EL-10-1246Inspection Number: INSP - 152287 Permit Number: EL -7 -10 -1246
Scheduled Inspection Date: October 18, 2010
Inspector: Devaney, Michael
Owner: DOS SANTOS, MALON
Job Address: 801 NE 91 Terrace
Project: <NONE>
Building Department Comments
Miami Shores, FL 33138-
Contractor: A PLUS ELECTRICAL CONTRACTOR INC
October 15, 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
08 ?
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060050220
Phone: (305) 408 -8600
150 AMP RESIDENTIAL SERIVCE
2 KITCHEN SMALL APPLIANCE OUTLET
3 GFCI RECEPTACLE IN LAUNDRY AREA AND OUTSIDE
Passed
r /
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 152264.
7:'c
Page 9 of 14
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): Ah4(I $® Li TV 11) -J__4Nb 0 J Phone#:,3Q — 4 / — 7 95 V
Address:. ®0 /A40/4' ® a (,.c.(e0.. 12e. .� 8
/
City: L r s¢ 4.£! 6e 4-&i% State: -. " — Zip: ....a- / I
Tenant/Lessee Name: Phone #:
Email: PI Alo( aIN3gicyba'-90c0. eoi
JOB ADDRESS: 8 / ,--- 9,..1 Te/L •
City: Miami Shores County: Miami Dade Zip: 3�/— eP
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
t0� f a15 -1 1 tl y
CONTRACTOR: Company Name: u'� e ' Phone#: 7/6 G' /$7 `!� g am/
Address: 6 9 9 /..O‘
City: 1/ if 01 IL! / tate: �L®ie / 9,9 zip —4 /
Qualifier Name: 2/...1 i9 eti a 0 re . e_ e___ Phone#: 7 F4' e 0 7 l2-
State Certification or Registration #:. ' C /- ® Certificate of Competency #: �7 ®� 69 ..3
Contact Phone #rite Email Address: PL- 0 f fG ec a 1-(4‘14 ' C.6
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ / Square/Lin - r _ rk:
Type of Work: ❑Address DAlteration ONew ODemolition
Description of Work: / G ,6'("' �'G /� e'/ 0 ce'04T//tG c�
C FC C-eoa 7'4 r. F-- pa "tie/y®l, €a �4AJ ea - -s - ).0 .
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. .— tU '"' 1 24(
Master Permit No.
********* **** ****+x**x *** ****+x********** F **** ******* **** ********* **** ****** *****
Submittal Fee $ � � Permit Fee $ ® � a G'w. CCFF $ Q ' �? CO /CC $
Scanning Fee $ Radon Fee $ _ DBPR $ Bond $
Notary $ Training/Education Fee $ 0160 Technology Fee $ opt
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
4
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
NOTA Y PUBLIC"
761. 4
0
Sign:
Print:
,•" "1.4 'moo Marta Steegers
My Commission, a.
�a „u ACOMMISSION #D0815811
9 ' JEXPPRES :AUG. 2012
/'
Owner or Agent
APPROVED BY r r%Lrl Plans Examiner
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
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 d a reins section fe wee charged.
/
I'Af Contractor
The forego' g strument was acknowledged before me this The foregoin�ginstrument was acknowle
day of , 20 /0, by #1460 &frO PC ;�iO�T y of 4-./ , 20 L.., by
who is personally knoto me or who has produced tt ,
0.23-3-31.249- y ' As identification and who did take an oath.
Structural Review
Signature
Sign:
Print:
My Commi
d before me
NOTARY PUBLIC
4 a 1 Pr -4'46--
j Steegers
+ # DD815811
EXPIRES: AUG. 19, 2012
Of� es eo f3F� rti�o °°
1N who is personally known to me or who has produced
as identification and who did take an oath.
.I
********�x�N *�k� ****** WWAARONMOT�t° + k**m ******* ******M ************+k*M*** k' A4> **MUM S x************
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