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EL-15-2862 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-247690 Permit Number: EL-11-15-2862 Scheduled Inspection Date: November 16,2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SUKHDEO, DEVAND& DOLORES Work Classification: Repair Job Address: 1190 NE 103 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132050190030 Project: <NONE> Contractor: LONGMAN ELECTRIC INC Phone: (305)758-1211 Building Department Comments REPAIR METER CAN 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. November 13,2015 For Inspections please call: (305)762-4949 Page 32 of 40 1 t r 4 I Miami Shores Village UAIF ' 10050 N.E.2nd Avenue NE Miami Shores, FL 33138-0000 Rckra� ' Phone: (305)795-2204 a ttt � =i Expiration: 05/11/2016 Project Address Parcel Number Applicant 1190 NE 103 Street 1132050190030 DEVAND&DOLORES SUKHDEC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell DEVAND&DOLORES SUKHDEO 1190 NE 103 Street MIAMI SHORES FL 33138-2652 Contractor(s) Phone Cell Phone Valuation: $ 800.00 LONGMAN ELECTRIC INC (305)758-1211 Total Sq Feet: 0 Type of Work:REPAIR METER CAN 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 $0.60 Invoice# EL-11-15-57740 DBPR Fee $2.25 11/12/2015 Credit Card $50.00 $ 109.10 DCA Fee $2.25 Education Surcharge $0.20 11/13/2015 Credit Card $ 109.10 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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. November 13, 2015 Authorized Si ature:Owner / Ap ant / Contractor / Agent Date Building Department Copy November 13,2015 1 WC I Miami Shores Village Building Department artment NOV 12 N 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 1'-j BUILDING Master Permit No. Tz:�--1 S —28(102— PERMIT 28(02-- PERMIT APPLICATION Sub Permit No. ❑BUILDING XELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I q 3 :�214{ %, City: Miami Shores County: Miami Dade zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: eFllood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):('VaaGr _AL2 / /7 O f?O Phone#: Address:_ (3 � J 7j H-60 JC City: �'L> �1L1'6!n State: '`Z Zip: ?231) Tenant/Lessee Name: Phone#: Email: )� CONTRACTOR:Company Name: / , ,,V ") /< C. Phone#: 3'0.r' Address: s3iJ�j_�/L q5 zLj ) City: 4---w zcm � — State: � Zip: 3/ 3' J Qualifier Name: /YLL K�,qa�� Y4e�� Phone#: State Certification or Registration#: j" L 13 p®3?) 3 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 0®a Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ ))Alteration ❑ New Repair/Replace ❑ Demolition Description of Work:��Ttt %O I)Teyek ,7s Specify color of color thru tile: Submittal Fee$ '� Permit Fee$ f s�rG�d CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 1 c� TOTAL FEE NOW DUE$ k`0 1 . I (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 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 CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this - I I —day of NDYGir,l eY 20 )s by ��day of AloyGM J-d 20 )! by i�'_1/AJVyI „SV e— who is personally known to /�r G q(' � Lop jiM,in,who is ersonally known to me or who has produced as me or who has produced as identification and o did take identification and who tZBoOo dd uass!wwo�AW , NOTARY PUBLIC: ?off" Na«r+y -a,::,ir_. r!i+orida NOTARY PUBLIC: za�ad allay�lyy MrchF!W OP!lold algiS o!IQnd tie3oN �hd ' My rasa r. ih,U321 fW Ex rre 2 . Sign: ) Sign: Print: M i C h e ) l t- /'Pk e z.. Print: Nt, c � e_ I ie- i0e-ke z. Seal: Seal: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)