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EL-05-307Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/6/2005 Applicant: BRIAN Owner: BLACK JOB ADDRESS: 1294 NE 96 Electrical Permit Permit Number: EL2005 -307 BLACK BRIAN ST Contractor MIKE'S CUSTOM ELECTRIC SERVICE Contractor's Address: Local Phone: Parcel # 1132060143840 Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E125FT OF LOT 1 & E125FT OF N 41.45FT OF Fees: FEE2005 -12073 FEE2005 -12074 FEE2005 -12075 FEE2005 -12076 FEE2005 -12077 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $150.00 $1.20 $0.40 $3.75 $3.00 $158.35 Total Fees: $158.35 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/28 /2006 Construction Value: $1,200.00 Work: INSTALL RECESSED LIGHTS RECANFIGURE GFI'S NEW OUTLETS IN KITCHEN AREA SEP 0 6 PAID 1c 4! Signed: (INSPECTOR) 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 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel T 04_Fax - (3_051 756.8972 R LEAVED BUILDING CEP 0 1 Permit No.LC5 — 37 �: PERMIT APPLICATION � _ ® Master Permit No. Q . 3 FBC 2001 I Permit Type 4 _ _ " yp (circle): . Building Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) oric.4L Phone # ! 73?",j -3/1 Owner's Address talal L( l jf . O City fyt a 1 511ffes State 60" tde., Tenant/Lessee Name ®— Zip `33 1 Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO C /i Contractor's Company Name _fic.e`S 6-41-614/1 JfcI I C Phone # 3 o r o9 72.6P Contractor's Address ? t-(0 ( `v c '� ~ pet() City u Y+ 4cs 1 State t C Zip S( � Qualifier ' „'(J —7( jyt t cLI State Certificate or Registration No. t c2_ 0 0 (t-(. 7 C{ 5 Certificate of Competency No. 000 2- 7 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: []Addition [Alteration New, Repair/Replace ❑ Demolition Describe Work: s 4gevi 1 1`� S34 &,;47L 5 �e,G mss- f,A v --714(e' f .s in / / � * * **** **** ** * * **** ** *, * * * * *, Fees * * ** * * ** ** * * * ** * * * * * ** * * * ** *** Submittal Fee $ gi Permit Fee $ /.4-0 CCF $ (- 2-C) CO /CC. ----. Notary $ Training/Education Fee $ b . 1G . Technology, Fee $ .75 Scanning $ 3.0 . Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 1 55—=a5 (Continued on opposite side) 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 Ait DAVIT: 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OA/ ///' Owner or Agent The foregoing instrument was acknowledged before me this 31 day of I4)G���°�,,20°'9by C N "��� who is personally known to me or who has produced t t As identification and who did take an oath. NOTARY PUBLIC Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** •* * * * * * ** ANTONIO F. MOYA Contractor The foregoing instrument was acknowledged before me this 1 day of St * , 200.5, by who is personally known to me or who has produced ;d a Qtai cep) .$'(p as identification and who did take an oath. NOTARY PUBLIC: Notary Public, State of Florida My comm. expires July 28, 2009 * * * * *No. DO�** * * * ** **************** * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** * APPLICATION APPROVED BY: Chc 05/13/03 9) Sign: Print: gip-pi ct My Commission Expires: * * * * * * * * * * * * * ** * * * * * * * * * * ** tt * * 11t81#R Pldt# * * MY COMMISSION `# DD 414 4= EXPIRES; Apprlf 4, 2030 Bonded 'Nu Nary has WKNnv sts * * * * * ** 4/�s` Plans Examiner Engineer Zoning iviian i v llidgc D Ullulll, 11Gpai L1111i1 t, Change of Contractor Permit No. L Z " el _C-30 ? Owner's Name (Fee Simple Titleholder) ,t`��i I/.. e' Phone # . G/— Owner's Address /a,9: ,./,./,„c city, lI ' sk.&°.S State c� Zip sga/P3gf` Tenant/Lessee Name Phone # Job Address (of where the work is being done) City County Legal Description Zip Contractor's Company Name _ 4- _ Contractor's Address 13 G ? 3 - S Lu - 2..c4 fe a v City_ f a tate ,/-"L. Qualifier Phone # dc ) 2_5"?' 3 3(0 Describe Work: I hereby certify that the work has been abandoned and /or the contractor is unable or unwilling to complete the contract. I hold the Building Official and the Village of Miami Shores harmless from all legal involvement. Signatur Owner or Agen The foregoing instrument was acknowledged before me this this 2- e day of Fee . 20 ac, by , s ��A who isuersonally known to me or who has produced As identification and who did take an oath. NOTARY PUBLI � � r Sign: Print: ✓ �i�t h / My Commission Expires: * * * * * * * * * * * ** Rev. 09/19/03 * *te=a* Yosef Varona My Canmissbn D0507675 %or w Expires 0111712010 The foregoing instrument was acknowledged before me day of ftD 22 .20 tPX, by 5 /1 who is personally nown to me or who has produced as identification and who did take an oath. NOTARY Sign: Print: My Commission expires: * * * * * * * * * * * * * * **** * * * * * * *,* * ** ** Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 05/18/2006 Inspector: Devaney, Michael Owner: BLACK, BRIAN Job Address: 1294 96 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: YOSEFVAR ELECTRIC CORP. Permit Type: Imported Permit Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (678)986 -2032 Parcel Number 1132060143840 Lot: Phone: (305)257 -3336 Building Department Comments Wednesday, May 17, 2006 Page 2 of 2 Passed Inspector Comments /9 lia Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Wednesday, May 17, 2006 Page 2 of 2 Miami Shores Village z -" 34) 7 g Building Department c1 c o . 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Permit No.E OS a3 Master Permit No. Plumbing Mechanical Roofmg Owner's Name (Fee Simple Titleholder) rt I 6� e.'" Phone # 4 ; 5C/ 39' - 555' Owner's Address / Z % fe Iii6 I4 5/ City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County 7-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name °( \\C Ait- , Phone # � c��t - G Contractor's Address � �� .0 , ��C� (-ea' City Ittt_©1f19.J State C=-_ Zip T Qualifier ‘.....)CA VV Cs=� r� State Certificate or Registration No. 4M R `? O(2-A i Certificate of Competency No. Cj, 'a 0®0�?2 Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Phone # Square Footage Of Work: Type of Work: yp ['Addition ❑Alteration ['New ReIpV a ir�•/Rep. lace d d ❑ d D emoliti n Describe Work: t-VO � cl r" \ t2 Y ' `. * ** �.oY� . Submittal Fee $ Permit Fee $ r ®0 �� C CF $ CO/CC Notary $ Scanning $ Radon $ Zoning Bond $ Training/Education Fee $ Technology Fee $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) 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 reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this_Z_ .. day of , 20 , by , day of 4)4-by who is personally known to me or who has produced who i personally known to me who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 My Commission Expires: .0‘Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLIUA I RUN 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 TEM ATH TU3 UNIT FEE ITEM SWITCH OUTLETS UNIT S FEE ITEM SPACE HEATERS UNIT FEE IDET LIGHT OUTLETS 2%'71 CENTRAL HEATING ISHWASHER RECEPTACLES // A/C (WIND) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) RINK1Ilu FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOK GRAIN SERVICE REPAIRAETER CHANGE REFRIGERATION REASE TRAP APPLIANCE CUTLETS �5-. PROCESS AND PRESS PIPING NTERCEPTOR RANGE TCP / UtriERGROUNO TAWS OVEN ABOVE GROUND TANKS 1 .AVATORY TRAY WATER HEATER U.F. PRESSURE VESSELS t .AUNERY IOTHES WASHER MOTORS 0- 1 If STEAM BOILERS 1OWER WEIRS OVER 1- 3 I-P HOT WATER BOILERS . ;INK, POT /3 COMP. MCTCRS OVER 3- 5 HP MECHANICAL VENTILATION 'SINK, RESIDENCE MtOTCRS OVER 5-- 8 HP TRANSPORTING ASSEkBL I ES 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 f A/C W l IOW RE I1NSP,ECT j ON 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 FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 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) I I GAS PIPIN: