EL-06-2541Inspection Number: INSP -29535 Permit Number: EL -10 -06 -2541
Scheduled Inspection Date: September 01, 2010
Inspector: Devaney, Michael
Owner: DYS, ALICE
Job Address: 1700 NE 105 Street 102
Miami Shores, FL
Project: <NONE>
Contractor: FOSTER & SON ELECTRICAL CONTRACTORS, INC.
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Phone Number
,V
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Parcel Number 1122300500020
Phone: (305)644 -5869
electrical for kitchen
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
/
sT�
August 31, 2010
For Inspections please call: (305)762 - 4949
Page 38 of 38
Miami Shores Village
BUILDING
PERMIT APPLICATION
FBC 2001
Qualifier TOP-GE L - /D 5 t %=t.
State Certificate or Registration No. Et 00 1% 14C
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit 2 moo.
(Continued on opposite side)
o 444- i
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 BY: ......
Permit No. g
Permit Type (circle): Building Plumbing Mechanical Roofing • Owner's Name (Fee Simple Titleholder) 5 $ t -k M. Phone # ■O5 9146 1.41(, ?�_
Owner's Address 2586 IN11= 1195 * e\ tkrc 1p
City 13 ® { (A 1 MA.4 State Fl Zip Z3 i 3
Tenant/Lessee Name Phone #
Job Address (where the work is being done) I70CD E- ' T A ? b "�
City tirt. Miami Shores Village County Miami -Dade Zip 3 1 S R
Is Building Historically Designated YES NO X
Contractor's Company Name = &q'. Phone #
Contractor's Address 24R P MUD • 3 s
City MA: (AMA State — P 1 / 4 Zip 35125
Type of Work: ❑Additio ❑Alteration ❑ ew
g1'
Describe Work: J� h e tv C Q Lj� K .S •
Submittal Fee $ Permit Fee $ /3® s Q' w CCF $ CO /CC
Notary $ Training/Education Fee $ 0 Technology Fee $ 6 •15
Scanning $ 5 Radon $
Gede-Enfercemtgt $ ,S ` C0 Structural Plan Review. $
� / P
Total Fee Now Due $ 1 0 1 ' n...
Certificate of Competency No. G Qtt G. 000 Z
Zoning
Master Permit No.
Phone #
Square Footage Of Work:
epair/Replace. ❑ Demolition
M OCT RECEEVaill
11
Laos r
Blind $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Le 01,anlit ap cable)
Y r`
'"
Mortgage .ender ddresag,
City State Zip
Application is hereby made to obtain a permit to do the work and ins . ons as Indic:' d. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will �e_ o �� o meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secure • 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 ds issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
er & - gent
The foregoing instrument was ackno edged before me this
day of j by .,ais..> ,
who • personally known to me or who has produce
. �c,r l
As identification and who die take an oath.
NOTARY P LIC:
Sign.
--/7
Print: Lac e F riA Avro ,/
My Commission Expires:
A` My Commission DD443186
w°@ Expires 07/12/2009
4 Q
•
*************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
Notary public State of
Signature
/ (oil I t
Co d tractor
The foregoing ' trument was acknowledged before me this//
day of , 206 ` by
who is personally known to me or
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: u cre.k'T /
My Commission ExpirL,.
* * * * * * * * * * * * * * * * * * * * * * * * **
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/e9 —Plans Examiner
Engineer
Zoning
Notary Public State of Florida
* ** SPaykonx * * * **
�g My Commission DD443186
c OF Expires 07/12/2009
o has produce
s .