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EL-10-661 Permit Na EL -4 -10 -661 Miami Shores Village M Permit Type Electrical Residential 10050 N.E. 2nd Avenue �' Work Classification: Temp for Test - °m Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Permit Status: APPROVED I F Issue Date; 4122/2010 Expiration: 10 /19/2010 Project Address Parcel Number Applicant 186 NE 108 Street 1121360090010 Miami Shores, FL 33161- Block: Lot MSHORES LLC Owner Information Address Phone Cell MSHORES LLC 1451 OCEAN Drive (305)984 -1099 MIAMI BEACH FL 33139 - Contractor(s) Phone Cell Phone Valuation: $ 100.00 ALWAYS ON TIME AND AFFORDABLE (954)351 -8012 Total Sq Feet: 0 Type of Work: 30 TEMP FOR TEST Available Inspections: Additional Info: ELECTRICAL Inspection Type: Classification: Residential Final Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL -4-10 -37630 Education Surcharge $0.20 Permit Fee - Additions/Alterations $100.00 04/22/2010 Credit Card $ 104.60 $ 0.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $104.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. April 22, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy April 22, 2010 1 i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756- 8972 I nspection Number: INSP- 143822 Permit Number: EL -4 -10 -661 i Inspection Date: May 18, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: LEVINSON, GARY Work Classification: Temp for Test Job Address: 186 NE 108 Street Miami Shores, FL 33161- Phone Number Parcel Number 1121360090010 Project: <NONE> Contractor: ALWAYS ON ELECTRIC Phone: (954)753 -8383 Building Department Comments Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 140972. Install celing fans & 120 Ea volt receptacle for clothec washer. Failed El r i Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid For Inspections please call: (305)762 -4949 May 18, 2010 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP 140972 Permit Number: EL -4 -10 -661 Scheduled Inspection Date: May 17, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: LEVINSON, GARY Work Classification: Temp for Test Job Address: 186 NE 108 Street Miami Shores, FL 33161 - Phone Number Parcel Number 112136009001 Project: <NONE> Contractor: ALWAYS ON TIME AND AFFORDABL PLUMBING INC Phone: (954)351 -8012 Building Department Comments Inspector Comments Passed Failed ;oa , Correction � - -- Needed Re- Inspection Fee l� No Additional Inspections can be scheduled until re- inspection fee is paid. May 14, 2010 For Inspections please call: (305)762 -4949 Page 16 of 32 Miami Shores Village NORRY APk Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY; Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305). 762.4949 BUILDING Permit No. L10-- PERMIT APPLICATION Master Permit No. G r 7 FBC 20 Permit Type: ELECTRICAL Owner's Name (Fee Sim le Titleholder) lv 4 a ( Phone # _ .D ' 5 2' 0 Owner's Address 186 Ivr: 18 City /Y � 4 1�.� State I, Zip Tenant/Lessee Name Phone # Email Job Address (where the work is being done) A16 t b l Si City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name &KIkA 'O Phone # 10 15 �f• !&tA ��✓� Contractor's Address (p p 6 0X' $0 6 ' City dolma Spkd State s Zip S30 5-- f� Qualifier Name W10's 61-10 Phone # State Certificate or Registration No. Certificate of Competency No. (fC 0 g r 00 05"7 Z Contact Phone 6 72/ 1 11 �6 0052- E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition 2�c teration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: 130 Tr4y 12 roll Submittal Fee $ Permit Fee $ /1' CCF $ CO /CC $ Notary $ Training/Educadon Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: 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 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 COM IENCEMENT." 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 re- inspection fee will be charged. Signature Signature i Owner gent Contractor The foregoing instrument was ac wledged before me this J� The foregoing instrument was acknowledged before me this day of 01 , by O ® day of C.- L, by , wh s personally known o me or who has produced who is personally known to me or who produced identification and who did take an oath. � /Co as identification and w o e an oath. NOTARY PUBLIC:, Q �� NOTARY PUBLIC: MY CO �IISS Q S DD73"S �� n Q ,2D14 Sign 44! AUW XAL Sign. 11 3NOTARY Print: Print: lJ My Commission Expires: My Commission Expires: APPROVED BY �r1 "Pi, Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) o g. y Q 1938 !! 1 on nslae+� i "— o v 1 '� BUILDING AND ZONING DEPARTMENT GR'�� 10060 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138.2382 TELEPHONE (306) 793-220 FAX (306) 7$6-8972 AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE (To be ctc=W by Omw and/or TeneA BWft & Electrical Coat sd0r) NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICA TION IS RENEWED It is understood that the temporary- electrical approval by the Miami Shores Village, Building & Zoning Department given in connection with the building being constructed under. Building Permit No O l �j 7 Electrical Permit No at address: for owners: is being given only for construction purposes or for testing the following installations being made in said structure: >A lc fie awk Fog K A f N 71f&, -� Sub - paragraph 4501.3 (d) (3) of the South Florida Building Code provides for a 30 day maximum approval only in an URGENT NECESSITY for electric current exists. Necessity shall include the use of current for irrigation, security, humidity control, emergency power and lighting, such as for testing or construction purposes, provided the Electrical Contractor and owner do hereby agree to assume the responsibility of maintainin the installation in such a manner that there is no hazard to life and property. Such approval is in no event to be considered a release of said structure for purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and an occupancy permit obtained. The undersigned also understand that the temPorary-electric approval is subject to rescission and cancellation, and electric power can be cut off at the discretion of the Building and Zoning Department and will be disconnected if the building concerned is occupied before final-inspections are approved and occupancy permit obtained. h (� L l(� being first duly sworn, depose and that I am the owner of the above d 'bed , and that i agree a structure covered in this agreement shall not b occupied until the building contractor obtained approval- ) Sworn and subscribed before me thi R p�, SIGN A �� ' day of P PAS , Notary Public, State of Florida. at 1=W �� My Commission Elapires: SIGN F O ARM W GONZaEZ MY COMNIISSION # DD736469 EXPO ES: Nov=bw 2S. 2014 t 8003 N07ARY FL NMy DkIII Aum Ca Page 1 of 2 30 D.kY TE1 z - ELECT�Tt.0 SERVICE (continue) being first duly sworn, depose lid say that I am the Electrical Contractor for the above described property and that the electrical installations as now emsting will not create a safety hazard if temporary- service is connec Sworn and subscribed before me this SIGNATURE OF ELECTRICAL CONTRACTOR day of � I� � � Notary Pub 'c, State of Florida at Large My commission expires: VA bog WC-1 W SI A F T Y C '* Mr CAR OA ON D IVZ AL 6 1 EXPIRES: x '00' IARY P4 NUa�'DAaeo. Ce. )24 A D 1 61ylf,� . being first duly sworn, depose and said that I am the Building Contractor of the above described property and that I will not permit occupancy of this building until final division obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy until such final inspections are obtained. Sworn and su 'bed before me this � 05 1�� SIGNATURE OF BL'II.DLYG CONTRACTOR day of ' Notary Public, State of Florida at Large My Commission Expires: SI . ATL'KE OFNOIALKY LIC N0TA �e RYrjBUC- STIRT g --- N. cubilics ''•ECosam��sc� #PD7M �,,.,....•', R ,4 AVLAMV MSbf®Ct��IId0. Release to FLORIDA POWER & LIGIIT CO. OF ELECTRICAL hNSPECTOR Date: �� / by: ( nay ) Date: To: (name) Page 2 of 2