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EL-12-1554Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 178896 Permit Number: EL -8 -12 -1554 Scheduled Inspection Date: September 25, 2012 Inspector: Devaney, Michael Owner: DOBRIKOW, HEIKO & ELENICE Job Address: 270 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Contractor: AU ELECTRICAL SERVICE & REPAIR Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060134450 Phone: (305)301 -6368 Building Department Comments INSTALL 2 OUTLETS IN MASTER BATH AND WALK IN CLOSET LIGHT. Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments C•er 7e0/7- September 24, 2012 For Inspections please call: (305)762 -4949 Page 30 of 30 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 RECETV AUG 1 7x012 BUILDING PERMIT APPLICATION CLF__6-mm Permit Type: JOB ADDRESS: 2 70 kE O®° S7 FBC20 Permit No. Master Permit No. jL 12 1 L(SS ROOFING City: Miami Shores County: Miami Dade Zip: Folio/Patcei#: Is the Bonding Rhterically .Designated: Yes : F1ood Zone: OWNER: Name (Fee Simple Titleholder): ME/ %s J E4 %i LF ka 2i° tAl Ago/Ca Phone#: , RSf Address: City: State: Tenant/L.essee Name: Email: Phone#: CONTRACTOR: Company Name: AU ELECT- .SEZV phi 305 3o/ 63(4' Address: 531_ Stiv 1 15 11 V E City: VM%1 AMAX /1 State: F 1 Li Qualifier Name: /A 'FA (Z 7 € A U � Phone#: 6�6"d' S t a t e C e r t i fi c a t i o n o r Registration 8: E Z OM O 5 $ C cate of Competency #: ©S E 000 4{ 2 Contact Phone#: ' Email Address: I N Fo ei i 1 U L 71c 1 . coM DESIGNER: Architect/Engineer: N/# Phone#: Value of Work for this Permit: $ l i 200 Square/Linear Footage of Work: Type of Work: °Addition °Alteration ONew ° �'RPa °Demolition Description of Work: 1 fJ5ilr}LZ Z a FCt ®U i"7i T /9'%' /44; T K, 4 & FX is etu ►v Lk- iby FiG °�r� �iG1/i C�12G�e� i AS -77/ Lr4 Li er- -To (VE LK i i C co A C iLr °�v� Color thru tile: **************************** i*********** FeeS************* * * * ** * * * * * * *** * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW Bonding Company's Name (if applicable) WA— Bonding Company's Address City , State Zip Mortgage Lender's Name (if applicable) /10 /4 Mortgage Lender's Address Cif, , StateP Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work orinstallation 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 trust be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS; NTC 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 TWIG FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND 'TO` OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." N o t i c e t o A p p l i c a n t : As a c o n d i t i o n t o t h e i s s u a n c e o f a b i ng permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of co ement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a ce '7copy of recorded notice of commencement must be posted at the job site for the first inspection which occurs sev ;air/4r er the building permit is issued In the absence h posted notice, the inspection will not be approved will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me this L day of, AU U91"-,201`' by b03914.- who is personally known to me or who has produced � uiun /�� As identification and w' `t� ' flt NOTARY PUBLIC: • ••. E ` •' �� S »V Sign: Print r. Pw My Commission Expires: * * * * * * * * * * * # * * * * * * ** APPROVED BY 04 1 Q R;0`P ** Signature Contractor The foregoing instrument was acknowledged before me this d a y of AVOr , 201 , bye AU who is personally known to me or who has produced identification : i s who did take an oath. NOT PUBLIC: Sign: Print: My Co 'otary •u' is eSlvty Comm. Expires Jun 17, 2C , %r :: Commission # EE 2181 *'0FF�ot$* Bonded Through National Notar ************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 'G Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10t2009)(Revised 3/15/09) Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 12- J,-/j 1 Job Name: opyrz.< Oe, Date: / y V Q. ,ELECTRIC Critique Sheet i?%xc - /U ® �?f / 4 ,2(4j /J,42-i`i 1-0.tW /Z , t-.° 6-"X" P eel c D / O . C/c e) 63) „ o6' ,VEc /O ® / a.L') /a-nc / LT iz e/ ,/wc - z /® -5-72 j4%) /mG, R ,d c1 s'i-4" e,E/ ° FaX -- 1-120 7'3 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Review Complete by: Michael A. Devaney SR. Chief Electrical Inspector