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EL-15-767Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-232247 Permit Number: EL -4-15-767 Scheduled Inspection Date: April 13, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: LUNA, LUISA FERNANDA Work Classification: Service Change Job Address: 10090 N MIAMI Avenue Miami Shores, FL 33150-1216 Project: <NONE> Contractor: FELLO ELECTRIC INC 5wiamg uepartment comments RELOCATE THE PANEL Phone Number (305)757-3133 Parcel Number 1131010210090 INSPECTOR COMMENTS False Inspector Comments Passed Eq Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Phone: (786)290-7576 April 10, 2015 For Inspections please call: (305)762-4949 Page 24 of 25 Project Address Miami Shores Village 10050 N.E. 2nd Avenue N Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Applicant 10090 N MIAMI Avenue 1131010210090 Miami Shores, FL 33150-1216 stock: Lot: LUISA FERNANDA LUNA Owner Information Address Phone Cell LUISA FERNANDA LUNA 10090 N MIAMI AVE (305)757-3133 MIAMI SHORES FL 33150-1216 Contractor(s) Phone Cell Phone FELLO ELECTRIC INC (786)290-7576 of Work: RELOCATE THE PANEL one[ Info: kation: Residential linq: 1 Fees Due Amount CCF $1.20 DBPR Fee $2.25 DCA Fee $2.25 Education Surcharge $0.40 Permft Fee - Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 Valuation: $ 1,800.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -415-55054 04/03/2015 Credit Card $ 160.70 $ 0.00 Available Inspections: Inspection Type: Review Electrical 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 AFFI IT: I certify that all a foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an ning. Futhermo�,VIhorize the above-named contractor to do the work stated. April 03, 2015 Au fioriised Signature: Owher / Applicant / Contractor / Agent Date Building Department Copy April 03, 2015 1 iami Shores Village PERMIT APPLICATION ilding Department V.E.2nd Avenue, Miami Shores, Florida 33138 el: (305) 795-2204 Fax: (305) 756-8972 TION LINE PHONE NUMBER: (305) 762-4949 FBC 2010 Master Permit No.l— I � ®"��� Sub Permit No. ❑BUILDING R ELECTRIC ❑ ROOFING E REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:, ftf'O H14"`f City:4141 Almft Miami Shores County: Miami Dade Zip:.. 'ca Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Address: /40ft IQsA&� City: ,�sa� State: )i! Zip: 33%g'6 Tenant/Lessee Name: Email: e#: CONTRACTOR: Company Name: Jia& G/g am l0»G Phone#: 'Wo—eye) 7-5— q, Address: 4�D x _.W /3t3aani 1 City: FYI. [tri / f State: �0. Zip: 3V[C2 Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: one#: Certificate of Competency #: 04 F. C23'137J 2-,& Address: City: State: Zip: Value of Work for this Permit: $_ / IR".0v Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 5? Repair/Replace Description of Work: Specify color of color thru tiler Submittal Fee Scanning Fee $ Permit Fee $ 1-4 CCF $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews (RevisedO2/24/2014) DBPR $ ❑ Demolition CO/CC $ Notary $, Double Fee $ Bond $ TOTAL FEE NOW DUE $ - Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 standard's,;of all laws regulating construction in this jurisdiction. 1 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. " � �'A r .. "WARNINf Td -OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCED-'MAY RESULT IN YOUR PAYING TWICE FOR IMPRQVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITh II;I.ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimatW e e *q--P50QX"itpplicant must promise in gopd gjth Mat a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose propel �Aect to attachment. Also, a certified copy of t1 e7 corded notice of commencement must be' s `ot6 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. . ' . '' • ' P sem!-, •. ?+ Signature Signature OWN or AGENTCONTRACTOR �, _.< Witt� ' `ted .; The foregoing instrument was acknowledged before me this The foregoing ,jnstrument was acknowledgedtbefore me tHis (39-- day of -P P-1 , 20 (.S , by who is personally known to me or who has produced1-1)0\0- U►QkN�- as identification and who did take an oath. NOTARY PUBLIC: e Sign: Print: *daft°, .�.il l�20 15 by K0'-�-- Z f L0A tQ®®G , who is personally known to me or who has produced � i>e-»c. uZzNS (�§s identification andv ho take an oath. NOTARY PUBLIC: ' i Print: Seal: Seal: L4P'0�NotaryPSindia Notary PUWIC StateofFlorida yComSindia Alvarez Expires 09f0312018 ` My Commission FF 156750 APPROVED BY / sZ Dffosk Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) I&Uqo (I I o IL V�- APR ® 2AZO1� � 9 lclk 0- -Nlk�4 ELECTRICAL REVIEW 'p, , APPROVEDA DATE 0000 � • 0000 0000.• • •• . 0000 0000•• 0000 0000•• 0000•• • 0000.. 0000 •0.. . . 0000 • 0000. 0000 0 . • .. .000 . 0000 .0 0000.. 00 ....•. . 0000.. 0000.. .. .. 0000 . .