EL-10-1520BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) CCA�c \ rc-k(\c SC c5 Phone # '?S - 7 S7 - 4t3
Owner's Address (3 N cy IC)
City I -k c& - S1h s State Los e Zip r33l3 `c5
Tenant/Lessee Name
E -MAIL: )$1
Job Address (where the work is being done) ko3
Is Building Historically Designated YES
Value of Work For this Permit $ ® £� .0o
Type of Work: ['Addition ['Alteration
i A A � /1
Describe Work: / � / i r/
Submittal Fee $ Permit Fee $ /j9,'0
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
['New
Scanning $ Radon $ DPBR $
Permit No.
Master Permit No.
Phone #
C
City Miami Shores Villa e County Miami -Dade Zip 3 13 ES
FOLIO / PARCEL # ( - 3 - CX2)(
NO
Square / Linear Footage Of Work:
CCF$
Notary $ Training /Education Fee $ Technology Fee $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
1 13 111:T1 )
UG 421
BY:...
...... .........
t2P
Contractor's Company Name NkOOCQ C C c \NC , Phone # 305- - S 606
Contractor's Address is (1•..Y.IJ 3
City ct r�-: State Zip - 31 l S
Qualifier Name T \ c ■ T. Ii Phone # 3CSS- -) S k KC3C)O
State Certificate or Registration No. •C C5C9C. k. c l Certificate of Competency No.
E -MAIL: TN �c3��� �cx�c�e� -ec i c . CO ry .
Architect/Engineer's Name (if applicable) Phone # ) p
Repair /Replac ❑ Demolition
eve ��
*** .. xxxxxx** **xa*dcxxxax Feesxxxxxx**** x x xxxxxxxx****ot****xx*xxx9:xxe *
CO /CC
Zoning $
See Reverse side -
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Signature
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
(Revised 02/08/06)
State
The foregoing instrument was acknnowledgf d before me this Z3
day of /� '' , 2010, by &kV dina5i0
Sign:
Print:
My Commission Expires:
Owner or Agent
who is persona ly known to me or wh
As identification
NOTARY PUBLIC:
.*. xx x x xxxxx x Kxx xx xxxxxxxxx* WW xxx xxxxxxxxx*
APPLICATION APPROVED BY:
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. 1 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.
t . " ". r Ur- '
Contractor
The foregot _ instrument was acknowle
day of 1� ' 200, by
who is personal . known to me or who
as identification and
NOTARY PUBLIC:
Sign: )94
Print:
My Commission Expires:
before me this 3
:xxxa:xxxxxxsYxxxxxx x x **war** war x xx**xxx *.xxx xx **xx
.. -Z 6'/ / ' Plans Examiner
Engineer
Zoning
Inspection Number: INSP - 151447
Scheduled Inspection Date: September 21, 2010
Inspector: Devaney, Michael
Owner: FRANCISCO, CAROL
Job Address: 637 NE 92 Street 10 -C
Miami Shores, FL
Project:
Contractor:
Building Department Comments
September 20, 2010
<NONE>
MOODY ELECTRIC INC
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
Permit Number: EL -8 -10 -1520
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060430060
Phone: (305)758 -2000
NEW 100 AMP MAIN REMOVE FUSE BOX UNISTALL
BREAKER BOX NEW SUBFEED. SMOKE DETECTORS
GFC1 OUTLETS REMOVE CLOTH WIRING.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
9/
Page 31 of 33
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. t1 3 O(,
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
11 11111 111111 111111 1111111 111111 11111 1111 11 11
CFN 2010R0572 1228
OR Bk 27397 Ps 0516; (l:+a )
RECORDED 08/24/2010 10:20:47
HARVEY RUVI Ii r CLERK OF COURT
MIAIII -DADE COUWTYe FLORIDA
LAST PAGE
Space above reserved for use of recording office
1. Legal description of property and street/address: (a3 N �. c 2 S -4- ( l r�� �' (C� C
ter.:. S�a�eS, FL
— 53 k
2. Description of improvement C c n c rs•
3. Owner(s) name and address: Cc r j `
Interest in property:
Name and address of fee simple titleholder: 0 'As
4. Contractor's name, address and phone. number. Yv Lr �� - t om ��� (
Coq ir_S cAS Ra c 3" t S
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
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 Statutes,
Name, address and phone number.
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section
713.13(1)(6), Florida Statutes.
Name, address and phone number:
9. Expiration date of this Notice of Commencement:
(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS :TO -YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST. BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT
Signature(s)zof er(s) or I rized Officer/Director/Partner /Manager q„ n
Prepared By v 1 1� �i. e�f' PPrepared By ,d'(J f Y F
Print Name C'c rc k.. ct5crs Print Name y / G "� :
Title/Office Title/Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The fo oin ystnP s t was acknowledged before me this / day of
By I � ..Vr SC O
Individually, or ❑ as for
❑ Personally known, or a produced the following type of identifica
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICARON PURSUANT TO SECTION 92.52.5. FLORIDA
� � �a 1
Under penalties of perjury, I declarsthat I have read the foregoing anti
J E rely &o 1 Off la3 Seat
,. 7.
that the facts stated In it are true, to the best of my knowledge and *•,,,
Signatu f Owner(s) !Pager r Owner(s)'s Authorized Officer /Director/Partner ager who signer above:
By . 1'�C` .b a By
123.01-52 PAGE 3 10/09 e\ - SC _C)