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DEMO-10-24311111 � -�o • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL CL Phone: (305)795 -2204 Fax: (305)756 -8972 DEMO 91 Inspection Number: INSP - 135770 Permit Number: DEMO -2 -10 -243 Scheduled Inspection Date: May 12, 2010 Inspector: Devaney, Michael Owner: MAJOROS, PAUL & MILDRED Job Address: 601 GRAND CONCOURSE Miami Shores, FL Project: <NONE> Contractor: 3 WAVES ELECTRIC CORP Permit Type: Demolition Inspection Type: Final Work Classification: Electric Phone Number Parcel Number 1132060172140 Phone: (305)221 -3780 Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 12, 2010 For Inspections please call: (305)762 -4949 Page 6 of 25 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 B 1 7 ti11t Permit No. V 0 I V '2 4 Master Permit No. ( C 4-0 -14-- Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) N' 1 141--edl `1x) lv t Phone # 3 0.' Si' 0 al-c Owner's Address ‘ 0, ( r--ev-v d Coil t. G f? r sx-- _ City %'I t 1 anki sh vNei tate f Zip v 3 J Tenant /Lessee Name i i,t (C-� Phone # al 1 1 Ql r tin L1�t3, -. 1 Email Job Address (where the work is being done) Sul r-( GS ck,h, City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 1J3)-0001 9- D- 1<-1-t) Is Building Historically Designated YES NO Flood Zone Contractor's Company Name Gc�Jl�G- �7' /C Chi, Phone # Contractor's Address /�� /,-2- V •' OA r o v) 4 76,,t7 City Ai / /9 1L./) / State L , Zip s Z / CG ' � Qualifier Name Y> G 7-0 FC.._ 1'l. Co u / /% „` Phone # dc� 94,1 - .6-6e-„ State Certificate or Registration No. Certificate of Competency No. c� c 00 0 !L -)- Contact Phone E -mail t © c.'i //a a' J e J Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ £q 0 0 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair /Replace Describe Work: r /p-k. 44_ -17, ►.1 Demolition ******** *: ** * * * * * * * * * * * * * * * * * * * * * * ** * ** Fees************** * ** * * * * * * ** * * * * * * * * * * * * * * * * * ** Permit Fee $ /”. CCF $ 0'(oQ CO /CC $ Submittal Fee $ Notary $ Training /Education Fee $ '2-0 Technology Fee $ O' Scanning $ 3.00 Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 104(09 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. 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 of the notice of commencement and construction lien law brochure will be delivered to the person whose property is , s ect to at - ■ ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first i :'eci' n whi occ s seven (7) days after the building permit' is issued. In the absence of such posted notice, the inspection 1 no . appr 'ved an % a re- inspection fee will be charged. Signature Zit Signature The fore day of who is personally As Identification and who did take an oath. NOTAR PUBLIC: a��, Owner or Agent oing instrument was acknowl nowl g O Q by 1 befo e me this 'v{ wn to me or who has produced Sign: Print: My Commission Expires: Contractor The foregoing instrument was acknowledged before me this f 7 day of , 20 w by 0 L.71 c.✓L_ C 3-44/ L who is personally known to me or who has produced '1�-- 'L.) as identification and who did take an oath. My Commission Expires: 11, ',� t e * * * * * * * * * * * * * * * * * * * * * * * * * * * * ***** * *9: ** ** * * *** ** ***** ** ** `:**** 9:*********** ** ******* * *** ** **** ************ APPROVED BY 1ans Examiner Zoning \ Engineer (Revised 07/ 10 /07)(Revised 06/10/2009) Clerk checked