EL-11-1230Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 164095 Permit Number: EL -7 -11 -1230
Scheduled Inspection Date: September 06, 2011
Inspector: Devaney, Michael
Owner: JULMISSE, HARRY
Job Address: 24 NW 109 Street
Miami Shores, FL 33168 -4315
Project: <NONE>
Contractor: WIREMASTERS ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1121360110190
Phone: (305)378 -4011
Building Department Comments
WIRE AND INSTALL 5 GFI OUTLETS IN KITCHEN
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
7/
September 02, 2011
For Inspections please call: (305)762 -4949
Page 33 of 36
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aC °O,Ea6W. Building Department
` li t I I I - Hpallx paxlsL 'MCI' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
t — 1:0 iNit< 0- rizfae Tel: (305) 795.2204 Fax: (305) 756.8972
fE!S - 41.4% ®") INSPECTION'S PHONE NUMBER: (305) 762.4949
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BUILDING
PERMIT APPLICATION
FBC 20
JU 11El
Permit No. eu 1 12.3 C�
Master Permit No.
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): �+ J i t_; If _u s� �� j i�"n�"3X1Phone #:
Address: q
City: u\s_‘ State: 9 _ �_ Zip: 5 3 \ ci
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: $ ( d
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel #: -- l — 1 cb'
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: L`d:' 4- 4' a ? �' ; -e h Phone #: s Tti
Address: .1 a's. i d l --,71?: m_ b
City: - - n State:
Qualifier Name: `,t s i_ ( tl
Zip: L__f
Phone#: 1 ` C7'7
State Certification or Registration #: -J 9 = J t . Q: t $r (r ' Certificate of Competency #:
Contact Phone #: (1:30"3-‘, 1 ? > 9 Email Address: ill( t" `Z °l� - -�' - ��- ',h�_r�n ��� —� 6✓��a t i�tl 1 C . - �_ %1 Y
DESIGNER: Architect/Engineer: Phone #:
.•c
L
Value of Work for this Permit: $
t" s Square/Linear Footage of Work:
Type of Work: ❑Address ®Alteration UNew ORepair/Replace ODemolition
Description of Work: 44,,a f y T.-11 f .;i "l l - 6 c, f 5 ,A tykl
** *********** ********** **:x ****** ** ***** Fees***** ************ **************** * * *** ******
Submittal Fee $) . C % Permit Fee $ Ace' f'G'' 0 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ - Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspeetion fee will be charged.
Signature
e.0
La'
t A�4.11 Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of k-kfit , 20 I S , by ` c C day of tlL-- L , 20 I B , by I •
who is personally known to me or who has produced TA y who is.Rti:sonally own to me or who has produced
J .e a Ok ^- ,,(,z ;-7As entit cation and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
17"_‘ D
Contractor
The foregoing instrument was acknowledged before me this
Sign : 177-
Print: (<kTr+ 1't k i i Y *_)AykkOMMISSION # nn8QM790
My Commission Expires: �4 mat i -WIRES y 09, 2012
(407) 3 8-0153 FloridallotarySarvice.com
Sign:.s`
Print: r
1
My Commission Expire.) 3
i ICKPRANA FARMER
OtAySSION # DD804790
EXPIRES (J�ull +Y 09, 2012
73 0FioluiRd2 aryl.B coR,
**. *>k* k*>k*3,e,;ex*asae** ** ***** k k3.:x*3.e**>k** ***** *x$c$c.,+e****>k$e**** k3, ***** *>k*3.e**3.aac*******. 9c. �zk 9<$ e> 4>; e$ e: g$ e$ e,k'k *3.c$:,k****%k**ae******
APPROVED BY
/7
l J 4"- Plans Examiner
Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Existing
outlet
JUL 1 1 201
BY : .,(J.9....
Kitchen Layout
CITY
Y
GFCI
Pantry
NO POINT ALONG COUNTER TO BE MORE THAN
2 FEET FROM G.E I PROTECTED RECEPTACLE.
PUT DIW RECEPTACLE UNDER SINK.
ALL FIXED APPLIANCES ON DEDICATED CKTS.
ADD SMOKE./CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER
INSULATED C0_NDUCT_ORS TO BE REPLACED.
Refrigerator
GFCI
Harry Julnisse
24 NW 109 ST
Miami Shores ,FL 33168
Miami Shores V Ilage
APPROVED
BY
DATEEXI:
ZONING DEPT
OUtll
BLDG DEPT
SURJFCT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
ting
WIREMASTERS ELECTRIC, INC
1 2201 SW 128 CT, Suite 101
t liami, FL33186
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