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EL-09-920
6 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP-115745 Permit Number: EL -6 -09 -920 Scheduled Inspection Date: December 10, 2009 Inspector: Devaney, Michael Owner: RIVAS, JORGE Job Address: 53 NE 101 Street Miami Shores, FL Project <NONE> Contractor: RYAC ELECTRIC COMPANY CORP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132060131530 Phone: (305)308 -5061 Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments DON'T FORGET DRAWING FOR RAISER DIAGRAM FOR FINAL INSP. (PLEASE ATTACH THEM. IN FILE) December 09, 2009 For Inspections pleaE9 call: (305)762 -4949 Page 2 of 34 Miami Shores Village Building Department f0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING REC LE O V ED Permit No. 9, °" PERMIT APPLICATIO ` JUN 0 3.2009 Master Permit No. FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) SOK 6e I. V45 Phone # 3l)S ` LI3 9.90©0 cG-1 Owner's Address t City tt i'4 ' S Ms State pni D(; Zip 3 3.1 Tenant/Lessee Name PIA- Phone # N /I} . E -MAIL: 301z6F iv It @ C9 ('457:- Job Address (where the work is being done) 5", p . g . Q 0 Q St i-f d'a' • 5140(L05 ('i4 ie) City Miami Shores Villaae County Miami -Dade Zip FOLIO /PARCEL# 1fi- at4 -O —163z, Is Building Historically Designated YES NO X Contractor's Company Name Contractor's Address , J% ,� 1_ City .s:,.e,.si i' State P.Zr® 49 Qualifier Name 11C4 CJD Ac is 4e. 74C �v..�.✓ fI .fie e✓fie.,r> °e Phone # 3 615- ,640,',1-0 6 / zip 33 sS Phone # State Certificate or Registration No. Certificate of Competency No. OS -44- d3.44- ®d E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: []Addition []Alteration DNe pw ❑ Repair/Replace ❑ Demolition Describe Work: CoFJ 'Qtt '��� '1M1.) Gil& 1IQ* k mot r'gpvii PAILz p05-1/4t 1_p - • 77,9x 1 vk)/» ct - 824/96 Pt's 305 -1190 Submittal iee $ — Permit Fee $ o CCF $ 64 CO /CC Notary $ Training/Education Fee $ 6.7, Technology Fee $ 'S oe... Scanning $ 3.00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Structural Review. $ Total Fee Now Due $ 1 ?L9. 12- Double Fee $ 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 A} HDAVIT: 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 52500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be del' ed to the person whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must post' , at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence o such p' ed notice the inspection will not be approved and a reinspection fee will be charged Signature �� ;i Signature . / Owner or Agent Contractor T h e f o r e g o i n g i � A I I I I t was acknowledged before me this 1,4] The foregoing instrument was acknowledged before me this 1 day of .3.--on ,Q a by �61 e vas , day of _ a ' 20 /) by ' kcsi, , 20 i � ccxro�Q who is personally known to me or who has producedwho 573000 Asi ' on and who did take an oath. lit 'UBLIC -STATE OF FLORIDA NOTARY PUBLIC: ,.•° "'°°'�°•,, Geeta Springer I , / s ' i7�, cCommission#DD562704 ,.s. „ °...•° Expires: JUNE 12, 2010 sign: — w.rwri� a� is�. F +&D THRU ATLANTIC BONDING CO, INC. Print: A'_ , ! 5e rr' v 5 -eJ My Commission Expires: (oft aJ/Q me or who has produced NOTARY P Sign: Print My Commission Expires: Co c9110 ,t **** ter***** it*l c** f, t,., �***** * * **it* * ****� **is**,�,� * #,afit *f *****,.fill : **** * * # #i,t* ## *ink* *ft** *,tit`**,. ** * *##itwi #*fink *** ' t C nd A TE h OF dtRakIDe A an oath Geeta Springer ;Commission #DD562704 Expires: JUNE 12, 2010 C BONDING CO. INC APPLICATION APPROVED B (Revised 02/08/06) Plans Examiner Engineer Zoning FPL t'rANS RYAC Electric Company Master Electrical Contractor 771 N Nov u 2009 rJ Licensed and Insured Lic # 03E000078 State Reg. # ER 13012579 Revised, P.O. Box 45 -1105 Miami, Florida 33245 -1105 Tel: (305) 854-6965 Fax (305) 856 -0325 Mobile: (786) 251-3718