EL-10-1827Inspection Number: INSP - 152347
Scheduled Inspection Date: October 21, 2010
Inspector: Devaney, Michael
Owner: FISHER, ROSEMARY
Job Address: 637 NE 92 Street 9 -C
Project <NONE>
Miami Shores, FL
Contractor: MOODY ELECTRIC INC
Building Department Comments
October 20, 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
Permit Number: EL -10 -10 -1827
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060430050
Phone: (305)758 -2000
HOOK UP HOT WATER HEATER
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 15 of 21
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) f 2o5enjr' / /she( Phone # 87.344
Owner's Address Po . eole 11g
City OdeSSO., State a, Zip 3365'6
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) 637 Ale qz 5r
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # 11- 32042 6U3 O050
Is Building Historically Designated YES NO V
Contractor's Company Name MOOtt4 (mot najC, MC, Phone #
Contractor's M //444/ Address 66 9 /v � 0 �� r
City / I t � ��� State 'l' L Zip 33(.7)
Qualifier Name J.f//U 4 // /t(
State Certificate or Registration No. 6c ! 00®00 99
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ 70O .00
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
/
Permit No. EL LOE t I:1
Master Permit No.
Phone #
Certificate of Competency No.
Phone #
Square / Linear Footage Of Work:
< A../3 hof wal-tr ha, ter
Zip
W 758-Z
Type of Work: ❑Addition ['Alteration ❑New &I
❑Demolition
Describe Work:
* * * * * * * ** * *** * * * * * ** * * * * * * * * * * ** xxx wFeesxxxxxx*** xxxx * ** *x* * *xx xxxxrx *** * * * * * * * ** * **
Submittal Fee $ 51 • dD 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 $ cJ t . I,
See Reverse side -+
•
OCT 1 1013
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Signature
R
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
State
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: 1 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) 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 K
day of ® &j ,200,by &Mani raAer ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
••• • MY COMMISSION # DD 979267
n I• : 1 2014
�!
!f 4:+``Q• Bonded Thru Notary Public Und
GOS
Signaturie
Sign:
Print:
My Commission
** *********** * * * * * * *** * * * * *** * * * * ** ** * ** * * *, www ,, wwww * * ** * ** * * * ** * * * * * * ***
Zip
Contractor
The foregoing.. instrument was acknowledged before me this 1 5--
day of acr , 20 /0, by . wi)* 612 ,
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
��
s°*-- MY COMMISSION # DD 979267
• •<- ��..;g EXPIRES: May 11, 2014
*BrHde*Thtist PuDftttrid*Wdteax
Plans Examiner
Engineer
Zoning