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EL-15-1225 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237944 Permit Number: EL-5-15-1225 Scheduled Inspection Date: June 30, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: LESTRADE SFARA,VERONIQUE Work Classification: Alteration Job Address: 1080 NE 105 Street Miami Shores, FL 33138- Phone Number (305)799-2006 Parcel Number 1122320280090 Project: <NONE> Contractor: PARDIME ELECTRIC INC Building Department Comments WELL PUMP CONNECTION Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed S� Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. June 29, 2015 For Inspections please call: (305)762-4949 Page 39 of 39 \Y / \ Miami Shores Village 10050 N.E.2nd Avenue NE BS ffGatii A tft n ' Miami Shores,FL 33138-0000 s4FN �,b Phone: (305)795-2204 Expiration: 12/21/2015 Project Address Parcel Number Applicant 11080 NE 105 Street 1122320280090 a ores, FL 33138- Block: Lot: VERONIQUE LESTRADE SFARA Tmm Owner Information Address Phone Cell VERONIQUE LESTRADE SFARA 1080 NE 105 Street _ MIAMI SHORES FL 33138-2106 (305)799-2006 Contractor(s) Phone Cell Phone Valuation. $ 100.00 PARDIME ELECTRIC INC Total Sq Feet: 00 Type of Work:WELL PUMP CONNECTION Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Am ]$2.00 Pay Date Pay Type Amt Paid Amt Due CCF Invoice# EL-5-15-55679 Di Fee DCA Fee 06/24/2015 Cash $ 114.60 $0.00 Education Surcharge Permit Fee-Additions/Alterations $Scanning Fee Technology Fee Total: $11 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 and zo ' g. Futhermore,I authorize the above-named contractor to do the work stated. June 24, 2015 uthorizedpin; �� r / AP / Contractor / Agent Date Building Ddpa nt Copy June 24,2015 1 i r � e Miami Shores VillageJu N D 2015 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 FBC 20(6 BUILDING Master Permit N / 1, —12Z� PERMIT APPLICATION Sub PermitNo ❑BUILDING jSj ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: © © C)SS}. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name(Fee Simple Titleholder): Phone#: Address: ' �Cj- City: ( QJ`M I c C cA e-s State: L Zip: ��l Tenant/Lessee Name: Phone#: Email: 7.33 1 )'/ry11 c1/ W CONTRACTOR:Company Name: �1�1Mt � �,y� 1)ry' Phone#S,3bzs—471wn Addre s: �� c� • t� �lk-- �j City State: Zi o�� Qualifier Name: Phone# � 1 State Certification or Registration#: P,0(-7b [b V?) Certificate of Competency#:00W KI-31 DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ ��Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: e Specify colorof color thru tile: Submittal Fee$ Permit Fee$ ��d� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) �e 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 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 Signature OWNER or AGENT ONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 1 20/Lf- by 7 day of 20 , by who is personally known to © J odaf /�_ ' who is personally known to me or who has produced ��L as me or who has produced 91-�2L �M as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: p10 Print: ws ° Print: Z' 510 G µO �a M fp 08� :.; :: Seal. ►SAY^�M%� 'e Seal: � EXPIRES:May 12,2017 $�j, Ex4'roa°�N2i2° ����y,.r eorbea Tnru rbwn PuWk unMiwibMY GUMN n �t of F ****** *************************************************************************************************** APPROVED By," Z ✓4��5 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)