EL-14-311Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-217252
Scheduled Inspection Date: August 06, 2014
Inspector: Devaney, Michael
Owner: GORMAN, SEAN CHELSEA
Job Address: 372 NE 98 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: MESA BROTHERS INC
tsunaing uepartment comments
Permit Number: EL -2-14-311
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060135680
Phone: (305)345-1974
Service repair electrical installation and OVERHEAD Infractio Passed Comments
CONVERSION I
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 05, 2014 For Inspections please call: (305)762-4949 Page 32 of 37
Miami Shores Village
Building Department FEB 19 20%
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 BY:
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 2010
BUILDING Permit No. �LI`-i _3 11
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: 372 NE 98TH ST
Master Permit
City: Miami Shores County: Miami Dade gip; 33138
Folio/Parcel#:
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): SEAN GORMAN Phone#: 305-619-0073
A,m,�.. 372 NE 98TH ST
City: MIAMI SHORES
State: FL
Zip: 33138
Tenant/Lessee Name: NSA
Phone#:
Email• SEAN@SEANGORMAN.BIZ
CONTRACTOR: Company Name:
/L'('L�'��'
,` ', �� °'.
,"_ ` Phone#:
Address:
At.
City: ?L-:" r, cif . �• tl
State: -
ZiP:
ra
Qualifier Name: _�(y t° ° r,
Phone#: 3M 163 �
State Certification or Registration #:
Certificate of Competency #:
Contact Phone#: ✓� ��� �'��� Email Address:
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $_ _ f Q0 CO Square/Linear Footage of Work:
Type of Work: ❑Address L
f
Description oWork: T.;.
❑New
Submittal Fee $ Permit Fee $ 11201®® CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
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
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 issue n the abs ce such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
,
Signature ESignature --
Owne nt Contractor
The foregoing instrument was ac owledgeed� before me this t� The foregoing instrument was acknowledged before me this
day of , 20 Al, by -CNA S' r6ja k day of , 20 4, by ,
who is personally known to me or who has produced t_ who `is/personally own to me or who has produced
As identifi tioip o di F. r'�l�L as identification and who did take an oath.
NOTARY PUBL :•� Notary Public, state of Florida
Commission# EE 87483 NOTARY PUBLIC:
My comm. expires Apr. 25, 2015
Sign:Sign:NANCYRADA
Print:
Print: tjib #FF084758
20116
My Commission Expires- My Commission Exp'
OP �
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
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