Loading...
EL-09-347Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: April 03, 2009 Inspector: Devaney, Michael Owner: FILS -AIME, BERNARD Job Address: 453 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: JC ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition/Alteration CiiiiPhone Number arcel Number 1132060170410 Phone: (305)754 -6949 Building Department Comments OPRp8CA" Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments April 02, 2009 Page 7 of 14 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 20 Permit Type: ELECTUCAL Owner's Name (Fee Simple Titleholder) Owner's Address City Aliavo l J /,d f e4 State f/ / Tenant/Lessee Name 7 /4' Email mar /.re q eip a CEWEED MARS 06 2009 DWI Permit No. EL 09 ■ Master Permit No. fQ/lSC �6 «~ tin e_ phone 305- 4.7s 7 57 L�-53 E ! 7 S Zip 3 34 ?,S" Phone # Job Address (where the work is being done) City Miami Shores 'Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES 455 /Ye'yt ,57` 33 /3: NO >< Flood Zone i70 Contractor's Company Name ! c— —r^ • �. Contractor's Address f y? 3 7 C-= Phone# °S- CityA4 4-1.N° State F / Qualifier Name . S Cr U 2 Q-- State Certificate or Registration No. _ 0 Contact Phone 3e. S ) S 1. J ''CJ E -mail Zip ?. 1 rl= Phone # 0 5 L/- `15; Certificate of Competency . Architect/Engineer's Name (if applicable) 04 IQ Phone # Value of Work For this Permit $ - 3 0 ©. Type of Work: Describe Work: ❑Addition U r °C$ ❑Alteration Square / Linear Footage Of Work: [New ❑ Repair/Replace 0 Demolition c_ 10( �x �x x� * *** * * * * ***** * * * * * * * *** * ** Fees*********** * * * * * * * * * * * * * * * * * *** * * * * *** * * ** * Submittal Fee $ 0 r I Permit Fee $ /lp e// , 0 i. CCF $ 1 d� CO /CC Notary $ . Training/Education Fee $ O. (' C) Technology Fee $ 4: l7t) Scanning $ 7.0) Radon $ DPBR $ I Zoning $ Bond $ (ode Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ (1? 14 . r) See Reverse side Bonding Company's Name (if applicable) • Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) niet 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 G -_ - // Signature Owner or Agent ^ / Contractor The foreg.'ngyinstrument was ackno ledged before this 4 . The foregoin nstrument was acknowledged before me this day o °yes 200q, by cf., oiV1 �s i s° (A) day of hi At <--e--A , 20 dr, , by J C, Pag-, v,. , who is p rsonally known to me or who has produced 1 1 who is personally known to me or who has produced F® L- L dentification and who did take an oath. x"36 L' ' 6o l?denti cation and who did take an oath. NOTr3 IC: Sign: Print: My Commission Expires: NOTARY PUBLIC: Sign: Print: My Commission **** *** : *****: x***** ***: x***: x* *: x: x*****: x***** *x ::x*:x*** **** ** * *** * * *** * **** ** * * *** **** x**:x**** * * * ** ****:x ****** ** APPLICATION APPROVED BY . (Revised 07/10/07) J4Y%�� Plans Examiner Zoning Engineer Clerk checked 3180.00 1 ^ - 4 r ' ' - . (S - 4/C-3 NS, 99 s+ 161 -4f eI , 5* -f .Q to ` i/b _fee — ( Fo � � Sew ✓ tL el alp LA &kg Ch-iv GT, It.e, or 000 1-r0 M.3 y. r 6. Aw _-- �Q_gJCT M . –L- Lc' CQ n a, r- 1 3 ' to ea t iC, or irt_ S-Cc ey ®7-6 y SJ --, :31, li?,;- Miami Shores Village