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EL-15-1947 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-240458 Permit Number: EL-7-15-1947 Scheduled Inspection Date: August 13, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: CLEEK, RONALD Work Classification: Repair Job Address:882 NE 97 Street Miami Shores, FL Phone Number Parcel Number 1132060142700 Project: <NONE> Contractor: P&M ELECTRIC INC Phone: (305)949-6373 Building Department Comments REPLACEING 200 AMP PANEL WITH NEW. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed /�� �✓� Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 12,2015 For Inspections please call: (305)762-4949 Page 17 of 29 F , k 4 7 Miami Shores Village y' PM +' �� � N 10050 N.E.2nd Avenue NE II.tT k1�c>kCil a c Rot* Miami Shores, FL 33138 0000 \ Phone: (305)795-2204 ¢ ttF'71s1 A I FLORIDA Expiration: 02/08/2016 Plow Project Address Parcel Number Applicant 882 NE 97 Street 1132060142700 RONALD CLEEK Miami Shores, FL Block: Lot: Owner Information Address Phone Cell RONALD CLEEK 882 NE 97 ST MIAMI SHORES FL 33138-2528 Contractor(s) Phone Cell Phone Valuation: $ 1,450.00 P&M ELECTRIC INC (305)949-6373 (305)588-9724 Total Sq Feet: 0 Type of Work:REPLACEING 200 AMP PANEL WITH NEW. Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:2 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-7-15-56566 DBPR Fee $2.25 07/31/2015 Check#: 10732 $50.00 $ 113.70 DCA Fee $2.25 Education Surcharge $0.40 08/12/2015 Credit Card $ 113.70 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $6.00 Technology Fee $1.60 Total: $163.70 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 and zoning. Futhermore, I authorize the above-named contractor to do the work stated. Vu�,n PC's August 12, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 12,2015 1 Miami Shores Village Building Department -104 3120, e 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 N BUILDING Master Permit No. �—'� PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL a ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑&NCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: i ! '_7 TA J City: Miami Shores County: Miami Dade Zip:3 Folio/Parcel#: /1 "3j t3ca © j "! _Q 70 0 Is the Building Historically Designated:Yes 140_ Occupancy Type: Load: Construction Type:/'/ Flood Zone: BFE: FFE,:,_ _ 1 OWNER: Name(Fee Simple Titlehold C. [ Phone#:__31-x_5 �►�� / �� �� Address: We4 AIE _ City:A ./� M I ,S h b 4 az--- State: Zip: Tenant/Lessee Name: &/-A.. Phone#: 'd Email: X/ CONTRACTOR:Company Name: —Phone#: Address: City: State: 14�7/ Zip: �x� Qualifier Name: 5;�4—nr Phone##: State Certification or Registration#: �G- /3�itE 7,51 Certificate of Competency#. DESIGNER:Architect/Engineer: P)tone# Address: City: State: Zip: Value of Work for this Permit:$ 1 q.�'o Square/Linear Footage of Work .i!�: ' ht }� Type of Work: ❑ Addition ❑ Alteration ❑ New JxRepair/Replace C, olition Description of Work: .� Specify color of color thru tile: MA may "r"o Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Training/Education Education Fee$ Double Fee$ Technology Fee$ g/ - - Structural Reviews$ Bond$ _ TOTAL FEE NOW DUE$ ( � \ (Revised02/24/2014) 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 issuancea permit and that all work will be performed to meet the standards of all laws regulating construction in this juri§diction. rstand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS,H RS,TANK , CONDITIONERS, ETC..... W 5 6FI .I Irtify that all the foregoing information is accurate and that all work will be done in compliance with all api;li laws r onstruction and zoning. "W NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RES IV YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTA11%FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING ,ryOUR4E OF COMMENCEMENT." I Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in400d J64 Mat a copy of the notice of commencement and construction lien law brochure will be delivered to the person .whose property is sObjedt tolattachment. 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 -4�� L WNE or AGENT CONTRAC OR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ,^,.. day of 20 , by G day of� t 20 IS by �, Ir1wk who is personally known to 046 v who is personally known to me or who has produced rf Lb L— as me or who has produced as anY`PVdwhpdi take an oMWINS identification and who dill take an�o�th. 100 `1 NOTARY PUBLIC: Si Sign: Print: Print: 9a A,14 2wgm - d W— Seal: Seal: --tet APPROVED BY 3/J-4'/V/#Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)