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EL-06-1628Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 6/26/2006 Expires: 12123/2006 Permit Number: EL -6-06 71628 Owner's Name: LUCILLE CLUM Phone: (305)758 -7086 Permit Type: Electrical - Residential Work Classification: New Job Address: 1430 102 Street NE Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor ADVANCED ELECTRICAL SOLUTIO (954)327 -9212 Yes Comments: HOOK UP 8 HP MOTORS Additional Information Type of Work: MOTORS Additional Info: Classification: Residential 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 Fees Due Amount CCF $0.60 Education Surcharge $0.20 PermitFee - Additions /Alterations $150.00 Scanning Fee $3.00 Technology Fee $3.75 Total: $157.55 Building Department File Copy 4me�� Applicant Signature Parcel #: 1132050240230 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 1,000.00 Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Invoice Number Amt Due Amt Paid EL -6 -06 -25339 $157.55 Total: CK Dq-� JUL 171-M NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village Building Department >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 B M97 UILDING D Permit No. PERMIT APPLICATI J Q 1 2006 Master Permit No. FBC 2001 B Permit Type (circle): Building lectrical P mbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) G b 0- 1' l G CZ� Phone # Owner's Address J y3 City i estate Zip / L? Tenant/Lessee Name Phone # Job Address (where the work is being done) _ 1030 PC, 16 -a City Miami Shores Village County Miami -Dade Zip 3 :313 Is Building Historically Designated YES NO 0716 n ) Contractor's Company Name _ 13Q 00 Contractor's Address . W '30 --it e— City. T4- w! m State T L Zip ' Qualifier_ 912 Ufk PI PCP Architect(Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: [)6Addition ❑Alterations y [:]New Describe Work: °v �\ 4h-)())4N f %-1 /9), 1+10 . Phone # Square Footage Of Work: ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit.Fee $ A!"'40 ® °— CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 5*7 ° 51�) (Continued on opposite side) QW PAID Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip City State V 1f In 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 brochur will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencem n must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the a e e of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was ackpnowledged before me this day of /�{� , 20jyp, by %AM6. , who is personally known to me or who has produced As identification and who did take an oath. NOTAR PUBLIC: �cneoe000n00000ee000maooeoeeN®aovca�t®as Sign: Ea 1111 Print: xP- aoQ��a�a.��` °ary�o:n M y Commission Expires: The foregoing instrument was acknoJo�edged before me this_i�" day of , 200L, by b Ot 0 V-0 t who is personally known to me or who has produced as identi�� ,7j and who did take an oath. ,i ZilaoDOOOOO ©000000000�oonQ; p�9p�nryta�,�� NOTARY PUBLI ��dBO�� u Sign: 1181 �WNW- My 0 Wp d 90CJ1NYae36'w¢ t a Print: ��0000000000n�a� Commission Expires: l 6 (Certificate of Competency Holder) State Certificate or Registration No. EC S Certificate of Competency N APPLICATION APPROVED BY: Che 10/14/03 ePlansExaminer Engineer Zoning