EL-13-2003 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-199543 Permit Number: EL-9-13-2003
Scheduled Inspection Date: October 01,2013 Permit Type: Electrical -Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: GARDINER,CARMEN SUSY Work Classification: Addition/Alteration
Job Address:8957 NE 4 Avenue Road
Miami Shores, FL Phone Number
Parcel Number 1132060460440
Project: <NONE>
Contractor: MOODY ELECTRIC INC Phone: (305)758-2000
Building Department Comments
REPLACE BREAKER BOX NO WORK ON METER OR Infractio Passed Comments
MAIN SERVICE INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-198470. Move panel to the left to
create 3'clear space.
Failed
Correction 0
Needed G
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 30,2013 For Inspections please call: (305)762-4949 Page 18 of 31
. Miami Shores Village CSI
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Building Department artment S 0 4 2013
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY:
Tel:(305)795.2204 Fax: (305)756.8972
INSPECTION'S PRONE NUMBER:(305)762.4949
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.�11-3'AQ 4_
Permit Type: Electrica°�l ��
JOB ADDRESS:�! 5 (y §6 46 ` ut &0(
City Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): 6ardl. Pi Phone#:_19/a— Z 7/'®9_
L 9
Address: ���� A116 `� M hub
City: Nami %O rep State: Zip: -5'31-3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: / 1 h Phone#:
Address: 66q AJ PJ ®S4-
p: �S®
City: )tin; State:
Qualifier Name: Phone#•
State Certification or Registration Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ q<zrD Square/Linear F ootage of Work:
Type of Work: ❑Address OAlteration ONew RRepair/Replace ODemolition
Description of Work-
ae6 r
IO ")61,4kVAt (3.V A�peTP4 ®!�
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ TraininglEducation Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
L
Bonding Company's Name(if applicable) L19-
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 �S#&&AVAJ Signa
Ow4er or Agent j Contracto
The foregoing instrument was acknowledged before me this T The foregoing' trument w/as�acknowle�ged before e this
day of_C 0 ,20 ff,by t�e S t�//O �' day of 20(i,by ��
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: NOTARY PUBLIC:
Sign: e Sign '
Print ,.°, p MA9Y PAT BRIUM05 97 it Print:
Enld 14
My Commission Expires: BXP sa May 11My Commission Ex f � P T
° ••° Bonded Thru Notary PUblle envr lters .� MY COMMISSION#DD 979267
o(m ., :o EXPIRES:May 11,2014
Bonded Thru Notary Public Undenvdters
4eoY9e�rok9eoY&�Y4e�k4ea6nY�4:&�Y9:�F�F _ 4r&&4r�Y4e4r4esY9rdrzYdrzkAr�k�irk9e3e9e�3c�YaY9e*sYdF4r4:Sea@ 9e9e4eFr9cot4cde•kdr4r9c9:sYaYvk*sY4rot9e�Y�k�ededrdt4rde9e8e�Y�k�Y•kde9e9ea�r�Y4c9eoY9e9e
9e��k9F4r
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APPROVED BY �°7�z°/ Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012XRevised 07/10/07)(Revised 06/10/2009XRevised 3/15/09)
1
Sep 04 13 03: 51p Moody Electric Inc 305-754-1333 p. 2
RUG=30°2013 10:09 From: To:305 754 1333 F.1
MOOD ELECMIC, INC.
PRO-POSAWS L
VA",rnoodyelectricmm
AugUA Z),2013
669 N W. 90 Street - Wanit. Ft. 331 5t)-pi 66
(305) 758 20DO Fa.c (305) 754-1333
PCOtwt,111 1*C1 Fax i RM2111,
ardiner
$951 IN E*• th A vcnuc Road
101,1111i -Sholvc, }•''l- 33 138
I't)ftfiva.,
Panel C*hange, sallic
1.) Ftiroi.qh and insf-41 a ncw tintaker box in place ofe-,lstirig or►c iii 11a.L111dify r(Ictri,
QUOTE: $850,00
i R.Cp',lir lug III flicter roval.
QUOTE: S,1 WOO
I Pmchl-ng cmd pairinne I-n others.•
2.1 AWnniv %Nfll be I)r(-)\,kled at • tUal.cost plus V-5.00 pi-ocessing fee istaddidon ru this pr(tpos-aj.
3,) Any addidonal wrvices rvquired h�- The Auth(trities will tv canNideled a
ch ing,e to the sc-ope wid will be quoted w,a chan
SI.-'herrhy lo comvloi�in at:Cord'atte7wah th�w
(lie will
We A btYVV
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alixt;0411 10%rnvy IN OYttTW,*,q--s kwts Irv'the vullf,A tha•firMA resis agrewneent was Ograd.Mr wy ki*s)beyaN 111ts
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lu JI)tim work 1A 411 bC"INCIC ax
-13
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