EL-11-547Inspection Number: INSP - 159875 Permit Number: EL -3 -11 -547
Scheduled Inspection Date: May 17, 2011
Inspector: Devaney, Michael
Permit Type: Electrical - Residential
Inspection Type: Final
Owner: PALEY, DOUGLAS Work Classification: Alteration
Job Address: 1096 NE 97 Street
Miami Shores, FL 33138 -2556
Project: <NONE>
Contractor: MOODY ELECTRIC INC
Building Department Comments
May 16, 2011
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Phone Number
Parcel Number 1132050170180
Phone: (305)758 -2000
SERVICE REPAIR 200 AMP OVERHEAD TO
UNDERGROUND SERVICE HAS BEEN UPGRADED 200
AMP ONLY PUTTING FPL LINE UNDERGROUND
Passed
G7'
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- 159470.
For Inspections please call: (305)762 -4949
Page 29 of 33
4111 Q
BUILDING
PERMIT APPLICATION
FBC 20
Email
Is Building Historically Designated YES
Architect /Engineer's Name (if applicable)
Value of Work For this Permit $
9'
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
Job Address (where the work is being done) s
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
2200.00
Type of Work: ❑Addition DAlteration
❑New
L�1
Describe Work:
Se,r uiC ��p am(
umd er e3 rO c1
cad
G(_44 dt4
Training /Education Fee $
NO
Phone #
Phone #
Permit No.
Master Permit No.
Phone #
Square / Linear Foo Work:
M; 3 2011
EL, SL-17
Permit Type: ELECTRICAL {�
Owner's Name (Fee Simple Titleholder) 88 7O F/LD/(,,� DE-1- Phone # 3 O -2 (-/ S
Owner Address /o qtp NE 6) 7 r� r
City I State Zip
Tenant/Lessee Name
Flood Zone
Contractor's Company Na e big ciRJ G /A) c- Phone # � s- /cg "-
Contractor's Address i `1 pa) (go -1"
City M /AA/ State FL Zip 3 3 /SO
/'
Qualifier Name JQ 11A) J MQ
State Certificate or Registration No. g&666//q? Certificate of Competency No.
Contact Phone E -mail
Repair/Replace ❑ Demolition
200a over
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ - Permit Fee $ / i' ( >��
CCF $ CO /CC $
Notary $
Scanning $ Radon $ DPBR $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ )1 5
'60
Technology Fee $
Bond $
See Reverse side ->
(9C
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City 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. 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 and a re- inspection fee will be charged.
Signature
C c.� : X J //
Owner or Agent
The foregoing instrument was acknowledged before me this 29
day ofllt ,2010, by eime_tO g LOA/Q ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expire
BY
(Revised 07/1 0/07)(Revised 06/10/2009)
State
m C Sign
MARY PAT BRIGGS
MY COMMISSION # DD 979267
EXPIRES: May 11, 2014
Bonded Thru Notary Public Underwriters
/
lans Examiner
Engineer
Contract
The foregoing instrument was acknowledged before me this2f
day of AlQJ1.C: L , 20/0 , by J»)h' , Y /77a
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Zip
Zip
My Com xpires:MARY
MY COMMISSION # DD 979267
EXPIRES: May 11, 2014
„,oF'2 Bonded Tnn, Notary Public Underwriters
*. * * ** * * * * * * * * * * * * * * * * * * * * * * **
Zoning
Clerk checked
MOODY # EL TRIO,
www.moodyelectric:com
669 N.W. 90 Street • Miami, FL 33150 -2166
Tel: (305) 758 -2000 Fax (305) 754 -1333
0RvwL,�.
61A 3 0 2011
( 04 IQMp
p ' � , , 0 L 7
/11 evvti g 2 .
eh O
q`", y MARY PAT BRIGGS
MI1
r ' - , . .r: PAY COMMISSIONIIDD 979267
1 1
b EXPIRES: May 11, 2014
R fd `` Bcnded Notary PublIc Underwriters
.
awctiA3
PROVED
ITY
C `14�
tea_ Pit
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im a 6/ 241-
1 I - 54
Mliami Shores Village
DATE
ZG NIING DEPT
I BLDG DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL,
STATE AND COUNTY RULES AND REGULATIONS
CkKrtm