EL-08-2105Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Scheduled Inspection Date: April 09, 2009
Inspector: Devaney, Michael
Owner: ROVITO, OSCAR
Job Address: 1225 NE 96 Street
Miami Shores, FL
Project: <NONE>
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060143800
Contractor: ON CALL ELECTRICAL CONTRACTORS INC Phone: (786)388 -5880
Building Department Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
9/2--
April 08, 2009
Page 1 of 42
►�Icz Miami Shores Village
n Building Department BY:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit No. O 9l (9S-
Master Permit No.
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) $ 05C AR KO V I TTD Phone #
Owner's Address 12 25 N C . 94, S a-
City flit 6...44' State of 4 Zip
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) ! 2 2-S 'NC • 9( S <f'
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name o'u Cn j /t°/ a
Contractor's Address "76, you✓ 2,5"--3 <J- °1 /dam
City mi. State �l
Qualifier Name Xf1U /As Co / ic
State Certificate or Registration No: ( cs c o 97 V7
E -MAIL: c t t I C /Gck,CC., ak, Jl I-t • Gook
Phone # `7 '6,- 5`7 7 - 75 7 y
Zip .g4 /2'Z
Phone #
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
Square / Linear Footage Of Work:
Type of Wbrk: ['Addition ['Alteration f New air
a /Re lace
p � p El Demolition
Describe Work: lieLoc, . 'L - Aue4t. eut t 'e2 t'/ of 410-40 •, 0-4 EX
a.talawr94
.... Y**** xxxxx *a4de****xsF4eoY********* * ** Fees * * * *' * %x *x *' * ** * * * * ************ * ****fie******
Submittal Fee $ Permit Fee $ /60 'GPO CCF $ CO /CC
Notary $ Training /Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
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 whcurs seven tea,, er the building permit is issued. In the absence of such posted notice, the
inspection will not be ac{,.+ and a reinspection - will be charged
Signature �% �` � 007r0 Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 5 The foregoing instrument was acknowledged before me this 6-
day of 4K. ,4 , 20 )B, by V OSCAR (z0■411-TO, day of lei iii , , 20054, by (,, taw.,-6,r ilts
who is personally known to me or who has produced who 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.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
NOTARY PUBLIC:
Sign:
Print:
My Co
ij?IRES: March 22, 2010
'Rau Notary Pitlia undenvnte:
*c**xxxxxxxxxxxx
* x xxxxxx xxxxXxXxxXxxxxxxxxxxxxx xxx xxxxxxxxx xxxxxxxxxx*Wxxxxxxxxx•Y.xxx
APPLICATION APPROVED BY:
(Revised 02/08/06)
BOG® Plans Examiner
Engineer
Zoning