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EL-06-2152Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 160009 Scheduled Inspection Date: October 10, 2012 Inspector. Devaney, Michael Owner: RESPONDEK, CAROL Job Address: 1162 NE 105 Street Miami Shores, FL Project: <NONE> 0 5 _- I `A ? ..l_ Permit Number: EL -8 -06 -2152 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1122320280150 Contractor: WELL ELECTRIC TECHNOLOGY Phone: (305)726 -7098 tsuiialing uepartment comments Install rough and trim for addition bult above garage relocate water heater, washer, and dryer Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 24798. Walls need to be finished. Failed / Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 09, 2012 For Inspections please call: (305)762 -4949 Page 2 of 46 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -24798 Scheduled Inspection Date: May 19, 2011 Inspector: Devaney, Michael Owner: RESPONDEK, CAROL Job Address: 1162 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: WELL ELECTRIC TECHNOLOGY Building Department Comments Install rough and trim for addition butt above garage relocate water heater, washer, and dryer 06 - ) L13 -7 Permit Number: EL -8 -06 -2152 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1122320280150 Phone: (305)726 -7098 � /�� Inspector Comments Passe /v y1_2s� Failed��� Correction ❑ Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 18, 2011 For Inspections please call: (305)762.4949 Page 17 of 17 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING. q Permit No. ( PERMIT APPLICATION 1 `� ° Master Permit No. 13POS 142>7 2>7 FBC 2001 Permit Type (circle): Building l Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 11— K_ Phone # ­30 Owner's Address 1 L kN E I cr, t`r City i L.-_,S , �c, � State (- 1 Zip t Tenant/Lessee Name K, Phone # Job Address (where the work is being done) S c'-s C• 6clic City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO ✓' Contractor's Company Name 1JECatALL044 j, Phone # ';66 '7 Zlp ?pq g Contractor's Address State rL, Zip / �p Qualifier State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) %jo S¢, 1?N.d Phone # -:�C 5 W1 -4.40 $ Value of Work For this Permit 0 21590, oo Type of Work: [Addition ❑Alteration ❑New Square Footage Of Work: 400 � ?r ❑ Repair/Replace ❑ Demolition � �r��a.., _ .� �`J 1 � i ✓. L ice' � _: � w _ L�t:� -�s*'i Submittal Fee $ Permit Fee $_ ZED 11-:9 Notary $ Training/Education Fee $ , 00 Scanning $ n . " ` Radon $ Code Enforcement $ Total Fee Now Due $ ,�'l . 1 (Continued on opposite side) CCF $ 1 , CO /CC Technology Fee $ �), 9 Sj Zoning Bond $ Structural Plan Review. $ 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 will not be approved and a reinspection fee will be charged. Signature, { (, Owner or Agen The foregoing instrument was acknowledged before me this 2-101 day of AI U RP- , 20 _(, by who is personally known to me or who has produced Signature � Contractor ` The foregoing instrument was acknowledged before me this day of R— -20 04 by who is personally known to me or who has producedAV, V As identification and who did take an oath. L. ` r cy-Z a ]cation and who did take - oat�. NOTA. Y PUBLIC: NOTARY PUB Sign: a ' T c Sign: Print: 'b� DVJQ J O Uy M W SJQ , _ Print: r -e .- My Commission Expires: t •«••••••«+« My Commission Ex ires:Ml{,DREp 80GALANDRO ? V 4%*QMM4L* Av" *00*0"l IV *4k** MY COMMISSION # DD526101 r , n Expires 5111/2010 OiF�a�� EXPIRES: Mar. 7,2010 Fb Wa Notary Assn. Inc r (407) 388 -0153 Ftodda Notary Swwca w••u•••••a # # # # # # # # # # # # # # # # # # # # # # # ## ## �a # # # # # # # # # # # # # # # # ## APPLICATION APPROVED BY. ���� Plans Examiner Engineer chc 45/13/03 Zoning o ADDENDUM TO BUILDING PERMIT APPLICATION (AN A£PLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDDD �UON SUBSEQUENT APPLICATIONS.) IT HAS OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PLUMBING ELECTRICAL MECHANICAL ITEM BATH T16 UNIT FEE ITEM UNiT SWITCH OUTLETS FEE ITEM IN17 SPACE HEATERS FEE LIGHT OUTLETS 7 CENTRAL HEATING BIDET RECEPTACLES SERVICE TEMPORARY l A/C (WIND) A/C (CENTRAL) ©ISHW0iER DISPOSAI SERVICE SIZE IN AMPS SERVICE REPAIRAETER CHANGE APPLIAXE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0- 1 HP MOTORS OVER 1- 3 If MOTORS OVER 3- 5 HP MOTORS OVER 5- 8 HP MOTORS OVER 8- 10 HP MOTORS OVER 10- 25 HP MOTORS OVER 25 --100 If 1 DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUMI TANKS ABOVE MM TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS OLING TOWERS TRE'lNSPECTION E SPRINKLER SYSTEMS DRINKING FOUNTAIN FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY L9 "Y TRAY CLOTHES WASHER SLOWER SINK, POT /3 COMP. SINK, RESIDENCE SINK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET MOTORS OVER 100 fp LATION INDIRECT WASTES A/C WINDOW WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I 'HEATER -NEW INST. GENERATORS 'TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMlkRCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS •SIGN TRANSFERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS URAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK RE INSPECT ION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL MMESTIC WELL AREA DRAIN ROOF INLET f f SOLAR WATER HEATER I f FIRE STANDPIPE ! I I POOL P IP I IG LAWN SPRINKLER SYSTEM I f f GAS RAME f f METER SET (GAS) GAS P IP IKI: Miami shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 2/8/2007 Expires: 09/3012006 Permit Number: EL -8 -06 -2152 Owner's Name: CAROL RESPONDEK one: Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 1162 105 Street NE Miami Shores Village, FL Contractor(s) Phone Primary Contractor WELL ELECTRIC TECHNOLOGY (305)726 -7098 Yes Additional Information Type of Work: ELECTRIC Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL worts. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $1.80 Education Surcharge $0.60 Permit Fee - Additions /Alterations $150.00 Scanning Fee $3.00 Technology Fee $3.75 Total: $159.15 Building Department File Copy Applicant Signature Total: Parcel #: Block: 1122320280150 Lot: Section: PB: Total Square Feet: 400 Total Valuation: $ 2,500.00 Due NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 2/8/2007 Expires: 09/3012006 Permit Number: EL -8 -06 -2152 Owner's Name: CAROL RESPONDEK one: Permit Type: Electrical - Residential Work Classification: Addition /Alteration Parcel #: Block: Job Address: 1162 105 Street NE Section: Miami Shores Village, FL Contractor(s) Phone Primary Contractor WELL ELECTRIC TECHNOLOGY (305)726 -7098 Yes Additional Information Type of Work: ELECTRIC Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $1.80 Education Surcharge $0.60 Permit Fee - Additions /Alterations $150.00 Scanning Fee $3.00 Technology Fee $3.75 Total: $159.15 Applicant Copy 1122320280150 Lot: PB: Total Square Feet: 400 Total Valuation: $ 2,500.00 Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final IY q �S¢ N-JkT Invoice Number Amt Due Amt Paid EL -2 -07 -27454 $159.15 Total: NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. For Inspections, Call (305) 795 -2204 exts 431 & 442. Requests must be received by 3 pm for following day inspections. Obtain Certificate of Ocupancy /Completion Before Using the Building 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 2/8 /2007 Expires: 09130/2006 Permit Number: EL -8-06 -2152 Owner's Name: CAROL RESPONDEK one: Permit Type: Electrical - Residential Work Classification: Addition /Alteration Job Address: 1162 105 Street NE Miami Shores Village, FL Contractor(s) Phone Primary Contractor WELL ELECTRIC TECHNOLOGY (305)726 -7098 Yes Additional Information Type of Work: ELECTRIC Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: 1 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $1.80 Education Surcharge $0.60 Permit Fee - Additions /Alterations $150.00 Scanning Fee $3.00 Technology Fee $3.75 Total: $159.15 County Copy Parcel #: Block: 1122320280150 Lot: Section: PB: Total Square Feet: 400 Total Valuation: $ 2,500.00 Invoice Number Amt Due Amt Paid EL -2 -07 -27454 $159.15 Total: NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 2/8/2007 Expires: 0913012006 Permit Number: EL -8 -06 -2152 Owner's Name: CAROL RESPONDEK one: Permit Type: Electrical - Residential Work Classification: Addition /Alteration Parcel #: 1122320280150 Block: ,lob Address: 1162 105 Street NE Section: Miami Shores Village, FL Contractor(s) Phone Primary Contractor WELL ELECTRIC TECHNOLOGY (305)726 -7098 Yes Additional Information Type of Work: ELECTRIC Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $1.80 Education Surcharge $0.60 Permit Fee - Additions /Alterations $150.00 Scanning Fee $3.00 Technology Fee $3.75 Total: $159.15 Finance Copy Lot: PB: Total Square Feet: 400 Total Valuation: $ 2,500.00 Invoice Number Amt Due Amt Paid EL -2 -07 -27454 $159.15 Total: NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.