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EL-14-440Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 795.2204 Fag: (305) 756.8972 PHONE NUMBER: (305) 762.4949 PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: S ow 11®3 FBC 20 JUN 00 2014 Permit No. EZ/Y Lf Yb Master Permit No.)X 17 ` y� City: Miami Shores County: Miami Dade Zip: Folio/ParceW Is the Building Historically Designated: Yes NO �� Flood Zone: OWNER: Name (Fee Simple Titleholder): f -t J��)��°'`S Phone#: �)—clo s city: M `AAA' 6t&(3 a State: Zip: '33) TenandUssee Name: ef'D ► Q�i = (e L Phone#• CONTRACTOR: Company Name: 0 CON hone#: ' d16 2 ®®� Address: l S� P f s LO S t &Z City: I`�e° A 61%4 iP State �� Zip: 33 ( i' 5 Qualifier Name: t Z76 Phone#: 9,96 Z:93 002-'S' State Certification or Registration #: t :?�O t 4 S? ­3 Certificate of Competency #• f I E'0000 ® $ Contact Phone#• 3'0-" �S_ (® (3 6 6 Email Address: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ '5z -'C. 6) G Square/Linegr Footage of Work: Type of Work: OAddress OAlteration ONew ORepair/Replace Description of Work: Q A,"I4­4-F A !xor`��� �i✓mss Lvi-ni- C r"l- "S ODemolition Submittal Fee $ Permit Fee $ i°,7 0 0,09 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Eikiaation Fee $ Technology Fee $ l_ky Dnnhlp Ff..- $ Ctrnrtnrnl M.'Wow $ 2 tsonamg uompany's Aaoress City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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 d copy of the recorded notice of commencement must be posted at the job site for the first inspection which occur en (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be gpprava reinspection fee will be charged or Agent The foregoing instrument was ackno liefted bet s day of ti VAP , 20 4, by Co' #J M , who is personally kno ae or who has produced As identification and who did take an oath. NOT. I , Sign: / •� /i ci/� °'° `1 MY COMMISSIO F 088736 :. aQ, s9jF'p ao��-` EXPIRES February 2, 2018 APPROVED BY Signature Contractor The foregoing instrument was acknow befor this day of Zlyne, , 20 A, by , who is -personally known to me or who has produc as identification and who did take an oath. Plans Examiner NOTARY PUBLI 8>>>»�� !)E44 qy Sign: P�:••'�SswN�p� Print' .� •p�,�ch �20�� • My Commission Expires: 1492 gwv zoning Structural Review Clerk BUI ING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 M FBC 20P Master Permit PE MIT APPLICATION ub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFINGREVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: _7S 71k) ► 1 ® —r" ��-- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:1l — 11 _34® 003-- OS YO Is the Building Historically Designated: Yes NO L<1 Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): p 1 1 i 1 Phone#: Address: q ® Al r-- - Z i-0, State: Zip: Tenant/Lessee Name: -W__ Phone#: Email CONTRACTOR: Company Name: lf�� /�� Phone#: \L 00 3_l (&q ( Address: ? (6 ('i r-MAJ a -5 1 City: IO I. I Qualifier Name: State Certification or Registration — Zip: 15: l ?— &(® Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear 400ta' ' of Work: Type of Work: ❑ Addition ❑ ,Alteration ❑ New Repair/Replace F-1 Demolition Descriotion of Work: >(fj SL 0 SC% /y C� '�. _1 Specify color of color thru the: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews (Revised02/24/2014) Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ ky 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 OWWR or AGENT The foregoing instrument was acknowledged before me this day off �] 20, by A �I ho is personally known to me or who has produced identification and wiio did take CONTRACTOR The foregoing instrum ent was acknowledged before me this 69 0 day of 1— 20 I f , by GL, '61&O ►' ,{�, /.i o s sonall��y known to as me or who has produced identification and NOTARY PU C:J 0 Notary Public State of Fonda NOTARY a4 Mexine Y Gomez /ova` MyCommission 09130 016 839239= J Print' v nq 21 Print: Seal: Seal: o Notary Public state of Florida . M"rte Y Gomez My Commission EE 839239 4Enhes09030/2016 as �x*a**e�x�x**a���xe+xaa�*aa�xaa�x�xra�x t�t��x�xaa�xw*x�***x�*a�awa�xa+�*x��xa*ex�x�ixix*r�x�x*x�a�x+�ra�������xa�a�xaa*a*e�xaa�x�xa*ara�xaa��x�� APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-216520 Scheduled Inspection Date: July 28, 2014 Inspector: Devaney, Michael Owner: MIAMI 4 INVESTORS LLC, MIAMI 4 'uueeTnoe 1 1 r Job Address: 75 NW 110 Street Miami Shores, FL 33168 - Project: <NONE> Contractor: DEVELOPMENT ELECTRICAL CONTRACTORS INC lsuiiaing uepartment comments Permit Number: EL -3-14-440 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (786)344-6463 Parcel Number 1121360030580 Phone: (786)273-0025 KITCHEN BATHROOM REMODEL WITH NEW WALK IN Infractio Passed Comments CLOSET I INSPECTOR COMMENTS False Inspector Comments Passed Failed SLY 2 Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. July 25, 2014 For Inspections please call: (305)762-4949 Page 19 of 30 Miami Shores Village 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 PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: h S7 A1. J 11 v i t+ FBC 20 Permit No. E 1 Master Permit No._('�, City: Miami Shores County: Miami Dade Zip: -3-313& Folio/Parcel#: Is the Building Historically Designated: Yes NO Zone: OWNER: Name (Fee Simple Titleholder): i4X&47- q :rNVES1"c'&S GLC Phone#:jas @V -!J0 ys' Address: lkejo 4j -e. Z -et &E City: 14 ��r S 6+crtg s State: A --e - Zip: 3 31 3 iC Tenant/Lessee Name: Phone#: Email: 25'01>Xle le M=A c1 1 • CoH CONTRACTOR: Company Name: JCV6L i ti: ewyt 6-T00e&L/ CPhone#: Address: 1 S 711 91J S -C -r R 'r45 -W_4_. City: F!4 4- I-_ ©© State: �L . zip: 331413 Qualifier Name: Z - U/ J _ 6 P�0 jQ ' - Phone#: 29 3 X25 - State Certification or Registration #: Aril ,52 2 Certificate of Competency #: /1E ®®®® Contact Phone#: _5®S' Z' /®/3ro(, Email Address: %��1��� �_ �� Cwt` �a DESIGNER: Architect/Engineer: Phone#. Value of Workfor this Permit: e z_'0�� Square/Linear Footage of Work: ype of Work: ❑Address ❑Alteration ❑New epair/Replace• ❑Demolition Description of Work: Al j4t./ Cn XE S A^ - Wuk-e 5mv2:5, � m 7/"AfP Submittal Fee $ = 5~!� (°J Permit Fee $ = ® CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ �c> 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 be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this '' The foregoing instrument was acknowledged before me this day of 041�, 20 ' , by 6T:)iD C'_ M 7-LtC-t Z , day of t14", 20_kyby who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: �'�L�L�IInII' who is personally known to me or who has produced as identification and who did take an oath. NOTARM PUBLIC: Print: Print: '01 v-a88My COmmiSS1My C EXPIRES May 01, 2015 issio eS*c MY COMMISSION # EE088809 • EXPIRES May 01, 2015 fie® /A/ APPROVED BY �>�� }'�)'i- Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)