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EL-07-2374Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Project Address 882 NE 97 Street Miami Shores Village, FL 1132060142700 Block: Lot RONALD CLEEK Contractor(s) MOODY ELECTRIC INC Phone CeII Phone (305)758 -2000 Type of Work: ELECTRICAL Additional Info: UNDERGROUND SERVICE Classification: Residential E' 1'� 15 nu MIAMI SHORES VILLAGE Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $150.00 $3.00 $3.75 $158.35 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy n ► PROVE _ Expiration: 05/26/200 Phone RONALD CLEEK 882 NE 97 ST MIAMI SHORES FL 33138 -2528 Valuation: Total Sq Feet: $ 2,000.00 0 Available Inspections : CeII Inspection Type: Meter Box Service Change Relocation Fire Alarm Final Alteration Underground Rough W. W. In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. November 28, 2007 Date Wednesday, November 28, 2007 1 underground service from flp pole to house existing meter main . JAN 0 Passed Inspector Comments / 0 09/ Z--- J /e___ c 1 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 01/02/2008 Inspector: Devaney, Michael Owner: CLEEK, RONALD Job Address: 882 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MOODY ELECTRIC INC Building Department Comments Friday, December 28, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: Final ago Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060142700 Lot: Phone: (305)758 -2000 Page 1 of 2 underground service from flp pole to house existing meter main N. # Passed Inspector Comments / " i/i.pC-, y / " :7 real Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 12/04/2007 Inspector: Devaney, Michael Owner: CLEEK, RONALD Job Address: 882 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MOODY ELECTRIC INC Building Department Comments Monday, December 3, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: W. W. Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060142700 Lot: Phone: (305)758 -2000 Page 1 of 2 Lit Uftw BUILDING PERMIT APPLICATION FBC 2004 City 1A1 i4 sH - o Es State rL Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) ' City non) State Fr Qualifier Name - -- 1 0l f MOON] State Certificate or Registration No. ec ileo 1 0 q i E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ /406 .W Submittal Fee $ Permit Fee $ /6 ®' Notary $ — Scanning $ 3-co Radon Bond $ +, d Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Training /Education Fee $ 0-40 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) Rb1JLD Phone # Owner's Address g2.- N6 47 City Miami Shores Village County Miami -Dade Zip 3.) 3 S FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name 0,(J C Phone # 'o5 — ` 5 -23000 Contractor's Address 647,q Ail*) (� Aih Type of Work: ❑Addition ['Alteration [New 2 Repair/Replace 0 Demolition Describe Work: ' cilD C RQf ® sektvce Po 1104 oY**** 4ede*x nYdr9esrnY************ ********* Y*** Fees**** c4e**** ac**** ****d:** ** **.. x *** CCF $ 1• LV CO /CC ' c � Nov 2 9 2007 I lS MIAMI SHORES VILLAGE DPBR $ Zip /5g Phone # Double Fee $ Permit No. L Ll 21311 aster Permit No. Zip 33 / ;(' Phone # Certificate of Competency No. Phone # Square / Linear Footage Of Work: Technology Fee $ 3s -75/ --qz8, Zoning $ Total Fee Now Due $ 1 Sg See Reverse side -+ Bonding Company's Name (if applicable) 4/7 Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) u/* 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. 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 Signature ROP-419),, I peL) , Owner or Agent Contractor The foregoing instrument was acknowledged before me this - The foregoing instrument was acknowledged before me this- day of Nov , 2 0 c 3 1 , by ��.��.4 C...n L , day of _ 0 C t, by I V .-( who is Sign: Print: * *xxxxxx * * * APPLICATION (Revised 02/08/06) to me or who has produced As identification and who did take an oath. NOTARY PUBLIC (Z cow 41, c My Commission Expires: who o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: , Print: NI CcS L5)._5 My Commis•' -or t ., += MY COMMISSION # DD 441715 441 EXPIRES: July 2, 2009 4p Bonded Thru Notary Public Undeiwrttera so lf *: '!> 14 x MV Y COMMISSION # DD 441715 drnri Bon Thr ry Pub lccU � nvtiters Iva *it * * * *xxx *xxxxx *xxxxx * * * * ** Engineer Zoning