EL-08-1175Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 07/23/2008
Inspector: Devaney, Michael
Owner: AUSTER, NANCY
Job Address: 700 94
Miami Shores Village, FL
Project: <NONE>
Contractor: MOODY ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132060141730
Lot:
Phone: (305)758 -2000
Building Department Comments
INSTALL ELECTRIC CIRCUIT FOR 10 KW HEAT STRIP
IN AHU
Passed
Inspector Comments
cc
'2/
71
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Tuesday, July 22, 2008
Page 2 of 2
1\1\0t
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Permit No.
Master Permit No.
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Owner's Name (Fee Simple Titleholder) MO) Plif''P` 4Ugler Phone #
Owner's Address -10.0 mi6
City Mk S State 4'1,-- 4'1,-- Zip ? •3/3b ry
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) `J wr/Y► �-
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Zip
ICI
Is Building Historically Designated YES NO '�
Contractor's Company Name iki ®d ZiL % G / C. Phone # k5--1,51-241100
Contractor's Address &69 Ma.) S(
(
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City /) 1M17) 1 1 r State L- Zip .53/550
Qualifier Name ...I A) - / 4 / t
State Certificate or Registration No. CC 600 ` I f
E- MAIL:'
Phone #
Certificate of Competency No.
Architect / Engineer's Name (if applicable) / phone #
Value of Work For this Permit $
Square / Linear Footage Of Work: a
Type of Work: ❑Addition DAlteration ['New [epair /Replace [1 Demolition
Describe Work: //Jfkt L-- GL, Cf,2%C. ae_ettir Pje, /6 k4) h A 377 2
rnf�,c.
******** * * * * * * * * * * ** * * * ** * * * * * * * * * * * * ** Fees********** * ** * ** * * * * * * ** * * * * *de * * * ** *,ii4 * * **
Submittal Fee $ - Permit Fee $ % ® ®'
Notary $ " Training /Education Fee $ 0
Rad
Bond $ C *�► ' n cement $
Structural Review. $
JUL-P-242
Cki -14`10
MIAMI SHORES VILLAGE
CCF$ O'
Technology Fee $
Zoning $
Double Fee $
CO /CC
Total Fee: Now Due $
See ReVerse side --i
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City Stat 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 not be approved and a reins ction fee will be charged.
Signature
The fo
day of
Owner or Agent
oing instrument was acknowledged before me this
, 20X, by 44 Ati
Sign
ift
Contrac
OA
OT -r
The foregoi ,• in ment was acknowledged before r ,rh= -
, day of .2. `.A. 1 ®8', by . fI) P909/1 -';:.,,
'known to me or who has produced q , o 0
3
z
as identification and who did takA a�i�i..o >
z c7,"
. ° IT -<
CU 0 1g'x�v
a
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who is personally known to me or who has produced who is personal
NOTARY PUBLI z `"-: Notary Public - State of Florida
• iMy Commission Expires May 11, 2010
Commission # DD 531936
nded By National Notary Assn.
Sign:
Print:
My Commission Expires:
** xxxxx************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
NOTARY PUBLIC:
Sign:
Print:
4
My Commission Expires:
* * * * * * * ** xxxxxxxx* xxxx* xxxxxxxx *xx * * * * * * *** * * * *xxxxx * * **
4 ?
epg
rvz-x- w Plans Examiner
Engineer
Zoning