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EL-07-1541 • P�►�t 7.1,541 mss+!°Rhs y Miami Shores Village P"WType-E106 # R dentia! 10050 N.E.2nd Avenue � .. 'Wo&Cl,asolion.Addition/Alteration Miami Shores,FL 33138-0000 5l8tUS: Phone: (305)795-2204 PenWt APPROVED ORIDf' �7 Expiration: 01/21/2008 Project Address _ Parcel Number Applicant 9301 NW 2 Place 1131010150240 Miami Shores Village, FL Block: Lot: JOANNNE TITCOMB Owner Information Address Phone Cell JOANNNE TITCOMB 9301 NW 2 Place (164)636-1892 FL Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 ON CALL ELECTRICAL CONTRACTOF (786)388-5880 Total Sq Feet: p Type of Work:ELECTRICAL Available Inspections: Additional Info: RELOCATION Inspection Type: Classification: Residential Alteration Relocation Meter Box Final Underground Rough Service Change CELLED Fire Alarm CANW.W. Fees Due Amount Total Amt Paid Amt Due CCF $0.60 Education Surcharge $0.20 $0.00 $0.00 $ 0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Payment Type: Technology Fee $3.75 Total: $157.55 MCG PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS, DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. July 25, 2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Wednesday,July 25, 2007 1 Miami Shores Village ; !x: : Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ` ""` Tel: (305)795.2204 Fax: (305)756.8972 BUILDING Permit No.F] PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: Electrical Owner's Name(Fee Simple Titleholder) R1z- n 41 GL'1,wt b Phone# Owner's Address 4j '3 o I tN w P(� City State Z i p Tenant/Lessee Name Phone# E-MAIL: Job Address(where the work is being done) City Miami Shores Villaee County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name oN L►J�� l L�2i c Phone# Contractor's Address -1 t, Z o Nw City State Zip 33) t Z Qualifier Name KcU 1'.0 Phone# 1$c'�5� 7 67 r State Certificate or Registration No. GGJ.O o v 1t _Certificate of Competency No. E-MAIL: l Mr- u L Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ Square/Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: �r2r'f 0 a p YI Submittal Fee$ Permit Fee 07,0 CCF$ CO/CC Notary$ Training/Education Fee$ Technology Fee$ Scanning$ Radon $ DPBR$ Zoning$ Bond $ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ ' See Reverse side-+ 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this Ik The foregoing instrument was acknowledged before me this i day of .4 P Pr ,20 1 L- by hJ 20 b( C'Q-4b day of A&5 �' , 201, by who is personally known to me or who has produced who is personally known to me or who has produced As identification and wh gig h. as identification and who did take an oath. NOTARY PUBLIC: '� r' A t t t NOTARY PUBLIC: �a�* �t �`��i afF61� Sign: : , Sign: Print: Print: � .,' ExPtRES:PAar yY2B73 b' bon igN n nary.uDNo unde My Com � ;s My Commission JA��GiUEttCtdEC(39A A I01adr�AcllMi�l��g 1267 l/ a �l Z Plans Examiner EXPIRES'.Mardi �y Bonded Thio Notary Pub0c Undz leis Engineer Zoning (Revised 02/08/06) Miami Shores Village pTp,3 ; r JUL 2 4 2001 Building Department BY. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 BUILDING D-717!blmx,`-- � � ^ Permit No - Q _ I54 I PERMIT APPLICATIONMaster Permit No. FBC 2004 Permit Type: Electrical --�- Owner's Name(Fee Simple Titleholder) ,Tp gh1r-4e 1►TC-OMS Phone# (p 4(D'"3cp Owner's Address bl N a Q L City r-a4,k, S"ny►r:5 State Zip ,331 So Tenant/Lessee Name Phone# E-MAIL: Job Address(where the work is being done) �1- City Miami Shores Village County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name ON e-W o&4!qr, Phone# 6-fh0' 551`1 Contractor's Address l U d W w ,55�- -4 LC,5 City ��-tai,. State Zip 53122 Qualifier Name � ,Ikz,s Phone# State Certificate or Registration No. E C-,o6 4.1N-�i 9 q 1 Certificate of Competency No. E-MAIL: Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ aU Square/Linear Footage Of Work: Type of Work: []Addition ❑Alteration ❑NewRe air/Re p p lace ❑ Demolition Describe Work: i�p@l+�t: ti� tLl$L SL�Cv�c� sh duf.L k�Pco•� �N�J[��.'+� *,�*xx�:�x��*x�rx��x*��*��*x��*�*xxxxxxFeesxxxxr,:x�*xxxx�xxx�xxrxxxx�*xx*x�*r*xx�xxxrxx Submittal Fee$ Permit Fee$ Z 5`6r 'tea CCF$ -COO,/CC Notary$ Training/Education Fee$ Technology Fee$ I Scanning$ Radon $ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$ See Reverse side-> Bonding Company's Name(if applicable) Bonding Company's Address City _:StateE 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site .for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20_,by JQA►a� - rTQ3 v� , day of ,20_, by !Aly., who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: JACgllE11NECOBA Sign: _ MD1113SION#Dd 531640 Print: J�YCOMMIS$tdN# 10 PIKES: Print: eaWl dlp NoW%0ibNc lu gwul9ii6 Ndlnl�W*^*0' I My Commission Expires` My Commission xpires: � G APPLICATION APPROVED BY: - Z y rUG PIan�Examiner Engineer Zoning (Revised 02/08/06) 0 �,� Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL �toRrop' Phone: (305)795-2204 Fax: (305)756-8972 aRE, Inspection Date: 09/17/2007 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: W. W. Owner: TITCOMB,JOANNNE Work Classification: Addition/Alteration Job Address: 9301 2 Place NW Miami Shores Village, FL Phone Number (164)636-1892 Parcel Number 1131010150240 Project: <NONE> Block: Lot: Contractor: ON CALL ELECTRICAL CONTRACTORS INC Phone: (786)388-5880 Building Department Comments SERVICE REPAIR AND RELOCATION Inspector Comments Passed FP&L NOTIFIED MD 09/14/07 Failed El Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Monday, September 17, 2007 Page 1 of 2