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EL-13-2324Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-215489 Permit Number: EL -10-13-2324 Scheduled Inspection Date: July 10, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: PINEIRO, KEVIN Work Classification: Addition Job Address: 51 NE 99 Street Miami Shores, FL Project: <NONE> Contractor: ATLANTIS ELECTRICAL CORP Isunamg uepartment comments Phone Number (305)303-7344 Parcel Number 1132060131280 Phone: (305) 551-4043 REWIRE ENTIRE HOUSE AND NEW ADDITION AS PER Infractio Passed Comments PLANS I INSPECTOR COMMENTS False Inspector Comments Passed4�W�Iey_> Failed le `�'�� Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. July 09, 2014 For Inspections please call: (305)762-4949 Page 38 of" lx�� -��7 q� OCT 112013 Miami Shores Village Building Department 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 JOB ADDRESS: l ('j e a Permit No. -���, �� 91 Master Permit No.� City: Miami Shores County: Miami Dade Zip: Folio/Parcel# ` C,13 ( I 2 Is the Building Historically Designated: Yes NO _ � Flood Zone: OWNER: Name (Fee Simple Titleholder): � P'ti 6 YN' d:5?rlo Phone#: a 0 Ln a City: _ 0`�® _ a�wa�. i �� State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: �� �f.--\ Phone#: JT I We 2 - Address: City:NI-1 SL QualifierName: State Certification or Registration #: t -C- 1-2) o© V� %A Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: (?-w--c p� "�'� �a,P — Phone#: Value of Work for this Permit: $) V o Square/Linear Footage of Work: 9 W d Type of Work: OAddress DAlteration ONew ORepair/Replace ODemolition Description of Work: h a � � �` ya i` N` " _ i�oo a n car Submittal Fee $ 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 $ • 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 hiade to` obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prier to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jtn4sdiction. 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 a ove an reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this B(0— day of � � i , 20 a, by KCU I ,N (71 rtv. who is personally known to me or who has produced (_ 6 c-> rq t=6 As identification and who did take an oath. NOTARY My Commission Expires:, REBECA ht EMM: pew y07, 2017 Contractor The foregoing instrument was acknowledged before me this day of`le f— , 20 3, by 1 u � who is personally known to me or who has produced D L ,&.'.; fi� as identification and who did take an oath. NOTARY Sign: Print: My Commission Expires: (EBECA R PASTRANA 'r �VMWSSJON 0 SOM24 2M"F3: Fak-Y07, 2017 Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 4