EL05-67Permit No.
Name
Address
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildin I p ction Request
Date
Type Insp'n
SicSS g5
Inspection Date
Approved
Correction ❑ � /�° 0-0
Re- Insp'n Fee ❑
di
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. /1 - / eV - O1O - -C ye)
STATE OF FLORIDA:
- -- C OF MIAMI -DADE:
T;HE UNDERSIGNED hereby gives notice that improvements will be made to certain real
pr Op> u , and in accordance with Chapter 713, Florida Statutes, the following information
ed in this Notice of Commencement.
1. ,l,eaal description of property and street /address: IO N (r qj 9/ 11, Art/ Sh olQ.es , FI 2.D 1
D� ) ! "2 o/ Lot ,2, (,Lk' yf / 6 q EL Po,1/ 1 SCE 3
NN a9-
N 2 • - ..cription of improvement: P y, d • 2 e C /,'r
Sys / P m, )tai - r/- 1 a''11 Yl � Y 9'r, ,.
? • e (s) name and address:
I
o
O 52 '
911 l i.t in property:
- - I and address of fee simple titleholder:
w WC7 tractor's name and address: D nik?
:_:. 0 6- 34- / f 3.
A
5. S (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statu es,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Ex
n date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
d. e is D eci
Signature of Owner
Print Owner's Name A � ( l ( Q r
S -'rn 5a
qeN& 4/ S/ HIAi1
/'I
Sworn to and subscribed before me this 3 day of { � , 2000
Notary Pu
Print Notary's Name - -- - aL44/4' /-1, mc_ �7�Osy1
Commission expire.:
,p ,, 11' ■ .t •�
MY COMMISSION # DD 247556
t OF ie EXPIRES: September 23, 2007
1-800.3-NOTARY FL Notary Discount Assoc. Co.
' rl $'t
r+� e e'1 0Y // (2 i( e_'
t
111111111111111111111111111111111111111111111
C FN 20058.021 7 07'7
OR 81; 23137 Ps 3950; (1us)
RECORDED 03/04/2005 12:05:47
HARVEY RUVIHr CLERK OF COURT
MIAMI -DADE. COUNTYr FLORIDA
LAST FAH
0 RE-s 3
g f N F ql /1r R il�'s a �res 1 - :3) /35A'
c 5 ,
Prepared by .;(4 AM,U.if D
Address: 1 9 / IC- 62 ,4q';
/j1
144n; ,
Printed: 2/17/2005
Applicant: BRYCE
Owner: QUICK
JOB ADDRESS: 90 NE 91
Parcel # 1131010200010
Electrical Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: EL2005 -67
QUICK
BRYCE
ST
Contractor METRO ELECTRIC SERVICE INC Contractor's Address: 15050 NE 20 AVE
Local Phone: 305 - 945 -1991
Legal Description: 1 53 41 EL PORTAL SEC 3 PB 9 -148 LOT 1 & E1/2 OF LOT 2 BLK 9 LOT SIZE
Fees: Description Amount
FEE2005 -2141 CCF $1.20
FEE2005 -2142 Building Fee $150.00
FEE2005 -2143 Training and Education Fee $0.40
FEE2005 -2144 Technology Fee $3.75
FEE2005 -2145 Submittal Fee ($50.00)
Total Fees: $105.35
Total Fees: $105.35
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 8/14/2005 Construction Value: $1,200.00
Work: ELECTRICAL FOR A/C
Signed: (INSPECTOR)
Page 1 of 1
0 0
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:
Date v `�
c e
Type Insp'n
Permit No.
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building InsRection Request ■
Name q D
Address
Company
Phone #
Inspection Date
5�8 -asa/
t
aJV
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buili.ing Inspection Request \�
Date
Type Insp'n
Permit No.
Name
Address c7� NE,_ 91 S
Company AcJCn
Phone #
Inspection Date
Approved J�
Correction ❑ ���/
Re- Insp'n Fee El
FES 24P5
BUILDING
PERMIT APPLICATI
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address 90 w g �
City i1/ / i1/ S'hOR eg State
Tenant/Lessee Name
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
RECem Avenue, Miami Shores, Florida 33138
05) 795.2204 Fax: (305) 756.8972
05' ,
el:
Plumbing Mechanical Roofing
g CR H/11='L . r Phone # 09 ?SR ,28 O R
Permit No. 05 (61.
Master Permit No.
Zip .- 3 0 /31F -
Phone #
Job Address (where the work is being done) q Q A/ 6 ! / 5r
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO X.
Contractor's Company Name e r-i, t1 '` C S h 'T Phone #
Contractor's Address (SD rd v E 6 - A-u pa r
City it/ , !✓t 1 i State / L Zip 3 .?' c?
Qualifier b o ti) Imo, d^' c1 (,ti
Architect/Engineer's Name (if applicable) 11)///– Phone #
$ Value of Work For this Permit � Q t b • Square Footage Of Work:
Type of Work: ❑Addition \\ ❑Alteration ` C®New CI Repair/Replace ❑ Demolition
Describe Work: � ; D V d e� cc's �- S k l,e . ` r
9 y 1NY )(
( 3'a _ * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /5'' CCF $ / CO /CC 4"
Notary $ Training/Education Fee $ 7 . � () Technology Fee $ g 73'
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
1/ to S
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 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.
Signature � � �� '� -- -� `"� --� Signature ...... 51/N-1, 07. , v ...._
Owner r Agent ...s.....„., Contractor
The foregoing instrument was acknowledged acknowledged before me this 7 The foregoing instrument was acknowledged before me this 7
day of FC "J , 20 ?S , by , day of l , 200C by
who is person known to me or who has produced who is personally known to me or who has produced
NOTARY PUBLIC:
Sign:
Print:
Chc 12/15/03
As identification and who did take an oath.
as identification and who did take an oath.
NOTARY PUBLIC���
Sign:
Print: /? r ?vl.
L 'ff - R�p�gA' "STAiEO oA
NOT ' uo
ION # o 2 06 33
cot, My Commission
EXPIR Es 07100120 TA RY1 y on Expires:
qqgg HAM _WA
* * * * * * * * * * * * * * * * * * * * * * * * ** ousesAtiV********************** * * * * * * * * * * * * * * * * * * * * * * * * * * **Rdt 2' i� FIAR�_fyAf� * * **
COMMISSIO # l 0D122133
EXPIRES 07/06/2006
BONDEO THRU 1- 888- NOTARY1
My Commission Expires:
State Certificate or Registration No.
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Certificate of Competency Holder)
0 di ((PT
Certificate of Competency No.
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WINO)
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 (ROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 If
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 ASSEMBLIES
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 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
SWIWAING POOL
OUTLETS COM4+IERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
FIXTLRES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & 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
PLUMBING
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.)
ELECTRICAL
MECHANICAL