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ELC-15-535Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-229968 Permit Number: ELC-3-15-535 Scheduled Inspection Date: March 19, 2015 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: VILLAGE, MIAMI SHORES Work Classification: Addition/Alteration Job Address: 10021 NE 2 Avenue Miami Shores, FL Phone Number Parcel Number 1132060134650 Project: <NONE> Contractor: MOODY ELECTRIC INC Phone: (305)758-2000 Building Department Comments RE -HOOK UP 15 TON AC UNIT Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments March 18, 2015 For Inspections please call: (305)762-4949 Page 15 of 38 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 MAR 1212015 FBC 20 � Permit No. S35 Master Permit No. JOB ADDRESS: 16eA / /d� ?A4---) < City: Miami Shores County: Miami Dade Zip: 3 8 Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name /-(Fee Simple Titleholder): 4/d24W'' ,�h lw lz/_6 phone#: �/S o� a / Address: /�'/Q� �6 �0 /ti � .� Q City: G��L.! 42io _Stater Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: CZ49 any Name: Address: City: �`%LQ/�► Qualifier Name:- t State Certification or Registration #: Contact Phone#: DESIGNER: Architect/Engineer: _ `j." _2j!e7 7 70 ;( 6610 Email Address: Certificate of Competency #: ��'�Z58aaoo _015c) Value of Work for this Permit: $ 1'0d . to © Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New *epair/Replace ❑Demolition Description of Work: Submittal Fee $ Permit Fee $ 4".O>< e4� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ _ 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 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 approv d and a reinspection fee will be charged. Signature A Signa , Owner or Agent The foregoing instrument was acknowledged before me this l� day of by 1 U Ni- J ,)V\ wh is personally kno me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Contractor The foregoing instrument was acknowledged before me this XJ day of i 12H , 20 I , by �►}-MOO who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign. My Commission Expires:, -45, ; ;.""`j My ` MY COIM IS ; :XPIRES Ma;cn r zjS 4nded Thm Notary Public U Sim Riwaw"- .Pzo APPROVED BY �lz / 31Y,,P-A- Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) ltary Public - State of Florida Comm. Expires May 11, 2018 Commission # FF 120746 Zoning Clerk