EL-11-1980Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
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Inspection Number: I NSP- 165871
Permit Number: EL -10 -11 -1980
Scheduled Inspection Date: December 15, 2011
Inspector: Devaney, Michael
Owner: CEDANO, CARLOS
Job Address: 715 NE 91 Street 3 -A
Miami Shores, FL
Project: <NONE>
Contractor: E&C ELECTRICAL SERVICES INC
Permit Type: Electrical - Residential
Inspection Type: Ri�o
Work Classification: Add jion /AIteration
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Phone Number
Parcel Number 1132060440050
Phone: (305)594 -2605
Building Department Comments
REMOVE EXISTING LIGHT SWITCH, WALL SWITCH AND
INSTALL BLANK COVER
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Com
December 14, 2011
For Inspections please call: (305)762 -4949
Page 8 of 29
•
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. It
BUILDING
PERMIT APPLICATION
FBC 20
Master Permit No.
OCT 202011
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Permit Type: Electrical f
OW rl OWNER: Name (Fee Simple Titleholder): h S ce/N) V Phone#: • a /C -g?
Address:
City: 1/i it PI4 S Y l O( 2
State:
zip: `�' � / 5 ff
Tenant/Lessee Name: Phone#:
_/ F
Email: CCCGQ�it - horl/a //'
JOB ADDRESS: . Cc(, (l 0 i e d ik-oO
City: Miami Shores -t? Pr County:
Miami Dade
Zip: 3z / 3 ,S'
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: e c �L- L�i%�� /C4'
Address: i %g ,SL') it
City: P4 I d� State:
Qualifier �(5 5� )6, ji7
State Certification or Registration #:
Contact Phone#: 78 / .3 0 - -/ /7.f Email Address:
Phone #:
al-5-.7-5,i 7t /
Zip: J 3./ 7f
Phone#: 786— ?i22 — / %7r
/2 % Certificate of Competency #: Z9 O 0ti9 /P
j 4>e ej'® G &-G 7J2j 600 G • GPI
DESIGNER: Architect/Engineer: Phone #:
Value of Work for�this Permit: $
Teo �V r%• ` 1 address `'
Descriptiorr of =Wmrk:
I5�•t�0-
❑Alteration
flit°1/6 c:1 1// •111
k
Squr /Linear Footage of Work:
❑Repair/Replhace:
❑Demolition
Submittal Fee $ Permit Fee $ _�i G''i'/
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ $
DBPR $ Bond $
Technology Fee $
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 Fi.RCTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S Mt'IDAVIT: 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.
The fo
day o
me or who has produced t //L who i e ally known to e or who has produced
entification . d who did take an oath. as identification and who did take an oath.
BLIC: •
40/,/,--Jd
b -for
NOTARY
Sign:
Print:
My Commission Expires:
OLGA MENA
MY COMMISSION # DD926081
EXPIRES October 27, 2013
� ."
* * ** * * *** ****4'********* ** ***** ****+ x** *++ r**** ***********+ x+ x****** *m **** **************a*********
APPROVED BY : . // /i a ' /plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)