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EL-09-363Miami Shores Village Building Department >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. EL-CT-36'3 BUILDING PERMIT APPLICATIO FBC 2004 Master Permit No. Me4 -O8 ��OQ Permit Type: Electrical Owner's Name (Fee Simple Titleholder) &'U C.E. Be 14C((1 1 C� C-0 f Phone # Owner's Address 59 W M -A-0,1 4 1,4A°6- City W.-a UV_ ` Path, State Tenant/Lessee Name Phone # i5 sc5 f'g -79)S. Zip 3314O' 2W2S E -MAIL: Job Address (where the work is being done) -72(0 Z- ci st 4 Q - O �-- City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 11-3206-04.4 —046 C) Is Building Historically Designated YES NO Contractor's Company Name i '.S b C-' L / C_ Phone # 3 oS —4 �'\2 -1( a Contractor's Addres is 6 9(0.S" /4 �!(� 4 S-t 3 Zip 33 City 1,Xd State 0SWC(CIO Qualifier Name Zip 33166 Phone # State Certificate or Registration No. 130 12-423 Certificate of Competency No. 0 aLE'©W4 -2,6 E -MAIL: a MpCI-MI 0')ILtt4_00. e.® VIA Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ o Q Square / Linear Foota Type of Work: ❑Addition ❑Alteration Describe Work: I s la-1-10-n E. A /c, hvvK op [ ew ❑ Demolition N l': o SU mittal Fee $ Notary $ Scanning $a Bond $ Structural Review. $ * * * * * * * ** , * * * * * * * * * * */ * * * * * * * * * * * ** Z. Pe mitFee Training/Education Fee $ a * * * * * * * * * * * * * * * * * * * * * * ** Radon $ Code Enforcement $ DPBR $ Technology Fee $ Too Zoning $ Double Fee $ Total Fee Now Duel 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 andintallations 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 th person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement t be po ted at th job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absent' . sash po ted n Lice, the inspection will not be , s s)'• .7 4 0 a rei : sectio fee will be charged. o° Signature Owner or Agent The foregoing instrument was acknowledged before me this C1 + day of A(c ,4„,, 20 ®Ljby who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Si•n Contractor The foregoing instrument was acknowledged before e this day of 20 ©l by 0 who i o me or who has produced Print: My Commission Expires: NOTARY PUBLIC Sign: dM 14i)lE&ke1 AB QBLEDO MY COMMISSION # DD814347 EXPIRES August 13, 2012 Note Servlce.00m ettat rt dal pi tghi Re Print: My Commi ss io n Expires: ��i t 3 ,2O 1 Z ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) //7-, Plans Examiner Engineer Zoning Ampstrong Electric Inc. PROPOSAL 7415 SW 32 St. Miami, FL 33155 Ph: (305) 525-8191/ (305) 265 -1533 Tuesday, March 10, 2009 Proposal Submitted to: Bruce Bender. Address: Phone: (305) 967 0002 Fax: (305) 672 2322 Job Name: Job Location: Phone: Fax: 726 NE 92 ST Miami Shore, Fl. This proposal was prepare according to plan drawings dated by architect We have included the followini: 1. Electrical installation of A/C unit 2. Permit fee We have excluded the following: 1. We are not responsible for the Patching The Ceiling & Walls 1 TOTAL ELECTRICAL PRICE: Payment schedule as shown below: Acceptance deposit 50% $400.00 Draw upon completion final 50% $400.00 $800.00 GENERAL CONDITIONS All materials is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices, any alteration or deviation from above specifications involving extra cost, will be executed on y upon written orders, and will become an extra charge over and abo the estimate. All agreements co ingent upon strikes, accidents or delays beyond our control. Owner to carry fire, windstorm and other necessary insurance. Our workers are fully. This Proposal may be withdrawn by us if not accepted within 30 days. By Ampstrong Electric Inc. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. DATE OF ACCEPTAN 2 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 `ssp 211009. _ Project Address Parcel Number 726 92 Street 1132060440001 Expiration: 09/08/2009 Applicant Miami Shores, FL Block: Lot: SHORES PLAZA EAST CONDO Owner Information Address Phone Cell SHORES PLAZA EAST CONDO 726 NE 92 ST MIAMI SHORES FL 33138 -0000 Contractor(s) AMPSTRONG ELECTRIC INC Phone CeII Phone (305)468 -7988 Valuation: $ 600.00 Total Sq Feet: Type of Work: ELECTRICAL A.0 HOOK UP Additional Info: Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $160.00 $3.00 $50.00 ($50.00) $8.00 $171.80 Invoice # EL -3-09 -34191 EL -3 -09 -34191 Check #: 4402 Total Amt Paid Amt Due $171.80 $50.00 $ 171.80 $ 171.80 $ 0.00 0 Available Inspections: Inspection Type: Underground Rough Final Meter Box Alteration Relocation Fire Alarm Service Change. W. W. 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 responsibility for all work done by either myself, my agent, servants, or employes . I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. March 18, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date March 18, 2009 1