EL-08-606Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
NAY 7 in
Inspection Date: 05/06/2008
Inspector: Devaney, Michael
Owner: GRIECO, G
Job Address: 1251 94 Terrace NE
Miami Shores Village, FL
Project: <NONE>
Contractor: JC ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132050100050
Lot:
Phone: (305)754 -6949
Building Department Comments
install wp panel next to meter can, existing panel is in
closet. Install ground sery
Passed
Inspector Comments
cc
0' #/
/
°yam '2
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Monday, May 5, 2008
Page 2 of 2
4hkut sTea•
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATIO
FBC 2004
Permit Type: Electrical
APR 408
aoseamet
Permit No. a. or --tat
aster Permit No.
Owner's Name (Fee Simple Titleholder) e. � �G®. Phone #
Owner's Address /0757 /V : .
Cityyr,/1. in c, � Si State leiA
3 °� 75-6
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done) /
Zip ,3'%36
Phone #
9 &/ ").. s�-
City Miami Shores Village County Miami -Dade Zip 3 3) ,3 e
FOLIO / PARCEL #
Is Building Historically Designated YES • NO
Contractor's Company Name Sc. C 1 e, Phone,# 3 6, ?S.- V `C 9 It/
Contractor's Address / '7 $ w ) e>, s-•
City 7- /.9~1.
.p _.. She r..c.5 State fr / Zip 33/ i -�
Qualifier Name j C, (la pZr- t b 1;,,4%1 Phone # 3 b SP. I5 Y 6 I
State Certificate or Registration No. (c--0 00.P.. o ‘-/s'' Certificate of Competency No.
E -MAIL: Ge%/eerr.,. i`L.. 42 �,e J /SA,e.74ti, r--2�'
Architect ?ngineer's Name (if applicable) n
pp ) Ph o e #
Value of Work For this Permit $ 440,,r a Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration ❑ New 11 Repair /Replace El Demolition
U` C a
Describe Work: �� s r- /id. P. aV -Q✓y` f' ,b //lele c
r e ► ) `i 4.4.1 �d
* * * * *** * * * * *xxr. xx * * * * * * * * * * * * * * * * * * * ** *Fees *9r**** ** ** ******is ********4*� * ****** * *********
Submittal Fee $ Permit Fee $ /5—‘7, ®D CCF $ 1 CO /CC
Notary $ 5 Training /Education Fee $ 0 •°gyp
Scanning $ 3'00 Radon $ DPBR $
Bond $ Code Enforcemegt $-n Double Fee $
Structural Review. $ II Total Fee Now Due $ 106
Technology Fee $ 3'15
Zoning $
APR F
16 1 r6/61
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. 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
construction in this jurisdiction. 1 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 approved and a reinspection, fee will be c arged.
Signature
dir A
e,,
Owner or Ag
Signature
Contractor
The foregoing instrument was acknowledged before me this It The foregoing instrument was acknowledged before me this 7
day of 1 , 20 08 , by 6/6fiCP�IIiB(1 GT1C(td��' , day of 40,4..7 , 20 t V, by \ e-- Par ,
who is personally known to me or who has produced f 7 D'IVdtts trwho 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.
42— X34 NOTARY PUBLI : �' '" 3 6
34268o
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Sign:
Print:
My Commission Exp
*** ** * * * * * * ** * * * * * ** *: * *sY * * +. is "* ********* xxxxx******** xxxxxxx********** r.* xxxrxxx * * * * * * *r'. * * * * * *r. *u * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
moans Examiner
Engineer
Zoning