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EL-13-1029Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 195264 Permit Number: EL -5 -13 -1029 Scheduled Inspection Date: July 16, 2013 Inspector: Devaney, Michael Owner: CATALINA RUSSEK, JORGE Wok'A MC7 Job Address: 131 NE 110 Street Miami Shores, FL 33161- Project: <NONE> Permit Type: Electrical - Residential Inspection Type: 5&gh Work Classification: Addition /Alteration Phone Number (571)355 -2239 Parcel Number 1121360040200 Contractor: LLANES ELECTRIC CORP Phone: (305)989 -3090 aullcling Department comments RELOCATING OVERHEAD ELECTRICAL SERVICE TO Infractio Passed Comments UNDERGROUND I INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 15, 2013 For Inspections please call: (305)762 -4949 Page 29 of 30 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 MAY . 0 213 Permit No. EJ I �� Master Permit Permit Type: Electrical) �s JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Foflo/Parcel #: to 0 qa.'- 6 e Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder):_ Address: 1'31 did Cs /% City: NO Zone: Phone #: _ State: Zip: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: (� l/L� S �C G �rf e L �C> �[ C�Phone #:� �7 S d C7 D Address: ?q 95- C-LU (0'cJ AUL City: "i cj p State: r-(— Zip: f 2 9 Qualifier Name: fL.ClF //� / �2�e— Phone#: 309- 985 3050 State Certification or Registration #: (51Z /3 0141 j 3 Certificate of Competency #: L 000 ©/ Z Contact Phone #: 70 �- '�76 9 30�i ® Email Address: AQ K S 1 fo 252 ti 00 - Lct-{ DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 1 �- Square/Linear Footage of Work: G �t- Type of Work: OAddress OAlteration ONew ORepair/Replace ODemolitio>} Submittal Fee $ Permit Fee $ /S �� ' 9 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bopd Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ 0 y Ropding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made td 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: Asa co iti to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that cop of the notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject o att c ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection hich urs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be rov nd a reinspection fee will be charged. er or Agent The foregoin ins ,was acknowledged before me this l day of ! Z, by �e t s t rwv V''' , who is personall own to me or who has produced As identification and who did take an oath. NOTARY LIC: J Signature Contractor The foregoing instrument was acknowledged before me this day of , 2113 , by j2� who is personal to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: (% -0 V Sign: � Sign: ^� Print: Print: y ®C4 \ M S \ Ct My Commission Expires: _1 My Commission Expires P t4RHiAA00STA y` �! # EE 417fv1 iFw :* A9y Ct)l i �N # EE 141764 lw : Jece�nher 10, 201.5 IN EXi't ES ' iier 10 2015 `%$.:... 1.xu PultOc Unde�writ�s 4� &nCW Thn, r ; c Undehuritery $ s$ sak�k�k�Iaak�kik�IaxaakskskakakHaakakakak� ak�k�kskakakakakakakaksk�k�knk�kskskaknksk�k�ksksksksk�Iasksksk�ls�ksIa sk APPROVED BY �� 1314° &t / Plans Examiner Zoning Structural Review (Revised 3 /1212012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk 7495 SW 109 AVE MIAMI, FL 33173 Ilaneselectriccorp @yahoo.com To: Miami Shores Village Building Department Reference: Jorge Hernandez 131 NE116'ST Miami Shores, FL 33161 May 8, 2013 Please see below the new Electrical Riser Diagram. 4 477 T Coven 13 a uJ / 2b'0 k1 P �Ao\ 1 dl Co t11 2-00 A M P WIL 1'1 (�v ©cJV1� i _ 'L X 10 b'g60na Z 5e.0 Vice FP = f License number: 13E0000012 Qualifier Name: Rene M Llanes MARIA acx3srA My COMMISSION # EE 141764 §eg EXPIRES: T December 10, 201 Rae Underwri�rs ° �- � g w U- > �. c, O U � L °w L" 2 0 p C7 0 v 0 Z c� w w LU Q ® m � sI Please see below the new Electrical Riser Diagram. 4 477 T Coven 13 a uJ / 2b'0 k1 P �Ao\ 1 dl Co t11 2-00 A M P WIL 1'1 (�v ©cJV1� i _ 'L X 10 b'g60na Z 5e.0 Vice FP = f License number: 13E0000012 Qualifier Name: Rene M Llanes MARIA acx3srA My COMMISSION # EE 141764 §eg EXPIRES: T December 10, 201 Rae Underwri�rs