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DEMO-14-785Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 211026 Permit Number: DEMO -4 -14 -785 Scheduled Inspection Date: May 12, 2014 Permit Type: Demolition Inspector. Devaney, Michael Inspection Type: Final Owner: SALT, ABBIE Work Classification: Electric Job Address: 1468 NE 104 Street Miami Shores, FL 33138 - Phone Number Parcel Number 1122320320320 Project: <NONE> Contractor: STEVENSON'S ELECTRIC SERVICE COMPANY Phone: (305)253 -1500 Isunamg uepanment comments REMOVE EXISTING ELECTRICAL WIRE FOR POOL Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 09, 2014 For Inspections please call: (305)762 -4949 Page 10 of 22 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 PERMIT APPLICATION e-\ Cy Permit Type: ectrical FBC 20 APR 11 2a Permit No. PeAW /-/ ~ 7'8-511 Master Permit No. DEMO -3 -14 -553 JOB ADDRESS: 1468 NE 104 Street City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcelk 11- 2232 - 032 -0320 Is the Building Historically Designated: Yes NO X Flood Zone: OWNER: Name (Fee Simple Titleholder): Abbie R Salt Phone #: 305 - 525 -1286 Address: 1468 NE 104 Street City Miami Shores State. FL Zip. 33138 Tenant/Lessee Name: n/a Phone#: Email: CONTRACTOR: Company Name: Stevenson's Electric Service Company phone#: 305 - 253 -1500 Address: 19710 SW 99 Court City: Miami State: FL zip: 33157 Qualifier Name: Gregg Stevenson Phone #: 352 -470 -1796 State Certification or Registration #: EC0001685 Certificate of Competency #: Contact Phone #: 352 -470 -1796 Email Address: exceptionalelec @aol.com DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $150. Square/Linear Footage of Work: Type of Work: ❑Address DAlteration ❑New ORepair/Replace Xemolition Description of Work: remove existing electrical wire for pool NOTE: Permit applications are also pending for the installation of a new pool). Submittal Fee $ Permit Fee $ /00,0,p CCF Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ . ber 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. , WIMAN 01", The foregoing instrument was acknowledged before me this 9th day of —April, 20 —, by Abbie R Salt , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: ' Sign: `I ✓✓ Print: elle L Jackson My Commission Expires: APPROVED BY * MY COMMISSION # EE 069085 EXPIRES: July 1, 2015 A"."00,0: Bcndedit BudgetNa"Sr6m Contractor The foregoing instrument was acknowledged before me this 9th day of April . 20 _, by Gregg Stevenson who is personally known to me or who has produced Driver's License as identification and who did take an oath. Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06(10/2009)(Revised 3/15/09) NOTARY PUBLIC: sign: oelle 1/10 -� Print Jackson My Commission Expires: * MY COMMIS9 p JACKSON 5 p,,.EXJPIRES: July 1, 2015 �91a" Fl. °e �- e Tlqu B MiCes �B=B� ds Ba,kB,BjBsB, B,,kBsBs B`BtBjB,Ba Bak'kB+B,BiB, dsBs BaBeB�B� B�B,Bs,kik� B=BB B=ah Zoning Clerk STEVENSON'S ELECTRIC SERVICE COMPANY, INCORPORATED 19710 SW 99 Court, Miami FL 33157 Tel: (352) -470 -1796 State License # EC0001685 E -Mail: exceptionalelecO- )aol.com CITY OF MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2nd Avenue Miami Shores, FL 33138 305.795.2207 To whom it may concern, This letter shall authorize Abbie R. Salt to pick up and drop off permits for Stevenson's Electric Service, Inc. Yours truly, Gregg a enson Qualifier Stevenson's Electric Service Sworn to and subscribed before me on this 91 day of April, 2014. otary Public Produced ID — Florida Driver's License Personally Known, KELI.E LANE JACKSON * * MY COMMISSION # EE 068085 EXPIRES::Ju 1,,,u2015 Bmand RN WNDWY SB1ka LAND SURVEYORS: wM*"� BOUNDARY SURVEY r. Pam gyp' -Pro �dD) Qry'aC J�sfl ff,rd _ +1� �j. fl p�� y �dD) Qry'aC J�sfl ff,rd _ +1� �j. fl p��