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398 NE 100 St (12)Inspection Number: INSP -44796 Permit Number: EL -3 -07 -638 Inspection Date: 05/14/2007 Inspector: Devaney, Michael Owner: WARREN, MARJORIE Job Address: 398 100 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MESA ELECTRIC SYSTEMS CORP Building Department Comments Friday, May 11, 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 eL0, Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060135410 Lot: Phone: 305 - 279 -5498 Page 1 of 2 MAY 1 5 2001 Passed Inspector Comments / // / i / I /*e•f9/61 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -44796 Permit Number: EL -3 -07 -638 Inspection Date: 05/14/2007 Inspector: Devaney, Michael Owner: WARREN, MARJORIE Job Address: 398 100 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MESA ELECTRIC SYSTEMS CORP Building Department Comments Friday, May 11, 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 eL0, Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060135410 Lot: Phone: 305 - 279 -5498 Page 1 of 2 BUILDING Oct 6 � PERMIT APPLICATION FBC 2004 Permit Type (circle): Building r f Owner's Name (Fee Simple Titleholder) �.-tX� Sp fit Owner's Address ll — 3?-0(.— 00 -rv City k r 09w4 State e L Tenant/Lessee Name qlU ( 5L,) 3 S Job Address (where the work is being done) 3q8 N g /D 0 5r City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name /-1 fS A f /Ec S).Sr• Contractor's Address 11 t (t v S LJ t' 8 S T City t"1 / ./a'N.c f. State � Qualifier Name 4 Q h -e s A- State Certificate or Registration No. CR.-00 1 Z_ fel 3 Architect/Engineer's Name (if applicable) Value of Work For this Permit $ ! ,ro 0 Type of Work: Describe Work: ['Addition ErAlteration ❑New * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ / .d Q CO /CC Submittal Fee $ Permit Fee $ /f, — Notary $ Training/Education Fee $ 0 40 Scanning $ - Radon $ Bond $ Code Enforcement $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 S' f v/c6 DPBR $ Permit No. efCl' -) " Master Permit No. Plumbing Mechanical Roofing Te.0 a LU>wti re_ Phone # 3o. . Z ?- L 8 / Fa re_ Phone # Double Fee $ Phone # 7,r( Z J r a c, CQ CQ Lt Zip 3 / G.r Phone # (p Zd"2 4 4 c. Certificate of Competency No. p 6 p v 1 R b S 1 Phone # Square / Linear Footage Of Work: ❑ Repair/Replace ❑ Demolition Total Fee Now Due $ I • 5 MO 3 C 2UU .J 13Y. Technology Fee $ b•15 Zoning $ See Reverse side —4 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will he charged. Signature Owner or Agent Sign: Print: The foregoing instrument was acknowledge day of 3 , 20 B • My Commission 0D227442 who is rsonally knov te4He r .i :g$ �r p�s �1„ T _ As identification and who did take an oath. NOTARY PUBLI My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature NOTARY PUBLIC• Sign: Print: My Commission Expires: ***********************©************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor e me this 2 227442 The foregoing instrument fly = kftl4t8 • My Co day of C - , 2t. ilf Of who is per nally known ne or 40 has produced as identification and who did take an oath. V .' b - i ssi. G /off / 02q- ` lans Examiner Engineer Zoning