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EL-14-2796 0 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231036 Permit Number: EL-12-14-2796 Scheduled Inspection Date: July 23, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: CENOZ, EFREN Work Classification: Service Change Job Address:51 NW 110 Street Miami Shores, FL 33168-4318 Phone Number 305/751-5274 Parcel Number 1121360030600 Project: <NONE> Contractor: AMPSTRONG ELECTRIC INC Phone: (305)468-7988 Building Department Comments UNDERGROUND SERVICE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed 12/ CREATED AS REINSPECTION FOR INSP-231017. Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 22,2015 For Inspections please call: (305)762-4949 Page 4 of 39 a [2'k�5 Miami Shores Village 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 FBC20 � � BUILDING Master Permit No. - 9 PERMIT APPLICATION Sub Permit No. ❑BUILDING LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL iUBLICWORKS [:] CHANGE ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ti• W. �/D 51 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 142/3,g�0/J 3D0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): G T,-exz ce2ie7_ `Phone#: ZZ� ©2Z Address: 5e: J.-5 /V. W City: iGA M s State: �� Zip: 3*31/ 24' Tenant/Lessee Name: Phone#: Email: 1— CONTRACTOR:Company Name: S 6C4-y'Z �Z�c Phone#: JCC 4 Address: u. ` -- 3 �i City: State: � lr Zip-:I Qualifier Name: S °Y Phone#: l G State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ aua Square/Linear Footage of Work: Type of Work: ❑Addition ❑ Alteration ❑New ❑ Repair/Replace ❑Demolition Description of Work: 1✓1 n C SSpecify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$° Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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 o such poste notice, the inspection will not pproved and tion fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this :t3 The foregoing instrument was acknowledged before me thisay of 0 1 f,by /Gig 9-"0 2 day of 201& by who is personally known to me or who has produced who is pe onally known to me who has produced ;EL DL, As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: a.4.c�,46 d 4'0 Sign: Sign: Print: �i N Print: �'�� ,1 CHERYLLAC�RADE MARIA DEL PILAR ROBLEDO My Commission Expires: = = My Commissionr(407)3`601153 MYCOMMI3SION#EE220559 Id1'CONBNISSION 4 EE 843924 EXPIRES:0claba 15,2016 EXpIRES August 13.2016 Bold Thm NotRyPublIc UndOWL-M �^ APPROVED BY I =�JS �,5� Plans Examiner Zoning / Structural Review Clerk (Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)