EL-09-189Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Scheduled Inspection Date: March 06, 2009
Inspector: Devaney, Michael
Owner: MARTINON, JULIAN
Job Address: 145 NE 94 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: NOVOA ELECTRICAL CONTRACTOR
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
arcel Number 1132060132920
Phone: (305)665 -9247
Building Department Comments
Passed
rEr
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- 105991. NO ONE HOME TO
CHECK INSIDE. ALL GROUNDING ELECTRODE CONDUCTOR FROM
METER TO COLD WATER PIPE. BLANK OFF RECEPTACLE ON N.E
CONNER.
02/23/09
March 06, 2009
Page 8 of 14
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
2 D a s g �,:'
3062
BY: v'
Permit No. Elo9 -"1t t
Master Permit No.
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder / {✓r. �� // r N�� Phone # �P'c-- SK-4- Q
i‘
Owner's Address 14 r HE Tee..___
City /1.4 Ji ' I $l1D 46-.5- State FC— Zip 21137
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
[43 /4E) 944
County Miami -Dade . Zip
Is Building Historically Designated YES
NO
Contractor's Company Name cl Gym_ `fZfj ' (j„ Phone # 30S 6 G S- 2305 --
Contractor's Address (C 2.c Sc),) *39 ST
City S- V‘ &. State C- Zip 33 (L( 3
Qualifier Name ���� �{i1c��� Phone# 386 l3 S- 3538
State Certificate or Registration No. O 1E 006 "a? Certificate of Competency No. E R [ 3 0 ('3 :i
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
1,e
Type__ 9f Work: ❑Addition ['Alteration
Describe Work: z_I /p pGtjj
%" �/ t �ti ,
Phone #
Square / Linear Footage Of Work:
• ['New • Ni Repair /Replace Demolition'
ieeeerfor i/f1C & //I a41 144;i1
4 , jF Joe's
�' xxxnY nYxxxxxxxxxxY Y OY aezxx4c oYxxr. nYxn:xxxxxx FeesXXx'tixXXK''xnY r': Yxxx�aY�-7c a: ntxxxxxF r. aYxx
� Il a) -a) Permit Fee $ .07e767' ®' CCF $ I. ® CO /CC
Notary $ 6,06 Training /Education Fee $ 0 < Technology Fee $ 6,a
Sca>iing $ Radon $ DPBR $ Zoning $
Bond :$ Code Enforcement $ • Double Fee $
dded
Structural Review. $ Total Fee Now Due $
III. •/o0
Revs a gilt '-a
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 infornation 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 approve4and a reinspection fee will be charged.
Signature
The fore!.
ti
day o
who is
0ho-0
NOT
Sign:
Print:
wner or Agent
Kedged bef re m this CC
ing instrument was ac
personally k
by
Contractor
The foregoing instrument was acknowledged before me this 02—
day of ®Z , 20 el, by aveJok p-frAticr,
own to me or who has produced who is personally known to me or who has produced D,j ur i(
A. • V dentification and who did take CtAA eitLs as identification and who did take an oath.
:( 'N`� NOTARY PUB IC:
5�� `,' sir �"�'���� / .�
RYA' UBLIC:
My Commission Expires:
*wxxxxxx *xrxx
P
* xxxxxxxxxx x* xxr. *rxxx * * *rxxxxxxxxxxx *r. * *r. r. * **
APPLICATION APPROVED BY
(Revised 02/08/06)
Sign:
Print: L. a_U
;ir;,, LAURAVAI.DES
f*: . MY COMMISSION # DD 498637
.10f EXPIRES:. December 12 2009
My Commission Expires:
rxxxxx * * * *xxxxx ** * * * * * *** * ***
Plans Examiner
Engineer
Zoning