EL-04-124Miami 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 Electrical
Owner's Name (Fee Simple Titleholder) Cc)
Permit No.
Master Permit No.
Plumbing Mechanical Roofing
r,cc . Phone#
��
Owner's Address t)�� � 9 � -,-� --4
.
City�' d . 4 �",1-,�' State Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) N 'D I
City Nami Shores Village County Miami -Dade Zip V
'U, Building Historically Designated YES NO
Contractor's Company Name. �'l - �E; ° I,- 4r, 'ti Phone #_ , �� - Q'i
Contractor's Address
City
State w Zip
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit Square Footage Of Work:
Type of Work: ❑Addition ❑Alte on ❑New ❑ Repair/Replace ❑ Demolition
Describe Work:
Submittal Fee $ Permit Fee $ %'WoP//®,
Notary $ Training(Education Fee $ C� d
CCF $j , G2 C) CO/CC
Technology Fee $ o S
Scanning 3 . Radon $_ Zoning Bond $
Code Enforcement $
Structural Plan Review. $
Total Fee Now Due $ v I L � 0 4
(Continued on opposite side)
L
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 pasted notice, the
inspection will not be approved and a reinspection fee will be charg
Signatzue
{
Owner or Agent
The fore ing instrumen�t�w�as ackl`edged before me this The for oing instrument was
acknowledged before me flus
day of 20L1 , by I� V1 2�� day of 20 " L, by �� �
who is perso known to me or who has produced who is perso y known to me or who has produced
NOT,
Sign:
Print:
My Comm
As identification and who did take an oath.
Notary PuWk - State of Florida
My c nn%sionFxpr MSM 11.2008
Q 'Jn,°, NNN - Bonded By National
NOTARY PU
Sign:
Print:
myC
to of Competency Hol
and who did take an oath
of Florida
Iib=Miaaion 8 DD 104873
Bonded By National Notary Assn.
State Certificate or Registration No. Certificate of Competency No.
�k�k�kal:ak�k�k�k�K�k�k�knkak�k�k#��k�kak�kskak��k�k�kak�kakak�k�k�k�kok�k�ksk�k�kak�k&�k�k#�k�k �k�k�*�k� ��k�k�k�kak�kok�k�kak�k�k�k�ksk�k�kak�k�k�k�k�aksk*?k�k�k�k�ksla�k�k�k+k�k�#��k�ank�kHa�k+kak�k
APPLICATION APPROVED
Chc 12/15/03
Examiner
Engineer
Zoning
*I APPLICATION FOR BUILDING PERMIT }MUST ACCOF—PANY THIS ADDENDUM. IF A MASTER P'-&4IT HAS B.
,BTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING ELECTRICAL MECHANICAL
:.M
TH TLB
UNIT FEE ITEM
SWITCH OUTLETS
UNIT FEE ITER UNIT FEE
SPACE WATERS
SET
L IGtff CUTLETS
CENTRAL HEAT I W
ShWAS'WI
RECEPTACLES
A/C (Wild)
SPOSAL
SERVICE TDPWRY
A/C (CENTRAL)
INKING FOUNTAIN
SERVICE SIZE IN AMPS
D Ol1CT WORK
CCR CRAIN
SERVICE REPAIRAVER CHAS
REFRIGERATION
EASE TRAP
APPLIANCE OUTLETS
PROCESS ANO PRESS PIPING
TERCEPTCR
RANGE TCP
UWERGROUW TANKS
:VATCRY
OVEN
ABOVE GROW TANKS
,UNDRY TRAY
NATER NEATER
U.F. PRESRRE VESSELS
.OTHES WASHER
MOTORS a 1 FP
STEAM BOILERS
:OWER
MOTORS OVER 1- 3 W
NOT WATER BOILERS
NK. POT/3 COW.
WTCRS OVER 3- -5 FP
IZCNANICAL VENTILATION
.NK. RESIOENCE
WTCRS OVER 5- 8 W
TRANSPORTING ASSEMBLIES
W. SLOP
MOIORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
.WWAY WATER CLOSET
WTORS OVER 10- 25 W
FIRE SPRINKLER SYSTEMS
IIKai
MOTORS OVER 25100 W
COOLING TOWERS
;TER CLOSET
MOTORS OVER 100 FP
VIOLATION
-0 1RECT WASTES
A/C WIM
REINSPECTION
;TER SLI'PLY TO:
AIR COMA I T I OVERS
A/C UNIT
FIRE SPRINKLER
HEATER -NEW INST.
HEATER -REPLACE
STRIP HEATER
GENERATORS TRANSFCRbrrRS
GENERATCiRS TRANSFOVEAS
GENERATORS TRANSFO MRS
i
LAWN SPRINKLER -WELL
SPECIAL PIPIPOSE
SWIMMING POOL
CUTLETS COM ERCUL
WATER SERVICE
"WER CONNECT IONS
SIGN TUBES
S IGN TRANSFG'ikE'RS
'ILITY-SEWER
SIGN TIME CLOCK
"ILITY-WATER
FIX%RES
:DTIC TANK
ANTENNA
'LAY
TELEVISION D RETS
taINFIELD. 4' TILE/RES.
VIOLATION
T%P 3 ABANDON SEPTIC TANK
REINSPECTION
IAXAGE PIT W. FT.
►TCIi BASIN
;SCtWAGE WELL
XESTIC WELL
lEA [RAIN
:OF INUT
1LAR RATER HEATER
IRE STANDPIPE
)OL PIPING
1WN SPRINKLER SYSTEM
S RANGE
:TEA SET (GAS)
S PIP[W.
MOODY ELECTRIC, I1 UC.
www.moodyelectdc.com
669 N.W. 90 Street - Miami, FL 33150-2166
Tel: (305) 758-2000 Fax (305) 754-1333
Fv� �I I au r,;-Tti .3 A10 7Hq,J -r#Ru AW
&-AP
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++ 1dARY SAT t o Fj
Notary Pubitc Stata 11,20DBa
•�y
Commission # t}D 104873
Bonded 6y National Notary. Assn.
MOODY ELECTRIC, INC.
www.moodyelectric.com
669 N.W. 90 Street * Miami, FL 33150.2166
Tel: (305) 758-2000 Fax (305) 754-1333
RESIDENTIAL DEMAND LOAD CALCULATIONS
W / SQ. FP®®
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
FREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR:
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
.LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT
SPARE CAPACITY
SPARE CAPACITY
TOTAL CONNECTED LOAD
%9
K.W.
1,5
K.W.
K.W.
K.W.
K.W.
/``
`v.5
K.W.
4
K.W.
K.W.-
. ®
K.W.
K.W.
ICW.
''—
K.W.
----'
K.W.
K.W.
�'—
K.W.
---
K.W.
K.W.
K.W.
K.W.
K.W.
—
K.W.
—
K.W.
P--
K. .r!
L 5
K. Go��
FIRST 10 K.W. @ 100% 10.0 -
REST @ 40% :53-7,
A/C @ 65% / HEAT @ 100% `® J::10 • 16, O' K.W.
TOTAL DEMAND LOAD � K.W.
K.W. / 240 VOLT &S /3
3-3q6® c5266az-i®
MANY PANSRi6G5
Nolm pubiIC . State of Florida
NCO1fl°cnaDN104673
otassn.
Bonded BY Nati
IAA I SH , RE S '16 1 L L A't*w* E
APPROVED
BY
DATE
ZONING
STRUCTURAL
ELECTRICAL
PLUMBING
ell,
MECHANICAL
BLDG.
-- -- I
I
SUBJECT TO COMPLIANCE WITH ALL il-AAL.
STATE AND COUNTY RULES AND REGJLAI*I',I-.IS.
;�
MOODY13 ELECTRIC, INC.
www.moodyelectdc.com
669 N.W. 90 Street - Miami, FL 33150-2166
Tel: (305) 758-2000 Fax (305) 754-1333
FPL
4
-1/0 IrI404A)
�wP
rA I!irzlkM
MOODY13EL TRC. /1VCs
www. moodyeiectric.com
669 N.W. 90 Street * Miami, FL 33150-2166
Tel: (305) 758-2000 Fax (305) 754-1333
RESIDENTIAL DEMAND LOAD CALCULATIONS
W / SQ. FT o2
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
FREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRMIU,ER PUMP
.LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT '
SPARE CAPACITY
SPARE CAPACITY
TOTAL CONNECTED LOAD
FIRST 10 K.W. @ 100% 3 , °� 10.0 KV.
REST @ 40% 3 K.W.
A/C @ 65% / HEAT @ 100% 149 h::iO • !®.O'K.W.
TOTAL DEMAND LOAD 33-j K.W.
K.W. / 240 VOLT = /39 /(AMPS �� 9
aARv gas
BRIGGS
Pub * 8
�� •- � W*j1.2ooe
Comrnisa� tloneiG13 Ala D X873
Banded 6Y
Atm/o!5
Ql� .5el4v4=
K.W.
/05
K.W.
-fir®
K.W.
/• S
K.W. s
...-
K.W.
_45
K.W.
,4,::�-
K.W.
.®
K.W.
K.W.
—'
K.W.
K.W.
'"—
K.W.
^'—
K.W.
K.W.
'—
K.W.
�• o�L
K.W.
4
K.W.
'—
K.W.
^
K.W.'
K.W.
FIRST 10 K.W. @ 100% 3 , °� 10.0 KV.
REST @ 40% 3 K.W.
A/C @ 65% / HEAT @ 100% 149 h::iO • !®.O'K.W.
TOTAL DEMAND LOAD 33-j K.W.
K.W. / 240 VOLT = /39 /(AMPS �� 9
aARv gas
BRIGGS
Pub * 8
�� •- � W*j1.2ooe
Comrnisa� tloneiG13 Ala D X873
Banded 6Y
Atm/o!5
Ql� .5el4v4=
6- MMI SH, --RES VILLAGE
APPROVED
BY
DATE
ZONING
STRUCTURAL
ELECTRICA
1dECHAN!CAL
BLDG•
SUBJECT TO COMPLIAN;;E WITH ALL i E,ER.iL.
STATE AND COUNTY RULES AND REG�JI_A i IU::S
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305-795-2204
Printed: 5/11/2004
Applicant: JOHN
Owner: CACACE
JOB ADDRESS: 940 NE 99
Contractor MOODY ELECTRIC INC
Local Phone: (305)758-2000
Parcel # 1132060143380
Electrical Permit
Permit Number: EL2004-124
Page 1 of 1
CACACE
JOHN
ST
Contractor's Address: 669 NW 90 ST
Legal Description: MIAMI SHORES SEC 3 PB 10-37 LOTS 6 & 7
Fees:
Description
Amount
FEE2004-4797
Building Fee
$100.00
FEE2004-4798
CCF
$1.80
FEE2004-4799
Training and Education Fee
$0.60
FEE2004-4800
Technology Fee
$2.50
FEE2004-4801
Scanning Fee
$6.00
Total Fees:
$110.90
Permit Status: APPLIED Permit Expiration: 11/6/2004 Construction Value: $2,300.00
Work: UPGRADE SERVICE 200 AMPS CHANGE FUSE BOX
Signed:
(INSPECTOR)
BLK 80 LOT SIZE 100.000 X
Total Fees: $110.90
Total Receipts: $0.00
MAY 12 PAID
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 VILLA
-/2P/fBUILDING DEPARTM N
305-795-2204
Building Inspection Re uest
Dated 0 °-�7
ti
Type Insp'n \
Permit No.
Name
1
Address L(_.
� r
Co 'P
Phone # -
Inspection Dates �' / U
Approved ❑ t'
pCorrection
Re-Insp'n Fee ❑