EL-14 2295Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-222511 Permit Number: EL -10-14-2295
Scheduled Inspection Date: October 29, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: ERAZO, SHAY
Job Address: 9250 NE 10 Court
Miami Shores, FL
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC
comments
REPLACE BREAKER PANEL IN GARAGE
Work Classification: Alteration
Phone Number (305)756-5470
Parcel Number 1132050150250
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Phone: (305)758-1211
October 28, 2014 For Inspections please call: (305)762-4949 Page 36 of 46
t � 1v4
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department OCT1'
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �0
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION UNE PHONE NUMBER: (305) 762.4949
FBC 20
Master Permit No. E -t -j-1 ` 2-��
Sub Permit No.
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION F-1 RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: q _� S® A/ C / 0 +14" G-�—
City: Miami Shores County Miami Dade Zi P: 3 3) 3 jf
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
SROt-1 EZ1AZ0
Phone#:305 ".Zq 1'
Qq Iq
City: W'kMi QI&P_ES State:
Name:
Email:
CONTRACTOR: Company Name: 4v -,h f" � (.: 1'e +C; c Phone#: "�o 5— -)s—& — 1 2 -
Address• R" y by �� S�_rzg_'t
city: 1 9 State: .FL Zip:
Qualifier Name: _��,C�_ C? n ./ L�.,-e Av A..i Phone#:
State Certification or Registration #: 9 c 1 3 o n 3% l 3 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address City State: Zip:
Value of Work for this Permit: $ oil 1p 0 '�' Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ pAlteration ❑ New Er Repair/Replace ❑ Demolition
.�
Description of Work: i T /G�G�% e. O 64k 12122:f if r JA6- �',.ak1:;'f,=�
Specify color of color thru tile:
Submittal Fee $ (� Permit Fee $ ✓ ` ���� CCF $ CO/CC $1
Scanning Fee $ Ct, Radon Fee $ DBPR $ Notary $
Technology Fee $ I Training/Education Fee $ n Double Fee $
Structural Reviews $ _ Bond $
TOTAL FEE NOW DUE $
(ReAsed02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
22
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
'�W 1 7
11.1
OWNER or AGENT
The foregoing instrumentnnwas acknowledged before me this
t (;, day of A�—a , 20 1 q , by
x I F, Y k?_C� , who is personally known to
me or who has produced � D as
identification and who did take an oath.
Signature 0:3�
CONTRACTOR
The foregoing instrument was acknowledged before me this
t ,
day of (JC. O �Q�f , 20 1 A " by
who iserrsonally known to
me or who has produ e'dd as
identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: ��� C e 7, Print: e e �2 r e
Seal: Seal:
4P Notary Public State of Florida rAy,KMI �s y�
Michelle Perez P6, Notary Public State of Florida
My Commission FF O00321 iQ
Q„ ao Expires 04/0812017` Michelle Perez
s*s*seas*aa * **sa*ss*a:aaa*ssaaasass M.ar c0sSi1«a*s saassssas
APPROVED BY`r �� Plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)