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EL-05-292 Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:fie- 56.8972 BUILDING AUG Permit No.—4"- — 22 PERMIT APPLICATION l` ---- .,_ aster Permit No. FBC 2001 __ Permit Type (circle): Building Electrica Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) -Q/ Phone# Owner's Address 1 d �q- /V , / u CiIc1VhI SA�reS State E Zip Tenant/Lessee Name Phone# Job Address(where the work is being done) t 0 (6 3 Av-e i LAf� City Miami Shores Village Co MA-Dade Zip Is Building Historically Designated YES NO (X5),zcja Q �g Contractor's Company Name wc:,W'c 3,Q c Phone# 3d 19 4.S-- (dt4 I Contractor's Address tvkDG 2cZ� . City 4 ,.M I CL^i' State Zip Qualifier 6 C u, to S -q rte c.0 State Certificate or Registration No. t�'Co 0 o o 3 3P j— C to Co petency No. Architect/Engineer's Name(if applicable) Ph e# $Value of Work For this Permit I ,�0 o Sq re ge Of Work: Type of Work: ❑Addition Iteration ❑New ❑ Re /R p ' eplace El Demolition Describe Work: of I ✓.'car (.-- i'!►Y`o rc}"^ I y 14 J Submittal Fee$ Permit Fee$ /'„1�–,o O CCF$ CO/CC Notary$ Training/Education Fee$ 4 Technology Fee$ 3.w]Z5 Scanning$ 3. 00 Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review. $ Total Fee Now Due$ «+ (Continued on opposite 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 goad 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. Signature Signature �I(^ Owner or Agent Contracto The foregoing instrument was acknowledged before me this 17 The foregoing instrument was acknowledged before me this day of A-14 , 20 01 by day of u i 20o5- by who �s p soronnally�knowntoor o as produce wh is per nally known to in or who has produced As identi at' n and who take anoath. as idenfifi and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: II ign: JFb/'+ Print: Cprint: . PuWt v .AR F'& M Commission Expires: d G M Commission Expires, �,. :fir Pu uc- Tr+ e o �. RtDA Y O7lo � o e Y xP OMMISSION#OQ122133 svN'aFDT'i t- NOTAN, COMMISSION#DD122133 EXPIRES 07108/2006 BONDED THRU 1.08-NQTARYI APPLICATION APPROVED BY: / moans Examiner Engineer Zoning Chc 05/13/03 ADDENDUM TO BUILDING PERMIT APPLICATION (AN ^APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. ) PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS BIDET LIGHT OURETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY 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 UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS D- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEWLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- A/C WIIDOW 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 DRAINFIELD, 4" TILE/RES. VIOLATION PLOW 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 0 Miami Shores VillageElec trical Permit 10050 NE 2nd Avenue Phone: 305-795-2204 Permit Number: EL2005-292 Printed:8/19/2005 Page 1 of 1 Applicant: QUINTON HOLDER Owner: HOLDER QUINTON JOB ADDRESS: 10643 NE 11 AVE Contractor METRO ELECTRIC SERVICE INC Contractor's Address: 15050 NE 20 AVE Local Phone: 305-945-1991 Parcel# 1122320280340 Legal Description: MIAMI SHORES ESTATES PB 47-58 LOT 6 BLK 3 LOT SIZE 80.000 X Fees: Description Amount FEE2005-11420 Building Fee $150.00 Total Fees: $158.35 FEE2005-11421 CCF $1.20 FEE2005-11422 Training and Education Fee $0.40 Total Receipts: $0.00 FEE2005-11423 Technology Fee $3.75 FEE2005-11424 Scanning Fee $3.00 Total Fees: $158.35 Permit Status: APPROVED Permit Expiration: 2/14/2006 Construction Value: $1,500.00 Work: CHANGE ALL INTERIOR WIRING FROM# 14 TO# 12 AUG 2 4 PLAID; 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: miaml snores v uiagc D UuLllnl ; LG P VIVE i NOY ? Chance of Contractor - - Permit No. Owner's Name(Fee Simple Titleholder) �GfT� 1 040elePhone# • OJ /f Y5 l0u�� Owner's Addresse®C,O z/ /V 4,5? /! 045PI/z- City 10')12,11P9,71' State � G2.� �G ZiP �� 19 Tenant/Lessee Name Phone# Job Address(of where the work is being done) /D V/ /V City /W/~/' 6 /fie e�.f' County IDWR-176F Zip :7,?l 3e Legal Description Contractor's Company Name r�� c' t✓% � Phone# ges 7S 7 Contractor's Address �— > City -'� 0. / State Zip —73/ gee, Qualifier / ?y !✓ x�t—f � f Describe Work: G/ � /t� ti�✓/� `� /+� rl /.�.!i�,Oe� l�/G`,e."?e �%>�:� /r(��aCi'Q� c�r��✓� sus �f� ��• 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 iami Shores harmless from all legal involvement. Signature Signature Owner or Agent. Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this�� day of —41- , 20 by -.Y j t, day of 20C6by► " t .�`r�-� I 1CSAAC S who is personally known to me or who has produced ) r144� who is personally known to me or who has produced As identification and who did take an oath. f D as identification and who did take an oath. NOTARY PUBLIC: NOT PUB CNOTAR LIC-STATE OF FLORIDA Sign: �� .� sign: rle andez Print: lr� !f� - �,� Print. 55 My Commission Expires: ��,, M} Com 'ssion expir Atlanri ,inc. P Thomas H.Shad Jr. MY COMMISSION# DDt 66664 EXPIRES December 3,2006 WRIAMSMIN�INC k�\,. 09/19/03) NOV 2 8 PAID Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 12/10/2015 To: Current Owner 10643 NE 11 Avenue Miami Shores, FL 33138 Permit: EL2005-292 Address: 10643 NE 11 Avenue Miami Shores FL Date Expired: 2/14/2006 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to refinance or sell this property Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, C 4%S) It' Ismael Naranjo (CBO) Building Director OR,, � Inspection Worksheet Miami Shores Village y e 10050 N.E. 2nd Avenue Miami Shores, FL Ph e: (305)795-2204 Fax: (305)756-8972 ,. MOM— Inspection Date: 12/15/2005 00 5 Permit Type: Imported Permit Inspector: Devaney, Michael Inspection Type: Final Owner: HOLDER, QUINTON Work Classification: Electric Job Address: 10643 11 AVE Miami Shores Village, FL Phone Number Parcel Number 1122320280340 Project: <NONE> Block: Lot: Contractor: METRO ELECTRIC SERVICE INC Phone: 305-945-1991 Building Department Comments 10643 NE 11 AVE i FINAL INTERIOR WIRING Inspector Comments Passed El � ,� Failed �c Correction �- Needed r Re-Inspection FeeE�r ($75) w-o?l� !`` No Additional Inspections can be scheduled until re-inspection fee is paid. Wednesday, December 14, 2005 Page 2 of 2