RC-07-1124 (2)i � L
o rs Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
e
Phone: (305)795-2204 Fax: (305)756-897
Job Address: 36 101 Street NW
Miami Shores Village, FL 33150-
Project: <NONE>
CLPhone Number
Parcel Number
Block:
Lot:
1131010180240
Contractor: MAXIMO ELECTRIC Phone: (305)283-2418
Buildino Denartment Comments
JUL 2 5 2007
Passed
Inspector Comments
-�""z
60�� �
✓ }� S'
FailedEl
Correction
Needed
Re -Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re -inspection fee is paid .
Monday, July 23, 2007 Page 2 of 2
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit Number: EL-7-07-1419
Invoice Number: EL-7-07-29175
Applicant: HENRY VOLPE
Company Name:
Owner Address:
36 NW 101 ST
MIAMI SHORES, FL 33150
Job Address:
36 101 Street NW
Miami Shores Village, FL 33150-
Date Payment Type Check Number Amount Change
Tuesday, July 17, 2007
07/17/2007 Credit Card
$163.35 $0.00
Total Payment: $163.35
Page 1 of 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION WA'A,MO
FBC 2004
j�MCgIIVsm;�
JUL 0 y Z1107 ��
Permit No.EJ,97 )41 1
Master Permit No. , G 0? —
Permit Type: Electrical l %/
Owner's Name Simple Fee Sle Titleholder (l� fl %
( / p ) � I f �� Phone #
Owner's Address ! 0 �ci S,,✓ 2� �7 '-
City-�
Tenant/Lessee Name
E-MAIL:
State Zip 3
f/L t r- Y- V (N-`— Phone # 3 0�-
Job Address (where the work is being done) N4/ % S T.
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
3-3 /
Contractor's Company Name ,lif/�)C//t�jl�����%�/C/ ,�'x Phone X a05�) Z k3 3 " 2 8
Contractor's Address /Ci 9 3 / S ez'J 14 / 4f
City A41a eei(/ State Ili% Zip 33 / 7 %
Qualifier Name aa)(.1k"Y e la,- C0 Phone <30-i�)Z 9 3 - Z4 1 8
State Certificate or Registration No. i!F)2/ 301-746 Certificate of Competency No. 05'4E000616
E-MAIL:
Architect/Engineer's Name (if applicable)
Phone #
Value of Work For this Permit $ gJ a00 , 00 Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration [-]New [Re air/ke r p p lace El Demolition
Describe Work: 6)12.1 ret yr i, C G /
Submittal Fee $ Permit Fee $ �O(�'�G CCF $ e�o CO/CC
Notary $ 15•W Training/Education Fee $ ' V Technology Fee $ /� •I
Scanning $ r A
Bond $
Structural Review. $
Radon $
Code Enforcement $
Zoning $ R` 111
Double Fee $ JUL 1 7PAlU
Total Fee Now Due
See Reverse 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
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 al;K;2 -
Owner or Agent Contractor
The fore of g instrument was ack owledged before me this The farr going instrument was acknowledged before me this
day of JO� , 20M, by day of�J�J 2001 b ►" ` Y I1�� y CG�CI W(. ,
who i perso ally known to me or who has produced who is person Ily known to me or who has produced
As identification and who did take an oath. �� 12=as identification and who did take an oath.
NOT
Sign
Print:
NOTARY PUBLIC:
Sign: MON)CA�1S N#001 B 995
Print: oai =g P . ' M tiP1REg:Q�p�nde� de
'•� .. �''P 13, JULY My Colnission Expirem
RuAr
caox�uv2011
c, My Commission Expi >Fo,,, ram:
CUB, DIC,
APPLICATION APPROVED BY:
(Revised 02/08/06)
Plans Examiner
Engineer
Zoning
Miami Shores Village
vC) 10050 N.E. 2nd Avenue
y '� Miami Shores, FL 33138-0000
Phone: 305 795-2204
Permit NO. EL-7-07-1419
Permit Type: Electrical - Residential
Perill'it Work Classification: New
Permit Status: APPROVED
Issue Date: 7/16/2007 [���pirati�on:01�/12/20�08
Project Address Parcel Number
36 NW 101 Street 1131010180240
Miami Shores Village, FL 33150- Block: Lot:
Owner Information Address
HENRY VOLPE 36 NW 101 ST
MIAMI SHORES FL 33150-1267
Contractor(s) Phone Cell Phone
MAXIMO ELECTRIC (305)283-2418
Type of Work: ELECTRICAL
Additional Info: UPGRADE OF SERVICE
Classification: Residential
Fees Due
Amount
CCF
$1_20
Education Surcharge
$0.40
Notary Fee
$5.00
Permit Fee - Additions/Alterations
$150.00
Scanning Fee
$3.00
Technology Fee
$3.75
Total: $163.35
Applicant
HENRY VOLPE
Phone
Cell
Valuation: $ 2,000.00
Total Scl Feet: 0
AAvailable Inspections:
Total I Amt Paid I
Amt Due
$ 0.00 $ 0.00
$ 0.00
Payment Type:
'JUL 17 PAID
Inspection Type:
Alteration
Service Change
Fire Alarm
Underground Rough
Final
Meter Box
W W.
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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated.
July 16, 2007
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Monday, July 16, 2007 1