EL-06-1743 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
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Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-2.3849 Permit Number: EL-6=
RES
Miami Shores Vi.11age
c, 10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
_- o�� Phone: (305)795-2204 Fax: (305)756-8972
ORR) Permit
Permit Status: APPROVED
Issue Date: 7/26/2006 Expires: 01/22/2007 Permit Number: EL-6-06-1743
Owner's Name: JAMES HANSON d one: (305)751-4344
Parcel#: 1132060171470
Permit Type: Electrical- Residential
Work Classification: Generator
Block: Lot:
Job Address: 9730,5�Avenue NE
Section: PB:
Miami Shores Village, FL R
Contractor(s) Phone Primary Contractor
Total Square Feet: 0
HEFFERNAN ELECTRIC INC 305-757-8380 Yes Total Valuation: $ 1,000.00
Re uired Inspections
Comments: Final
INSTALLATION OF 16 KW/15 KW NATURAL GAS GENERATOR
Additional Information
Type of Work: 16 KW Additional Info: `
Classification:Residential
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.
Fees Due Amount Invoice Number Amt Due Amt Paid
.CCF $0.60 EL-7-06-25709 $239.42 $239.42
Education Surcharge $0.20 Total: $239.42
Notary Fee $5.00
Permit Fee-Additions/Alterations $225.00
Scanning Fee $3.00
Technology Fee $5.62
Total: $239.42
Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES.
'e
Appl k ature
Miami Shores Village g
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305 7y954 756.8972
BUILDING7 20 Permit No.
PERMIT APPLICATION-'-'- aster Permit No.
-------
FBC 2004 .® ______ _
Permit Type(circle): Building Electric Plumbing Mechanical / Roofing
Owner's Name(Fee Simple Titleholder)
•• (4t� �i�'orl Phone#��6� ��l^`t3
/Ut:
Owner's Addreess e1�•C Ze
City State Zip
Tenant/Lessee Name Phone#
Job Address(where the work.is being done) 54 d5d(7we,
City Miami Shores Village County . Miami-Dade Zip
FOLIO/PARCEL#
Is Building Historically Designated YES NO
Contractor's Company Name /4"4 L X C • Phone#
Contractor's A(ldress ® l ,f P-
City c d S State f7• Zip
Qualifier Name 10�v -?Jft Phone# ?e)!5-
State Certificate or Registration No. EL ®/y® Certificate of Competency No.
Architect/Engineer's Name(if applicable) Phone#
Value of Work For this Permit Square/Linear Footage Of Work:
Type of Work: ❑AdditionAlt/eratiioonP WNew ElRepair/Replace El Demolition
Describe Work: le A^• (
Submittal Fee$ Permit Fee$ . 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 EVIPROVEMENTS 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 Con t r
The foregoing instrument was acknowledged before me this The foreg mg instrument was acknowledged before me this
day of ,20 ,by day of ,2�b
1
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:
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Sign: ` p Print: co 1.
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Print: P� l 0 4.
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LOIS E.UNDLEY M Co is tre My Commission Expires: y� MY COMMISSION#DD 361851
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ee
APPLICATION APPROVED BY: } v�i!'�` Plans Examiner
Engineer
Zoning
(Revised 02/08/06)