EL-12-2308Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
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Inspection Number: INSP- 195938 Permit Number: EL -12 -12 -2308
Scheduled Inspection Date: July 30, 2013
Inspector: Devaney, Michael
Owner: SFARA, VERONIQUE
Job Address: 1080 NE 105 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: PARDIME ELECTRIC INC
Building Department Comments
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (305)799 -2006
Parcel Number 1122320280090
INSTALLATION OF 5 SECURITY CAMERAS, 3 INTERCOM Infractio Passed Comments
LOCATIONS AND 8 CENTRAL VACUUM LOCATIONS INSPECTOR COMMENTS False
07/08/2013 - PERMIT EXTENDED PER LAST APPROVED
INSP. 06/13/2013.
July 29, 2013 For Inspections please call: (305)762 -4949 Page 21 of 34
Inspector Comments
Passed
Failed
Correction
Needed
❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
July 29, 2013 For Inspections please call: (305)762 -4949 Page 21 of 34
t" F I I V �✓." L i E i
Miami Shores Village G o 6 2012
�
Building Department ; , o0 0,------77 -
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 No.
PERMI.T APPLICATION Master Permit No.
FBC 20
Permit Type: Electrical
OWNER:,Name (Fee Simple
city: 1 I I cx�ta t
Tenant/Lessee Name:
State: EL Zip:
Email: -Q- 01 @ _ hN Cll�-C C40 �
JOB ADDRESS:.,_
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name?RLX
wY ►'1FL- C� �� b ��
Phon
Addres ��� c� -% (� —Z
City: S
State: Zip:
7 p
Qualifier Name: D `� ` �` Phone#: b 4`12> I
State Certification or Registration #: rtificatteq�of Competency #: D t) co 11y4%,-'51
Contact Phone# Z �°^ �'°1 �� Email Address: T
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: OAddress OAlteration New ORepair/Replace ODemolition
Description of Work: � � �i C ``� ftmbry\
Submittal Fee $ Permit Fee $ ''e e°' 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 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 Agent l
The foregoing instrument was acknowledged before me this
day of �/V \ , 20 Q, by L/ t' - t 8LAL
who is Noonally known m r who has produced �v[
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
NOTARY PUILN
Commission i
cP •. EE173059 : •�Q'��
(Revised 07 /10 /07)(Revised 06/10=09)(Revised 3/15/09)
Signature
Contractor
The for omg in m was acknc ged bef me this (`
day of , 20 Lk by OiYlj��
who / 's pe onall known to me or who has roduced
OX rV I *W Videntification and who did take an oath.
7 N ARY•PUBLIC: - • /-A • i ,
Plans Examiner
Structural Review
Sign:
Print:
My Commission
Nota(Y Public • 5tete
CommISS10n # EE 128810
,a•a ihlmmh Natinnal,Notary 41—n-
Zoning
Clerk