EL-10-1284Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
10q
Inspection Number: INSP - 148543
Permit Number: EL -7 -10 -1284
Scheduled Inspection Date: July 07, 2011
Inspector: Devaney, Michael
Owner: MAJOROS, PAUL & MILDRED
Job Address: 601 GRAND CONCOURSE
Miami Shores, FL
Project: <NONE>
Contractor: KEITH JOHNSTON CONSTRUCTION
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060172140
Phone: (305)370 -5731
Building Department Comments
INSTALLATION OF LOW VOLTAGE WIRING FOR PHONE,
CABLE AND DATE. 16 SPEAKERS OUTLETS
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
' '
July 06, 2011
For Inspections please call: (305)762 -4949
Page 4 of 18
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
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) 1) AA
� k AA l f ld?'CU j uroi Phone # ,3 (5". .S/ y (p C)
Owner's Address 6 0 f G-1-7A./V1 CA>rI W Uri �r
City 4A fM'N 5 \&1_ 1 State pt_ Zip 331 a
Tenant/Lessee Name n 1 -cam Phone #
Email / Yl i Id r d. rr-tc `i7y-05 °�. +r/. b
Job Address (where the work is being done) 6 n ( &r Cah C 0 vi-c ,
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # 11 - 3 -O R ' )4 /0
Is Building Historically Designated YES NO Flood Zone )(
Permit No.
Master Permit No. RC I- / 0 - 9 �"
Contractor's Company Name .3 WakiVti fr (, Prone # ) 2 2 t - . 7I
Contractor's Address / D SJ /.2. c A,' v,P 'cs
City M / State Zip a- 3- /F
Qualifier Name '1% /c -49.." 4: C'd (• , / /aid. Phone# F 2- 9I' 9_
State Certificate or Registration No. C /e. OOoo /, 7..3 , Certificate of Competency No. WC-- 000
Contact Phone (``.) P el , E -mail
Architect/Engineer's Name (if applicable)
Phone #
Value of Work For this Permit $ ■1g Square / Linear Footage Of Work:
Type of Work: ❑Addition [Alteration ❑New
_r ❑ Repair/Replace
Describe Work: I h 3 - f 7.kAdlo-• — ° F (u w vo j ,, ,-i �j 4
-f / , e4,�e, a LW/Si
❑. Demolition
rh `
******** * ** * ** * * * * * * * * * * * * * * * * * * *** * *** Fees*****,******* * *, * * * * * * * * * * * * * * * * * * * * * * * * * ***
Submittal Fee $ Permit Fee $ v
CCF $ kg-0'
CO /CC $
Notary $ Training/Education Fee $ O-40 Technology Fee $ '-
Scanning $3‘00 Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $1((Q•
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 t .'tvs 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 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 ajier die budding permit is issued. in the absence of such posted notice, the
inspection will , • ieappr and a re- inspection fee will be charged.
Signature /
Owner or Agent
The foregoing instrument was a(cckn� 1 dgred fore e this
day of _ XI , 20 J, by \rQ� 0
y
who ',. personally kno to me or who has produced
(Ji� 6 5-71-201 J s identification and who did take an oath.
NOT
PUBLIC:
Sign: _
Print:
My Commission Expires:
A.A.A4
Signature
Contractor
The fore oing instrument was acknowled led before ■
, day of , 20 10, by t/� r
who i' personallnknnowwn to me or who has produced
' ►3-0 02:2- .L-O lidentificationand who did take an oath.
i PUBLIC:
this
OTAR
Sign
, emu° Print:
1
tfIt °
My Commission Expire v:
************ * * * * * * * * * * * * * *,* * * * * * * * * ** * * * **
r42
f22. /4/—r4,4, Plans Examiner
* * * * * * ** * * * * * * * * * * * * * * ** * **
APPROVED BY r
y_
' D' 10 =1
Nily3c co ,'"'"
****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)