EL-07-1006Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection 97/02/ ,2007
Inspector: eja.tialo (r-avosi
Owner: ALBERTSON, KATHLEEN
Job Address: 730 94 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: FREDDYS ELECTRIC & LIGHTING CORP
CL
Block:
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Trench
Phone Number
Parcel Number 1132060141690
Lot:
Phone: (305) 893-5120
Building Department Comments
PUBLIC WORK PERMIT FOR TRENCH ON ALLEY
AUL 0 3 2001
7
Passed
7 - 77
it
- Inspector Comments
CREATED AS REINSPECTION FOR INSP-53815. Repair to asphalt is
not aaceptable, asphalt is loose. Needs hot asphalt to adhere to existing.
6/27/07 CG
/
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled
re-inspection fee is paid
until
Thursday, June 28, 2007
Page 2 of 2
C T i
JUN 13 2007
Miami Shores Village B __
Public Works Department
Public Works
Permit Application
FBC 2004
Pernit Type: Patric Works 41MIIR
Owners Name (Fee Simple Titleholder)
Owners Address
10050 N.E. 2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 7952204 Fax (305) 756.8972
'Yf
city
991/ sr
Pion is
Penult Na. ELI-11.2h
— 75 ' 7z 2i
state fir
Tenant/Lessee Name Phone ft
Job Address (where the work is being done)
City Miami Shores Village
2-30 /t /e 9G%/ s✓
rip 3/ '
County Kaifu Dade zip .;a/3er
Is Bulling Historically Designated: YES NO ■■
3 ` 4 - 14o 4 (c)
Cordrartpr's company Name _494 h 44/5 GF L ( 111-1 *$ Phone #. 3 5 8 ! 3 5 ` Z
ConVa s Address
cihf c At(74. See C riP X3/2/
Architect/Engineers Name (It applicable)
$ Value of Work For this Penult
Type of Work:
Describe Work
Subrulttal Fee$
Notary: Trdefrg on Fee $
scaluth,g $ Radon $
Code Enforcement $ Stu uctuaat Plan Review $
Total Fee Now Due $
(Continued on opposite side)
Phone is
❑
Lineal Footage Of Work:
Adeition Alter n ❑ new ❑ RepairfReplace
131 ut 42-> r P €6 t ri f II
Penult Fee $
10(0,30 JUN 2 oPar
Zonhg
col+ec
Technology Fee $ . 50 Ifit
tit$ .:J•0� 4
Bonding Company's Name (if applicable)
Bonding Company's Address NIA
City • State Zip
Mortgage Lender's Name (if applicable) /1/(09- WA
Mortgage Lender's Address
Crly State Zip
Application is hereby made to obtain a penrnt to do the work and installations as indicated.1 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 construdion udion in
this jurisdiction. l 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 wdt 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 this issuance of a Public Works permit with an estimated value exceedng $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction fan law brocdnae golf be delivered 'tithe person whose
properly is sr ct to attec meat Also, a certified copy of the recorded notice of commencement r must be posted at the job sde kir the rurst
inspection which occurs seven (7) days after the building permit is issued. M the absence of such posted notice, the inspection will not be
approved and a nelnspection fee will be charged.
Signature
ing instrument was acknowledged before me this �l The foregoing instrument was acknow__l_edged before me this ! 3
,
, 20 by l'"IZt7dq 401dg G094 ,
who is personally known to me or who has produced Who is personally know to me or has produced r/` !/r /WO 3 11C,
as identification and who did take an oath.
NOT ' ' • UBUC: f
Sign: r ,
Print
1(
My Commission Expires:
Carol Sonenshein
1400 as identl ication and who cfd take an oath.
APPLICATION APPROVED BY:
11/17/2005
07Public Works Director or
his designee.
BUILDING
Miami Shores
Building DepaJ
10050 N.E.2nd Avenue, Miami Shor
Tel: (305) 795.2204 Fax: (305
(tirk
PERMIT APPLICATION'
FBC 2004 C (1g1C -,
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) 1414Tt-/ LEEN M4 AZERT
Owner's Address 130
City A11414( shcoj State L. Z
Tenant/Lessee Name
E -MAIL:
pillage
rtment
s, Florida 33138
756.8972
d(
MAY 1 h 2017 )iaJ
BY :__CLQ_
Permit No. I—" (77--
Master Permit No.
34itiPhone# 305756 '2
p f3°
Phone #
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES NO L/
Contractor's Company Name riteDbli 3£ L FL`l'it c bpi
Contractor's Address 1 800 E / L/Q fDl
City No PTh (i¢/g% State rL L.
Qualifier Name rigemy 6 0591
State Certificate or Registration No E C 1 3'.'O Certificat
E -MAIL: Fllebvtf' eLeeriz /e e be1Z3gpo / , /Ci.
Architect/Engineer's Name (if applicable)
730 WE 94 5
County Miami -Dad
Zip
7�yPhone #305 eq3 'f2 O
DR
Value of Work For this Permit $ oCl 50 O — Square / Lid
Type of Work: ['Addition ['Alteration ['New
Describe Work: (Re? R. / ?L „'eedeg5 i,
fildon.
zip 331 ' 1
Phone # 3Q 5 T 4jy l oq
of Competency No. EC 1 3 00 a-(05 7
Phone #
ear Footage Of Work:
Eepair /Replace ❑ Demolition
/veto vAlbeizawovviid
******* * *xxxxxxx * * *xxxxx * * * * * * * * * * * * ** *pees * * * * * * ** *�
Submittal Fee $ Permit Fee $
Notary$ '00
Training /Education Fee $
Scanning $ Radon $
DPBR $
CCP $ 'WO CO /CC
Technology Fee $ '675
Zoning $
Bond $ Code Enforcement $ Double Fee $
Tol I Fee Now Due $ ,04• %D WO 2
CC, 6604y
1Structural Review. $
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: 1 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 apprrved and a reinspection fee will be charged.
Signature
caner or Agent
Signat e
Contractor
The fore oin_ nstrument was acknowledged before me this The;foreg� g instrument was acknowledges before me .is
day o L' ,, , 20.a ,L, by Y i Ed / P A j r,r J, day of 4 , 20 , by
n e r who has produced wh
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
r.
• x xxxxxxxxx*xxxxxxaF r. YY do
APPLICATION APPROVED B
7'&J £ i
(Revised 02/08/06)
Ily known to me or who has produced
as identification and who did take an oath.
OTARYIPUBLI :
Sign:
Print:
Cgrpl,Sopenshein
" August 9, 2007
?S� BONDED THRUM PAIN
My
veltxx**** .Y.JC
*,*** .x xxxx
i3'Z ®®
'!.. r* *
Plans Examiner
Engineer
Zoning
t
ADDENDUM TO BUILDING PERN IT APPLICATION
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM, IF A MASTER PERMIT HAS BEEN OBTAINED, THE
OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT , 1PPLICATIONS.
PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR:
PLUMBING
ELECTRICAL
PERMIT #
MECHANICAL
ITEM
UNIT
FEE
ITEM
UNIT
FEE
ITEM
UNIT
FEE
BATH TUB
SWITCH OUTLETS
SPACE HEATERS
DISHWASHER
LIGHT OUTLETS
CENTRAL HEATING
DISPOSAL
RECEPTACLES
A/C (WIND)
FLOOR DRAIN
SERVICE TEMPORARY
A/C (CENTRAL)
GREASE TRAP
SERVICE SIZE IN AMPS
DUCT WORK
INTERCEPTOR
SERVICE REPAIR/METER CHANGE
/
REFRIGERATION
LAVATORY
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
LAUNDRY TRAY
RANGE TOP
UNDERGROUND TANKS
CLOTHES WASHER
OVEN
ABOVE GROUND TANKS
SHOWER
WATER HEATER
U.F. PRESSURE VESSELS
SINK. POT /3 COMP.
MOTORS 0 -1 HP
STEAM BOILERS
SINK, RESIDENCE.
MOTORS OVER 1 -3 HP
HOT WATER BOILERS
SINK, SLOP.
MOTORS OVER 3 -5 HP
MECHANICAL VENTILATION
TEMPORARY WATER CLOSET
MOTORS OVER 5 -8 HP
TRANSPORTING ASSEMBLIES
URINAL
MOTORS OVER 8 -10 HP
ELEVATORS /ESCALATORS
WATER CLOSET
MOTORS OVER 10 -25 HP
FIRE SPRINKLER SYSTEMS
INDIRECT WASTES
MOTORS OVER 25 -100 HP
COOLING TOWERS
WATER SUPPLY TO:
MOTORS OVER 100 HP
VIOLATION
NC UNIT
NC WINDOW
REINSPECTION
FIRE SPRINKLER
AIR CONDITIONERS
HEATER -NEW INST.
STRIP HEATER
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
GENERATORS TRANSFORMERS
SWIMMING POOL
GENERATORS TRANSFORMERS
WATER SERVICE
SPECIAL PURPOSE.
SEWER CONNECTIONS
OUTLETS COMMERCIAL
UTILITY -SEWER
SIGN TUBES
UTILITY -WATER
SIGN TRANSFORMERS
SEPTIC TANK
SIGN TIME CLOCK
RELAY
FIXTURES
FAINFIELD, 4" TILE/RES.
ANTENNA
PUMP & ABANDON SEPTIC TANK
TELEVISION OUTLETS
SOAKAGE PIT CU. FT.
VIOLATION
CATCH BASIN
REINSPECTION
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
.
•
GAS PIPING