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EL-09-1890Inspection Number: INSP- 150188 Permit Number: EL -11 -09 -1890 Scheduled Inspection Date: August 19, 2010 Inspector: Devaney, Michael Owner: CLERGE, SABRINA Job Address: 401 NE 103 Street Project: <NONE> Miami Shores, FL 33138 -2456 Contractor: CHARLES E CULPEPPER JR Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ELECTRICAL WORK BATHROOM & KITCHEN REMOODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 129315. 180 boxes are only rated for one entry. seal all unused openings. use proper connectors. ground boxes. strap conduit. don't cover boxes until inspection.Not ready for final. (e,% August 18, 2010 For Inspections please call: (305)762 -4949 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1122310150130 Phone: (305)372 -5189 Page 33 of 36 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) 6Pain4h CLEVer. Phone # Owner's Address LtO 1 WE / 0 ad Si. Cit tlikn i Shorts state f[_ Tenant/Lessee Name E -MAIL: Sa ri to, ( MY IyQ4dv ctof Job Address (where the work is being done) City Miami Shores Vii e County Miami -Dade Zip 3813 3! — 015 - O th FOLIO / PARCEL # 11 ■ 22 Is Building Historically Designated YES NO V Contractor's Company Name C tl I , a ! t ILS daleS dal Phone # 30 5 - 4 4) - 0 i Contractor's Address in Re . ?Ay Y 'r 1'P. ` 6104 cwt. State FL / zip 3A 1�3j Phone # 305 — ©q & 7 Certificate of Competency No. cam I City h ► ttt4 l Qualifier Name ' State Certifi or egis on No. / DD Li E -MAIL: CS G1i� d��d hD7'Nd sg •_v.�s (*RN 43100-kt Value of Wort.#6Poiitetiws ' c ` +' R 1� Square / Linear Footage Of Work: Type of Work: Describe Work: * * ** * *, , * *, *** * ** **** * ***** * * *,r * ** F ees *, , * * * * * * ** * * * ** * *, * * * ** * ** *,* * * * **** ** * * * *** Submittal Fee $ Permit Fee $ e ' ‘ ,19 0 0 CCF $ 0 CO /CC Technology Fee $ OJ Scanning $54 Radon $ DPBR $ Zoning $ Bond $ Double Fee $ JJ Total Fee Now Due $ 1 t4 ' (40 Notary $ Structural Review. $ DAddition Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. L `" NOV Master Permit No. ele" �d1 1 /; i DAlteration and alas Training/Education Fee $ 0 Code Enforcement $ zip 3318S' Phone # eh? - 8'$7 - 52 W view { epair/Replace ❑ Demolition ka`ht Po model 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 peifuiiued 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 andthat 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 `mush 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 l/ Iy014?i— Owner or Agent The foregoing instrument was acknowledged before me this / / The foregoin instrument was acknowl s • ed before me this/ ©-• day of -. , 20 69, by S abri Inc- C.\ R_ , day of y who is personally known to me or who has produced who is personally known to me or who has produced 'dentification and who did take an oath. NOT PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) \ ,�,•��,�bet h S % , / , , 01102120 Co tm15S n • O Signature Contractor Sign Print My Commission Expires: ************* **** *fie* *afar *fie****�Y' lr 44 ******* * . * * \ ` * k* * * ** * ******* * **** **fir * ******* * ******* * *** * *** Plans Examiner Engineer Zoning