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EL-12-1476Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 V2-I3sL Inspection Number: INSP- 176918 Permit Number: EL -8 -12 -1476 Scheduled Inspection Date: August 14, 2012 Inspector: Devaney, Michael Owner: CASTRO, MARIA INES Job Address: 515 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: LONGMAN ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Under ound Work Classification: Addition /Alteration Phone Number Parcel Number 1132060140990 Phone: (305)758 -1211 Building Department Comments SMOKE DETECTORS ALREADY EXIST AND BATHROOM REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 13, 2012 For Inspections please call: (305)762 -4949 Page 15 of 28 BUILDING 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 FBC 20 Permit No. COWED A4Gp3Z012 PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: t 5' �3 City: Miami Shores County: Miami Dade Zip: 331 Folio/Parcel #: Is the Building Historically Designated: Yes NO ✓ Flood Zone: OWNER: Name (Fee Simple Titleholder): 1-•1 Ac A — 3 i ( .S °C.,Psgarrce:C, Phone #: 05" TMr. 4 ©T Address: S\S tiles �3 - • City: ' At �v.: ,S tZ �5 State: Tenant/Lessee Name: Phone #: Email: Zip: CONTRACTOR: Company Name: CAGIA1/45m A.1 %LK2C--1R••■• C_ ig Lt 4/l qq 5 L City: 9770 Asfr-ei State: Address: Qualifier Name: State Certification or Registration #: Contact Phone #: Phone#: V(' cR) _ t(( Zip: 3�7 ) )(g Phone #: 3 6 5$ - )02// 1.3713 Certificate of Competency #: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 1 De, Q oc? Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New j y ❑Repair/Replace ❑Demolition Description of Work: VC a R..44-4/61° � L�! k.e.est, * * * * * * * * * * ** ** * * * * *****:x***** ** ** Fees * *** *** ** * ******* * * * ** * * ** x * ****** ** * * ** * ** Submittal Fee $ Permit Fee $ /# 0 P0G2 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDmONERS, 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 be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 3 The foregoing instrument was acknowledged before me this day of , 20 j7., by Marl 0. C e,.s cr day of , 2013, by M ■ Oneae \. to V who is personally known to me or who has produced 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. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Notary Public State of Florida f; Miiychelle Perez * expires /b6 9 >ti NOTARY PUBLIC: Sign: Print: My Commission Expire • ,k' Notary Public State of Florida It Michelle Perez e My Commission EE002609 ************************4*** 4:4Piri11 8ip8ra *>ti**** Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)