EL-12-357Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 171914 Permit Number: EL -3 -12 -357
Scheduled Inspection Date: April 05, 2012
Inspector: Devaney, Michael
Owner: LADET, BIRGIT
Job Address: 46 NE 100 Street
Miami Shores, FL
Project: <NONE>
Contractor: ALL ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060131220
Phone: (954)591 -5726
Building Department Comments
CHANGE BROKEN SMOKE DETECTOR. SEPERATE GFI
CIRCUIT FOR BATH OUTLET
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
7/Z_ 2
April 04, 2012
For Inspections please call: (305)762 -4949
Page 12 of 13
BUILDING
PERMI
FBC 20
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 Permit No. 12o 2-9M'S
Master Permit No. E L 1 2- r 3S
LICATION
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): 7 G. ii TTY [ .R b r 7" Phone #: �3OS) 7 I ' 8?-5?
Address: L+% 6 10 E 1 DO 4-49 $ TP/i T
City: / 1 r M 2 S / /C9e2/= 5 State: Zip: 33 / 3 S
Tenant/Lessee Name: Phone#:
Email: h c 6 4- 65'
JOB ADDRESS:
96 N F /00/11 5T;p, fi
City: Miami Shores
County: Miami Dade
Zip: 3 3/ 38
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO
N0
Flood Zone: /UCH
CONTRACTOR: Company Name: f ! 4 ( 4.11 �' 4C� -,/0/� Phone #:
Addre •
City: �[_____ ' i State:
• Qualifier Name: S 0/�/�_l �,�, [� Phone #:
State Certification or Registration #: _ Ct4� Certificate of Competency #:
95L(7'9 P Y • Contact Phone #: l 67,a6 Email Address: gig_
DESIGNER: Architect/Engineer: et//``a
Value of Work for this Permit: $ 5 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New epair/Replace ❑Demolition
Description of Work: (�. iL<i N6 O` /3 P.m Sao /L ; j), /, .S/' j74.1 I/ KIT CT,2 ; jt
0„n LET
Phone #:
x:**** *** * * * * *. ***** * ***+x*a:**** ***a: ***** Fees * * ** x**** ***** *+ x********** ******* **+x**+r*****
Submittal Fee $ 4 Permit Fee $ /4--4"e'6'0 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ _ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE$ ISq"�
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 not • . • m a st be posted at the job site
for the first inspection which occurs seven (7) days after the building- pe ch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 _, by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* * * * * * * ** * * * * * * * * * **
APPROVED BY
The foregoing instrument was ac owledged before me this .7'/
.
day of % %�� 20 , by Dm bet qe/
who is personally wn to me or who has produced
as identification and who did take an oath.
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk
r
JOB ADDRESS:
BIRGIT LADET
46 NE 100TH STREET
MIAMI SHORES , FLORIDA 33158
SCOPE OF WORK :
(1.) ADD DECADED 120VOLT 20AMP CIRCUIT FOR BATH GFI
(2.) CHECK EXISTING SMOKE DETECTORS ARE WIRED AND WORKING
CORRECTLY
BEDROOM 2
BEDROOM 1
'BATHROOMI
E
" A 2P l7
EJ
GFI
BATHROOM2
FAMILY ROOM
BATH GFI ON DECADED
CUIT •
DINNING ROOM
SMOKE-DETECTOR WIRE TO
BATH/HALL LIGHTING CIRCUIT
WITItARCFAULT BREAKER
LIVING ROOM
(11
CONTRACTOR:
ALL ELECTRIC INC
5721 SW 13TH STREET
TION ! ID 33317
OFFICE
KITCHEN
GARAGE i 1 v
J