EL-08-510Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 04/11/2008
Inspector: Devaney, Michael
Owner: SEIDLER, SARA
Job Address: 1150 102 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: LUZER ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
leo.Work Classification: Repair
Block:
Phone Number
Parcel Number 1132050190170
Lot:
Building Department Comments
REPAIR ALL ELECTRICAL DAMAGE
Passed
Inspector Comments , 1 r 2-
0 �`fr j
7 ( /
it//e9f /rl d
ti---.
CP /�
/'/ , - f ro r J72, - -
/ '2'6)
%/ Ail,
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Thursday, April 10, 2008
Page 1 of 2
3r,. .
ate.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
''' z , T
,.........
MAR 242 ',
B Y: it----
Permit No. U SI 0
Master Permit No.
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) 5NriN S tt\ - Phone #665) dg - 4 gO'
Owner's Address \'1 5-0 N 1 D 'S\
City VIAnMq ''%NDr• -e- State F Zip 31) `3C?
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Villaae County Miami -Dade Zip
FOLIO / PARCEL # % r59..cys -O%-O'-ID
Is Building Historically Designated YES NO
Contractor's Company Name -t1` °Y' Et � t`te. Phone # �05D &(4? 95-'3 1
C
Contractor's Address a�� 1 i� L.,-5 V5 I..1
City Mttla+tit �rF��k3 *+► State ?r-.. Zip "Y-5 "5-(+
Qualifier Name �5 �-61& O `� Phone # .'» -J tag 1. 49S M 1
State Certificate or Registration No. CC., ObO 20-45 Certificate of Competency No.
E -MAIL:
Phone #
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Nik
Phone #
lV/4
Square / Linear Footage Of Work:
Type of Work: •Addition DAlteration ❑New
Describe Work: b f� E4-i ft dv ° rpL37 J -f 4 E��
I
Repair /Replace ❑ Demolition
*****-*** * ** * * * * * * * * ** * * * * * * * * ** ** * * ** ** Fees********* *x * * * * * * * * * * ** * * **
Submittal Fee $
Permit Fee $ JEZ/ 5 CCF $ .4 CO /CC
Notary $ a Training /Education Fee $ (. 40 Technology Fee $ C.56
Scanning $ X.W Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 2,7 $.4-11
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. 1 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 ,..:n
whose propeertr� is su get g_nliwt rt� , - j£eu campy orzrze recr raezi nonce o commencement mus be post�irc�i di d
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.
Owner or t
The foregoing instrument was acknowledged before me this p®
day of ! ; - li , 20 00, by SA g.A l D R"'
who i
Sign.
Print:
o me or who has produced
As identification and who did take an oath.
UBLIC:
4
Iii•. ,t, frmiirmw�- --:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02 /08/06)
Contractor
The foregoing instrument was acknowledged before me this / g74
day of - 200C , by L-e< Per ,%S"
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
ign:
rint:
y Commission Exp.
* * * * * * * * * * * * * * **
/" /PPlans Examiner
Engineer
Zoning
has
1
Meter: /B Main
Disconnect.
Sara Seidler Residence
1150 NE 102 Street Miami Shores FL.
t
Reconnect existing 2" EMT
cond. with 4 # 2/0 THW cu.
2" FP &L
Lateral
Conduit with_��
Aluminum
Conductors by
FP &L
New 200amp - 120/240volt 3
�-- phase Nema 3R Meter
Enclosure & Fusible Main
Disconnect Fused at 200amps
2" nipple with 4 #2/0
THHN/THWN cu. conductors
ter-_ One %" Sched. 40 PVC Cond.
with #4 cu. cond. & Two 5/8"
x 8' cu. clad ground rods.
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Plans by:
Luzer Electric, Inc.
3371 N.W. 154th Terrace
Miami, Florida 33054
Phone: (305) 681 -9531
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Existing
225amp. MLO
120/240volt
3phase Load
Center
Les Perkins
State of Florida
County of Dade
Subscribed
BAR
BY: u
EC0002225
• re me this TIC- day ofN%gr (20
'
Nota';` 'ublic
"'mot BARB ARAM. CAMPBELL
MY COMMISSION # DD648266
%cc" WIRES: May 31,2011
1.030.340rAtty *WY Maud Asko. Co.