EL-11-340Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 170348 Permit Number: EL -2 -11 -340
Scheduled Inspection Date: February 27, 2012
Inspector: Devaney, Michael
Owner: PORTNER, TINA
Job Address: 870 NE 92 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: BROWER ELECTRIC LLC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition
Phone Number
Parcel Number 1132060050140
Phone: (954)748 -6236
Building Department Comments
ELECTRICAL WORK FOR ADDITION
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
aeyz_
February 24, 2012
For Inspections please call: (305)762-4949
Page 42 of 43
Miami Shores Village
Building Department
s
10050 N.E2nd Avenue, Miami Shores, Florida 33138 <'
Tel: (305) 7952204 Fare (305) 756.8972
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INSPECTION'S PHONE NUMBER (305) 762.4949
BUILDING Permit No. EL 1 1 — :�,
PERMIT APPLICATION
FBC 20
Master Permit No.
Permit Type: Electrical loaf
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OWNER: Name (Fee Simple Titleholder): 1 1 ?4(-7- fl E ( Phone#: SV. '8 o f t `
Address: 2 7 0 a X ST-
City: M e riot-% ' 5 kola S State: c- f Zip: 3 (3-Z
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: 870 Pe (U PC/ s
Miami Shores County: Miami Dade Tap: 3313 8
Folio/Parcel#: 1 f �3o�06, ° 005" -01410
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: Brower E 1 eti'Q:C Phonet 1154 7036,236
Address: 8630 N w 5-3 S
City: L-41 -v b.1 I State: FL
Qualifier Name: j note-5 660 w et
State Certification or Registration #: EC 13 00110108 Certificate of Competency #:
Contact Phone#: 9541 71I8 `a3 t' Email Address:
DESIGNER Architect/Engineer: Phone#:
Zp: 304-1
none: 95.1 1cI frill
Value of Work for this Permit: $ 8000, dt0 Squarer Footage of Work
Type of Work °Address °Alteration OiNew °Repair/Replace °Demolition
`Y2—d f Tl
mss :.;:.......- Fees
Submittal Fee $ Permit Fee $ cove b CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ ffil d !®3
Bonding Conpany'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 FLECIRICAL 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 W 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
L
Signature' `'� Signature
Owner Iir)Agent
The foregoing instrument was acknowledged before me this / 7 The foregoing instrument was acknowledged before me this 11/
day of ��"' , 20 /®, by , day of 2011 ,by
who rsonally known me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
PUBLIC:
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APPROVED BY �_�[7L ✓�%% %)Plans Examiner Zoning
Structural Review
(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
Clerk