EL-14-716Miami Shores Village
,� -1 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
APR 0 9.2014
FBC 20
Permit No. I (t°
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical
JOB ADDRESS: 214 IV E . S---L
City: Miami Shores County: Miami Dade Zip: 3 3 ,
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): rV O % 4 5 tU S S L L d Phone#:
Address: 2. e4 /) N 15 P L S I
City: t' I A Pi; State: f L Zip: > j it
Tenant/Lessee Name: 2) E 1") li 6 .DT W , Phone: 50 • 4 d r 35
Email: 'A% o% LT- tff- ►Z E O 4.4 sc
CONTRACTOR Company Name: L ec./ /e c,,,, Phone#: 305.- 75,$ — MI/
Address: B I LI ,v y
City: Ali 9, / - J 401- State: P i Zip: 33) 3 S
Qualifier Name: f'1, J, 4•2- LDti M Phone: 3)5` . 7549 —'2//
State Certification or Registration #: 1= L 13 t o 3 7 ) 3 Certificate of Competency #:
Contact Phone# : 751.--)gii Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 3� 5' O t e® Square/Linear Footage of Work:
Type of Work: ❑Address Alteration ONew ORepair/Replace ODemolition
Description of Work: 5 4(C, (e.19 j./) mev cam( bye- h
V , v'-k,1- ®vim.®/
*************************************** F************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /6 �''�� CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ I J 1'
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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.
Owner or Agent
The foregoing instrument was acknowled before me this g
dayof ,20 61V
,by c, l 1 1r Be it) eece�i
who is personally known to me or who has produced t3 t uItA
As identification and who did take an oath.
Sign:
Print:
My Commission
******* ***14I** *ear* ***
APPROVED BY
Contractor
The foregoing instrument was acknowledged before me this
day of , 20/41, by `'? r Cca�l � r14,v
111111 1/1 /0 //�
who is pally own me or who ha�,piit
as identification ark
NOTARY PUBLIC:
Sign: k.
Print:
Ad ap oa..
My Commission Expires:
Pd /y
Plans Examiner Zoning
Structural Review
(Revised 3 /12/2012XRevised 07 /10/07XRevised 06/10t2009XRevised 3 /15/09)
Clerk
271 NE 95th Street
Miami Shores FL 33138
LOAD CALCULATION
1854 sqft x 3VA 5562
Small Appliance 3000
Laundry 1500
Dishwasher 1200
Water Heater 4500
Disposal 1000
Dryer 5000
Range 10000
Pumps 1500
Total
Longman Electric
EC 13003713
RE's E,P,;%.D
APR 09T4
r7
33262
- 10000.00
23262 x 40%
APcu SHORES VILLAGE
APPROVED
ZONING
STRUCTURAL
BY DATE
ELECTRICAL
PLUMBING
MECHANICAL
BLDG.
SUBJECT TO COMPLIANCE WITH ALL FEDERAL.
COUNTY RULES AND REGULATIONS.
9305 E l-14 —"it LP
19305
10,000 A/C
29305/240
122 Amp
271 NE 95th Street
Miami Shores, FL 33138
Longman Electric
EC13003713
METER
200 AMP
Existing
2 " PVC
200 AMP
Nema 3R
PANEL
1 Phase
120 / 240
Existing
@�-- 4 -- #4 Ground 7,g 1 r
1 1 1
ROD 8' X 518 ROD 8' X 5/8 Cold Water
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 213774
Permit Number: EL -4 -14 -716
Scheduled Inspection Date: June 09, 2014
Inspector: Devaney, Michael
Owner: ROBERTS, SANDRA
Job Address: 271 NE 95 Street
Miami Shores, FL
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060133950
Phone: (305)758 -1211
Building Department Comments
SERVICE RELOCATION AND OVERHEAD TO
UNDERGROUND
Infractio
Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
5Th/L-,
June 06, 2014
For Inspections please call: (305)762 -4949
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