Loading...
EL-12-162Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 169386 Permit Number: EL -1 -12 -162 Scheduled Inspection Date: February 09, 2012 Inspector: Devaney, Michael Owner: STOKESBERRY, JOHN Job Address: 934 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: MOODY ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)758 -5849 Parcel Number 1132060030140 Phone: (305)758 -2000 Building Department Comments NEW 60 AMP CIRCUIT FOR POOL HEATER EXISTING SERVICE IS 200 AMPS HAS BEEN UPGRADED Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments February 08, 2012 For Inspections please call: (305)762 -4949 Page 8 of 11 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 it Permit No. Master Permit No. Permit Type: Electrical .� OWNER: Name (Fee Simple Titleholder): h f I y / ke s Oef-(LJ Address: ©3J k)€# 611 2L City: U nu n I W$ Sifous State: PL, Zip: 0 Phone #: Tenant/Lessee Name: Q Phone #: Email: l JOB ADDRESS: (fL City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Yvii90044 Address: iii �f ,k1) 0-1 610 City: � State: Qualifier Name: 40-rear / cttco rri State Certification or Registration #: Contact Phone #: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ au/Pr 1( ) Email Address: Phone #: Zip: /Q) Phone #: Certificate of Competency #: ic,tu Type of Work: ❑Address ❑Alteration Description of Work: l ® C' G� Phone #: Square/Linear Footage of Work: ❑New ❑Re 'r/Replace UDemolition a, `0-7 f /S Ain s /6.ze q . * * * * * * * * * * * * *** * * * * * * * ** *** * **** x** ** * *Fees********* ** * * * ** x******* ************ * * * *** ** Submittal Fee $ Permit Fee $ /.." . C G- 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 reinspection fee will be charged. Owner or Agent The for- oing instrument was acknowledged before me this day of �Ii�l_1L , 2012 by . / i�%j Jhot berry , who is p 7 sonally known to me or who has produced / As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expire MARY PAT BRIGGS MY COMMISSION 9 OD 979267 ^ EXPIRES: May 11, 2014 4',16,110 Banded Thru Notary Public Undenvdtere * * * * * * * * * * * * *** kph** * ***+k*****ek**** APPROVED BY The foreg.' day of who is pe 'onally known to me or who has produced Contra or g instrument was acknowledged before me thi , 20 /%%by as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commiss , AlAkA, iL, fl_.°,44,.. TIT 111,,, /,i MARY PAT BRIGGS s MY COMMISSION # DD 979267 4? EXPIRES: May 11, 2014 co.' Bonded Thru Notary Pubic Underwriters ************ ********************************************************* 'tans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) , Zoning Clerk