EL-05-407KITCHEN
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 08/15/2006
Inspector: Devaney, Michael
Owner: None, None
Job Address: 310 99 ST
Project: <NONE>
Contractor: AJL ELECTRIC INC
Building Department Comments
Tuesday, August 15, 2006
Miami Shores Village, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
X617 RECD
Block:
ItPCS
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number
Parcel Number 1132060135580
Lot:
Phone: 305 - 895 -4971
Page 1 of 2
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's A ' dress
City
Tenant/Lessee Name
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
RED EI1vE®
Electrical
Job Address (where the work is being done)
/7 51-N
Phone #
Zip 3 3 f $3
Phone #
Permit No. /; 1 �'�
aster Permit No. 6 PC — [ S
umbing Mechanical Roofing
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name 11.7._ ELE C,1 i c. _t4 C- Phone # d O S r9 S — 491/
Contractor's Address /off et .S ✓O 3-
City A/. /// ,► c State
Qualifier 4A./-rki O, Y .T L.. (4' cTA
State Certificate or Registration No. CC 1.3 o? Og' Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Submittal Fee $
Notary $
Scanning $ 3.
Code Enforcement $
Total Fee Now Due $ ` S • 5
(Continued on opposite side)
Training/Education Fee $ p. 2.0
Zip J3 /?f/
Square Footage Of Work:
Type of Work: ['Addition ❑Alteration [New ❑ ce /Re Re air 1
p p 0 Demolition
Describe Work: /V C l �-�i, �7 P L /14-WC $ '— f'7` b CJ ra_G
5 u C 7t&
* * * * * * ** * ** * * ** * ** * * * * * * ** F ees * * * * * * ** ** ** * * * * * * * * * * **** * * **
Permit Fee $ 707e -- CCF $ 0 &O CO /CC
Technology Fee $ 3.
Radon $ Zoning Bond $
Structural Plan 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 AI+'NIDAVIT: 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 Signature
Owner or Agent
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this /S It
day of , 20 by , day of /ichle nh , 20 OS by An)fitcmiv ,T /- 44.4
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
1� ES: December 13, 2008
moon service 8 Bonding, Inc.
****** * ** ***,r* *** *** * **** * ** * * *** * rya********** * *** * ** * * *** * * * * * * * * *** ** * * * * *, * * **
APPLICATION APPROVED BY.--7//:
Y•-
Chc 05/13/03
NOTARY PUBLIC:
Plans Examiner
Engineer
Zoning