EL-14-953Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-219002
Scheduled Inspection Date: September 05, 2014
Inspector: Devaney, Michael
Owner: RINEHARD, KEITH
Job Address: 1700 NE 105 Street 517
Miami Shores, FL
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC
6undmg Department comments
PANEL RELOCATION AND KITCHEN REMODEL
Permit Number: EL -5-14-953
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)968-0517
Parcel Number 1122300500930
INSPECTOR COMMENTS False
Phone: (305)758-1211
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-215688. Electrical contractor did
not call for this inspection and it is not ready.
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 04, 2014 For Inspections please call: (305)762-4949 Page 25 of 25
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
BUILDING
PERMIT APPLICATION
❑BUILDING ELECTRIC ❑ ROOFING
MAY 092014
FBC 20
Master Permit No. _r _ Ll --- F ,g
Sub Permit No. rl N —
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL []PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
9 CONTRACTOR DRAWINGS
JOB ADDRESS:/20o /l/ �fi�� f • �/
City: Miami Shores County: Miami Dade zip: ar
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
Id
OWNER: Name (Fee Simple Titleholder): &144 LI-eL-Clell ak e Phone#::ZK-9& P' (70 17
Address: 4{rl 1JE 9._=/S1`-9.4 ep
, p
City: iG1 N�! = -f State: r zip:33/ 4
Tenant/Lessee Name: ep Phone#:
Email: C��flo� a0 MA4011.60M
A vn AM Ag g496,
CONTRACTOR: Company Name:
Address: y e/ /V i—
City:1 d&; g,,f
Qualifier Name: miG4 4
e#: 3Gs %0 /L //
Phone#: Bate— 75Y );Z
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#: _
Address: City: State:
Value of Work for this Permit:
Square/Linear Footage of Work:
Zip:
Type of Work: ❑ Addition 4 Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: e&zL1e.-1 f )9e 'ke'-40 e --4-e /
Specify color of color thru tile:
Submittal Fee $ ' Permit Fee' $,��� �,gPgg�V CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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
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! Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
q— day of 20 Xz- . by
ga,% 'Who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
e***xa*xoe* x*
APPROVED BY
(Revised02/24/2014)
Notary Public State of Florfa
Joanna M Feliciano
My Commission FF 082753
Expires 0111 212 01 8 _ . `
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of20 by
c e who - personally know to
me or who has produce as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal
*oeo�x�x*o�x*ae**es*�x
Plans Examiner
Structural Review
Notary Public State of Florida
MW*He Perez
MY Commission FF 000321
.44) Expires 04!08/4017
�xx�*ooexeoe
Zoning
Clerk