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EL-04-2171, - • 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 2004 MAY 2 5 2006 Eb Y: ..r :...____....... .__ Permit No. EL° 4 Z 17 Master Permit No. f b — 3 Permit Type (circle): Building lectrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) Phone # 11(O Owner's Address 3 i J , K1 r2 cp wo smwr City (o 1 1-1,V P > State FL. Zip 33 P/ Roofing 4(3Xr 4D4 k Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Villa e FOLIO / PARCEL # Phone # SI :ME 92r ‘S," County Miami -Dade Zip 3 3) a . Is Building historically Designated YES NO Contractor's Company Name f¢ ' W J2S a4, Phone # 77- 35 0 0 Contractor's Address 2 4) 91 2-i/1/6d 2 ,2 City State ® Zip 3 v� s Qual'fier Nam i GG�� !�L jC A- o S Phone # -1g6 ' 2' 7.7 35 e "CD State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Certificate of Competency No. Phone # Type of Work: iLjAddition •.. Descril a hec ,.. Alteration Square / Linear Footage Of Work: New ❑ Re • air/Replace ❑ Demolition _ hill—fiat ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * *** * * * * * * ** * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ X.1-7 ee e7 CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse 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 d s reinspection fee will be charged. Signature Signature Owner or gent The foregoing instrument was acknowledged before me this sau �.�xt°t�v �' aue_ia 0 Contractor The foregoing instrument was acknowledged before me this day of ,2006,by 1)e ,G),j(1141-t1 rsonally known to me or who as produced who is personally known to me or who has produced as identification and who did take an oath. As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: e i A Si n .l:LI -STATE OF FLORA Mb. • .. n San $to My Commission Ex . fires: eC,.. 0 • Commission # DD3 ires: DEC. 04L. NOTARY PUBLIC: APPLICATION APPROVED BY: (Revised 02/08/06) 2' (i Plans Examiner Engineer Zoning a ' P iviiami snores v 111dgc D U11U111 L111ts11L /I MC MIIVEjM !a MAY 2 5 2006 ill Change of Contractor Permit No. BY: Owner's Name (Fee Simple Titleholder) Phone # Owner's Address 31 rG caw i m �7% City M t iM) %L 3y2. State Zip fJ^ b 1$C " 402' 42% Tenant/Lessee Name Phone # Job Address (of where the work is being done) S Al!‘,_ A.)b.4v City County Zip Legal Description /� Contractor's Company Name ` ?4 L J Phone # g (� n 7 5 0'0 Contractor's Address 2 _ 1 N CA.) '2.2 V U—Q-- City 1 . 44,1? State �NA ( J Zip R7 ® 5 4 Qualifier --, �. 62 I L fc 4 L t I( t' �' %Vt Describe Wort:: priattliz EL tlVL (1e 015i9. Vi O I 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 fron!'I) I =dal involvement. Signature / ,e e Signatu e7/424 A ° , S s1 Contractor Owner or Agent ,�/ The for oing instrument was acknowledged before me this " / The foregoing instrument was acknowledged before me 1 1 4 this day of . , 20 04', by JrUlr/cay 4°42'6-'7 , day of (o is personally known to )e or who has produced who is personally As identification and who did take an oath. NOTARY P :LIC: Sign: Print: 2047 , b37]ipr r; eke, 10 ;4 ;d wl5 to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: /� Sign: .. iLJ_ PUBLIC- STAT'OP G p Mary All Sion expires % - �!r `jg�a,.dx3 Commission #DD375659 styOPLoaa oudtsspuido Expires: DEC. 04, 2008 UNP39 Nvsns ......p Bonded Thu Arlaftie Bondin Co. Inc. My Commission Expires: Rev. 09/19/03) • r- b.6617414101.V6It • e•lo 90t 01:0.-42. • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL de? Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 11/21/2006 Inspector: Devaney, Michael Owner: POWELL, ALEXIS Job Address: 313 92 Street NE Miami Shores Village, FL Project: <NONE> Contractor: DAW ELECTRIC, INC r, 2 2006 Permit Type: Imported Permit Inspection Type: Final CA:=0 Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060136360 Lot: Building Department Comments Monday, November 20, 2006 Page 1 of 2 Passed EZ Inspector Comments a" 2/ PC1 l/44176' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Monday, November 20, 2006 Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 sx; Inspection Date: 07/006 Inspector: Devaney, Michael Owner: POWELL, ALEXIS JUL 10an Job Address: 313 92 Street NE Miami Shores Village, FL Project: <NONE> Contractor: DAW ELECTRIC, INC Permit Type: Imported Permit Inspection Type: Rough Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060136360 Lot: Building Department Comments Thursday, July 6, 2006 Page 2 of 2 Inspector Comments 44011e �� 'PCr A2" 7- - _ ' �► l lir --,17 y ' Passed Failed ,re/Iy e," �� G�m�'„/'% �/ ``'i- Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid until Thursday, July 6, 2006 Page 2 of 2 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 RECEIPT PERMIT #: DATE:r. e- S - c�6��c,1� P WI///04-Y/AS 'tLContractor o Owner o Architect Picked up 2 sets of plans and (other) Address: t Oa (2 f` S. 7 90/1-;0/44. 410 1"--Q-1 From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Xi Acknowledged PERMIT CLEARK INITIAL: RESUBMITTED DATE: qcilo6 PERMIT CLEARK INITIAL: Permit Invoice Report Bill To ALEXIS POWELL 313 92 Street NE Miami Shores Village, FL Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Invoice Number: imp -5 -06 -24803 Invoice Date: May 12, 2006 Permit Number: EL2004 -217 Permit Type: Imported Permit Date Fee Name Fee Type Fee Amount 05/12/2006 RENEWAL Calculated $300.00 05/26/2006 Change of Contractor Calculated $75.00 Total Fees Due: $375.00 Glr� 21 !AM 0 5 PAID Friday, May 26, 2006 Permit Invoice Report Bill To ALEXIS POWELL 313 92 Street NE Miami Shores Village, FL Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Invoice Number: imp -5 -06 -24803 Invoice Date: May 12, 2006 Permit Number: EL2004 -217 Permit Type: Imported Permit Date Fee Name Fee Type Fee Amount 05/12/2006 RENEWAL Calculated $300.00 05/26/2006 Change of Contractor Calculated $75.00 Total Fees Due: $375.00 I JUN 0 5 PAID �c f2,9 Friday, May 26, 2006 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (34 5) 756.8972 BUILDING R E C E O V E Permit No. n x PERMIT APPLICATIO JUL 9 2f!4 Master Permit No. 9 a-o04-30 -1 FBC 2001 6L oY - ?i7 Permit Type (circle): Buildi Owner's Name (Fee Simple Titleholder) Owner's Address 313 N r y 2 s City— State Tenant/Lessee Name , / S /4w 0,11 Plumbing Mechanical Roofing Phone # Zip Phone # Job Address (where the work is being done) 3(3 e Z 5 T City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO t./ Zip Contractor's Company Name � ti-' � Phone # 786 'z. 6' Z-77 7 Contractor's Address 2r Z 3 d PA 1-80(144 City & y'l4 6, e....1ZA State ' / Zip Qualifier ,E0y,dA-A7.6 f p N2.1' Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit `96 Square Footage Of Work: Type of Work: ❑Addition ErAlteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: (A%/ /'Z—Q-.t Ai G 1E 12- �.) LY ,j C%(M�J L - r S uA.ai(v\ CA.eCA-6 e n +k-e +s arc t Lk-#S * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ • Permit Fee $_4- — CCF $ 1 r kD CO /CC Notary $ f Training/Education Fee $ • Li Technology Fee Si, S d Scanning $ Radon $ Code Enforcement $ Total Fee Now De $ r l 1) (Continued on opposite side) Zoning Bond $ 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. o "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. Owner or Agent Signature 4 <-� Contractor The foregoing instrument was acknowledged before me this "ZLS The foregoing instrument was acknowledged before me this 24 day of , 20 r f , by day of ����� who is who is pers ly known to me or who has produced ' hen caQFFIC ` Tw Y sus �7 mvino�id e an oath. t)C\ Q COMM!35!rON NUMBER NOTARY P • Sign: Print: L DD02?912 csi MY CO1 MISSICN'cX H ES r FV° J'JNE_19,20,4 Ie.rlyace rP My Commission Expires: NOTARY PUB Sign: Print: , 20 ft, by ally known to `me or who has produced _ J as icy 'cation and who did take an oath. LIC: cat orr aix�r�ar'ti <� VAITYair „urn ;;. P494.7 S O2S NLASp R � DC ©�3g72 Z My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. 6'41 ("0"72...7 7 APPLICATION APPROVED BY: Chc 12/15/03 Certificate of Competency No. and Q 0 12-td 'a .06244- c Plans Examiner Engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. /M Job Name 5y/y r ELECTRICAL CRITIQUE SHEET \11' s (Wh4 ululk Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -217 Printed: 9/7/2004 Applicant: ALEXIS POWELL Owner: POWELL ALEXIS JOB ADDRESS: 313 NE 92 ST Electrical Permit Page 1 of 1 Contractor RAY'S ELECTRICAL SUPPLIES INC Contractor's Address: 2023 OPA LOCKA BLVD Local Phone: 305 - 688 -7133 Parcel # 1132060136360 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 13 & 14 BLK 47 LOT SIZE 100.000 Fees: FEE2004 -8985 FEE2004 -8986 FEE2004 -8987 FEE2004 -8988 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $300.00 $1.20 $0.40 $7.50 $309.10 Total Fees: $309.011R Total Receipts: $.00 Permit Status: APPROVED Permit Expiration: 1/25/2005 Construction Value: $1,900.00 Work: WIRING ELECTRICAL OUTLETS AND LIGHTS MASTER # BP2004 -307 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: