EL-09-1595s"
Inspection Number: INSP - 137061
Scheduled Inspection Date: March 08, 2010
Inspector: Devaney, Michael
Owner: NICHAR, DIANA
Job Address: 186 NW 109 Street
Project: <NONE>
Miami Shores, FL 33138 -4317
Contractor: EFJ ELECTRICAL CONTRACTOR
Building Department Comments
March 05, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
c�-
Permit Number: EL -9 -09 -1595
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)751 -7778
Parcel Number 1121360100240
Phone: (305)793 -3263
ELECTRIC FOR GATE MOTOR.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 21 of 30
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) i/}► Mt t/ Phone # 30S - 3 - a
Owner's Address 1 F5 /U LU /0 ( S t
City i C 1 S J 0 QS State
Tenant/Lessee Name
Email
Job Address (where the work is being done)
City Miami Shores Village County
FOLIO / PARCEL # (l D 13 60 1 OO Z'-(
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
8 N 10 9 SI--
Miami -Dade
Is Building Historically Designated YES NO
Notary $ � Training/Education Fee $ •eal 0
Scanning $ 3' Radon $ () DPBR $
Double Fee $ U Violation date: Q
Permit No! .,E/ C9 5
Master Permit No.
Zip 3 316 g'
Phone #
Structural Review. $ Total Fee Now Due $
Zip 3, e6S-
Flood Zone
j 1 9( _
Contractor's Company Name E �/ e C 1 l C Ct I Phone # 30 S - 7 9 - 3 Z 3
Contractor's Address - 7 1, i, S (, j 7 ' \l S I- 3 City O C{\ t State e( Zip 3 3 s S
Qualifier Name FC 0 1? -1 1 4 - j 4 Z_ Phone #
State Certificate or Registration No. E f 130 13 8" /-5
Certificate of Competency No.
Contact Phone D 7 3- 3 a 6 3 E -mail
Architect/Engineer's Name (if applicable) Phone #
v
Value of Work For this Permit $ 24-0 o Square / Linear Footage Of Work:
Type of Work: DAddition ❑Alteration �New I ❑ Repair/Replace ❑ Demolition
Describe Work: &S € VGA r ®� �`I� f l t/2C f`C. 'f old.
ee J- Cc,1 r-ro ry QQo e. -h., ere t o S q cv c rl r/C
C€ e 1 C l r r c1 4 Z O 14" rit' f
* * * ** * * ** ** * * * * * * * * * * * * * * * ** * * * * * * * * ** F ees * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * **: * * ** * **
Submittal Fee $ Permit Fee $ , 29 d 2 ® CCF $ g 60 CO,C -$
Technology Fee $ e4V0
Bond $ G
//7-EP-
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 willbe 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 si posted notice, the
inspection will �mpt be approved and a re- inspection fee will be charged.
Signature
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * **
APPROVED B
Owner or Alnent
The foregoing instrument was acknowledged before me thi2
day o - ,200 C. tiiZ
who is personally known to me or who has produced
5 0 As identification and who did take n oath.
9y�
NOTARY PUBLIC: " y ep
Q ti�r
(Revised 07110 /07)(Revised 06/10/2009)
Sign:
Print: tse C
My Commission Expires:
Contractor
The foregoing . trument was acknowledged before me this 2 t
day of 5C p - , 20 fS by Fr °t (< 61 r
who is personally known to me or who has produced g t .
L ' ec . as identification and who did take an oath.
NOTARY PUBLIC:
a9f'6'°P4 Plans Examiner
Engineer
Clerk checked
NNIMMINIPW
7 Beadr tit � ‘ u .9' fi 'i"" ert d ppriy �� ss lue
fa
centerline
al
1 - There may be addition restriction that are not shown on this survey that may be
found In the Pubic Records of this county.
2 - Examination of ABSTRACT OF TITLE will have to be mode to determine recorded
instruments, if any affecting properly.
3 - Location and identification of Unities if any, are shown hi accordance with Recorded
Fiat.
4 - Ownership is subject to OPINION OF TITLE
5 - Type of Surrey: "130U kDARY SURVEY"
6 - This Survey is not v unless signed and sealed by the S ry - or of : ord
a
cif
said bearing is I with plat of record
8 - Elevations If shown are referred to National Geodetic Vertical Datum of Mean Sea
Level. 1929
Benchmark: Elevation.
Location Index
.20.652
COMMUNITY NUMBER
PANEL NUMBER
nn9n
SUFFIXI OF FIRM INC
3 ,.? - 94
-- centerline
1/2" pipe
found
. /5
- - _
1 - There may be additional restriction that are not shown on this survey that may be
found In the Public Records of this county.
2 - Examination of ABSTRACT OF TITLE will have to be made to determine recorded
instruments. if any affecting property.
3 - Location and identification of Utilities if any, are shown in accordance with Recorded
Plat
4 - Ownetshlp is subject to OPINION OF TITLE.
5 - Type of Survey: °BO DARN' SURVEY"
6 - This Survey is not void unless signed and sealed by the N ve% of Record„
7 - Bearings °. > , to v l u e t r�4. . !w
for the
said bearing is 1. ° of with plat of record
8 - Elevations if shown are referred to National Geodetic Vertical Datum of Mean Sea
Level. 1929 E
Benchmark: Elevation=
Location Index:
COMMUNITY NUMBER
PANEL NUMBER
SUFFIX DATE OF