EL-14-124Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-213923
Scheduled Inspection Date: August 04, 2014
Inspector: Devaney, Michael
Owner: BONDE, KENT
Job Address: 960 NE 92 Street
Miami Shores, FL
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC
dwicling Department comments
Kitchen REMODEL & SERVICE UPGRADE
Permit Number: EL -1-14-124
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number
INSPECTOR COMMENTS False
1132060060110
Phone: (305)758-1211
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-213857. Kitchen is O. K..
Service is not compleat.
Failed
Correction ❑ 6dV� �
Needed
Re -Inspection ❑
Fee
No Additional inspections can be scheduled until
re -inspection fee is paid.
August 01, 2014 For Inspections please call: (305)762-4949 Page 4 of 19
.Miami Shores Village cEaVEID
Building Department JAN: 2 4 2 14
11
90050 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
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
Permit No. �� ^� L-1
Master Permit No. ur
t J
JOB ADDRESS:%—
City: Miami Shores County: Miami Dade
Foho/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (//Fee Simple Titleh(
Address: q40 6 /V
City: State: Zip;
TenanvLessee Name: Ik. Phone#:
Email: 1.
CONTRACTOR: Company Name: !.-� �/(�/—„=�� Phone#:
Address:
City:
Quah
Lhl 'l II __ State: P&4;
fier Name: Jai� 4�1 ... Phone#:� a (/
State Certification or Registration #: r:::. /, 13 o6>3 713 Certificate of Competency #:
Al
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: q. Square/Linear Footage of Work:
f
Type of Work: ❑Address ,Alteration ONew ORepair/Replace
Description of Work: �� G G ��Ul ct., LI)P,
Submittal Fee $ Permit Fee $ 9; o 'AO 7 e l A CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
ODemolition
1 : ' '
Technology Fee$_ A
IL
TOTAL FEE NOW
1 ► r���
Bonding Company's Name (if applicable) ® '
Bonding Company's Address �>
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address —
Zip
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 lie qffVroy&jLand a reinspection fee will be charged.
Signature I°A fit' Signature " l
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this -1
day of � , 24�' , by "A4 ,
who is personally known to me or who has produced_JA.,�
As identification and who did take an oath.
My Commission Expires:
(P•. COmmis.sin VOL
The foregoing instrument was acknowledged before me this a
day of AW1-3 20 I4 by 11--, L.� CAW
who is pZ!!wPeoe or who has produced ^C -s-- `s ication and who did take an oath
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
NOTARY PUBLIC: `\``\\\\`���uuuu►r �����/''/
Sign: `
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