EL-08-648j� Inspection Worksheet
(f OW, Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
�'�rarax✓, ��
_.,..',•. Phone: (305)795-2204 Fax: (305)756-8972
Inspection Date: 06/13/2008 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: ZOCCHI, ELIZABETH Work Classification: Addition/Alteration
Job Address: 1030 107 Street NE
Miami Shores Village, FL
Project: <NONE>
Phone Number
Parcel Number 1122320280900
Block: Lot:
Contractor: EDD HELMS ELECTRIC $ A/C INC Phone: 305-653-2520
Building Denartment Cnmmentc
UPGRADE200 AMP SERVICE, AND ADD 8 KITCHEN
OUTLETS
®a
Passed
Inspector Comments
?, r
L1 /
Failed
Correction
Needed
Re -Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re -inspection fee is paid .
Thursday, June 12, 2008 Page 2 of 2
Owner Information Address Phone Cell
ELIZABETH ZOCCHI 1030 NE 107 ST
MIAMI SHORES FL 33161-7355
Contractor(s) Phone Cell Phone
EDD HELMS ELECTRIC S A/C INC 305-653-2520
Type of Work: ELECTRICAL
Additional Info: KITCHEN CABINETS
Classification: Residential
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
Total
$5.40
$1.80
$ 0.00
$5.00
$300.02
Payment Type:
$3.00
$7.50
$322.72
Valuation: $ 9,000.00
Total Sq Feet: 0
Avaname
Inspection Type:
w_w.
Amt Paid Amt Due
$ 0.00 $ 0.00
APR 17 2308
CK5`1V3
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above-named contractor to do the work stated
April 16, 2008
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Wednesday, April 16, 2008 1
kw( 4 T?8/Z 6)
Miami Shores Village
Building Department
artment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.897
BUILDING
RE(i (Permit No. EL.. C�$�'6
PERMIT APPLICATION asterPermit No (-U
,'Q� 1 2006 .� S
FBC 2004 "ii,��n
Permit Type: Electrical
Owner's Name (Fee Sim le Titleholder) �� Ph Ione #
Owner's Address () s��'
City 1 /'�v /�� Zip .
Tenant/Lessee Name Phone #
E-MAIL:
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 33/6
FOLIO/ PARCEL # (--)qC)CJ
Is Building Historically Designated YES NO k
Contractor's Company Name —d jk[M3 � fftf'C Phone
Contractor's Address I 'r3so Nc, 5ove.
City iou �,
Qualifier Namecc5lf'oh [Z.
State Certificate or Registration No-EC1
E-MAIL: ezv
Architect/Engineer's Name (if applicable)
State
Value of Work For this Permit $"-:5�a-co
Type of Work: []Addition ❑Alteration
I
Describe Work: l r -nim- H- . �
Certificate of Competency No.
Ph'I{ane #
Square / Linear Footage Of Work:
❑New
Repair/Replace ❑ Demolition
'K )C X'YXYYXi: >[XYRC >CK KiC iC .X iCYYK�{'XY%')CX1C>CYtfYXiC 7C 7C 7C Fpp�XXlCXYiC]:YC�:XYY)iY.X%N'K tCY]C)CY�C ZC%�Y.Y)CYYYY]:X%XY'X iCXXiC
Submittal Fee $ Permit Fee $ ®p �VVVV CCRf$ CO/CC
Notary $_ Trainin /Ed cat'on Fee $ T h l F $
Scanning $
Bond $
g u ec i�no ogy ee
Radon $ DPBR $ Zoning $
Code Enforcement $ Double Fee $
Structural Review. $ 0 Total Fee low Due $
AF
C� `„ See Reverse side —>
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address tri
Zip
Cih' State, Zip
I "C
, .
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a permit and Chit 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 t
Owner or Agent
The foregoing instrument was acknowledged before me this I-ot
day ofuYpk , 2008 , by Cbmk)d* Avy
who is personally known to me or who has produced l`�iad J
Lff Gt 662b As identification and who did take an oath,
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
\s�so�volg2'
eA(®oMM\g5\o ods 20n ��n1
Signature �iV�" \ k
Contractor I
The foregoing instrumeU was acknowl ged before me this /0
day of %SGL , 20U�, by Z h e/r �
y�� ,
who ' all me or who has produced
pO�
as identification and who did take an oath.
NOTARY PUBLIC:
Print:
+fi�Yd,;i My CommissW_Expires:
Marg E. Hackney
COIDmisSIOD # DD348776
Expires: OCT. 01, 2M
Bonded Thra
I
Plans Examiner
Engineer
Zoning
Inspection Date: 04/28/2008
Inspector: Devaney, Michael
Owner: ZOCCHI, ELIZABETH
Job Address: 1030 107 Street NF
Project:
Miami Shores Village, FL
<NONE>
Permit Type: Electrical - Residential
Inspection Type: W. W.
Work Classification: Addition/Alteration
Phone Number
Parcel Number
Block: Lot:
1122320280900
Contractor: EDD HELMS ELECTRIC & A/C INC Phone: 305-653-2520
Building Denartment Cnmmpnts
UPGRADE 200 AMP SERVICE, AND ADD 8 KITCHEN
OUTLETS
PQ�
Passed
Inspector Comments
Failed
%�c�i 'lea
Correction
Needed
Re -Inspection
Fee
($75)
No Additional Inspections can be
re -inspection fee is paid .
scheduled until
Friday, April 25, 2008 Page 1 of 2