EL-06-1814Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -21738 Permit Number: EL -7 -06 -1814
Scheduled Inspection Date: February 14, 2011 Permit Type: Electrical - Residential
Inspection Type: Final
Owner: LEE, JOSEPH PATRICK AND LOUISE Work Classification: Addition /Alteration
Job Address: 1341 NE 103 Street
Miami Shores, FL 33138-
Inspector: Devaney, Michael
Project: <NONE>
Contractor: ALL QUALITY ELECTRICAL SERVICES, INC
Building Department Comments
February 11, 2011
For Inspections please call: (305)762 -4949
Phone Number (305)608 -1116
Parcel Number 1132050300140
Phone: (305)968 -7832
REMOVE EXISTING 200 AMP ELECTRICAL SERVICE,
INSTALL 200 AMP SERVICE WITH GROUNDING
ELECTRIC SYSTEM
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
S
/ / t (-79
Page 17 of 18
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\.: MY COMMISSION # DD 483995
" PIRES: October 20, 2009
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BUILDING
PERMIT A1PLICATION
FBC 20
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) /®U / S G (€., Phone #
Owner's ddress /3 S / ti 6 /63 1 S
v
City / /H / State
Tenant/Lessee Name
Email
Job Address (where t1 e work is being done) /3 4 / l c
City Miami Shores Villa a County Miami -Dade
FOLIO / PARCEL # / 6 O r '' 3 -�
Is Building 1Iistoricaliy Designated YES NO V Flood Zone
Contractor's Company Name 0? 4 3 o / 6/re' -c i /6one #
Contractor's Address / ' S A j fr &
City Ai/ 04411 State I - Zip 33/ 67
Qualifier Name SCE /YY L1. (�f'/� Phone # 36S q (a Q 7 g 3 2,,.
State Certificate or Registration No. 0 S 6 C O O 9 7 8 Certificate of Competency No. `i / 3 6/ 3 S 3 4
Contact Phone 3c);,• 7 L 8 ? 3 2_ E -mail Q I! oet,/;;Iy 2 i 't nQ
Architect/Engineer's Name (if applicable) Phone #
Submittal Fee $
Notary $
Scanning $ 3- 6
Double Fee $
Structural Review. $
Miami Shores Village mEwIgn
Building Department ( L FEB 1 1 2011 till
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit Fee $
Training/Education Fee $
1,P •
Zip
Permit No. .° p - 1
Master Permit No.
33/,3P
Phone #
1®3 c f'
Zip 3313K
30 X51 b? l 7
36S- 7S1 4.7 /7
Value of Work For this Permit $ Square / Linear Footage Of Work:
Type of Work: [:Addition
Describe Work:
ew,> 0 Repair/Replace
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F , * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ CO /CC $
Technology Fee $
Radon $ DPBR $ Bond $
Violation date:
Total Fee Now Due $ l 53•
oU
See Reverse side -�
BY: "`�--
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 trot be approved and a re- inspection ee will be charged.
l
Owner or Agent
The foregoing instrument was acknowledged before me this 1 t
1
day of 1 s , 20 t 1 , by - .(�.�1�Y(„ l FtJ� ,
who is personally known to me or who has produced •--
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
,; ;�.
F O : a" J, G j CD
•.J at • \\ :
,r/
D
******************* * * * * * * * * * * * * * * * * *Atom *A0. * * ** * * * * * ** * * * * * ** * ** * * * * * * * * * * **
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
Plans Examiner
Engineer
NOTARY
Sign:
Print:
The foregoing instrument was acknowledged before me this Z
d ay of Z , 20 /(, by #ll c.lrif ascbiC.
to me or who has produced
as identification and who did take an oath.
LIC:
My Commission Expires:
Contractor
NAYAA IRENE LACY
NOTARY PUBLIC
STATE OF FLORIDA
Comm# EE041139
Zoning
Clerk checked
BUILDING
PERMIT APPLICATI
FBC 2004
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: ( 305) 795.2204 Fax: (305) 756.8972
CMICVM
20
Permit No 1 i
Master Permit No
Permit Type (circle): Building
Owner's Name (Fee Sim 1e Titleholder)
Owner's Address
City 1 altkl i 04 State FL Zip 33136
Tenant/Lessee Name Phone #
Job Address (where the work is being done) l ' t iV E ` V
City Miami Shorts Village County . Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Value of Work For this Permit $ !
******* ** * * * * * * * * * * * * * * * * * * * * * * * * * ** ** *F * * * * * * * * * **
Submittal Fee $ Permit Fee $ G'
Notary $ S • Training/Education Fee $
Scanning $ 3 - �Q Radon $ DPBR $
Bond $ Code Enforcement $
Structural Review. $
Double Fee $
ng Mechanical Roofing
LOU S. L`2hone # S— 0 '751 -6717
Zip 3 x(
Contractor's Company Nakne /4-11 Qua ( El ec -r,'ca,/ 3c y1 r es J, Phone # 3 0 5 9 S"- 7 '3'
Contractor's Address /'1 5 0 4/ - iAJ . / e C r M if}M . 6,4019 1L, j 3 `7
City r 4 Y i i 6 i,{ C State rC- Zip 3 .3 / 4 7
Qualifier Name 5cern(ief L % Gl 4 fhov2tie, Phone # 3d '5 - 9 68- 783 Z
State Certificate or Registration No L -,e /30/ 35" 3 (o Certificate of Competency No ' ' 0 5 Z
Architect/Engineer's Name (if applicable) Phone #
Square / Linear Footage Of Work:
Type of Work: DAddition Alteration New ❑ Repair/Replace ❑ Demolition
Describe Work: A v il C/e c /-r Ca � S e Zvi c P :
ear n 5 er- v i e e t'_ /e C fJf &l F. Sr 5/P ivt
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ J • 2-C CO /CC
Technology Fee $ 3
Zoning $
Total Fee Now Due $ / 3
3S
See Reverse side -+
SEP 0 5 PAS
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
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 be charged.
Signature
Sign:
Print:
My Commission Expir
(Revised 02/08/06)
APPLICATION APPROVED BY
Owner or Agent
The foregoing instrument was acknowledged before me this
day of �� \ , 2006 , byZcu $ d - taw
who is personally known to me or who has produced
State Zip
As identific ion and who did take an oath.
Sign.
Print:
My Com
********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zip
Contractor
The foregoing instrument was acknowledged before me this
day of
,20CX? , by
who is personally known to me or who has produced
as identification and who did take an oath.
6 Plans Examiner
Engineer
Zoning
rs�