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EL-12-2209Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 181901 RC- lea - t& Permit Number: EL -11 -12 -2209 Scheduled Inspection Date: November 29, 2012 Inspector: Devaney, Michael Owner: RODIER, ALEXANDRE & EMILIE Job Address: 1009 NE 104 Street Miami Shores, FL 33138 -2655 Project: <NONE> Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Temp for Construction Contractor: WEATHERMAKERS ELECTRICAL CONTRACTORS LLC Phone Number Parcel Number 1122320290140 Phone: (786)249 -8880 Building Department Comments TEMPORARY FOR CONSTRUCTION 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 r, „4„,/)67,P(77;-,? r>/ November 28, 2012 For Inspections please call: (305)762 -4949 Page 14 of 25 I t��LDING 13 PERMIT APPLICATION 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 Type: Electrical Permit No. Master Permit No. tit 2-22©1 42-tCFP OWNER: Name (Fee Simple Titleholder): g 0 it( el,- /-'eil Gf eblc -€ Phone #: Address: /0 0 9 f f- / Oq s-I MI4 -if1l s1-1 as S' City: _in l/ / c5' Jk'X 5 State: "—�- Zip: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: / CO [0 9 41E- /O `/ th ed City: Miami Shores County: Miami Dade Folio/Parcel #: 1 1 a. a. 3A-0 A 9 ©1 L! 0 Is the Building Historically Designated: Yes NO i� Flood Zone: zip: 3313'3 CONTRACTOR: Company Name: ag /- / 3' -7 ki C., Phone #: -7,org Vat V343 Address: i 3 9, i /1 7 -e- City: j 6 State: ,-• Zip: �7" Qualifier Name: ee /4i ! / oy 4)5 Phone #: State Certification or R gistration #: ,_ CO c r�,/e Certificate of Competency #: 07E )06 7 Contact Phone #: 7 /21/? 7?'rO Email Address: kc 1- 1 C, �� i %7��ev e/`-� ®%� DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 67e;;9', Squuaare/LL* ear Footage of Work: Type of Work: ❑Address °Alteration eLdi�f w ORepairfReplace r °Demolition Description of Work: / ® iee /' r ci'pi 5 c.-17 an ** * * * * ***a::********** * * ** x **** it*+ x+ x***** Fees******* a: *+ r*+ x*+ x*****m **u: ***+x***************** Submittal Fee $ 5 11 Permit Fee $ / ' ®r 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 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 properly 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 t : absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature = wrier or Agent The f • oing instrument was acknowledged before me this The foregoing ins ment was acknowledged before me thii7 day of 7/// , 20 .Z, by , day of e , 20 /27-by r0g 1-47 P'# who is personally known to me or who has produced who is personally known to me or who has produced Z, /('„ As identification and who did take an oath. as identification and who did take an oath. Signature Contractor NOTARY PUBLIC: Sign: Print: My Commission ,,,Yp,,. 3ti �, Ana Elizabeth Raisiadeh :"n R MISSION 5323 ES: SEP. 22, 2013 11 es: corn * *****+x******+nix+x ********m* **** ** **** ***** APPROVED BY .2� /AI' t 2.' / NOTARY PUBLIC: Sign: Print: My Commission Expires: = 73: o b ©m: CD _ -- '� d . el- Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)