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EL-10-585Inspection Number: INSP - 149696 Scheduled Inspection Date: August 04, 2010 Inspector: Devaney, Michael Owner: MAIDBREY, JESSE Job Address: 1130 NE 100 Street Project: <NONE> Miami Shores, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: INDUSTRIAL ELECTRICAL SYSTEM CORP Building Department Comments August 03, 2010 For Inspections please call: (305)762 -4949 Permit Number: EL -4 -10 -585 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Ky Parcel Number 1132050190440 Phone: 305/228 -1384 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Alep Page 25 of 26 BUILDING 1 5 1) ) Permit No. EL 10 -a<5 PERMIT APPLICATION FBC 20 Permit Type: ELECTRICAL �� Q Owner's Name (Fee Simple Titleholder) � .1e.5 �e- IUil /,Gf.4 Phone # Owner's Address /130 Alc loo sr cit M;2m: stores state Pe-- Zip 33/38 Tenant/Lessee Name / Phone # Email /130 N 1 ©o sr City Miami Shores Village County Miami -Dade Zip Job Address (where the work is being done) FOLIO / PARCEL # l (— 3 20 - D(?-0410 Is Building Historically Designated YES NO "-/ Contractor's Company Name/lc-chi 17 + G C7 2 S 06 . : - ; ' ?6 22 J / 3 er y 4/ Contractor' Address /0457 /� ? .S7 ell City C State / Zip 35 /72 Qualifier Name ;Ash)/ z- C6771/ 1 Phone # 30 5 7 State Certificate or Registration No. i 43o002_11 Certificate of Competency No. Contact Phone E -mail `er /V C( L ce -T7& j Architect/Engineer's Name (if applicable) Value of Work For this Permit Type of Work: DAddition ['Alteration Describe Work: 3 — 8 - )l ea) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 APR 0 201(► Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S NE NUMBER: (305) 762.4949 ` N/A Submittal Fee $ Permit Fee $ °' l; CCF $ a (Q CO /CC $ Training/Education Fee $ 0c2.() Violation date: Master Permit No. VC 10 — 1(43 Phone # Flood Square / Linear Footage Of Work: k iNew ] Repair/Replace 0 Demolition ees ************* * * * * * * * * * * * ** * * * * * * * * * * * * * * * * ** Technology Fee $ 0 Notary $ 00 ^ Scanning $ 7j Radon $ a 0 0 DPBR $ a m Bond $ Double Fee $ � ��. I (O ^� Structural Review. $ Total Fee Now Due $ 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 AFF DAVIT: I certify that all the foregoing information is accurate and that all work will 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 ins ection which • ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection a l no be approv d and a re ; ' ection fee will be charged. Owner or Agent The foregoing instrument was acknowledged befor me this as day of ,20/0 , by Jesse /* aid tN who is personally known to me or who has produced / As identification and who did take an oath. NOTARY PUBLIC: APPROVED (Revised 07 /10 /07)(Revised 06/10/2009) Francisco R Morales Notary Public - State of Florida Comtniselon ii DD 913453 Sign: y� 1 � � 'O 1 4 Commission E 11-17-2013 Print: 7 / % . d r /pJJ nwilu Atlantic Bonding Co. Inc. My Commission Expires: //- / 7 /3 Plans Examiner Engineer Signature /. adyeteu-_ Contractor The foregoing instrument was acknowledged before me this day of fi , 20 /0 by i(/P * Z •Correa who is personally known to me or whp has produced as identification and who did take an oath. Francisco R Morales Notary Public - State of Florida Cartxntsalon ITi DD 913453 NOTARY PUBLIC: Sign: /�� i;Hl;► M l gonding Co. Inc. Print: /rairi.5 co 7 //ova Cs My Commission Expires: //—/7 - z o(,.3 0,# Zoning Clerk checked Inspection Number: INSP - 150012 Permit Number: EL -4 -10 -585 Scheduled Inspection Date: August 16, 2010 Inspector: Devaney, Michael Owner: MAIDBREY, JESSE Job Address: 1130 NE 100 Street Project: <NONE> Miami Shores, FL 33138- Contractor: INDUSTRIAL ELECTRICAL SYSTEM CORP Building Department Comments 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 Work Classification: Alteration Phone Number Parcel Number 1132050190440 Phone: 305/228 -1384 Passed 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- 149875. CREATED AS REINSPECTION FOR INSP- 149696. Add receptacle to counter.No one home 4:40 P.M.. August 13, 2010 For Inspections please call: (305)762 - 4949 Page 17 of 26