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EL-13-1981 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)796-2204 Fax: (305)766-8972 Inspection Number: INSP-202309 Permit Number: EL-8-13-1981 Scheduled Inspection Date: December 12,2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: RODIER,ALEXANDER& EMILIE Work Classification: Alteration Job Address: 1009 NE 104 Street Miami Shores, FL 33138-2655 Phone Number 305-756-6295 Parcel Number 1122320290140 Project: <NONE> Contractor: WEATHERMAKERS ELECTRICAL CONTRACTORS LLC Phone: (786)249-8880 Building Department Comments Infractio Passed Comments LOW VOLTAGE INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-202185. Need to meet the electrician to determan wha Failed Correction ❑ Needed f C � Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 11,2013 For Inspections please call: (305)762-4949 Page 10 of 30 Miami Shores Village c Building Department AUG 3 2013 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 q Tel: (305)795.2204 Fax: (305)756.8972 BY: INSPECTION'S PHONE NUMBER: (305)762.4949 �l FBC 20 BUILDING Permit No.L >—1 Ctw� PERMIT APPLICATION Master Permit No. t~ ey 1 z Permit Type: Electrical JOB ADDRESS: ! ©®% E /L Sf City: Miami Shores County: Miami Dade Zip: 3e3Ps''� Foho/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): IG / 't X4 aee d�l�� Phone#: Address: City: /44e m� SAym State: F� Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: `"1e L4'e'1*4k°� ��j Phone#: � � 0 Address: 13��,�� / q � City: ( i`_&V State: Zip: 3,7/n/ Qualifier Name: G-Y /� / °'' d// Phone#: State Certification or Registration#: � 000 zm //Certificate of Competency#: ® �® a6 Contact Phone#: 7�&' V0A q,3/3 • "°�EmalPAddress: e 1e_�P Q `e DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit: $ Sq�uar ' ear Footage of Work: Type of Work: ❑Address DAlteration eC9N w�z ?'"ORepair/Replace ODemolition Description of Work: Z-0 G✓ e,,L,f�` A Submittal Fee$ Permit Fee$_/°� dr0� CCF$ 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 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 fore oing instrument was acknowledged before me this 570 The fore oing ' ent w�;,ckno edg efo a thi day of ,20 &,by ,41eXrj W day of 20 b who i ersonally known to me r who has produced / ho is p rso 11�known to me or who has produced As identification and who did take an oath. V as identification and who did take an oath. NOTARY PUBLIC: N T Y "x16 Sign: Sign: �., Print: ,`.i911 �� A' '., Print: MY COMMISSION 0 FPOW4 My Commission Expire . 2of� My Commission Expires: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(16etiised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)