EL-10-1970Scheduled Inspection Date: February 09, 2011
Inspector: Devaney, Michael
Owner: HAILE, GREGORY & CHAE
Job Address: 410 NE 94 Street
Project: <NONE>
Building Department Comments
February 08, 2011
Miami Shores, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 153118 Permit Number: EL -11 -10 -1970
Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC
For Inspections please call: (305)762 -4949
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060140360
Phone: 305/556 -5759
RELOCATION OF ELECTRICAL SERVICE 200 AMPS
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 3 of 26
BUILDING
PERMIT APPLICATION
FBC 20
JOB ADDRESS:
City:
f' I''J 4 7 1 ( St'
Address: 1 01 UJeS 0 Keecino Bee, 12-cl -3-`119
City: f#4Lf k �-,
State: Qualifier Name: —('� ikt' t ;. Z5 CO „t eiY 1 f'/rt t
State Certification or Registration #: 0 217 47 51
Contact Phone#: `1.(P 2j, C l I g ® Email Address:
Value of Work for this Permit: $ 00
Type of Work: DAddress ❑Alteration
Description of Work:
Building Department Nov o 8 2010
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 BY: ••• ° " ""
INSPECTION'S PHONE NUMBER: (305) 762.4949
Miami Shores Village
State: Tom^
fro ter- t(- _ft
Master Permit No.
Permit Type: Electrical y�
OWNER: Name (Fee Simple Titleholder): C /^'” 614-6 Alal Phone#:
Address:
City: /mot G SAkif
Tenant/Lessee Name: Phone#:
Email:
Miami Dade Zip: 13/ 3 0
Miami Shores County:
Folio/Parcel #: (1 3 2. ®6 t - 0 urn
Is the Building Historically Designated: Yes NO V Flood Zone: I 0
CONTRACTOR: Company Name: I (Ppj e Pa G- Ciedeicif COlV13 °!ice ifC. Phone #: 3 0 4 5 7 6
Zip: 350 l cP
Phone #: f11#(ry 4 95 2.-1 (0
Certificate of Competency #: a
.,-I t d1M.e/1 3‘12 Q i� ( l .50 lrth s Mai
DESIGNER: Architect/Engineer: Phone #:
0
aoCT
Square/Linear Footage of Work:
❑New DRepair/Replace
Permit No. t1 I ®� I a n l 0
Zip: 3 3 / ec
9e: Vt _.
❑Demolition
* *** * * ****** ** * * ** * * * *** :**** *** ******* Fees***************** * * * **** *** * * *** * * **********
TOTAL FEE NOW DUE $
Submittal Fee $ Permit Fee $ 44 (-P.° CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
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 se en (7) days after the building permit is issued. In the absent. of .Ch posted notice, the
inspection will not be approved and 9 rein spection fee will be charged.
Owner or Agent
The fore in g in t was ackno ged fore
day of / tl g &-e , 20 l0 , by � ge , r -
who is personally k
NOTA
Sign:
Print:
My Com'sion Expir
APPROVED BY
(407) 398-0153
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
� ,I9ow
Plans Examiner
Signature
Contrk(or
The foreg ing i trument was acknowledged b for me this
day of , 200 by
wn to m er who has produced who ' er onnally known to me or who has produced
.t *im E re d takJ ym ` J �
As ider ddlhh o r e an oa ti cation and who did take an oath.
°': 'c MY COMMISSION # DD9840'
EXPIRES April 27, 2014 d NC)iTAR PUBLIC:
Sign:
Print:
My Commission Expires:
* a: ***+ x******x:****+x****** **** *** *********** ****+r******•x*u:+x***
Zoning
Structural Review Clerk
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