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EL-10-323
BUILDING Permit No. fl 1 0 — 130 PERMIT APPLICATION FBC 20 Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) d� ° p,r, 'o, A Vek e Phone # Owner's Address 33 2 fl 97 54Y, City _ % � State 4Q_ Zip -- S — c 'g Tenant/Lessee Name Phone # Email Job Address (where the work is being done d4/7-5 ' !/ f — . City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name 4 S r U - I-, 's Contractor's Address 203 9/ /V o a Cit State lL Zip 33 /i/ D Qualifier Name $}p v a CAA r s Phone # Value of Work For this Permit $ 2,5 v Type of Work: DAddition Describe Work: `„ Miami Shores Village � Building Department MAR 0 2 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 DAlteration Master Permit No. )10 —( NO '� Flood Zone Phone # State Certificate or Registration No. ‘c., 000 3/ 7, Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: Zip 3313 See Reverse side —+ s $92 0 :New Repair/Replace O. Demolition �-- -r ,� ►'� -Q-� n � 7 rk' c o �-� C ) t� L et,tatial,v ******** * * * ** * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * ** * * * * * ** * * * * * * * * * * * * * ** *** Submittal Fee $ --- V)"00 --- V)"00 Permit Fee $ 7_5` � G'.0 3 � ~ eC(��F $ I-20 CO /CC $ Notary $ Training/Education Fee $ © 0 Technology Fee $ 1 Scanning $ 3 ,n V 0 Radon $ 0 ` DPBR $ O :TS Bond $ Double Fee $ Violation date: cc�� (Il l � Structural Review. $ Total Fee Now Due $ ', I &V1 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 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 Owner or Agent trument was acknowledged before m 10 by wn to me or who has produced "' IS' V identification and who did take an oath. NOTARY PUBLIC: The forego day of who is perso Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) Plans Examiner Engineer The foregoing day of who • NOT Sign: Print: My Co ** *** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor ment was acknowled ed before me this "..-V 2 D , by me or who has produced LIC: as identification and who did take an oath. �Y U8L1 M pO MM ISSIOfV #O ©6095 �RIDq ** �dMMISSI * Y Zoning Clerk checked Inspection Worksheet Miami Shores Village � C 10050 N.E. 2nd Avenue Miami Shores, FL J �- Phone: (305)795 -2204 Fax: (305)756 -8972 \0 - I Inspection Number: INSP- 149320 Scheduled Inspection Date: July 26, 2010 Inspector: Devaney, Michael Owner: BRAZIS, LILLIAN & ALBERT Job Address: 330 NE 97 Street Miami Shores, FL 33138- Project: <NONE> Contractor: LS CURTIS INC Building Department Comments Permit Number: EL -3 -10 -323 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060135850 Phone: 305 - 892 -0115 ELECTRICAL UPGRADE IN KITCHEN Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments July 23, 2010 For Inspections please call: (305)762 - 4949 Page 18 of 18