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EL-12-594Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 178078 Permit Number: EL -4 -12 -594 Scheduled Inspection Date: September 10, 2012 Inspector: Devaney, Michael Owner: THOMAS, MARIE Job Address: 470 NE 103 Street Miami Shores, FL 33138 -2457 Project: <NONE> Contractor: FLORIDA SOLAR & AIR INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060170720 Phone: (305)428 -2555 Building Department Comments KITCHEN AND 2 BATH REMODEL 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- 178040. Fixted appliances need breaker locks. Arc fault breakers. Label panel. Strap flexabel meal) conduit. September 07, 2012 For Inspections please call: (305)762 -4949 Page 27 of 35 BUILDING PE FBC2 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. Z �y Master Permit No. F L /-/ 2 " 5-7 ATION RECEIVED APR 0 5.2012 Permit Type: Electrical /�,, OWNER: Name (Fee Simple Titleholder): �'" /" 0 'I ' S Phone #: Address: %- o o f / vi d° . G City: M - S4 d vrl s State: r' l . Zip: 33 030 - 02'ilr--7 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: y?t2 ,r /o3 tPz.-- Is the Building Historically Designated: Yes Flood Zone: CONTRACTOR: Company Name: I LN1 4 . 6:6111 VAM Phone#:3 © i Address: �: ` y ► , City: C 's Ay State: 2 - Zip: 7 f eq Qualifier Name: 170 Z i D Fl jl9 j 1C tip 1 p., Phone#: State Certification or Registration #: t . < . l3 c L 5 /if Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $5 ° Square/Linear Footage of Work: i ) ' w Type of Work: ❑Address ❑Alteration New ❑Repair/Replace ❑Demolition Description of Work: * * * * * * * * * * * ** + * * * * * * * * * * * * * * * * * * * * * * ** Fees ** ******* *** * ** ** *** ***** * **** * **** * **** *air Submittal Fee $ Permit Fee $ 2."--474' 3 CCF $ CO /CC $ Scanning Fee $ 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 RT.F,CTRICAL 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 e approved and a reinspection fee will be charged. Signature 0 ,, ent The for going instrument was acknowledged before me thisCL)4 day of (] `L, , 201L, by who is personally known to me or who has produce L_ 1 j As identification and who did take an oath. NOTARY PUBLIC: Print: My Commission Exp *e * MY COMMISSION # DD 977142 EXPIRES: July 31, 2014 %PEOP�O` Bonded Tiro Btolga Notary Sew OF Signature Contractor The foregoing instrument was acknowledged before me this day of _ , 20 a by who is personally known to me or who has produced 1- as identification and who did take an oath. NOTARY PUBLIC: Sign: Print offrof '47.6j My Commission Expires: +°1. • JONA SOD * * COMMON I OD 977142 EXPIRES: July 31, 2014 34"eom .0 Booded Thu BadydI .y lefts ******* * * ** * * * * * * * ** ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED B 177 / Z Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk PERMIT #: Miami Shores '/iIta e 9 Building Department p nt 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT DATE: 11 Contractor o Owner o Architect other) Address: From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Build' rtment to continue permitting process. �•!w._� Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL; 01