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EL-12-1932
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 181156 Permit Number: EL -10 -12 -1932 Scheduled Inspection Date: November 05, 2012 Inspector: Devaney, Michael Owner: ROBINSON, JOHN Job Address: 1239 NE 100 Street Miami Shores, FL 33138 -2603 Project: <NONE> Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Contractor: JTDB ENTERPRISES OF HOLLYWOOD DBA EH WHITSON E Phone Number Parcel Number 1132050080050 Building Department Comments WIRING OF NATURAL GAS TANKLESS WH 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 November 02, 2012 For Inspections please call: (305)762 -4949 Page 37 of 37 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 Permit Type: Electrical JOB ADDRESS: 1 N Y ! Do Sh'& FBC 20 L7 Permit No. OA Master Permit No. ?U(2 \C71.5 City: Miami Shores County: Miami Dade Folio/Parcel#: 1 1-36205— 1J9)' 0050 Zip:os. Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Address: City: State: Zip: Tenant Lessee Name: Phone#: 3A,e Foy)9'ca Phone#: v'I I 1 945 01526 Email: CONTRACTOR Co N �.µ i5b �I� -IyL. 616 t/ q�7 4� Y1 L I L ( one#: Company e: /� Address: " lj J • 5 '21 , City'I � © , �S Qualifier Name: ©V) f {mil Zip: 3 p302o Phone #: -" �� —1 L, State Certification or Registration #: Ec 130 01 Ceerttifi to onf, CCompe cy # Contact Phone#: C151-1C1`?-1 mail Address: ��/) �,� DESIGNER: Architect/Engineer: Phone#: i 60n, Lorr Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: Address aeration Description of Work: ONew URepair/Replace ODemolition ********** ***** **** * * ****** **** **** * *** Fees ****** * *** * * ******* a** ******* ************* ** Submittal Fee $ � ao Permit Fee $ tee) CCF $ Scanning Fee $ Radon Fee $ DBPR $ CO /CC $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 5F. . 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 exce promise in good faith that a copy of the notice of commencement and construction lien law brochu whose property is subject to attachment. Also, a certified copy of the recorded notic for the first inspection which occurs seven (7) days after the building permit is inspection will not be approved and a reinspection fee will be charged. Signature The foreg day of who is personall 1Lcen Owner or Agent g instrument as acknowledged before me this 2. The forego by 04.1,5 eC , day of $2500, the eliv be p NOTARY P Sign: Print: My Commission APPROVED BY cant must the person at the job site sted notice, the went was.* . owledged before me this , 20 I 4by J©h6 L. piu4 , own to me or who has produced IL . 2 who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. C: rtilk ALLISON SAFFRAN ROSSI 1.4,7, MY COMMISSION # DD 930571 W EXPIRES: October 5, 2013 Bonded Thou Notary Public Underwriters NOT ' ►�; LIC: 1.) Sign: Print: My Comm INIMIEVIEMMIL s:ALLISON SAFFRAN ROSSI MY COMMISSION # DD 930571 EXPIRES: October 5, 2013 Sodded Thru Notary Public Underw * *= hB+ ****** ****d,ek*W*d<**+ih ** f *** **** Y...zio2.Plans Examiner Structural Review (Revised3 /12/2012)(Revised 07 /10/07)(Revised 06/10 /2009)(Revised 3/15/09) Zoning Clerk