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EL-12-1405P Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 176436 Permit Number: EL -7 -12 -1405 Scheduled Inspection Date: September 17, 2012 Inspector: Devaney, Michael Owner: ASHBY, DICK Job Address: 1480 NE 101 Street Miami Shores, FL Project: <NONE> Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Contractor: WEATHERMAKERS ELECTRICAL CONTRACTORS LLC Phone Number Parcel Number 1132050240070 Phone: (786)249 -8880 Building Department Comments REPLACE DAMAGED METER CAN WITH 200 AMP METER MAIN COMBO CAN Passed Er Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 17, 2012 For Inspections please call: (305)762 -4949 Page 10 of 35 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 IC Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): R / G Phone #: l 776= 7a2... Address: H Yo /VE /0 / ee- ECE VE JUL 26 trl Permit No. EL - )140 5 Master Permit No. City: i411 -teni ✓ f 5 State: [- Zip: 3 3 /3 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: /111 U (/ NF /0 / S - ree_ -T City: Miami Shores Folio/Parcel #: County: Miami Dade zip: 3 3/3 7 ®5- y oo Is the Building Historically Designated: Yes NO a./' Flood Zone: 6� 4� t%� CONTRACTOR: CompanyName: ��L � �=� �` C°i Phone #: 7/20-7M Address: /3 �9n�7- J�hJ /f 9 it/ -- City: ,� 7 /414/ / State: Zip: 3,3/ Qualifier Name: State Certification or R stration #: ' ©() o 7 F` 6' Certificate of Competency!: 0 7E- no joo7 Contact Phone#: 7 f tr- Email Address: /4C 4 / c wPOL'77ll of iK'e.'1' 4 l DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ <iJ o Square/Linear Footage of Work: Phone#: Type of Work: Address ❑Alteration New epair/Replace Descri on of Work: ❑Demolition stno AS nut, e. q Agile ArairilMtOlvt**1.4i0 Submittal Fee $ 0. 00 Permit Fee $ /6'1' a9O CO /CC $ Scanning Fee $ r M D Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 e absence of such posted i tice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent Signature it\ Contractor The foregoing instrument was acknowledged before me this Lt The foregoing in,trument was acknowledged before �mee thi 20 t Z by R+ t=H $ A A 5 H6 g , day of f1 , 20 �� by Cee� /, o5 me or who has produced �� who • kno o me or who has produced O as identification and who did take an oath. day of who is p As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ctp My Commission Ex ***********d+*** APPROVED BY +A„LACLY :.` -1 --FAET6Hi HIJA Notar oPnblic - State at =. • i My Comm. Expires Jun 2 Pleads 2018 �' ". ,,, ,,, Commission 15 ersonal Sign: Print: eAfrt if- My Co ss1 ** _*************** Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Of Notary Public State of Florida Claire Ferguson My Commission DD994608 Expires 05/23/2014 =k_:,k, ..*..* ****** Zoning Clerk • ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM BATH TUB DISHWASHER DISPOSAL SWITCH OUTLETS LIGHT OUTLETS FLOOR DRAIN RECEPTACLES GREASE TRAP INTERCEPTOR LAVATORY SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE SPACE HEATERS UNIT FEE CENTRAL HEATING A/C (WIND) NC (CENTRAL) DUCT WORK LAUNDRY TRAY APPLIANCE OUTLETS CLOTHES WASHER SHOWER RANGE TOP OVEN SINK. POT /3 COMP. SINK, RESIDENCE. SINK, SLOP. WATER HEATER REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS MOTORS 0 -1 HP MOTORS OVER 1 -3 HP TEMPORARY WATER CLOSET URINAL MOTORS OVER 3 -5 HP MOTORS OVER 5 -8 HP WATER CLOSET MOTORS OVER 8 -10 HP INDIRECT WASTES MOTORS OVER 10 -25 HP WATER SUPPLY TO: A/C UNIT MOTORS OVER 25 -100 HP U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS MOTORS OVER 100 HP FIRE SPRINKLER A/C WINDOW HEATER -NEW INST. HEATER - REPLACE AIR CONDITIONERS COOLING TOWERS VIOLATION REINSPECTION STRIP HEATER LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FAINFIELD, 4" TILE/RES. FIXTURES PUMP & ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN ANTENNA TELEVISION OUTLETS VIOLATION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET REINSPECTION SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING