EL-13-2038r�
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 198824 . Permit Number: EL -9 -13 -2038
Scheduled Inspection Date: November 01, 2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: , B&L REALTY HOLDINGS LLC
Job Address: 125 NW 95 Street
Miami Shores, FL
Project: <NONE>
Contractor: HIGHGRADE ELECTRIC CONTRATORS CORP
tsul
comments
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1131010240320
Phone: (305)576 -8807
ADD CARBON MONOXIDE SMOKE DETECTORS, intractio rassea comments
REPLACE GFI'S IN TWO BATHROOMS, REPLACE GFI'S INSPECTOR COMMENTS False
IN KITCHEN ADD 6 HIGH HATS IN KITCHEN
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 31, 2013 For Inspections please call: (305)762 -4949 Page 9 of 19
,4,,: a
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
FBC 20
BUILDING Permit No.E 1 ti 3.203E
PERMIT APPLICATION Master Permit No. M 13. 2QcM
Permit Type: Electrical
JOB ADDRESS: I a- `z� Km "
City: Miami Shores County: Miami Dade Zip: � Q
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): JB � 1 P_ eC-i [Al 4 C� 1 ode #: v O j �5 ' ( q (g
Address: cl C)O r_w �°^ ._-.A
City: - C,,N--N e State: r-7 (_
Tenant/Lessee Name:
Email:
to
:/ Phone #: SOS - 9 (BG - .
Address: rMY M4tdi= n _W"
City: ° r fate:r4 Zip: .3
.n, ems.
Qualifier Name: `J ' Phone#: 3�a 5 — �8f<� - ��
State Certification or Registration #: A� Certificate of Competency #:
Phone #: 3 C-5 - G b - g S 8 t- Email Address: J a' G+ '�'f�- �, & o G 6
Architect/Engineer: Phone #:
Waxk:
D
$ t CIS 0. Square/Linear Footage of Work:
DAlteration ONew Ultepair/Replace
ODemolition
Submittal Fee $ Permit Fee $; CCF $ CO /CC $
• 0 � Radon Fee $ --�
Scanning Fee $ � � .'� ?' DBPR $ 3.3? Bond $
Notary $ Training/Education Fee $ A �3 Technology Fee $ 1. 66.
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 pos d notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signal
Owner \Agent
The foregoing instrument was acknowledged before me this _S� The fa,
day of 20 13, by M t Cl � e— I 6,7o-,r, ► , day of
who s hall to me or who has produced , who is
As identification and who did take an oath.
this S4
to me or who has produced
as identification and who did take an o bl
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: (31LI. Sign.
Print: Print: OS� S'
M Commission Expires: RONIdI A B
My z MY COMMISSION! f 000573 My ommission Expires:
EXPIRES October � 41, 2014
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APPROVED BY SP PPlans Examiner
Structural Review
(Revised 3 /12/2012 )(Revised 07/10/07 )(Revised 06 /10/2009 )(Revised 3/15/09)
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Zoning
Clerk