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EL-07-1677Xt Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 fM:, rPDK4F�ftF •Y.Q•�M•fA•7iW.Y?�iR:;! Inspection Date: 09/19/2007 Inspector: Devaney, Michael Owner: ROMAGOSA, CARLOS Job Address: 1098 99 Street NE Miami Shores Village, FL Project: <NONE> Contractor: P&M ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)762 -6178 Parcel Number 1132050180160 Lot: Phone: (305)949 -6373 Building Department Comments 200 amps underground service SEP 202001 Passed Inspector Comments �� ,01-7?____ ��- / !i Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, September 18, 2007 Page 2of2 1Vliami 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 Owner's Na►ne (Fee Simple Titleholder) Owner's Address 0 C `g z R.NArki State Tenant /Lessee Name Permit No. EL AUG 9 2007 Master Permit No. BY: VW A- 16k„ Phone # %-)°Csa (,?g Zip -57 p; E -MAIL: ? S .'k o CQ ' Job Address (where the work is being done) J\-. 1.e- City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES Phone # Zip 33 L3 g Contractor's Company Name � £[ t - t c_ me- . Phone # /6 99 " &9372' Contractor's Address`` ��/ 93 Al'-‘- Pie? 57:- Al/Z; r7� o it City t4 i State P.-4 Qualifier Name $ea, �� ` fi e® Phone # 5 • 1-- `772 Zip State Certificate or Registration No. /3e6/ g 7$ Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Value of Work For this Permit $ co. 00 Phone it Square / Linear Footage Of Work: Type of Work: ❑Addition DAlteration ['New p< Repair /Replace Describe Work: fii011-fi%s .G 4-49 u. q0f ❑ Demolition ******* * * * * * ** * * * * * *XXXXXX * * ** * * * ***** *Fees X* XXXXX** XXY. Y. Y. X * * * * * * * ** * * * * * * * *'X * ** * * * ** * ** Submittal Fee $ Permit Fee $ ii,°7,5-d, CCF $ ' 00 CO /CC Notary $ 5..00 Training /Education Fee $ o�C�O Scanning $_____________ - Bond $ Code Enforcement $ Double Fee $ Technology Fee $ 1q- Radon $ DPBR $ Zoning $ Structural Review. $ Total Fee Now Due $ ) -75 • 44 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. l 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: 1 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first ins ction which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will t be approved and a reinspection, fee will be charged. na Signature Owner or Agent The foregoing instrument was ac cnowledged befo�r%� m this day of .TO�y , 20 ®7, by e4eg v, i SignatureC'��: Contractor The foregoing instrument was acknowledged before me this day of 44'Cr l , 20 al , by r ?t 1 .K.1 / who is personally known to me or who has produced who is personally known to me or who has produced 7 '41"i Lc 4 ,533 as identification and who did take an oath. -- � Nl o29ign: 05c6\ 'o 4 bp ` As identification and who did take an oath. NOTARY P ' LIC: Sign: Print: NOTARY PUBLIC: ?/Z My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) OV"tlik •MMISSION #`DD 502792 2010 °4 EXPIRES: January 7, q" Bonded Thru Notary Public Uralertettem int: y Commission Expires), x,:xx *iexxxxxde,Y *or *xxxxxxx, wwx,Y,t,Y *,k,Y,t***wx &xxte oo' *xxx xr. x*xxxrxx,Yk,cx* Fx ,'9,(00-2— S° Plans Examiner Engineer Zoning • .•. • • • • • `fit- 1_i)..-/e_.. • : 20O. Meter/main Panel A "of ett CINff ELECTRICAL CONTRACTORS 1936 N.E. 148th Street North Miami, Florida 33181 (305) 949 -6373 Dade CC#16353 Broward CC#86 -CME- 1046 -X 1 112" w! (3) 2/0 thhn ale,- while_ /b qi Att.- 19 597 /4,a m. 5%©.43 P/. 33 /38 INSIDE HOUSE Ex. 200a PALO Penal B ¶llrgr.redsmhi. . B' apart •• .•• • • •• : • •W • • • ,• ,� • • • • • ••• •• • . • •• •• ••• •• • • • • • • • .. • ▪ •• ••• • O 0 • •• • • • • • • 6 1e, o , •Sc .r 7;17-45.10,- 1;-,4 eleeie- / 6C L ® /8z$ • , , . • • • •• • •• • . • • ,• • •• • , • • • • •• • , , • • • • •• •• • 00 •• • • • • • • •