EL-14-865BUILDING
Miami Shores Village `RECEIVED
APR 302014
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
FBC 20
Permit No. 1i
PERMIT APPLICATION Master Permit No. l LAS i L
Permit Type: Electrical ,�
JOB ADDRESS: 0 — Nir /-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Phone#:
Address: tea' rJ g S
City: R G c lrf: State: Zip: ?®
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: L,,.�� 4.1
Address: . 7)'
City: ill; t11/7„, State:
Qualifier Name: /1,1 A 1 -L c2 e =-v , c
State Certification or Registration #: ) 3 0 e> 3-7)3 Certificate of Competency #:
Contact,Phone#: 3475 —75g 9,14/ Email Address:
DESIGNER: Architect/Engineer: Phone#:
Phone#: 3c5- ? 0- . i //
ft,
Zip: i5J38
Phone#: .3e >5", J°,4
Value of Work for this Permit: $ 3OO F; 0 f.) Square/Linear Footage of Work:
Type of Work: ❑Ad4iress Alteration UNew ❑Repair/Replace
Description of Work: i r A" 14- t_ 01")9 e /ICI
❑Demolition
*4€* ** x*********************** *** **** ***Fees** *** ****eye, nos * *** **** * ** **aye **** *** ** *** *ass
Submittal Fee $ < T 2 •0 ()
Scanning Fee $
Notary $
Double Fee $
Permit Fee $ /5'S� CCF $
Radon Fee $ DBPR $
Training/Education Fee $ Technology Fee $
CO /CC $
Bond $
Structural Review $
TOTAL FEE NOW DUE $ I, 90 . ID '
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.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 30
day of t*CL , 20/ , by a/i rl crCYI 247 . ,
who is onally known to ' e or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Signature (;)?-1.&/))0,
Contractor
The foregoing instrument was acknowledged before me this
day of .IY 201`1, by ' l
who
personally kno o me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:' -k- g. n
Notary Public State of Florida
Michelle Perez
mission FF 100321
Expires 04/08/2 ' 1
*************** ** *************** ** ****** *a er***************** *** ** ** *** * ** ****** ******* ** ** ******** *** ** ****
APPROVED BY
Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07 /10/07)(Revised 06/10/2O09)(Revised 3/15/09)
Zoning
Clerk
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 214204
Permit Number: EL -4 -14 -865
Scheduled Inspection Date: June 17, 2014
Inspector: Devaney, Michael
Owner: GONZALEZ, ALAIN
Job Address: 9022 NE 8 Avenue 3M
Miami Shores, FL
Project <NONE>
Contractor: LONGMAN ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type:Jaof
Work Classification: Iteration
t
Phone Number 786/277 -9756
Parcel Number 1132060420530
Phone: (305)758 -1211
Building Department Comments
REPLACE OUTLETS IN KITCHEN
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
PLEASE CALL ALAIN GONZALEZ
786 -277 -9756 FOR ACCESS TO CONDO UNIT.
•
//i(Pioi- 02' 1--
Ly j'aPfr 167 c?°//1
June 17, 2014
For Inspections please call: (305)762-4949
Page 35 of 45