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EL-11-2088Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number. INSP - 166530 Scheduled Inspection Date: May 31, 2012 Inspector. Devaney, Michael Owner: HIRN, WOLFGANG & NATALIA Job Address: 102 NW 106 Street Miami Shores, FL 33150 -1248 Project: <NONE> Contractor: LONGMAN ELECTRIC INC Permit Number: EL -11 -11 -2088 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)566 -9669 Parcel Number 1121360080010 Phone: (305)758 -1211 Building Department Comments ELECTRICAL WORK FOR KITCHEN REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments May 30, 2012 For Inspections please call: (305)762 -4949 Page 2 of 26 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 BUILDING PERMIT APPLICATION FBC 20 NOV 0 9 2CBB Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): L)01 P � � (2. 4.1 Phone#: � � 6 33 3- 06 9" ?- Address: 1.0 1– NW loge S-('. City: kki IAA% State: no Zip: 331 SO Tenant/Lessee Name: Phone#: Email: 'kb! t CAlnirN . co JOB ADDRESS: l o ycxl (0614 S4-. City: Miami Shores County: Folio/Parcel #: 11- 113 C - 008 - O0 f 0 Is the Building Historically Designated: Yes Miami Dade Zip: 33(S0 NO L/ Flood Zone: CONTRACTOR: Company Name: le) s' '' � — ,t / e)-, C. Phone#: Address: ,»I/1-/ tix qs 7 City: /%211/1-2 « );C_ State: r L— Zip: _3 } %.7,' Qualifier Name: 44., /_, -2C' €l Z0tiCr�/�l� Phone#: % — 751- -12'// State Certification or Registration #: E G 9 3c 4' 3 7J 3 Certificate of Competency #: Contact Phone#: 3t2– 75 -. /2,l/ Email Address: L©ec , -gice fh.6 Be'€ DESIGNER: Architect/Engineer: -FE ii►� ; n►etr +l ins c . Phone#: 9S tl ` g 13 - 0311 Value of Work for this Permit: $ Square/Linear Footage of Work: ` 3 2 S Type of Work: OAddress ,Alteration e Description of Work: I 72 ". s< / ONew ORepair/Replace ODemolition ********** **** ******* * *****+x********** *F ************* **** ** *** * **** *** ** * ***** ** ** ** Submittal Fee $ Permit Fee $ tom`' C. Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ }knitting 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, BEATERS, TANKS and AIR CONDTTIONERS, 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. Owner or Agent The foregoing instrument was acknowledged before me this day of 6roV , 20 I Q , by �4.■,.i1, ,t' who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commiss LL;I:• v_<,,y'. i 1 "�; ,.mss i ri =_+ir# • _ My Comm. Expires Oct 22, 1 'j e:= Commission • EE 12882 '4; gri r a Bonded Through National Notary Assn. * * * * * * * * * * * * * * * * * * * * ** APPROVED BY Contractor The foregoing instrument was acknowledged before me this 9 day of 4/Cifee4eie,2011_, by who • sonally known tom of who has produced as identification and who did take an oath. **** *,a** ** ** ** ee+e+****** * **** s**** * *** ****** * * **** **** ***** s asap * *** * ** ********* *** 94-e-" Plans Examiner Zoning Structural Review (Revised 07 /10107)(Revised 06/IOt2009)(Revised 3/15/09) Clerk