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EL-15-1699 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-238587 Permit Number: EL-7-15-1699 Scheduled Inspection Date: July 20, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: RODRIGUEZ-ROA, RICARDO Work Classification: Repair Job Address: 10001 N MIAMI Avenue Miami Shores, FL 33150- Phone Number (415)370-6964 Parcel Number 1132060131400 Project: <NONE> Contractor: LONGMAN ELECTRIC INC Phone: (305)758-1211 Building Department Comments REPLACE METER CAN AND RISER PIPE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed ,x Failed 04 Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 17,2015 For Inspections please call: (305)762-4949 Page 23 of 35 Permit w. EL-7-15-1699 gN R c Miami Shores Village Permit Type Electrtcat-Oesitiantiat 10050 N.E.2nd Avenue N Wolk Classic dolt:Repair Miami Shores,FL 33138-0000 Per o t enwit Status:APPROVED Phone: (305)795-2204 Issue Dab:71W6 Expiration: 01/05/2016 Project Address Parcel Number Applicant 10001 N MIAMI Avenue 1132060131400 RICARDO RODRIGUEZ-ROA Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell RICARDO RODRIGUEZ-ROA 10001 N MIAMI Avenue (415)370-6964 MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 1,900.00 LONGMAN ELECTRIC INC (305)758-1211 Total Sq Feet: 0 Type of Work:REPLACE METER CAN AND RISER PIPE Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning: 1 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-7-15-56265 DBPR Fee $2.25 07/08/2015 Credit Card $50.00 $ 110.70 DCA Fee $2.25 Education Surcharge $0.40 07/09/2015 Credit Card $ 110.70 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an zoning. Futhermore, I authorize the above-named contractor to do the work stated. July 09, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent ate Building Department Copy July 09,2015 1 Miami Shores S o es Building Department artment 15 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 l� 1 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. � PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: 1 0 0© k t1, m\am, Alf' City: Miami Shores County: Miami Dade Zip: i Elio _ Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): l"t C o--f,40 � Gl`f Xtra i1�1'���,(��Phone#: �1 16 (o 70—6q Address: 1101001 1 +M,��Gc rd \ff— City: N O Y`t�ti D (—S State: L Zip: m so Tenant/Ussee Name: Phone#: Email: -i t ()LA�_�rC r Yln CONTRACTOR:Company Name:_ 1L(Z�,�Magi C� ��' c• Phone#: 4C, Address: ,S If I City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: _ 1 ?i tt�d b:2 13 Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ a UO Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration '❑/New XRepair/Replaccee ❑DDemolition Description of Work: 1^S P )!f GA Submittal Fee$ Permit Fee$ /�`C�� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) Bonding Company's Address City State Zip 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 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 approved and a reinspection fee will be charged. Signature r Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 'a day of T�JU—C,20 1 S,by V— � Zt(o 2 day of J`t 20 t5 ,by W 04 fie_1 L rlvlgXlclrl who is personally known to me or who has produced r-- Drzi hvho iqqiilly known o me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: 0� Sign: ` Print: ' - yo Print: i l lit e P V--( LU= My Commission Expires: �Zv` " My 7N v COp , W'SeSIC sta a 'a� � Michelle Perez � /G .• � � My Commission FF 000321 ��� or Expires 04/08/2017 , G� APPROVED BY �i 8 y Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) f 111111 IIIII Illlf IIIII IIIII IIIII IIIII ISI IIII CFN 2015RO405178 DR BK 29669 Pss 3773-3775 (3Pss) RECORDED 06/2 /2015 15:06:21 Please return to; DEED DDC TAI( $2►5E0.00 TWO Company of Amedca,Inc HARVEY RUVIhar CLERK OF COURT 3470 NW 82 Avenue,Suit as nIAMI-DARE COUNTY Y FLORIDA Dowd,Fl.33122 A1518M This Instrument Prepared by: Hector Alvarez Ill,Eaq 3211 Ponce de Leon al Ste 208 Coral Gobies,FI,33134 Property Appraisers Identification(F000)0: 113206-013.1400 SPACE ABOVE THIS LINE FOR!RECORDING DATA THIS WARRANTY DEED,made the day of June ,2015,by Raymond C. Slack,a single man ,who reside s_1602 Akon Road#36.Mia i Beath Fl 33139,herein called the grantors,to Ricardo Roadtiguez Roa,a single man who resides at 10001 North Miami Avenue, Miami Shores, Ff. 33150 hereinafter called the Grantees: (Whenever used herein the terms"grantor.and"grantes include all the parties to this instrument and the heirs,legal representatives and assigns of Individuals,and the successors and assigns of corporations) W i T N E S S E T H:That the grantor,for and in consideration of the sum of TEN AND 0011 WS($10.00) Dollars and other valuable considerations,receipt whereof is hereby acknowledged,hereby grants,bargains,sells, aliens,remises.releases,conveys and confirms unto the grantee all that certain land situate in MIAMI-0ADE County,State of Florida,viz: Lot 14,and South 1/2 of Lot 13,Block 10,Amended Plat of Miami Shores Section No.1,according to the plat thereofas recorded in Plat Book 10,Page 70,Public Records of Miami-Dade County,Florida. A/K/A: 10001 North Miami Avenue,Miami Shores,FI.33150 SUBJECT TO:TAXES AND ASSESSMENTS FOR THE YEAR 2013,AND SUBSEQUENT YEARS, CONDITIONS,RESTRICTIONS,LIMITATIONS OF RECORD,EASEMENTS AND ZONING ORDINANCES IF ANY WHICH ARE NOT BEING REIMPOSED HEREIN. TOGETHER,with all the tenements,hereditaments and appurtenances thereto or in any-wise appertaining. TO HAVE AND TO HOLD,the some in fee simple forever. AND,the grantor hereby covenants with said grantees that the grantor(dare lawfully seized of said land in fee simple;that the grantor has good right and lawful authority to sell and convey said land,and hereby warrents the tide to said land and will defend the some against the tawfui claims of all persons whomsoever,and that said land Is free of all encumbrances,except taxes accruing subsequent to December 31,2014. IN WITNESS WHEREOF,the said grantor has signed and sealed these presents the day and year first above written. Signed,sealed and delivered in the presence of; Book29669/Page3773 CFN#20150405178 Page 1 of 3