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EL-15-681Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231312 Scheduled Inspection Date: April 01, 2015 Inspector: Devaney, Michael Owner: LONGMAN, PATRICK Job Address: 1499 NE 104 Street Project: Contractor: Miami Shores, FL <NONE> LONGMAN ELECTRIC INC Permit Number: EL -3-15-681 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)677-3046 Parcel Number 1122320320110 Phone: (305)758-1211 amiding Department comments BOND METAL POST NEAR POOL TO POOL BOND Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed EE- �911L Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. March 31, 2015 For Inspections please call: (305)762-4949 Page 27 of 36 gN y�i Miami Shores Village CCF 10050 N.E. 2nd Avenue NE DBPR Fee Miami Shores, FL 33138-0000 FQO Phone: (305)795-2204 Project Address Parcel Number Applicant 1499 NE 104 Street 1122320320110 PATRICK LONGMAN Miami Shores, FL Block: Lot: Owner Information Address Phone Cell PATRICK LONGMAN 1499 NE 104 ST (305)677-3046 MIAMI FL 33138-2663 Contractor(s) Phone Cell Phone LONGMAN ELECTRIC INC (305)758-1211 of Work: BOND METAL POST NEAR POOL TO POOL B itional Info: sification: Residential nning: 3 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee - Additions/Alterations $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 Valuation: $ 500.00 Total Sq Feet: 00 Pav Date Pav Tvoe Amt Paid Amt Due Invoice # EL -3-15-54944 03/30/2015 Credit Card 03/26/2015 Credit Card $ 64.60 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Review Electrical :J: 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 II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructiqh-apd zoning. Futhermoreyll authorize the above-named contractor to do the work stated. March 30, 2015 Signature: Owner / Applicant / Contractor / Agent Buildin§)Department Copy March 30, 2015 1 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 X ELECTRIC ❑ ROOFING a j LIAR 2 6 2015 (4CIO FBC 20 k Master Permit No.8/% -� 6 _e;; -- Sub Permit No. a ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: (�-icicl wt, ICA Si City: Miami Shores County: Miami Dade Zip: -3:31 Folio/Parcel#: Is the Building Historically Designated: Yes NO P" Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Va4 d f Ck- tw C m r) Phone#: '30� ZJC4 Address: 'I'A qc) js)e I utA St City: kAt CtirAA State: Zip: 331-3P Tenant/Lessee Name: Email: pal W,)CAn CONTRACTOR: Company Name: QA_1A j2 _./ AC/ ,fPhone#: 30.5 %i Address: C7 5 Al - C,4, 7"1 City: am/State: Zip: Qualifier Name: /)I/r Lq leo ." /4IZ2' Phone#: 0 f,7, 'rg — % 4L// State Certification or Registration #: of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ .50,5> - 0 Q Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration j ❑n New W Repair/Replace ❑ Demolition Description of Work- 8oA,,e, /%i eT? , Ap'� /- 4,/cak Pool Pew ) �ezyd Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Permit Fee $ 1®wr,0P CCF $ CO/CC $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ I 1, 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 96�Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of . 20 by bAy A— LL,,ar4ma v% . who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:, Print: Seal: �: Michelle Perez Q My Commission FF 000321 Expires 04108!2017 The foregoing instrument was acknowledged before me this Z --J day of , 20(S- - , by tAje 1 k-per�av , who is personally known to 113 me or who has produced KWw O as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Lll A, Seal: #V N RYMichelle Notary Public State of FlorWa Perez �r My Commission FF 000321 " Expires 04!08!2017 oee*$��t�+��x��s*+s�tx�eex�e*eee*sese�x�x�*t�*a�wa�*oa��xa+�a�o��teee***+reeeeasr�ta�sx�+x+x��xea*eer**t�x�*+sexy*ao*+sx��r�eoex�*ee�xwre APPROVED BY �,; iS— Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)