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EL-09-712BUILDING PERMIT APPLICATI FBC 2004 Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) Contractor's Company Nam Contractor's Address City Qualifier Name State Certificate E -MAIL: ee $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ,� ' &,O Master Permit NI Drifolocilfili Permit Type: Electrical Owner's Name (Fee Simple Titleholder) 744/•15)Se0 /_ ,,p Phone # h " Owner's Address /. /a ✓va. 13 57" /4hl4 11/ City 1-14 31I12 State L qaq t, / /®7qt.)®, /® State L• ,4_42 '7 O •S 41tv Submittal Notary $ Training /Education Fee $ 3 cQ S $ 5.00 Radon $ DPBR $ Zip Phone # 33/ 3e . City Miami Shores Village County Miami -Dade Zip 3 3/ 3� FOLIO / PARCEL # 1/— 320f — 0/3 -- "31 Is Building Historically Designated YES NO • X 17-GA. C:) 21'z S0c7 Phone # 4$ Zip a5/ Phone # .Q0= Certificate of Competency No. Architect/E � 's ► ; applicable) Phone # 410 0® ©4 Value of Permit $ __> Square / Linear Footage Of Work: a yt70 Seri= ['Addition Alteration ['New ❑ Repair /Replace ' rrolition N. ✓ L. ,J,Ew DvL�I'S /and cwjcLpaS R-&.l..Jty 73 ' / F Fo/2. 8on'192ocx-tS /-04 G4 rw. /VC /- Lf c LlT3 -h- -F-pet-41.4„5 iv S1741- eATI v?.rS - fottmeibre. (,J'c lg ��Yxdax &xxeFxxsrx9: nYxoYxx�Yxxxx�Yxzxxxxxzx F xxxxxxxxxxxxxxxxxa°xxxxxx xxx nYz,xa:xx Permit Fee $ 6,14. ©D l pnd $ Code Enforcement $ t ouble Fee CCF $ ICS• Technology Fee $ Zoning $ Fee Now Due $ f 48 .15 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 Andres City ' 1* ' •. ¢' 9'11 P, • Sign: Application is hereby made to obtain a permit to do the work and installations as indicated. t 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. l 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: t 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 COM MENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) d._ s after the building permit is issued. In the absence of such posted notice, the inspectional no .,,proved and a r �/ be charged. Signature / / Signature Owne " len t Contract The forego mg instrument was a c n dged before me this Z7 The foregoing instrument was acknowledged before me this 99 day of AQfIt , 20P , by ¢rc,nef's co fre r-,-) 04-1 dea day of kr J' L , 20 byTyrir, ctsem A Lei-.)-->K3 who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. 1) 1— as identification and who did take an oath. NOTARY PUBLIC: Print: 4 NOTAR Y'YUtsLIC 7!, \T E OF FLORIDA My Commission Expires: • " Milena Paparom ▪ :Commission #DD685086 • et If tls x 5tRMi4 211<W** * *xx.wxw #xxwx_x.x* BONDED THRU ATLA.\TIC BONDING CO., INC. xz xxx x xx xx x xr xxx xxx APPLICATION APPROVED BY (Revised 02/08/06) State Zip NOTARY PUBLIC: Sign: ' ' +" [i • t : C- 5'1ATE OF FLORIDA Print: f e.-, c t•:'„ i' n Pap • , ; , ; Commission #DD685086 My Commission Expires: ' o' Expires: JUNE 13, 2011 Aerix Pla0 Exmn:dj ' °'+ alp' engineer ° r Zoning Scheduled Inspection Date: March 31, 2010 Inspector: Devaney, Michael Owner: HERNANDEZ, FRANCISCO Job Address: 126 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: LIGHTGATE INC Building Department Comments March 30, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Rc.$•oq•y23 CL Inspection Number: INSP- 138634 Permit Number: EL -4 -09 -712 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)282 -9014 Parcel Number 1132060133130 Phone: 305 - 554 -4820 NEW GFI FOR BATHROOMS, NEW ELECTRICAL WIRE FOR ALL RESIDENCE, ELECTRICAL HOOK UP FOR WATER HEATER AND A/C. ELECTRICAL PANEL, NEW OUTLETS AND JACK PHONES. Passed C1' 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- 138363. All bedroom ckt's. tobe arcfault protected. Put oven & microwave on load calculation. sry /if fr Page 12 of 23 BUILDING PERMIT APPLICATION FBC 20 Owner's Address f2.( o 1.1 cm sr Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) 12(0 G.. e 3 City Miami Shores Village County Miami -Dade Value of Work For this Permit $ 0Q.b) Permit No. Permit Type; ELECTRICAL Owner's Name (Fee Simple Titleholder , P ) ��V-O 'HF-WAtil (}E,Z. Phone # e121 21 Z GO 7°1 City l t SORBS State FL Zi �jQjl3�j Tenant/Lessee Name Phone # Email Master Permit No. Zip 33 �f3 FOLIO / PARCEL # Is Building Historically Designated YES NO X Flood Zone Contractor's Company Name � l c� l47 / n/(L Phone # Contractor's Address / / Ski 1D 11/.E lit 10 / City 1.4i / State F Zip 33/ 7 g Qualifier Name /)NG/SGp f�. '-1 US Phone # "319s j jy 9, State Certificate or Registration No. £ e- / 3DO 3/ S 0 Certificate of Competency No. Contact Phone E -mail o s ' clews Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: Type of Work: ['Addition Alteration DNew ❑ Repair/Replace El Demolition Describe Work: 1\15 Cp fo2 T7 jpr‘S ► g-, - cbL CN Nile ea ALL V 6E n o v , ,.. -J4 .Nixes ***************************************F * * ** ***** * ** ** **** **** * *** * * ** ***** * ** * * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side —4 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 ha commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulatin: construction in this jurisdiction. I understand that a separate permit must be secured for Fi.F.CTRICAL 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 al applicable laws regulating construction and zoning. "WARNING T() 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 s ch posted notice. the inspection will no be approved and a r'inspectio> e will be charged. Signature Sign: Print: (Revised 07/10/07) My Commission Expires: who is personal to me or who has produced r 19 As identification and who did take an oath. NOTARY PUBLIC: TATE OF FLORIDA ..... , al • /J! ; .'de 11, .... / Mt -na '.par ' f - .i .: "- ( issinn #DD685086 , ' Expires: JUNE 13,2011 BONDED THRU ATLANTIC BONDINGCo., INC. Engineer Signature Owner or Agent Contra tor The foregoing instrument was acknowledged before me this 29 The foregoing instrument was acknowledged before me this day of , , by - 'r1 Or �: day of 4 l9 APPLICATION APPROVED BY Plans Examiner NOTARY PUBLIC: EgmEkHizr .4', who is personally known to me or who has produced rein/ SC:o UC . 2M115 as identification and who did take an oath. i rr " i roil # 1 7 1 r 1 1 11 4 � 6;" ; A- * k e : k F ** ** ** * ** * ** * > X*yz e > e r* ok• k **** * *** * ** * * **ak**** *ek*aR****AZD3** *** ***** * * ** * ** * ** :< *** * ** R* ** Zoning Clerk checked