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EL-11-181Inspection Number: INSP - 155585 Scheduled Inspection Date: March 16, 2011 Inspector: Devaney, Michael Owner: ORQUERA GIRALDO, MARCOS & CI r7CTY Job Address: 9801 AQ N MIAMI Avenue Miami Shores, FL 33150- Project: <NONE> Contractor: WELL ELECTRIC TECHNOLOGY Building Department Comments REPLACE LINE FOR DRYER Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments /f o/ L March 15, 2011 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 Permit Number: EL -2 -11 -181 Permit Type: Electrical - Residential Inspection Type: I3h Work Classification: New Phone Number Parcel Number 1132060131110 Phone: (305)726 -7098 Page 16 of 35 AIIS( (I'ki1 Miami Shores Village paan Building Department aq FEB 0 s 2011 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical 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 No. EL 1 —` v u OWNER: Name (Fee Simple Titleholder): 1 Q 1 CO' 010)act Phone#: {�i• % -'�q r - 9 � �•� 1�111�1�1.. - An I 3trioXe S State: PL Zip: WV/ Address: City: Tenant/Lessee Name: Email: JOB ADDRESS: 4: 1430i fl) ( r1 4v& City: Miami Shores County: Folio/Parcel #: iii 2 0 6 Oi 311' Q Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: Address: Y3 /a >V City: /4A1/ Qualifier Name: State Certification or R 'station #: _)t4 // 6 /ecl�/C // Sr State: ,e - /36 0 // 8/ Miami Dade DESIGNER: Architect/Engineer: Phone #: BY: Master Permit No. Phone #: Zip: 351'50 Flood Zone: j/� ®/a� ne #: k‘ � — ��7 � l�lo Certificate of Competency #: zip:3 /2i Phone#: — 7.'6 '3`/ /`- `I7Sl ) Contact Phone #: 7 i - 9/ YO Email Address: we 1 I4e-ch r \OI ° 9 ') kotmar . C&L 1 Value of Work for this Permit: $ / )0 Square/Linear Footage of Work: ❑Alteration ❑New 4Repair/Replace ❑Demolition e /i ne Tvr .Dryer 1 ttiask-'z, evietWz /1 � Type of Work: ❑Address Description of Work: * * * * * * * * **** Submittal Fee $ SO' Permit Fee $ l to .0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ **** *** * * ****** ** * * * * * **** F * *** * * * *** ** * ***** * ***** * * * * * * * * * * *** *** * ** TOTAL FEE NOW DUE $ L Ste 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, PQOLS,FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is - accurate and that all wqrk will be done incompliance 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." 8 s F 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 1' O U L Owner or Agent Contractor The foregoing instrument was knowledged before me this ,c The foregoing instrument was acknowledged before me this 4 Z a day of ° 2• , 20 by / E/ 2"1f/ ?, h2 , day of . , 20 1 , by who is personally known to me or who has produced F`V (0 who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: : x*+ x***+ x+ x*+ xa+ x: ****** * ****************** ***** ** x+ x***+ a********* ****** *+ x*+ x****** ******** ** ***************** * *x * ** APPROVED BY % / " „ Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Signature NOTARY PUBLIC: Sign: Print: My Commission Expires: Ip©MMFRI Jill FEB 0 32O11 BY:. 6 r'V 4- 20 i/ 2 0 Wim 510 € /L'e e e 75 ?J e e. 4 7 27 gol/ OvylY kf" 75 14' .4 7"/ te 7 • WELL ELECTRIC TECHNOLOGY, INC. Qualifier Tony Well License #EC13001181 4312 NW. 11 St. Miami, Fl. 33126 welltechnology@hotmail.com PIA:462-8270 Feb. 2, 2011 t7 14 4 , -..... v Mi‘fA('ITal;440,--ite;1,t,i4rie frell4itC 441 oi424 0 /A it 4e 2 2. 42 73 zt.( tir c z-oz 0 5 'wire e 7-e 2 e ri #10 eit 2 Yires _7 1 APPROVED ZONING DEPT BLDG DEPT / 2 7 L t Miami Shores Village BY DATE SUF3JECT TO COMM IANCE WITH ALL FEDERAL STATE AND COON TY RULES AND REGULATIONS -- )eP11 : 41 ‘ 4 7 -19 /ce .17" e A 6 ,,IT ‘ N. Miami Ave. Miami Shores, Fl. 33150 6/14/elk- cv,t7A11)-e/PeAkhr/fr-