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EL-14-644Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 210048 Permit Number: EL -3 -14 -644 Scheduled Inspection Date: April 11, 2014 Inspector: Devaney, Michael Owner: PARKER, JEFFREY Job Address: 675 GRAND CONCOURSE Miami Shores, FL 33138 -2473 Project: <NONE> Contractor: LONGMAN ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Clas ification: Repair Phone Number Parcel Number 1132060172170 Phone: (305)758 -1211 Building Department Comments REPAIR BROKEN POOL BOND WIRE Infractio INSPECTOR COMMENTS Passed ComTents False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments z co/9 April 10, 2014 For Inspections please call: (305)762 -4949 Page 8 of 31 Miami Shores Village Building Department 1 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 A PLICATION Permit Type: Electrical JOB ADDRESS: (° / 75 &Rind C r\W U(.- FBC 20 I I ,7 E Master Permit No. 03 1-^ 1,, - %� City: Miami Shores County: Miami Dade Zip: 3313W Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Jeer`/ K 9�c1[kc Phone#: 3b )5 Address: 05 Eir( C isVi13(' City: 1'` 1 (X11 iS h 1ft5 State: Zip: 3 31 3� Tenant/Lessee Name: 1411— Phone #: J Email: fig f 4e( 1) St\i/ith . (161 CONTRACTOR: Company Name: LO4/G- /�°j1" ' ) tJ h Phone#:3f ✓ % 59 —) // Address: ` i /:/e '7 $ 5, 9 City: /Vl Vi ` i? a' k 4 State: ft' Zip: 3 3 / 3 48 Qualifier Name: �- 11 C. '17 le,/ i6- /4'7 0-+/ Phone #: 3 5 – % z1% State Certification or Registration #: i L.- ) 3 c2v37/ 3 Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for is Permit: $, 3 ®0 ' Square/Linear Footage of Work: Type of Work: ❑Address ❑Alte tion ❑New y XRepair/Replace ❑Demolition Description of Work: 6 (pQ/ 6J- 17l'®e e -i/ pt.�eR/ bod4✓0/ **+ x+ x*** ************* **** * *** *+x*****a *** Fees********* ******* ****** ****** ** *** * ********** Submittal Fee $ Permit Fee $ Arit*AP® CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ,.©, , Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's AlIIddress 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 j sdiction. I understand that a separate permit must be secured for FT.FCTRICAL 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 COMMENCE�VIENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMNTS 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 4-6 O er or Agent The foregoing instrument `was acknowledged before me this e2-° day of M ,20 d4, by tle# k-k - who is personally known to me or who has produced dt't11' ('? As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: e M*,/ef My Commission Expire. CHARLES A STUMPE = MY COMMISSION It EE115777 EXPIRES July 26, 2015 89 Contractor The foregoing instrument was acknowledged before me this day of 20 c CI, by NI . I t! e / wh 'personally kno to me or who has produced identification and who did take an oath. NOTARY PUBLIC: ** **+ spa*********** z********w*w ax****************** *** * ******* ***** * ***** * * *** ** ** Z�, 7 X40 �l APPROVED BY '" - 7' & c Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk