TRANSPORTING ASSEMBLIES
NX SLOP
MOTORS OVER 8- 10 IP
T—
ELEVATORS/ESCALATORS
EWCRARY WATER CLOSET
MOTORS OVER 10- 25 tP
FIRE SPRINKLER SYSTEMS
ziNAL
MOTORS OVER 25-100 tP
COOLING TOWERS
;TER CLOSET
MOTORS OVER 100 tP
VIOLATION
,
•DIRECT WASTES
A/C WINDOW
AIR COM] IT IONERS
� �
REINSPECTION
-
;TER SLPPLY TO:
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRAMISF:M ERS
SEATER -NEW INST.
GENERATORS TRANSFORMERS
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PITiPOSE
SNIMd1NG POOL
CUTLETS CGMrERCIAL
MATER SERVICE
SIGN TLBES
4ER CONNECTIONS
SIGN TRANSFORMERS
ILITY- SEWER
SIGN TIME CLOCK
I L ITY- WAATER
F IXTLRES
=TIC TANK
ANTENNA
LAY
TELEVISION OUTLETS
~^
AINFIELO, 4' TILE/RES.
VIOLATION
': & ABANDON SEPTIC TANK
REINSPECTION
.SAGE PIT CU. FT.
TCH BASIN
SOL+RGE WELL
vESTIC >~ELL
EA CRAIN
CE IM.ET
LAR WATER HEATER
;E STANDPIPE
..l PIPING
•
;'1 SPRINKLER SYSTEM
3 RANGE
.
TER SET (GAS) •
3 PIPING
`—
"'1l/\Iai• iG O.
:STAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE � P / RESENT ON SUBSEQUENT APPLICATIONS.)
//C / 4/ / �6'! � 1. C7
ELECTRICAL
a
PLUMBING
•
MECHANICAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 7954204 Permit Number: EL2003 -136
Printed: 5 /23/2003
Applicant: ANDREW OSOLASE
Owner: OSOLASE ANDREW
JOB ADDRESS: 10101 NW MIAMI CT
Contractor MIZPAH ELECTRICAL INC
Local Phone:
Permit Status: APPROVED Permit Expiration: 11/19/2003 Construction Value: $800.00
Work: ELECTRICAL SERVICE UPGRADE
Parcel # 1131010210080
b-(Ajc-cit- 60 O
p-
60,
Total Fees: $01.90-
Total Receipts: $0.00
Sign
Electrical Permit
Contractor's Address: 20049 NW 66 PL
Page 1 of 1
Legal Description: 1 53 41 HAMILTON TEI R A SUB PB 15 -75 W1/2 OF LOTS 10 & 11 BLK 1 LOT SIZE
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 ip es.
(Contractor or Builder) BY:
REG x01 061703 1439 1'1Cit01 007845 CASH
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