EL-13-1259Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL `
Phone: (305)795 -2204 Fax: (305)756 -8972 I I
Inspection Number: INSP - 194417
Scheduled Inspection Date: June 28, 2013
Inspector: Devaney, Michael
Owner: FRASER, PATRICK
Job Address: 1500 NE 103 Street
Miami Shores, FL
Project: <NONE>
Contractor: MOODY ELECTRIC INC
Bunning Department comments
new 30 amp boat lift circuit from exsiting 200 amp panel in
garage to boat lift location at dock.
Permit Number: EL -6 -13 -1259
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)795 -2671
Parcel Number 1132050310090
INSPECTOR COMMENTS False
Inspector C en
Passed
Failed ✓�/t
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
June 28, 2013
For Inspections please call: (305)762 -4949
Phone: (305)758 -2000
Page 24 of 26
Miami Shores Village
Buildin g Department
artment
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
FBC 20 to
C r�___s�
a
JUN 0 7 2013
7
Permit No. C L_ l 13
Master Permit No1:?0C_1/__ a
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder):. ���� G K � Phone#:
Address: 1 6DO 1) e,1 ®���c7�
City: ' V I %� I _5 � 1 ®F-6.� -State: R, Zip: 3 3 13 E
Tenant/Lessee Name: 1")/A Phone #:
Email:
JOB ADDRESS: 5M
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: IV 0,0 E GI cl Phone #: 305 r /MUOC6
Address: � y�rl q A W 'Z ®5� �^
City: / o l (AM ( State: Fb Zip: 3 -515-0
Qualifier Name: OMAJ �1_ MOODU Phone #:
State Certification or Registration #: 0C, 00bi I qq-Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ Am 00 Square/Linear Footage of Work:
Type of Work: UAddress ❑Alteration ew ORepair/Replace DDemolition
Description o Work: � A666L44 Z-/ /�Pl_
Submittal Fee $40, Permit Fee $_ 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
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
zip
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 wit be approved and a reinspection fee will be charged.
Signatur-e-Y Signa '
Owner or Agent Contractor
The fo oin instrument as ac wledged before me this The foregoing instrument was acknowledged before me this
day of , 20 , by Cg � i , day of 0<- , 20 a, by 10h n TM05H41
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:
Print:
My Commission
APPROVED BY
0
MARY PAT BRIGGS
MY COMMISSION # DO 979267
EXPIRES: Mav 11, 2014
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3115/09)
Sign:
Print:
tY:Pi MARY PAT BRIGGS
My Commission s . *. MY COMMISSION # DD 979267
EXPIRES: May 11, 2014
' sF.�kge Omded rnm Notary PuNc undembrs
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t® Plans Examiner
Structural Review
Zoning
Clerk