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EL-13-2546 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-202882 Permit Number: EL-11-13-2546 Scheduled Inspection Date: November 14, 2013 Permit Type: Electrical- Residential Inspector: Devaney,Michael Inspection Type: Final Owner: RODIER,ALEXANDRE&EMILIE Work Classification: Temp for Test Job Address:1009 NE 104 Street Miami Shores, FL 33138-2655 Phone Number Parcel Number 1122320290140 Project: <NONE> Contractor: WEATHERMAKERS ELECTRICAL CONTRACTORS LLC Phone: (786)249-8880 Building Department Comments 30 DAYS FOR TEMP FOR TEST Infractio Passed Comments INSPECTOR COMMENTS False Inspector Co Passed Ez Failed 6V Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 13,2013 For Inspections please call: (305)762-4949 Page 23 of 31 o 1a1�1 Shores Village Buildin g Y �Department 10, � Navj' hcA � 44 10050 N.E.2n U Yd Avenue,Miami Shores,Florida 33138 � � Tel:(305)795.2204 Fag:(305)756.8972 8 Y INSPECTION'S PHONE NUMBER(305)762.4949 FBC 20 O 3.z r q 93 BUILDING Permit No. 13 PEA APPLICATION Master Permit No. QC G/ >,A 57` Permit Type: Electrical JOB ADDRESS• /4® 9 /Q y-- City: Miami shores Cormty: Miami Dade gip: Folio/Parcew. Is the Building Hlstorleally Designated:Yes NO Flood Zone: A OWNER:Name(Fee Simple Titleholder): �X cr Phone#: Address: _ /®'1 P !a T City:--&f�/ � 0���" State: ��� Zip: Tenant Name• phone#. Email: CONTRACTOR:Company Name: Address: l31!25— 541 /,1, 9 All City: , J"/state / State• l'"C� Zip: - Qualifier Name•_ K (.0 P .//1Y �Or Y&Z State Certification ar Registration#: 4f-/Z ® ® -,7 F?'j� Certificate of Competency#: Coact Phonei#: Emati Address: DESIGNER:ArchitecVEngmeer. Phoue#: Value of Work for this Permit:$ SqeAUnear Footage of Work: Type of Work: UAddress OAlteration �Tew C Repair/Replace Memalition Description of Work: 9 Fbt( ar u,�,�Fceg r,ir,�wrINK Submittal Fee$ Permit Fee$ Af dr-o' CCF$ CO/CC$ . Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Educadon Fee$ Technology Fee$ Double Fee$ Structural Review$ ' Bdndieg Company's Name(if applicable) Bonding Company's Address City State rip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State �P 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 wit] be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for KCAL 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 w#h 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 the absence of such posted notice, the inspection will not be approved and a rebapection fee will be charged. G o i Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this l Z The foregoing instrument was acknowledged before me this J,3 day of ors /Z 20 by 7- ea� � day of N44 V 20 1-7.by ' % A,- 1�� who is personally known to me or who has produced who is personally known to me or who has produced 1 As identification and who did take an oath. as identification.and who did take an oath. NOTARY PUBLIC: NOTARY Put: UBLIC: ``\\\"au ; wwww��nnn A.ELIZABETH RAISZADEH �� j MY COMMISSION 9"035434 6� 0 iii S UAW Sign: Print: Print: VA My commission Expffes: My CommissionoTires: = n lino APPROVED BY Plans Examiner Zoning Strucwral Review - Cleak cam 3/1=012)Revised 07/10/07)x d 06/10rM)(Revised 3/15/09) Building MIAMI•DADE 71805 SW 26th Street Miami, Florida 33175-2474 786-315-2100 miamidade.gov AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE ELECTRICAL CATEGORY 26 ELECTRIC SERVICE WILL BE DISCONNECTED"WITHOUT NOTICE" UPON 30 DAYTERMINATION UNLESS APPLICATION IS RENEWED OR CERTIFICATE OF OCCUPANCY OBTAINED. It is understood thatthe temporary electrical approval by the Miami-Dade Building De�ppart�m� ent is given in connection f. with the building being co structed under the Building Permit # e- /Z4-7- — and Electrical Permit# & L at address /®® 2 flay> V, S7- for owner: — an ! being given only fojr construction purposes or for testing the following equipment in said structure:_ �C1 The owner does hereby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subjectio rescission and cancellation and electric power can be cutoff at the discretion of the Building Official and will be disconnected if the building concerned is occupied before final inspections are approved and/or a Certificate?of Occupancy or Completion is obtained. being first duly sworn, depose and say th'at 1 am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and/or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result;in your bein unable to obtain future Temporary for Test permits. Y A.UIZABETH RAAISZADEH ! X1__` SSION 017033434 7 Sign ner Signature of Notary My Commission Expires: being duly sworn, depose and say that I am the Electrical Contractor for the above-d scribed property and that the electrical installations as now existing wv-jll not create aa' ( �if tem or ervice is onn e p •l Uo 0s�tn•' ,�= Signature of Electrical Contractor Signature of Notary; �.� �,Ad�Z � My Commission Expires: gl . I, / being first duly sworn, depose and say that I am the t r� ffd 9. door., of the above described property and that I will not permit occupancy of this building until final�011 been called for by the contractors and sub-contractors concemed and final approval by the inAioriiMion obtained and that I have the author' nsofar as the owner of said property is concerned t prohibit occupan until such final inspe ins are obta' nd/or a Certificate of Occupancy or Completion i ss Si re of B i ding Contr or Signature of Notary �\0``� My Commission Expires: �`N Date: Signature of Electrical Inspector _ 1Q�r 91 Date released to FPL �z� /8p/ n ''� ' 1... • '' ` S 123_01-124 6106