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EL-13-0783Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 189423 Scheduled Inspection Date: August 14, 2013 Inspector: Devaney, Michael Owner: , Job Address: 1155 NE 103 Street Miami Shores, FL 33138- Project: <NONE> Permit Number: EL -4 -13 -783 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1122320310080 Contractor: DEVELOPMENT ELECTRICAL CONTRACTORS INC Phone: (786)273 -0025 comments ELECTRIC FOR KITCHEN CABINETS INSTALLATION AND --"-� -- - SMOKE DETECTORS INSPECTOR COMMENTS False Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 13, 2013 For Inspections please call: (305)762 -4949 Page 3 of 36 f _4 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 BUILDING PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: FBC 20 Permit No. Master Permit No tc ) 1 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple City: 47-e2�h Tenant/L.essee Name: Email: NO Flood Zone: eR State: Zip: CONTRACTOR: Company Name: 6wK EGEGtf_t CAL (o a6g hone #: 94e, Z ®® � Address: /,579 // sW 5ci -rem City: d`1 a 4 eat 1 State: �' � Zip: 33 t Qualifier Name: t 0 1',5- 0 H 0 F5 0 z Phone#: State Certification or Registration #• &_� 13 ®1 Lf S,63 Certificate of Competency t I /600® 9tDO Contact Phone #: 3 ©S" S I O! 3 6 Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ /� ®� Square/Linear Footage of Work: Type of Work: DAddress DAlteration ONew Repair/Replace Description of Work: JC�2r+ °u 4C "j 92LO __ W=_ Submittal Fee Scanning Fee $ ew I% pik 0 n uKt Permit Fee $ /f';0 1A® CCF $ CO /CC $ Radon Fee $ No Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $ 24b • FIR 'v Bonding Company's Name (if applicable) Bonding Company's Address City State 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. p G Signature Signature Owner of Agent Contractor The foregoing instrument 1was ackn=1eded fore n} e>thhi day of �, 20 i .7, by Am Mea who is personalIXi own to me or who has produced As identification and who did take an oath. NOTARY PITRTJC! Sigr Prin My The forego' g instrument was acknowledged bef9re me this day of Zi , 20 A by C4 1 /� M� Z_ who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: pF�� r °�+ N*Ury bft Sta Print: q}g� �. cQ My Cwnm"Im EE112102 My Commis 'ol es�cpires 07/13/2015 7a �3 APPROVED BY /L ! k � Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)