EL-07-553Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 43832
Permit Number: EL -3 -07 -553
Inspection Date: 06/22/2007
Inspector: Devaney, Michael
Owner: JEAN, JULNOR
Job Address: 375 111 Street NW
Miami Shores, FL 33168 -3303
Project: <NONE>
Contractor: MICHAUD ELECTRICAL SERVICES INC
Permit Type: Electrical Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1121360010760
Lot:
Phone: (786)273 -1270
ELECTRICAL FOR KITCHEN REMODELING
JUN 252007
Passed
Inspector Comments
z . ,I..
.2�'� e 0
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Thursday, June 21, 2007
Page 1 of 2
.
wdlt
Miami Shores Village tidc Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. 07
taster Permit No. ®1 415
BUILDING
PERMIT APPLICATION
FBC 2004
RECEIVED
MAR 2 X 2007
DY.62/11\4
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) (s'� A/c f 6 /9Ai Phone # a 05;7:)-5 ' 69z4
Owner's Address 3 75
City // i I
Tenant/Lessee Name
E -MAIL: ...� /Witty > y+t k/ k.
State
Job Address (where the work is being done)
City Miami Shores Village
Zip
Phone #
3 s j
FOLIO / PARCEL #
County Miami -Dade
Zip
Is Building Historically Designated YES NO
Contractor's Company Name MCC- gc _ck
Contractor's Address 3ff2 k11113 aDl s1--4z4
City + i C4 � � State 'PC)
Qualifier Name 3inft?
�ary
Phone # 7$-273 —/27t
Zip ,33OS3
Phone # 7 a - 2 - 7 3 ^ / 2 70
State Certificate or Registration No. `3�/2 773 Certificate of Competency No. 0.36®®® ?o
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ / 2
Type of Work: ❑Addition ['Alteration
Describer Work: Add f (.V o 6 f
Phone #
Square / Linear Footage Of Work:
❑New gi Repair/Replace
COO i' v
❑ Demolition
1114/LC
******** * * * * * *xxxxx * * * * * * * * * * * * * * * * * * ** Fees * *** ***** xxxxxxxxxxxxxxxxdexxxxx ********* ***
Submittal Fee $ Permit Fee $
Notary $ Training /Education Fee $ ti 20
Scanning $
Bond $
CO
Radon $ DPBR $
Code Enforcement $
CCF $ 0 CO /CC
Technology Fee $ • 113
Zoning $
Double Fee $
Structural Review. $ Total Fee Now Due $ 1 51.55
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. ( 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.
The foregoing instrument was acknowledged before me this 0
day ofi ekt__, 2002, by 3 uh io r \e ,
who is personally known to me or who has produced,* 17) .
tocaurqs identif .. tion and who did take an oath.
LOi E3
fcife of FB ossd'
DD2942C,2,
My Commission Expires
Contractor
The foregoing instrument was acknowledged before me this 2/
day of /'Afro i- , 20 ® ?, by 7 //vow L,h a/-7
who is personally known to me or who has OMIlibit
��� p. ACy /j ii�ii�
b10� t as identification a e o
NOTARY PUB : : 7.2°°,s � t
.� N• r.
it• ap.•' •
1200
•
¢ `
Sign: '� 8DD a oQ •
Print:
My Commission Expires:
xxxxxxx,exxxxx, x 9c, Y**** ie,' cxxx dr**** ,Y****,k****xxdede**wwxxx,Yxxxx xxxxxx xxxxxx ww **,Y**seoe,e *xxx*
APPLICATION APPROVED BY:
(Revised 02/08/06)
0,1 Plans Examiner
Engineer
Zoning