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EL-11-807Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 fliiro Inspection Number: INSP - 161857 Permit Number: EL -5 -11- Scheduled Inspection Date: July 12, 2011 Inspector: Devaney, Michael Owner: SANCHEZ, LESLIE Job Address: 480 NE 91 Street Miami Shores, FL 33138- Project <NONE> Contractor: BI US ELECTRICAL SERVICE INC Permit Type: Electrical - Residential Inspection Type: Undund Work Classification: Alteration Phone Number Parcel Number 1132060190020 Phone: (954)303 -8272 Building Department Comments REPLACE ALL OUTLETS, SWITCHES, AND OUTSIDE FIXTURES. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments /� I-al-7 26P 1( July 11, 2011 For Inspections please call: (305)762 -4949 Page 14 of 14 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 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Address: *b0 t• 011 ST at�MAY0u2011 Permit No. Master Permit No. I.1ii51.0 S NO-I Phone #: 305.45o • x7301 City: MIAMI Wares State: rt. Tenant/Lessee Name: Ni/x4 Sok NJ CAN'T-1- Email: 01e..1 YYIOYYbC •iii ®'91M'Ai t . CJV%1 Zip: 33ie• Phone #: so- S3 0 JOB ADDRESS: C/KNAFi % o N3.. 4 g I SC City: Miami Shores County: Miami Dade Zip: '1 313 Folio/Parcel #: ‘1 '110 0 V\ 0 0 a� Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 8l �s �- r ecvir,TL Phone #: 9s $ 303- 0 z 71 a / /t/. 6. % /4- Address:, //�� C City: ilyAo4pv-�Ic 640' State: / l Zip: 3304.4 Qualifier Name: 72efre Val f/ )'$4t Phone #: 914/-7192 -7S&""/ State Certification or Registration #: eeigd d a 67/ Certificate of Competency #: Contact Phone#: 94-44 303- P17 Email Address: /4 f0 8/ a `► C - (it.77 DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ . Type of Work: ❑Address ❑Alteration Description of Work: /1/6)7/ mil' / f' fi 9 ie Ar• 6 • �i /J /%I Square/Linear Footage of Work: J<Tew ❑Repair/Replace ❑Demolition /00,- gr Z U f/ ******** ** *** *** * **** **** * * **** **** * *** Fees************* ******** * **m*** ****** *** *** **** Submittal Fee $ SO . Permit Fee $ /42.2P > ' CCF $ CO /CC $ Scanning Fee $-4-i Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Y 1 S' ��/ 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 COMMENCEMENTS" 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 Owner or Agent n The foregoing instrument was acknowledged before me this /� day of Ate I L- , 20 l■ , by (j�ut S GN4X - , who is personally known to me or who has produced ( ) As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: `` 1 ill S rr��f/ ® ■ My Commission Expires: ********* ****** ****** APPROVED BY i S ?. " u11 Signature \--/ //LA )7j4& ✓i Contractor The foregoing instrument was acknowledged before me this (1 d.y of do% , 20 (t , by f(r r�/i ✓�L(P' or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign(_ Print: lAsi t V IL 774.4.0 S My Commission ExpiriNITARYPUBLIC.STATE OF Ft0PtA William R. Thomas 2013 ********* *m ****** ******* ****** ****** **************+x ******* **mom omigititxsewst ..:** �Co � Cey Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk Miami Shores Viiiage Building Department RECEIPT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT #: CL( 1 --0 7 DATE: ► - ` t 7 ( ``Th ' c I Br(( c,(.., ❑ Contractor /MI e-t ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) Atnil_Ac_A-M.1-1 —CO 'DC w0-1 AZ V ZJ Z Address: 4 c) 1 S-1 From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: C C E -i—cs/o-- Miami Shores Village 711'VO' DATE APPROVED ZONING DEPT BLDG DEPT _ 4‘,---/)--%*2 }°Ares?Y // SURIFCT TO COMPL ANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS a ©NC 9t fPL A4/1 e. TY PY A/Zn/ erne S4.42146.- /40 7? q 7`D a vO ,9mP• C. MAY 0 6 2011 \BY:.... ........ C CO 0) 0 A/ew/ e »sir�f'W C 94r y, rpt ibsikic zO' yD/L AD ArrxOR ADD SMOKE/CARBON MONOXIDE DETECTORS. ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. .9-14 19m, "911d c 1 pp PPP /1DA t 0.7 4/1• 6D fr '(J' /17th / Or'ono rd 34 yt/eik