EL-10-1639Scheduled Inspection Date: October 25, 2010
Inspector: Devaney, Michael
Owner: UCHIDA, KYOKO
Job Address: 1700 NE 105 Street 406
Project: <NONE>
Building Department Comments
October 22, 2010
Miami Shores, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 151671 Permit Number: EL -9 -10 -1639
Contractor: ALBERT ELECTRICAL OF SOUTH FLORIDA
For Inspections please call: (305)762 -4949
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1122300500630
Phone: (305)824 -5556
REPLACE EXISTING WATER HEATER TANK TO A
TANKLESS WATER HEATER
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 9 of 26
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: Electrical ji � /�
OWNER: Name (Fee Simple Titleholder): /( ,Y0ko Uci ia2
Address: /700 N,. £ . /O.> th Street # 1 /-06
City: / / S»O11 State: r /or,' (,rGi.
Tenant/Lessee Name:
Email: h i hi /15 & hormai / . Com
JOB ADDRESS: / 700 N.E. /0S th Street # W) 6
City: Miami Shores
Folio/Parcel #: / /— 22300500630
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name: 4/4,/1 Phone #:
Address: 24."/Z to 01 4r
City: /tif °r,.C. State:
Qualifier Name: -4/4.0_7771 ,- r!
State Certification or Registration #: 3 1) 01/2.) 3
Contact Phone#: .305 r2-0/ 5 VVL. Email Address: eeirry,`'s
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 2 7D Square/Linear Footage of Work:
Type of Work: Address
Description of Work:
�. / ✓ L J
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY : .J
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
❑Alteration
County: Miami Dade
Master Permit No.
NO Flood Zone:
Certificate of Competency #:
❑New .epair/Replace
57VIM713
Permit No. E O I (0
Phone# :30.x- (9 ' 1 74/79'
Zip: 33/3 SI
Phone # :3 ,9SS P95- No9
Zip: .33 /.3
3o� e Sid`
Zip: 3317 /
Phone #: 70 a 54' SQL,
ODemolition
* * * * * * * * * * * *** *w**x *** * * * ** ************ F **** *** * *x *** * * *** ******** * ** ** * **
Submittal Fee $ 5 0- 0 3 Permit Fee $ /c .0'.' CCF $ CO /CC $
Vat
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE$ 1 O Y0o
0•000
•
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 F7 FCTRICAL 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 i' . ivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must : ! osted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence o posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this ty The foregoing instrument was acknowledg before me this 7
day of J , 20 by /SO) at, 14414 /de— - , day of Ja o , 20 /D , by 4164r -°4 V,
who is personally known to me or who has produced A4 who is personally known to me or who has produced
/. 'a w► .. As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
FRANK Ei.1AS
.1 My Commission Expires Apr 28, 2012
Bonded Through National Notary Assn.
**aa* ****a *** *** , K; *** ** ***a* ewa * * *a * * *** * * ** * *7* * * * **** * **** ************ a*+x** *** ***$1 ***a *part * * ** ** *
/,949-/Y APPROVED B�f Plans Examiner
Structural Review
(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09)
NOTARY PUBLIC:
omm scion
o Bonded Through National Notary Assn.
—.
Zoning
Clerk