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EL-13-915Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 \Z ��tZEN] � Inspection Number: INSP- 190403 Permit Number: EL -5 -13 -915 Scheduled Inspection Date: July 30, 2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SFARA, VERONIQUE Work Classification: Temp for Test Job Address: 1080 NE 105 Street Miami Shores, FL 33138- Phone Number (305)799 -2006 Parcel Number 1122320280090 Project: <NONE> Contractor: PARDIME ELECTRIC INC aulilaing Department Comments TEMP FOR TESTING INSPECTOR COMMENTS False Inspector Comments Passed E9 Failed �a2V- , ®C� 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 6 of 34 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 BUILDING PERMI-T APPLICATION FBC 20 Permit Type: Electrical 1� MAY u i 2013 0 a o ®mo ®0eo�.v�oa�� Permit No. el 1515 Master Permit No. l Tenanvl.essee Name: Phone#: Email: JOB ADDRESS: Q� r�)j� C C C� S Imo( 0'X� r City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name. �ik1�A(2�/ NO Flood Zone: City: a State Zip:��' Qualifier Name: a° �j a S M 1 T %a Phone# -q %;: -q —9V V0 State Certification or Registration #: ET 1> 6 [03 Certificate of Competency Contact Phone#" b —'gbat) Email Address: �l�P"► DESIGNER: Architect/Engineer: Phone#: Do alue of Worle for this Permit Square/Linear F Type of Work: ClAddress DAlteration New L], Descrip don of Work: Submittal Fee $ Permit Fee $ /0G' D40 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 4Lddress City State Mortgage Lender's Name (if applicable) Mortgage Un#er's Address r City State zip Zip A . 1 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 $25 00, 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 iss the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregMr, ' ument was acknowledged before me this The fore o'ng f strument was ackno ged before me this day of 20q , by�C�2� :v 1 Q L r c day 20 �> by f IT who is personally known to me or who has produced ►�`°� r� o is pe onally known to me or who has produc ` As identification and who t1`} u1uuuurt e�b111 n* ti d e a NOTARY PUBLIC: ��\d1� ' �'s •' S '��''� NOTARY P �e'•. ADREAN IVES ' © ��`�� • r? 4` �' Notary Public - State of Florida My Comm. Expires Aug 9, 2015 Sign �a� Q , = Sign ,; Commission # EE 120531 Print: My Commission Expires: APPROVED BY rnnu►�t� k� t Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /1=009)(Revised 3/15/09) Print: My Commission Expires: owQ� 14 U Zoning Clerk Page tTof 20 ,r 14 Building MIAMaD1AD!` 11805 SW 26th Street Miami, Florida 33175-2474 786 -315 -2100 miamidade.gov AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE ELECTRICAL CATEGORY 26 ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICEn UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED OR CERTIFICATE OF OCCUPANCY OBTAINED. It is understood that the temporary electrical approval by the Miami -Dade Building Department is given in connection with the building being constructed under the Building Permit•# and Electrical Permit # at address 1096 19 . N • csy . for owner: and is beiniz given�Qm�y� f r co�pstructi n p s �r for, testing the following equipment in said structure• C- + L>u0.TiK>'/ �! e e The owner does hereby agree to assume the responsi ility ofhaintaiiing the installation ins ch manner that t re is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the Building Official and will be disconnected if the building concerned is occupied before final inspections are approved and/or a Certificate of Occupancy or Completion is obtained. I, � being first duly sworn, depose and say that I am the ownerAM)p, above described property, and t at I agree that the structure covered in this agreement shall not be oU`$i u E.e building contractor has obtained approval of final inspections and/or obtained a Certificat�bf Qceup �iZ,� Completion. Note: Failure to comply with the provisions of this affidavit will res t in your b, 'a cE 6��' future Temporary for Test permits. Signat Signature of Notary ,�0R.. MyCommission Expires: I, t) . "i;yV1 � , being duly sworn, depose and say that I am the Electrica 't?6rl for the above - described property and that the electrical installations as now existi will not create a sa azard if ry service ' connected. "ai ADREAN VE Sig to of Electrical Contractor Sign N Q� tary Publ�r�,s at e F1 id MY d r I, n1 G U �� ;i t t first duly sworn, dep say. heat. am h ntractor of the above described property and that I will not permit occupancy of this building un ina ns ave been called for by the contractors and sub - contractors concerned and final approval by the inspection division obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy until such fi al inspect' ns ire btained and/or a Certificate of Occupancy or Completion is issued. 1=0 CWWAI Cc Signature of duildin g Contractor Signature of IN 0I My Commis it 8 4,t b Botldedthou tatso tMM Date: Signature of Electrical Inspector Date released to FPL: 1?3 U7 -124 6706 http: / /www.cbsnews.coml8301 -204 162- 575784221camitine- chemical- not - fat -may- explain -link- between -r... 4/13f2013