EL-13-1341 ~ Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
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Inspection Number: INSP-193567 Permit Number: EL-6-13-1341
Scheduled Inspection Date: October 11,2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: SARKISIAN, LEANNE Work Classification: Addition/Alteration
Job Address: 1240 NE 93 Street
Miami Shores, FL Phone Number
Parcel Number 1132050270190
Project: <NONE>
Contractor: CONNECTIVE ELECTRIC INC Phone: (954)782-7879
Building Department Comments
ELECTRICAL WORK FOR KITCHEN REMODEL Infractio Passed comments
INSPECTOR COMMENTS False
Inspector Comments
Passed EE
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 11,2013 For Inspections please call: (305)762-4949 Page 4 of 26
Miami Shores Village '
Building Department JUN 1.3 2013
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 8 Y
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Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 2010
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. —16(n
Permit Type:Electrical
JOB ADDRESS: G qy Alir�' //Q
Srj r�-
City: Miami Shores County: Miami Dade Zip: /3
Folio/Parcel#:
Is the Building Historically Designated:Yes Flood Zone: e
OWNER:Name(Fee Simple Titleholder): !a Phone#: 87 101
Address: 12 VO k- 9.?` 2-
City: IV% i Ph IeEf State: L Zip: T3/1.71?
Tenant/Lessee Name: "IV Phone#: A
r
CONTRACTOR:Company Name: AAer,4,ve_ 01ejr:L_ (r-C - Phone#:
Address: 310 /k1, 4W A 95 �
city: P6fq � �- State- Tap: -,3 300
Qualifier Name: I��u.Pi Phone#:
State Certification or Registration#: C-f 3 c>O 378 Certificate of Competency#:
Contact Phone#:25—V"16 S- -7-5,01 Email Address:
DESIGNER:ArchitecUEngineer: Phone#:
Value of Work for this Permit:$ Z ;o Sgaare/Linear Footage of Work:
Type of Work: OAddress )9Wteration ONew ORepair/Replace LiDemolition
Description of Work: Ale 4 f4 0'C,�e4
Submittal Fee$ Permit Fee$ /.4_e£0® 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,BORERS,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 HVIEND 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 Signa
?Zerr Agent C tractor
The foreg g instrument was a owled ed be r this� The foregoing instrument was acknowled�ge"d before me tins
day of V .20 G by day of �A ,20 13,by M I('Y t I owo
who is pe onally known to me or who has oduced who is personally known
��too me or who has produced Valid
and who did take an oa �1- Ck44 o� li deentificatio w ' take an oath.
NOTAR PUBLIC: T , v �Ue�o-°4 or�aa NOTARY PUBLIC:
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Sign: "ry n tiaP EE aty�SSn. Sign:
Print: iou9h Print:
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My Commission Expires: ' My Commission Expires: ,°'1!S`r"fie °�hk�PliYie �il�
:°. -.00MMI"N#EE852193
:R=EXPIRES:NOV.18,2016
www.AM"NNOTARY.om
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3 11212012)(Revised 07/10/07)(Revised 0611012009)(Revised 3/15/09)