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EL-12-530Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 172842 Permit Number: EL- 3- 12-530 Scheduled Inspection Date: May 07, 2012 Inspector: Devaney, Michael Owner: TONDEUR, LINDA Job Address: 1224 NE 96 Street Miami Shores, FL 33138- Project <NONE> Contractor: SAFE STREETS USA Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number (305)961 -6033 Parcel Number 1132060143931 Phone: (813)514 -2693 Building Department Comments ELECTRICAL BURGLAR ALARM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 5??_, /L02/ / z May 04, 2012 For Inspections please call: (305)762 -4949 Page 32 of 50 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 B DING PERMIT APPLICATION FBC 20 RECEIVED MAR 2 8 2012 BY: ee... Permit No EL-12- - ` 5D Master Permit No. Permit Type: Electrical n OWNER: Name (Fee Simple Titleholder): Li N DA TO N l) E V lZ Phone #: 3 D5 5 b- 1421 Z 1 Address: 11_24 N L 9 t .ST City: M IA 4 t 514012 t✓ s state: L zip: 32 i 3 & Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 1 -2-1-14 N E 9 to 5 T City:. Miami Shores County: Miami Dade Folio/Parcel #: (' 3 tot, - 014 - 39 3 I Is the Building Historically Designated: Yes NO Flood Zone: �{ 1 '/' -T,3— S7? CONTRACTOR: Company Name: 5P Ft: S TitEE TS US fE Phone #: 3 - '1766,74/40 Address: Address: f (ot o,S N Flo 12.16 A A VE Zip: 32 J38 City: L- UT 2- State: FL - W(ELI�4M f- 1L1=1N PCAC©Ck Qualifier Name: Zip: 33549 Phone#: 61 - 2QU -9728 State; Certification or registration #: EC-7 ( 30004 0 1-1 Certificate of Competency #: Contact Phone #: 51 3 1q0- 97 OS Email Address: �� S 1 S A FE 5T/eters . coal DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ ` 9 .00 Type of Work: DAddress LiAlteration Description of Work: EI. CC r 2 i C A L - Q 3 /ZCTLA f A -LA 44 Square/Linear Footage of Work: ONew ORepair/Replace DDemolition ****************** **************+x**** **F * * ** ** *+ x** *** ***********+x**********+x **** *** Submittal Fee $ �D • P �� Permit Fee $ /14%.9/ �G CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 'kc' Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address D6 � 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 installatio commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regu construction in this jurisdiction. I understand that a separate permit must be secured for Fi.FCTRICAL WORK, PLUMBING, SI 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 applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE F IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO 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 promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the p whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the jo for the first inspectiort,which occurs seven (7) days after the building permit is issued In the absence of such posted notic inspectio r • t be ' prov d and a reinspection fee will be charged. Signa Il_i Signature. --L. ...--A—j\------ • gent Contractor The fo egoing instrument was acknowledged before me this t3 The foregoing instrument was acknowledged befor e day of Mav , 20 t, by 4 C 1(* Y , day of VOA/. , 20 ? by � A ial. tk who is personally known to me or who has produced N.-- 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 oa NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: ski IIMIMMINVIAI ' . 1` .IFER A. MAN My Commissio • APPROVED BY VELD PUBLIC NOTARY PUBLIC My C j xt STATE OF FLORIDA ':- STATE OF FLORIDA Comm# EE097298 �`` Comm# EE097298 Plans Examiner Zonin Structural Review Cle (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)