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EL-04-22f Miami Shores Village Building Department 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 Owner's Name (Fee Simple Titleholder) Owner's AO ress City /0/37 / SAT state Tenant/Lessee Name Permit No. Master Permit No. RECEIVED JAN 0 200 Plumbing Mechanical '7 - . - / `Roofing 6erh /e!' 5 Phone hone# 75 - 5 a6¢ /- ,S'71 CPl/ 7 �-� - 5/c:13 f`' Z_ Zip /33/ 3,e AJ/ Phone # Job Address (where the work is being done) �f 4,5 old 9 City Miami Shores Village County Miami -Dade Zip 33 /3 r Is Building Historically Designated YES NO X Contractor's Company Name /ISO— (..-z2 C.— Phone # -------3c25 7�'-936y Contractor's Address °'''- 47,0/ „5/,‘" q 97 City ✓ 1.4 m State l 2-74_, Zip 4---337C `e— Qualifier 1 /9b / 4 ,`e____,__ Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit i/ 7� ' Square Footage Of Work: Type of Work: ['Addition ❑Alteration ❑New ❑ Repair/Rep , ce ❑ De i olition Describe Work: v- t$ . comet Pond * * * * * * ** *'* * ** * * * ** * * ** * * ** * ** Fees ** ** * * * * * * **** * * * * * * * ** ** ***** Submittal Fee le/ ® Ili 3 9e it Fee $ /494,e 6 CCF $ 19 0 CO /CC Notary $-s- o 0 Training/Education Fee $ ( 0 Technology Fee $ a Ca Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ ` k ( (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 approve and a reinspection fee will be charged. Owner The foregoing a ent was acknow °v ed fore me this day of tjami 30 , 20v�, by /./....42 r7i kJ« who is personally known to me or who has produced/ AL. 1)1Wo10 Q- 019141 identification and who did take an oath. NOTARY PUB Sign: Print: Contractor The foregoing instrument was acknowledged before me this /+ day of, i0, 3 fl , 200r, by70,bPY�D j)84 CJ`i e who is personally known to me or who has produced .j_ - tification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires C;.;- °FICIALNOTARY SEAL 0 COMMISSION NUMBER My Commission Expires: y F h 11n91 094 r� *********** * **** *** * ** �Yii r Fiti * ************R*********** ** ** ********* *********** ****** OFRCIALNOTARY SEAL GLADYS J VILLAR * COMMISSION NUMBER DD091094 (Certificate of Competency Holder) 'STOTT `L•1W I9 MAR. 1,2006 * * * * * * * * * * * * * * * * ** State Certificate or Registration No. Certificate of Competency No. ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Engineer Zoning QT ELECTRIC INC. ELECTRICAL CONTRACTORS CC19232 / 97 -CME- 1706 -R HILBERTO MEJIA 165 NE 98 ST MIAMI, FL 33138 TEL: 305 - 757 -1254 SERVICE CONVERSION OVERHEAD TO UNDERGROUND ouo Rodc, 1- 6444' 10401 S.W. 53rd Street • Miami, FL 33165 Tel: (305) 275 -9368 • Fax: (305) 275 -9369 • E -mail: gteiectric @cs.com STANDARD METHOD I. GENERAL LIGHTING & SMALL APPLIANCE A. 2,000sq. ft. @ 3VA 6,000 VA B. 2 - Small Appliance @ 1500 each 3,000 VA C. Laundry Load 1,500 VA 10,500 VA D. First 3000 VA @ 100% 3,000 VA Remainder at 35% 2,625 VA 5,625 VA GENERAL LIGHTING DEMAND 5,625 VA II. APPLIANCE LOAD ARTICLE 220 -17 A. Water Heater 5,000 VA B. Refrigerator 1,200 VA C. Disposal 1,200 VA D. Dishwasher 1,200 VA E. Microwave 1,500 VA F. Sprinkler 1,680 VA G. Swimming Pool 1,680 VA 13,460 VA NET LOAD 13,460 VA III. HEAT AHU #1 @ 100% 10,000 VA IV. RANGE 8,000 VA V. DRYER 5,000 VA 23,000 VA TOTAL DEMAND LOAD 42,085 VA VI. 42,045 VA / 240 VOLT 175.35 AMPS SERVICE SIZE 200 AMPS cx7 200 AMP METER CAN NEW RISER 200 AMP MAIN I PHASE 3 WIRE 120/240 V NEW 1 L SERVICE ENTRANCE 2/0 IN 2" CGNDUIT PANEL A SCHEDULE 225 A MAIN BREAKER 120/240 V 1 PH 3 W CKT DESCRIPTION 1 RANGE 3 WIRE POLES TRIP CKT DESCRIPTION WIRE POLES TRIP 6 2 50 2 A/C #1 8 2 40 50 4 40 5 AHU 7 6 50 6 WELL PUMP 12 2 20 50 8 20 9 SPRINKLER PUMP 12 2 20 10 A/C #2 8 2 40 11 20 12 40 13 AHU#2 15 DISHWASHER 17 LHT 19 LHT 21 GEN LHT 23 GEN LHT 25 DRYER 27 29 DISPOSAL 31 REC DINNING RM 33 6 2 50 14 REFRIGERATO 12 1 20 12 1 20 16 SMALL APP 12 1 20 14 1 15 18 SMALL APP 12 1 20 14 1 15 20 GEN LHT 14 1 15 14 1 15 22 GEN LHT 14 1 15 14 1 15 24 GEN LHT 14 1 15 10 2 30 26 GEN LHT 14 1 15 30 28 GEN LHT 14 1 15 12 1 20 30 GEN LHT 14 1 15 12 1 20 32 GEN LHT 14 1 15 34 35 36 37 38 39 40 41 42 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 2/4/2004 Applicant: GILBERTO Owner: MEJIA JOB ADDRESS: 165 NE 98 Contractor Q T ELECTRIC INC Local Phone: Parcel # 1132060132330 Electrical Permit Permit Number: EL2004 -22 Page MEJIA GILBERTO ST Contractor's Address: 9860 SW 44 ST 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 23 & E1/2 LOT 22 BLK 17 LOT SIZE Fees: Description Amount FEE2004 -1040 Building Fee $100.00 FEE2004 -1041 CCF $1.20 FEE2004 -1042 Notary Fee $5.00 FEE2004 -1043 Training and Education Fee $0.40 FEE2004 -1044 Technology Fee $2.50 Total Fees: $109.10 Total Fees: $10 ©: ©g, 14_ Total Receipts: -0.00 3 s�I(© Permit Status: APPROVED Permit Expiration: 7/28/2004 Construction Value: $1,700.00 Work: SERVICE CONVERSION FROM UNDERGROUND TO OVERHEAD S? FEB 0 5 PAID 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: