EL-11-526Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
-51'5
Inspection Number: INSP - 157619 Permit Number: EL -3 -11 -526
Scheduled Inspection Date: January 23, 2012
Inspector: Devaney, Michael
Owner: LONGMAN, JOHN
Job Address: 333 NE 92 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number ()-
Parcel Number 1132060136370
Phone: (305)758 -1211
Building Department Comments
EL WORK FOR GARAGE CONVERSION
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
January 20, 2012
For Inspections please call: (305)762 -4949
Page 2 of 47
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 3313.8
Tel: (305) 795.2204 Fax: (305) 756.8972
B ILDIN G
P RMIT APPLICATION
F ,C 2008
Pe mit Type: Electrical
Ow er's Name (lee Simple Titleholder) _F., 6/1,1, L.■-•,�✓ Phone #
Owner's Address 33 33 /': . 50 . "4
Cit Grp State
Permit No.
/11.1
MAY 2 6 2011"
B:''
(I- 524.p
Master Permit No.
Te
nt/Lessee Name
E- AIL:
Zip .33/ 34S
Phone #
Jot# Address (where the work is being done)
City iami Shores Villa e
FOLIO / PARCEL #
Is L3uilding Historically Designated YES NO
ii
Co ' tractor's Company Name 4/6— /1_097,1i Piet-797k,-
Co tractor's Adds' ss A Li 11
)�
to
S
Qu lifter Name ? ~c.4,4 .
Stag Certificate or Registration No.
E- AIL:
J, e;
County Miami -Dade
Cit
Art
Va
Ty
D
Zip
Phone # 3 7$$ 191/
l 3 7 3 Certificate
hitect/Engineer's Name (if applicable)
Zip .31 24g.
Phone # /79— /36/
of Competency No.
e of Work For this Permit S S OOb,' Gt5
Phone #
Square / Linear Footage Of Work:
e of Work: , Addition ❑Alteration ❑New
cribe Work: /9-..,4 "R.* 457,%,�'j
❑ Repair /Replace
❑ Demolition
xx; *xxx it* * *x * * ** * * * * * * *x *x *Xx & * * ** Feesx****x***x* xxxxx * * * * * &x *Xx** * *xx *xx * * * * *x * *x
SuhI mittal Fee $
Notary
Sc 'nning $
Bod$
St ictural Revie
Permit Fee $ 2.25 e & 3 i j/� CCF $ CO /CC
Training /Education Fee $ Technology Fee $
Zoning $
.$
Radon $ DPBR $
Code Enforcement $ Double Fee $
Total Fee Now Due $
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. 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 att ment. Also a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which s curs sev ) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be apprs ! : and a ' in • . ection, fee will be charged.
Signature
The foregoing in
day of
who is
At."
or Agent
rument was acknowledged before me this
,20 L. by
ersonally known
NOTARY
Sign:
Print:
P
o me or who has produced
As identification and who did take an oath.
IC:
fist. Notary Public State of Florida
0. Michelle Perez
Commission EE002809
04/08/2013
My Commission Expires:
. xxrx rx xxx x >cx xxxx w* xxxxx x x yew
APPLICATION APPROVED BY:
(Revised 02/08/06)
Contractor
The foregoing instrument was acknowledged before me this
day of
who is
, 20 IL, by
erson, Ily know
o me or who has produced
as identification and who did take an oath.
NOTARY PUBLI
4
My Commission Expires:
*lc*Xxxxxx xxx xx xY. XY.xx xxxx xx xxx xxx xxxxxzx
:xXxxxxxxxxXY. ,c **W* x xx *f*xxxx
/
Plans Examiner
Engineer
Zoning