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ELC-09-1326Miami 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 AUG TilVEZW/Elpi, 1 0 Ng BUILDING Permit No :EIC/ OEkQLp PERMIT APPLICATION Master Permit Nol ./ Ofi' FBC 20 Permit Type; ELECTRICAL -7 Owner's Name (Fee Simple Titleholder /✓/ ` # /%g" Owner's Address w299 City /A4A//4412 State Zip 03/3r Tenant/Lessee Name /, �/ Phone # Email OU /la /" /� t��xv /--. G Job Address (where the work is being done) 0Q99 9 J / C17 itra. City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO County Miami -Dade Zip %mod 4114141CWL" (14e ood Zone Contractors Company N a m e 4 m € g f e iV ,C PS 7 /VC Phone # Y c42 8 7 r8 11 Contractor's Address 1 / 9,9 0 ..,,� /9 �,+ � i,/ i i" ; City Hp) / 11 1/" a- -ej e State i�J ____ _ D Phone # T 0 j— teo y 1--0 9 (1 State Certificate or Registration No. C 1 D® ?e Certificate of Competency No. Contact Phone 3' C 81) k{ b E -mail FPO %) a ©- Y'l) re 10 coo) „ C 6 rn Architect/Engineer's Name (if applicable) Phone # Qualifier Name Value of Work For this Permit $ Type of Work: Addition ['Alteration New A epair/Replace ❑ Demolition Describe Work: Square / Linear Footage Of Work: ***************************************F ************** * **** * * * *r **** * * ** * * * *** * * * * *** Submittal Fee $ �� Permit Fee $ ® ®''®® CCF $ q • V� CO /CC $ Notary $ �,r,, � — Training/Education Fee $ 3"00 Technology Fee $ IU‘CO Scanning $'E3•uL/ Radon $ DPBR $ Bond $ Double Fee $ Violation date: (D alt() Review. $ Total Fee Now Due $ (Jlqq� ! See Reverse side -5 Bonding Company's Name (if applicable) mss' / il'�/ (e v./1//11 Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) /49A-11--- t//U/ r 7 Mortgage Lender's Address 300 9f � Q City /ii/ State Zip ? -3j �O 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 ' the notice of commencement and construction lien law brochure will be delivered to the person whose property is s iiect to c 'nt. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspect n which urs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b ap s v ' ' a reinspection fee will be charged. Signature r or Agent Signature Contractor The foregoing instrument as acknowledged before m is 6- The foreg 'ng instrument was acknowledged efore me this this day of dS' 202?, by �IIL /a e /1477, 4. day of fJ !%e' , 2(k) `�, by 2 Lka �! eeC 1�� who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: ($4 6 Print: /9,0`V 4 77 C ,)SS•) My Commission Expires-0-3 amuueskeloNapuoU £960-95£ ]LOb) 1.1.0Z `91. IudV S3fldX3 966£990C1# NOISSIWWOO /AIN Le * * * * * * * * * * * * ** * g.*YI Bc* '_ * * ** APPROVED BY NOTARY PUBLIC: Sign: Print: My Commission / MARIA TERESA GROSSO "_ MY COMMISSION # DD663996 * * * * **** * * **** ***** * * * * ** 1U() atrA **** �xt ' ?> �x 15 FlondallotarySer ice.com 'fans Examiner Engineer (Revised 07 /10 /07XRevised 06 /10/2009) Zoning Clerk checked Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)7563972 Inspection Number: INSP- 121687 Permit Number: ELC -8 -09 -1326 Scheduled Inspection Date: January 12, 2010 Inspector: Devaney, Michael Owner: EDELMAN, ALEX Job Address: 9999 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: POWER AIR LLC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number QA........ ()__ Parcel Number 1132060134490 Phone: (786)486 -3291 Building Department Comments RE FEED NEW NC UNITS ON ROOF gi -7 —3J 7d .hNitr`%,I- Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments January 11, 2010 9T0 /5T0 For Inspections please call: (305)762 -4949 Page 4 of 23 S0DIA1IIS cr.LaIA NVOS VZVa OESL 289 005 T rid 6£ :TT OTOZ /ZT /T0