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EL-05-305L 17 BUILDD PERMIT FBC 2001 Permit Type ( Owner's Name ( Owner's Address City Tenant/Lessee Na Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: 756.8972 xF .n VELD; s IPermit No.��J-' 305 VPPLICATION AUG aster Permit No. ao�w`17- rcle): Building Electrical Plumbing Mechanical ---moo mg Simple Titleholder) ELSIP I,P QBE (;A/tV1e #AICAi •� f 95 Statep 3�/ SO Zi �- Phone # Job Address (whea the work is being done) C/ MJ 10, �5- 7-1 City Mi Shores Villaize County Miami -Dade Zip Is Building Historically Designated YES NO t/ Contractor's C Contractor's Ad City rj . Qualifier � Name O"'] —C 4-ci12d C Phone # 30Y �I' Y9 6 3 %3 N State Zip 3-3/All State Certificate or �istration No. C< �e Certificate of Competency No Architect/Engineer s Name (if applicable) Phone # $ Value of Work 0or this Permit 6-6 Square Footage Of Work: Type of Work: Addition []Alteration []Newepair/Replace [] Demolition Describe Work: /1-t r'4 A4.,j 04��/2 OU G 9 Submittal Fee $ Notary $ 5 - Scanning $ 3. Code Enforcemen T. Permit Fee $__ �� �d CCF $ 10 • I - 2C7 CO/CC Training/Education Fee $ Technology Fee $ Radon $ Zoning_ Bond $ Structural Plan Review. $ Total Fee Now Dui $ `j r , �✓ �� (Continued on opp Dsite side) 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 h 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 approved and a reinspection fee will be charged. ji Signature + / Owner or Agent The foregoing instrument was acknowledged before me this day of 20 QS`by _ r1'CJ W who is personAy—own to me or who has produced As identification and who did take an oath. NOT PUB C: ".;R.belVar1 Mission 01M)Slgn: s g ,' ,• �:1 X r, ®9� o rnq Print: e, ° ttbondiaC My Cofinmission Expires: X Signature S� � ®J Contractor The foregoing instrument was acknowledged before me this I day of who is personally known to me or who has produced ARY PUBLIC: 11 Sign: q.tion o i take an oathil . 0- i ommissioj, Inc. Print: My Commission Expires: Ca., Inc APPLICATION APPROVED "Plans Examiner Engineer Zoning chc 05/13/03 ADDENDUM TO BUILDING PERMIT APPLICATION (AN A]:PLICATION:�VOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THS OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB BIDET UNIT FEE ITEM SWITCH OUTLETS LIGHT OURETS UNIT FEE ITEM UNIT FEE SPACE HEATERS CENTRAL HEATING DISHWASHER DISPOSAL RECEPTACLES SERVICE TEMPORARY A/C (WINO) A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERmax TANKS LAVATORY OVEN ABOVE (ROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COMP. SINK, RESIDENCE MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES SINK, SLOP TEMPORARY WATER CLOSET MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER -REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELD, 4" TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. rATrw RAQIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPItG LAWN SPRINKLER SYSTEW. GAS RANGE METER SET (GAS) GAS PIPIN- Miami Shores Village tPermit 10050 N E Avenue r 306-795-2204 za 0 5 Printed:9/1/2005 Page 1 of 1 Applicant: ELSA Owner: RODRIGUEZ JOS ADDRESS: 149 NW 105 Contractor P & M ELECTRIC INC Local Phone: 305-949-6373 RODRIGUEZ ELSA ST Contractor's Address: 1936 NE 148 ST Parcel # 1121360080120 Legal Description: RUNNINGS MIAMI SHORES EXT 4 Fees: Description Amount FEE2005-11983 Building Fee $100.00 FEE2005-11984 CCF $1.20 FEE2005-11985 Notary Fee $5.00 FEE2005-11986 Training and Education Fee $0.40 FEE2005-11987 Technology Fee $2.50 FEE2005-11988 Scanning Fee $3.00 Total Fees: $112.10 Permit Status: APPROVED Permit Expiration: 2/27/2006 Construction Value: $1,2110.00 Work: MATER MAIN REPAIR DUE TO STORM Signed: (INSPECTOR) PB 48-20 LOT 12 Total Fees: $112.10 Total Receipts: $0.00 BLK 204 In consideration of the issuance to me of this permit, I a to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and In strict conformity with the plan, drawings, statements or speclfk atlons 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. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number:EL2005-305 Printed: 9/1 /2005 Page 1 of 1 Applicant: ELSA Owner: RODRIGUEZ JOB ADDRESS: 149 NW 105 Contractor P & M ELECTRIC INC Local Phone: 305-949-6373 Parcel # 1121360080120 RODRIGUEZ ELSA ST Contractor's Address: 1936 NE 148 ST Legal Description: DUNNINGS MIAMI SHORES EXT 4 PB 48-20 LOT 12 Fees: Description Amount FEE2005-11983 Building Fee $100.00 Total Fees: $112.10 FEE2005-11984 CCF $1.20 FEE2005-11985 Notary Fee $5.00 Total Receipts: $0.00 FEE2005-11988 Training and Education Fee $0.40 FEE2005-11987 Technology Fee $2.50 FEE2005-11988 Scanning Fee $3.00 Total Fees: $112.10 Permit Status: APPROVED Permit Expiration: 2/27/2008 Construction Value: $1,200.00 Work: MATER MAIN REPAIR DUE TO STORM Sigma: (INSPECTOR) :1 In considwation of the Nuance 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 speof8cations submitted to the proper authorities of Miami Shores Village. in accepting this permit I assume responisibil#y, for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Miami Shores Village Electrical § ;WOM050 NE 2nd Avenue Phone:2 : nX Printed: 9/1/2005 Page 1 of 1 Applicant: ELSA Owner: RODRIGUEZ JOY ADDRESS. 149 NW 106 Contractor P 8• M ELECTRIC INC Local Phone: 305-94&6373 Parcel# 1121360080120 RODRIGUEZ ELSA ST Contractor's Address: 1936 NE 148 ST Legal Description: DUNNINGS MIAMI SHORES EXT 4 PB 48-20 LOT 12 FEE2005-11983 Building Fee $100.00 Total Fees: $112.10 FEE2005-11984 FEE2005-11985 CCF Notary Fee $1.20 $5,00 Total Receipts: $0.00 FEE2005-11986 Training and Education Fee $0.40 FEE2005-11987 Technology Fee $2.50 FEE2005-11988 Scanning Fee $3.00 Total Fees: $112.10 Permit Status: APPROVED Permit Expiration: 2127/2006 Construction Value: $1,200.00 Work: MATER MAIN REPAIR DUE TO STORM Signed: (INSPECTOR) BLK 204 In Consideration of the lsm a to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pe laming 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 responisibift for d work done by either myself, my agent, servants or employes. Signed: (contractor or Builder) BY: Miami Shores Village Electrical Permit 10050NE 2nd Avenue 't•1_ 305-796-2204 Permit Number: EL2006-305 Printed:9/1/2005 Page 1 of 1 Applicant: ELSA Owner: , RODRIGUEZ RODRIGUEZ ELSA JOB ADDRESS: 149 NW 105 ST Contractor P & M ELECTRIC INC Contractor's Address: 1936 NE 148 ST Local Phone: 305-949-6373 Parcel # 1121360080120 Legal Description: DUNNINGS MIAMI SHORES EXT 4 PB 48-20 LOT 12 Fees: Description Amount FEE2005-11983 Building Fee $100.00 Total Fees: $112.10 FEE2005-11984 CCF $120 Total Receipts: $0.00 FEE2005-11985 Notary Fee $5.00 FEE2005-11986 Training and Education Fee $0.40 FEE2005-11987 Technology Fee $2.50 FEE2005-11988 Scanning Fee $3.00 Total Fees: $112.10 Permit Status: APPROVED Permit Expiration: 2/27/2006 Construction Value: $1,200.00 Work: MATER MAIN REPAIR DUE TO STORM Signed: (INSPECTOR) BLK 204 In corralderation of the I.-suanos to mo of this permit, I agree to perform the work coves hereunder in compliance with all ordinances and regulatkms 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 responisiblilty, for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: