EL-12-6514
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 177410 Permit Number: EL- 1 -12 -65
Scheduled Inspection Date: September 10, 2012
Inspector: Devaney, Michael
Owner: PENKWITT, PATRIK
Job Address: 520 GRAND CONCOURSE
Miami Shores, FL 33138-
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060171430
Phone: (305)758 -1211
Building Department Comments
POOL EQUIPMENT RELOCATION. NEW WIRING
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 177266.
September 07, 2012
For Inspections please call: (305)762 -4949
Page 19 of 35
Arlenis Silvera
From: Longman Electric, Inc. <longmanelectric @bellsouth.net>
Sent: Thursday, August 09, 2012 7:29 PM
To: Arlenis Silvera
Subject: Permit
H i,
I need to found out if we can extend permit # EL- 1 -12 -65 at 520 Grand Concourse. And get a final for Monday or
Tuesday if possible. Let me know if you have any questions or comments.
Kind Regards,
Michael
Longman Electric, Inc.
844 NE 98th Street
Miami Shores, FL 33138
305.758.1211 Office
954.727.1929 Office
305.757.9806 Fax
www.Iongmanelectric.com
1
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 No.
Master Permit Nt
r : 7
. 2011
�l l2.'lo`J
tPP a -ate
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): Patrick Penkwitt Phone#:
Address: 500 Grand Concourse
City: Miami Shores State: Florida Zip: 33138
Tenant/Lessee Name: Phone#:
Email-
Jos ADDRESS: 520 Grand Concourse / F
City: Miami Shores County:
Folio/Parcel #: 1132060171430
Is the Building Historically Designated: Yes NO X
CONTRACTOR: Company Name: Longman Electric, Inc
Address: 844 NE 98 St.
City: Miami Shores State: Florida
Qualifier Name: Michael Longman
Flood Zone:
Phone#: (305) 758 -1211
zip: 33138
Phone#:
State Certification or Registration # j ( ) 3 ®® 37/3 Certificate of Competency #:
Contact Phone#: 3 753,--0--11 Email Address:
DESIGNER: Architect/Engineer Twenty First Century Design & Build Phone#: (954) 522 -6446
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: wire relocated pool equipment
***************************************F efsv********x* *** **ss *sa* ********a ***** ****
Submittal Fee $ Permit Fee $ 7-5-"C / 414' CCF $ �� CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ I 0 / fl J
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 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
Signature
Owner or Ag
The foregoing instrument was acknowledged before me this
day of Ut , 20 \` , by WA-C X ?C rr \ a 4
who %i%rsonally known jd me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print CCi- hfyy)
My Commission Expires:
11
)501%
,, %�77ti 300
. °.'7.30, 2013
BONDED THRC .,l LAXrrc BONDING co., INC.
Contractor
The foregoing instrument was acknowledged before me this a%
day of Vec- ,20 1/ ,by 44t/ ,
who . e onall know o me or who has produced
as identification and who did take an oath.
APPROVED BY Plans Examiner
Structural Review
(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15109)
NOTARY P LIC:
:mew r11r1111I
maim
lirrOvAr
Sign:
Print:
My Co
s PereZ •
y itommission EE002609
copOr expires 0410842013
Zoning
Clerk