EL-13-2731vow
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 204783 Permit Number: EL -12 -13 -2731
Scheduled Inspection Date: April 08, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: NOALES, GONZALO & JOHANNA
Job Address: 371 NE 103 Street
Miami Shores, FL 33138-
Project: <NONE>
Work Classification: Alteration
Phone Number (305)632 -9753
Parcel Number 1121360130270
Contractor: LONGMAN ELECTRIC INC Phone: (305)758 -1211
comments
SERVICE UPGRADE PANEL CHANGE A/C HOOK UP AND ' ""°` "
KITCHEN REMODEL INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP - 204714. Wall rough O. K..
Service O. K. and F P L notified of W. W..
Hi hats not I. C. rated and remove J. box from attic.
Failed
Correction ❑ "
Needed
f 44
�14���
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 08, 2014 For Inspections please call: (305)762 -4949 Page 11 of 37
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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
Permit Type: Electrical
JOB ADDRESS: 371 NE 103 Street
FBC 20
DEC 0 S 2013
Permit No. 11
I � 2- / 3
. `I
Master Permit No. 3 — ,,
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
33138
NO X Flood Zone: n/a
OWNER: Name (Fee Simple Titleholder): Gonzalo Noales Phone#: 305 -632 -9753
Address: 371 NE 103 Street
City. Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email: gnoales @gmail.com
CONTRACTOR: Company Name: Longman Electric Inc Phone #: 305 - 758 -1211
Address: 844 NE 98th Street
City: Miami Shores
FL Zip: 33138
Qualifier Name: 1!21 C13 QM I A.-!o Al W- M69e2tf rnoW
State Certification or Registration #: f(_ 13 eyi % J —7 certificate of competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone#:
33 )C) , ®�
Value of Work for this Permit: $ ► Square/Linear Footage of Work: _
Type of Work: ❑Address 4AIteration ❑New _ )Repair/Replace
Description of Work:
Submittal Fee $ 7 V- Permit Fee $ 0 7�5 ®y ` CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Educadon Fee $ Technology Fee $
Double Fee $ Structural Review $
❑Demolition
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.
d
s
Signature Signature
)Owner or Agent
The foregoing ins ment was acknowledged before me this
day of 20-2, by
who ' personally known to a or who has produced
As identification and who did take an oath.
NOTARY PUBLI Natalia Castaneda
comMMSION # FF005949
??`� sEXPIRES: APR. 07,2017
Sign' WWW.AARONNOTARYAM
i„ as
Print:
My Commission Expires:
Contractor
The foregoing instrument was acknowledged before me this —3
day of 20 a, by
wh ersonally to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Notary Public SWO of Flarida [
Mich ®' a Perez
� Sign: y h!!It! FF 000321 as
Print:
My Commission Expires: tl l $ Z�1 %
APPROVED BY 00��%2 Plans Examiner Zoning
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)