ELC-08-928Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 06/04/2008
Inspector: Devaney, Michael
Owner: DAVIES, JOHN
Job Address: 1041 94 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: LANGER ELECTRIC COMPANY
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132050120080
Lot:
Phone: (305)759 -5777
Building Department Comments
SERVICE UPGRADE FOR EXISTING BUILDING
(RESIDENTIAL)
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Inspector Comments
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Tuesday, June 3, 2008
Page 2 of 2
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
A� v c
Owner's Name (Fee Simple Titleholder)) 1, lam / �(y!phone # U �5
Permit No.de_.06-6W-K_
Master Permit No.
Owner's Address
City I V aviAA
Tenant/Lessee Name
E -MAIL:
Zip
Job Address (where the work is being done)
City Miami Shores Village County
FOLIO / PARCEL # 31.0a0 120(N
Is Building Historically Designated YES
Contractor's Company Name
Contrac . is Address
City
Qualifier Name
State Certificate or Registration No.
E -MAIL:
Miami -Dade
Zip
NO
CALL - q l CS--7)-1,-11) t
Phon # 154 .91(4 • Yqs9
Architect/Engineer's Name (if applicable)
330
Certificate of Competency No.
Value of Work For this Permit $
Type of Work:
Describe Work:
['Addition ['Alteration
Phone #
Square / Linear Footage Of Work:
❑New ❑ Repair /Replace ❑ Demolition
-eAls)-wri bublq
****** * * * * * ** * * * * * * * * * * * * * * * * * * ** * * ** Fees************** * * * * *9e * * * * * * * * * * * * * *xxxxxx * * **
Submittal Fee $
Permit Fee $
Notary $ !f Training /Education Fee $
0.66
Scanning $ Z■vli Radon $
Bond $ Code Enforce
Structural Review. $
DP$
AY E o8
Cc34wA2,
MIAMI SHORES IRLL.t7E.
CCF $ 1.30 CO /CC
Technology Fee $ 4'00
Zoning $
le Fee $
I Fee Now Due $ 16i.40
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: 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
for the first inspection w hick o ccurs s even (7) d ays after the b wilding p ermit is issue
inspection will not be approved and a reinspection fee will be charged
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this /Pot.
day of /164- , 2006_, by e+f-1 /"fu
ersonally kno to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
t he absence of s uch p osted notice, t he
The foregoing instrurent was acknowledged before me this
day of , 20 , by
who is personally known to me or who has produced
as W kii>Ii l,,;OF ta e�1c an oath.
NOTARY PUI$ ,f� ;J • Commission # , D705651
Expires: AUG. 16, 2011
Balla Tao ATLANTICBONDINGCo.,tNe.
NOTARY PUBLICS LATE OF FLORIDA
Shellie L. Fulford
Commission #DD400807
Expires: fill 28, 2009
Print: S/iedlt. L•
My Commission Expires: -
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APPLICATION APPROVED BY:
(Revised 02/08/06)
S� ,Vans Examiner
Engineer
Zoning
• IntellectLal •
m
Whole y
• Child _ --
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• • Spiritual
MIAMI COUNTRY DAY.
Educating the Whole Child • Founded in 1938 • Colle -12
601 Northeast 107th Street • Miami, Florida 33161 • (305) 759 -2843 • Fax 305 -759
71 • WW-v.miamicountryday:org
January 9, 2007
Miami -Dade County Building Department
140 W. Flagler St.
16th Floor, Sulte 1603
Miami, FL 33130
RE: Miami Country Day School, Inc., 601 NE 107th Street, Miami, FL 33161
To Whom It May Concern:
Mr. Alan Hunt, C.F.O., is an authorized signer on behalf of the corporation, Miami
Country Day School, Inc., owner of the above addressed property.
Sincerely,
artAa....
Anne Paulk, President
Board of Trustees Miami Country Day School, Inc.
AP /sf
PERMIT
M'am S7ores V: age
APPROVED BY DATE
ZNNG DEPT
BLDG DEPT
SUBJECT TO COMPLIANCE IMTH ALL FEDERAL
STATE AND COUNTY RULES AND REGL�LATit7NS
-__
NOTARY PUBLIC-STATE OF RIDA
Shellie L. Ftilford
Commission iDD400807
Expires: FEB. 28, 2009
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" T. B. Plyler
5 ; . Commission # DD705651
''••..��....� Expires: AUG. 16, 2011
BONDED THRIJ ATLANTIC BONDING CO., INC.
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