EL-05-251 OR
Miami Shores Village Electrical Permit
10050 NE 2nd Avenue
Phone: 305-795-2204 Permit Number: EL2005-251
Printed:7/2112005 Page 1 of 1
Applicant: LOUISE PALMATIER
Owner: PALMATIER LOUISE
JOB ADDRESS: 540 NE 103 ST
Contractor MOODY ELECTRIC INC Contractor's Address: 669 NW 90 ST ****
Local Phone: (305)758-2000
Parcel# 1132060170900 Legal Description: MIAMI SHORES SEC 4 AMD PLAT PB 15-14 LOTS 7&8 BLK 93
Fees: Description Amount
FEE2005-10026 Building Fee $225.00
FEE2005-10027 CCF $1.80 Total Fees:$241.10
FEE2005-10028 Notary Fee $5.00 Total Receipts: $0.00
FEE2005-10029 Training and Education Fee $0.60
FEE2005-10030 Technology Fee $5.70
FEE2005-10031 Scanning Fee $3.00
Total Fees: $241.10
Permit Status: APPROVED Permit Expiration: 1/16/2006 Construction Value: $2,200.00
Work: INSTALL A NEW 100 AMP GENERADOR FEEDER FOR 15 KW GENERADOR
'JUL 2 2 PAID
-o�-I[::pq(0 C�,
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:
t
:MIAMI SHORES VILLAGE r!�
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
DateB �✓ CZS
Type Insp'n -FI r--7G7 ClC''-'C 1'CJtc) r
Permit No. E L(-')5 — 2-S
Name Lxx--.'1 5-G l rmC 1 -f r
Address 540 KJE 103 ST-
Phone# � J Z000 -
Inspection Date 8 I C7rj
Approved
Correction ❑ �
Re-Insp'n Fee ❑
• Miami Shores Village � A
• . Building Department
• 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax: (30pp5)756.8972
20 ED
BUILDING ermit No. �I
JUL 2005
PERMIT APPLICATION Master Permit No.
FBC2001 -- ......
Permit Type(circle): Building Electrica mbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder) NLA--r-l E)%-- Phone# 3Q1'• /'S¢• 035
Owner's Address .5-40 /l!E 1 O 3 ST•
City U t,d.-" S State irG- Zip 3 zi 3,'
Tenant/Lessee Name ,cVA Phone#
Job Address(where the work is being done) ,tJ E /03 �TietXz 7—
city
City Miami Shores Village County Miami-Dade Zip
Is Building Historically Designated YES NO ✓
Contractor's Company Name ""zi /G.xIA-Z • Phone# -&Qr 7s8 '76'0d
Contractor's Address A)a) 1�3T
CiState �G- Zip --13x: 0
Qualifier � Q f}
t
State Certificate or Registration No. Certificate of Competency No.
,t a,
Architect/Engineer's Name(if applicable) A.)Z& Phone#
is .---
$Value of Work For this Permit Square Footage Of Work: A)IR .
Type of Work: DAddition [Alteration ❑New
❑ Repair/Replace ❑Demolition
Describe Work:
/y"W-6 A /Ilei?/
167K A)
Submittal Fee$ Permit Fee$ 'XZ2-1 CCF$ 1-80 CO/CC—�
Notary$ 5. 00 Training/Education Fee$ Technology Fee$ 5 -1®
Scanning$ Radon$ Zoning Bond$
Code Enforcement$ Structural Plan Review.$
Total Fee Now Due$
(Continued on opposite side)
B(wdidg 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will t be approved and a reinspection fee will be charged.
Sign Si
Owner or Agent
Contracftor ss��
The foregoing instrument was acknowledged before me this ?-d The foregoing instrument was acknowledged before me thisLC,
day of ,20(2�>,by day of 26��by
who is personally known to me or who has produced who is personall known to me or w o has produced_
As identification and who did take an oath. entification and who did take an oath.
NOTARY PU,3LIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
MY COMMISSION#DD 441
My Commiss s: EXPIRES:July 2,2009 My Co issio Expirs:1
aY......!F• 9e Thru Notary 1
PWUnd,0M tare
aF ak ak dr ak aY ak&aY akak ak a@* ak iraP 9e aY ak aY 4e de ak aYap 9r 4e at aYakak at aYak ak 9e ak*aYat*aY atr a@aF aF at*fie air de aY&ak aF ak 9:aF 9:aY aF•*aP aY 9e a@a'r aY err ak**x4e 9e*ak 3r
kkkk>k>kN'*�e+k>k#yr*skkkk*Nrk�$kakkk>k*>;rNr>kNrkkk>kNkNr+k+k>k*Nr�rkkkk k*#kkNrkak*Nr#kk grkkkkNrkffiNkk'kakkkkk>kairk>k��Nrk>Iryr+kNr>k*>k&$***kkk
APPLICATION APPROVED BY: Tcoy,1/4-06 Plans Examiner
Engineer
chc 05/13/03 Zoning
MOODY ELECTRIC, WC.
A AN
www.moodyelectdc.com
669 N.W. 90 Street - Miami, FL 33150-2166 •
Tel: (305) 758-2000 Fax (305) 754-1333 —Rum
1540
too eKI.SFr# Claw
10 °'®
120f 24-aJ 6w,rte+
VA400 ?2A�Jgf�ER.
L ���+
i
c
JA 111e . 15VW i
IU '. SP
r
w
�� ,�_e -
,.
�_,
s. :�'
�G,� ®s
��