ELC-10-284•
Inspection Number: INSP - 136231 Permit Number: ELC -2 -10 -284
Scheduled Inspection Date: April 27, 2010 Permit Type: Electrical - Commercial
Inspection Type: Final
Owner: CARLISLE, DAVID Work Classification: Addition /Alteration
Job Address: 9699 NE 2 Avenue
Miami Shores, FL 33138-
Inspector: Devaney, Michael
Project: <NONE>
Contractor: ELECTRICAL MASTERS INC
Building Department Comments
NEW OUTLETS AND LOW VOLTAGE PERMIT
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
l �r
April 26, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Phone Number
Parcel Number 1132060134050
Phone: 305 - 265 -7996
Page 4 of 29
Miami Shores Village
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Building Department FEB 2 3 2010
MD050 N.E3nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795.2204 Fax: (305) 756.8972 ``� / "
BUILDING Permit No. _t 1 �! _4:y
1.Q
APPLICATION Master Permit No l „ ( -1
FBC 2004
fie
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) Phone #
Owner's Address 94, 9 9 416 024 of
City t4.4' r ,0" Ole ftits. State Zip 33
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village County Miami -Daade Zip
FOLIO / PARCEL # // 6 / } SO
Is Building Historically Designated YES NO
Value of Work For this Permit $ 6 '9L 0.40
Phone #
Contractor's CompanrName ter.7iteeogit." 7 /see Phone # 9. 3cnt
Contractor's Address 50 ad? Aos✓
City ,/ /4 -e.4, State /=C.- Zip 3ei
Qualifier Name j oadW or-e1=2 Phone #
State Certificate or Registration No. E�-'e /30 Certificate of Competency No. ec e.3®e) ®5.c
E-MAIL
Architect/Engineer's Name (if applicable) Phone #
Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration ew ❑ Repair/Replace ❑ Demolition
Describe Work: 0A- -e4,9 Oar ems, Pvia e i- u p /)
* ****** **** * ******** *w****** ** roar ** **F a*** *** ****aa******* *** ** * ** ***** **** *****
Submittal Fee $ Permit Fee $ ✓ �,� 0 " CCF $ * (-00 ± !CC
Notary $ Training/Education Fee $ Technology Fee $ `d A
Scanning $ 6' f ) 0 Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
to
See Reverse 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 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
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: Sign:
Print Print:
My Commission Expires: My
APPLICATION APPROVED BY:
(Revised 02!08106)
Contractor
The foregoing instrument was acknowledged before me this
day of ,20,by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY
..1 p�.� ' Fula
•� F ".M -. ela
VaZilitz
Zoning
Plans Examiner
Engineer