EL-07-11234,
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -50945
Permit Number: _EL -5 -07 -1123
Inspection Date: 06/18/2007
Inspector: Devaney, Michael
Owner: NEWMAN, MARY
Job Address: 140 95 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: MOODY ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type Rio,
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132060132850
Lot:
Phone: (305)758 -2000
Buildinct Department Comments
REWIRE BACK BLDG. ONE BEDROOM
��
Jui192001
Passed
Inspector Comments -- --�
mv
r
(67;;; Ye;(/C'' e .6" 7
1�'
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Friday, June 15, 2007
Page 1 of 2
BUILDING
IT AP
4
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
%JO lOriki,L,
LIGATION kit cA'k)
Permit Electrical
Owner's Name (Fee Sim
Owner's Address \q.C�
City
Tenant/Lessee Name
E- MAIL:
�� 1
MAY 3 1 2007
Permit No. L /19-1/43
Master Permit No.
le Titleholder) \ o \CAS Ne,....s,.1c,4\ Phone #
Je._. ctS 5
State `� -(0.c-t [ : Zip '3313 �C
tis-, \ P" Phone #
Job Addr
City
FOLIO /I
Is Buildin
s (where the ork is being done) 1'C3 \ ckS
Miami S ores Village County Miami -Dade Zip '33 t3�
C,--- 613 -DSO
Historically 1 esignated YES NO
RCEL #
Contractor's Company ame '(\c■c t:1& kr.L Phone # 305
Contractor Address L 69 N t c(O S�v� -QSL F
City dNN:Z. State (,c,{ cQck_ Zip 3Sl SO
Qualifier l•iarne 3. l(�oc c Phone # 30S -
State Certifcate or Registration No. O(_ C) tS Certificate of Competency No.
E -MAIL:
Architect/ ngineer's Name (if applicable)
Value of Work For this
Type of Wprk:
Describe N1/ork:
Permit $
tN
Web. Do
Phone #
Square / Linear Footage Of Work:
['Addition DAlteration ❑New ❑ Repair /Replace ❑ Demolition
7 i, et1PW/a
.„6?-4
Submittal
Notary $_
Scanning
9r******** hir****** **** ***olt4toY****it******* Fees" firiririr4e4ri1r********4+ k***4e #*xnk****tkvt*alr** ********
Fee $
Permit Fee$ (68,00
Training /Education Fee $ i • (��
Bond $
Structural Review. $
Radon $
DPBR $
CCF $ 3 -n CO /CC
•
Technology Fee $ a J
Zoning $
Code Enforcement $ Double Fee $
Total Fee Now Due $ 111
. O
See Reverse side -›
Bonding Company's Name (if applicable)
Bonding Company's Address L'
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
inspection will not be approved and a reinspection fee will be charged.
Signature ',72. )eto
wner or Agent
The foregoing instrument was acknowledged before me this
day of , 2067 , by IN-r.)-Q& 1■I-e.,3\N -0,-, , day of
who is per .ally kno, n to me or who has produced who is per
As identification and who did take an oath.
The foregoing instrument was acknowledged before me this�'b
, 20 C5-.), by . z,S\Ne,- S , u ts=564-1,
na ly know o me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
Sign: c a
M
Vs. MY MMI ION 9 DD 441715
*.gmn lan }pryJ 2, 2009
't;t y �� BaWBG*ThNn
X
APPLICATION APPROVED BY:
(Revised 02/08/06)
xxxxxxxxxxxxx,exxxxxxxxxxxxxx
Sign:
Print: %■_Y Pj-(2A-
jo11iJ,n i SS ig0(t13PA.r@IIA6ERT
MY COMMIS lCN ADD 4417,5
Qe rt i kxxx,�y7��x exicP4n *
•-�c�• o t1A�tY'' �U1y �, 'LUUB
' i e,�y4 •,` Bonded Thru Notary PubYio Undenwttera
xxxxxxx
e/filans Examiner
Engineer
Zoning
ADDENDUM TO BUILDING PERMIT APPLIUMIUN
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM, IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
TEM
ATH TUB
UNIT
FEE
ITEM UNIT
SWITCH OUTLETS
FEE
ITEM
SPACE HEATERS
UNIT
FEE
IDET
LIGHT OUTLETS
CENTRAL HEATING
ISHWASHER
p
RECEPTACLES f
` j l
A/C (WIND)
ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
RINKING FOUNTAIN
SERVICE SIZE IN AMPS / e/4
DUCT WORK
LOOt MAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
;REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
NTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
.AVATORY
OVEN
ABOVE (ROUND TANKS
.AUNDRY TRAY
WATER HEATER
/
U.F.. PRESSURE VESSELS
:LOTHES WASHER
MOTORS 0- 1 H°
/
STEAM BOILERS
;MOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
3ITlK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
;INK, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES
1
A/C WIDOW 1
REI:NSP,ECTJON
WATER SUPPLY T0:
1
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
HEATER -NEW INST.
GENERATORS-TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COM44ERC I AL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS 1*SIGN TRANSFORMERS
UTILITY -SEWER SIGN TIME CLOCK
_J
UTILITY -WATER
F I XT..RES
SEPTIC TANK
ANTENNA
RELAY
TELEVISION OUTLETS
GRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
1
ROOF INLET
1
SOLAR WATER HEATER
FIRE STANDPIPE I
I
POOL PIPl1G
LAWN SPRINKLEP, SYSTEk' f
GAS RANGE
1
METER SET (GAS) I
GAS PIPIN
■�v � �vs, yr I � �i�ll' ��1�� �II�I ii��t ����� ���il1111111111111
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION'
PERMIT NO. TAX FOLIO NO. II- 3W)(o- 0(3 —a&SO
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
C IFtni 200780541541
OR BF: 25657 Ps 2160 Ups)
RECORDED 05/30/2007 12 :45:46
HARVEY RUVINi CLERK OF COURT
MIAMI -DACE COUNTY? FLORIDA
LAST PAGE
1. Legal description of property and street/address: tL(C.5 yJ c S S
1N`:1 0L^A`_ .
33 t3fs
2. Description of improvement: \i\- cs ALccs 0- S E( c 6- cet.` U r&
C �c Rc7� •
3. Owner(s) name and address: rr\OLk N -Qc. MSC
j4/0 /
Interest in property: 1
Name and address of fee simple titleholder: (4N.`
4. Contractor's name and address: ( -c EL2c -c .�
&4 S
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)47., Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration
different date is specified) l?c-
Signature of (diner
Print Owner's Named ��e4.� r� n
Sworn to and subscribed before me this aC) day of 1`NEs.st , 2061.
date is 1 year from the date of recording unless a
Notary Public
Pri
My
123.01
I �ti0.r " yt NCO A - 6S.. • tiJ
EXPIRES: July 2. '
Bonded nett Natal RING Underwriters
STATE OF FLORIDA, COUNTY OF DAOE
I HEREBY CERTIFY that this is trucopy of the
origin=t l�ms'sol�ceon day of
Ir4111.X ice~ . 20 O 7
JlTN Ofclal el.
y., Circu' a r aunty Courts
:1'1/ D.C•
Prepared by \‘..cstS..o
Address: oay Cs2C(r%c_ the
&lice. . EL(r7 c& 33(S0
To (- 305 --?SB= UU