The URL can be used to link to this page

EL-13-2665Inspection Worksheet A f � 2.6 Miami Shores Village l 3 6 10050 N.E. 2nd Avenue Miami Shores, FL L Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 206877 Scheduled Inspection Date: February 10, 2014 Inspector: Devaney, Michael Owner: SHIPPEE, HELEN Job Address: 1400 NE 104 Street Miami Shores, FL Project <NONE> Permit Number: EL -11 -13 -2665 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1122320320270 Contractor: EMPIRE ELECTRIC MAINTENANCE & SERVICE INC Phone: 305 -264 -9982 Building Department Comments KITCHEN REMODEL AS PER PLANS INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 07, 2014 For Inspections please call: (305)762 -4949 Page 40 of" Miami Shores Village Building Department 90050 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: 1400 NE 104 ST FBC 20 NOV 252013 Permit No. 0 %L " Z(J()S Master Permit No — 2 6 6 City: Miami Shores County: Miami Dade gip: 33138 Folio/Parcel #: it -20v�""©i�-000rV Is the Building Historically Designated: Yes Zone: OWNER: Name (Fee Simple Titleholder): Helen Shippee Phone #: 305 - 389 -4638 Address: 1400 NE 104 ST City: Miami Shores State. FL Zip. 33138 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Empire Electric Maintenance and Service, Inc. phone #: 305 - 264 -9982 Address: 1041 SW 67th Ave city: West Miami State. FL Zip. 33144 Qualifier Name: Antonio E. Hernandez Phone #: 305- 264 -9982 State Certification or Registration #: EC- 0001274 Certificate of Competency #: Contact Phone#: 305 - 264 -9982 Email Address: tony @empireelectric.net DESIGNER: Architect/Engineer: American South Design, Inc. Phone #: 305- 266 -3986 vc7 Value of Work for this Permit: $ 2 f Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ONew gRepair/Replace ODemolition Description of Work: Kitchen remodeling Submittal Fee $ J LQ - CC) Permit Fee $ A-f—OP,-& b CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job ' for the first inspection which occurs seven (7) days after the building permit is issued 17 1} the,,, ce of such posted notic , the inspection will not be approved and a reinspection fee will be charged. l J Sign ature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Contractor The fore o' g ins ent was acknowledgeo before me t day of , 20 4 to- Ebw who is personally known tour who has produced as identification and who did take an oath. NOTARY Sign: Sign V vv Print: Print T77—.'v.7,,. My Commission Expires: My Cissi�' `•` ` Notary ublic -State of Florida omm J` My Comm. Expires Feb 8, 2017 %.;f oa c o:• Commission # EE 854852 �IIIIIIII \\ gslksKskBasklklkst +�klklblklklklklklklk/k/k sklksk�++ kl# Iklklklklksklk8+ lk8s$ slklk8ssklklk+ k+ klklk+ klklklk$+ Iklkdllksklklklk8ss1ssk8sdssk111ksk111k�I+ lklkll# �Iklksk+ k9nklksklklklksk =Ilklkikskll�k�kd++l APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)