EL-10-1282Scheduled Inspection Date: August 25, 2010
Inspector: Devaney, Michael
Owner: STOBS, MARTHA
Job Address: 828 NE 99 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
August 24, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 150361 Permit Number: EL -7 -10 -1282
For Inspections please call: (305)762 -4949
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060142440
REPLACE LIGHT FIXTURE IN BATHROOM
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 20 of 26
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: ELECTRICAL
Job Address (where the work is being done) g In
City Miami Shores Village County
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
(3U
Describe Work:
tT)
Notary $
Scanning $
Double Fee $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
3o5 -9'1 - 2- 17
l a 01 4-- 1► ► 599 Phone # () S `? 1 — - P - 7
Owner's Name (Fee Simple Titleholder) •
Owner's 7! Address 2W , i,
City ANA, j h •2 S State Zip 3 i 3 tS
Tenant/Lessee Name Phone #
Email \PArY S hS
Re
Miami -Dade Zip J 3S
NO
Permit Fee $, P
E 5t
Permit No. EL 0 — 1
Master Permit No 1 10 z
Phone #
Flood Zone
Contractor's Address
City State
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Contact Phone E -mail
Zip
Architect/Engineer's Name (if applicable) Phone #
t
Value of Work For this Permit $ ; C) Square / Linear 'Foo ge Of Work: x
Type of Work: ['Addition ['Alteration QNew [`
Repair eplace 0 Demolition
$ 014 - 1 1( b
* ** * * * * ** ** * *** *, **** * * * ** **** ***** Fees * **** **** * ** ** ** **** * * * ** * * *** * ** * * * *** **
Submittal Fee $ • o
CCF $O.(aO CO /CC $
Technology Fee $ 0 °
Bond $
Structural Review. $ Total Fee Now Due $1060.00
See Reverse side -+
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 $2500, the applicant must
promise in good faith that a copy of notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also a certified copy of recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a re- inspection fee will be charged.
Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 3 The foregoing instrument was acknowledged before me this
day 5, )Ct ,20 t p by or 3i , day of , 20 by
who is personally known to me or who has produced D who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Print:
rn .$-
** * ************* ** **********44 *Igto, * ******* ****** *****
urrtinn
My Commission Expires:
APPROVED B
(Revised 07/10/07X Revised 06 /10/2009)
i
SAP/ Plans Examiner
Engineer
Sign:
Print
My Commission Expires:
************* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **
Zoning
*
Clerk checked