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EL-07-1923 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 gcadoo .n- .w Inspection Date: 12/19/2007 Permit Type: Electrical - Residential Inspector. Devaney,Michael Inspection Type: Final Owner: VILLOLDO,J PATRICK Work Classification: Addition/Alteration Job Address: 1146 97 Street NE Miami Shores, FL 33138- UW000 Phone Number Parcel Number 1132050170160 Project: <NONE> Block: Lot: Contractor. ELOHIM ELECTRIC Phone: 305-635-7999 Buliding Department Comments BATHROOM RENOVATION DEC 19 2007 Inspector Comments PassedD cc Failed � Gey Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid Tuesday,December 18,2007 Page 2 of 2 t . Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FIL Phone: (305)795-2204 Fax: (305)766-8972 e. ......... .I......... ......... .... . ....... .............. .. ..... .........5.... .1......... ............ .............. ............. ............ ........ .... .................................. I ....... ... ....... ..... .. . ............. p ...........I .. I .I .... .......I . ...............I ............................................... ........... .......... ........ . ... Inspection Date: 10/18/2007 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Rough Owner: VILLOILDO,J PATRICK Work Classification: Addition/Alteration Job Address: 1146 97 Street NE Miami Shores, FL 33138- Phone Number Parcel Number 1132060170160 Project: <NONE> Block: Lot: Contractor: ELOHIM ELECTRIC Phone: 305-636-7999 Building De rtment Comments BATHROOM RENOVATION Inspector Comments Passed Failed El Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid, Wednesday, October 17, 2007 Page 1 of 2 Permit NO. E:L-9-07-1923 �gHgR y� Miami Shores VillageMt Permit Type:Electrical-Residential 10050 N.E.2nd Avenue �' ' Work Classification:Addition/Alteration .,_ Miami Shores,FL 33138-0000 r ,% Phone: (305)795 2204 Permit Status:APPROVED 4NYEg tN �'CORl1)p' Issue Date:9/18/2007 Expiration: 03/16/2008 Project Address Parcel Number Applicant 1146 NE 97 Street 1132050170160 Miami Shores, FL 33138- Block: Lot: J PATRICK VILLOLDO Owner Information_ Address.._ _ __ Phone Cell J PATRICK VILLOLDO 1146 NE 97 Street MIAMI SHORES FL 33138-2558 Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 ELOHIM ELECTRIC 305-635-7999 Total Sq Feet: 0 Type of Work:BATHROOM RENOVATION Available Inspections: Additional Info: Inspection Type: Classification:Residential c� Alteration Relocation ® Underground Rough Final Meter Box SEP 2 0 2007 Service Change CC -703 b Fire Alarm ��fJ✓ w.w. MIAMI SHORES VILLAGE Fees Due Amount Total Amt Paid Amt Due CCF $1.20 - -- Education Surcharge $0.40 $0.00 $0.00 $ 0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Payment Type: Technology Fee $3.75 Total: $158.35 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated September 18,2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday,September 18,2007 1 , Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 BUILDING RECDaster Permit No.—ELI-1i" PERMIT APPLICATION Permit No. FBC 2004 S P 1 s Permit Type: Electrical Owner's Name(Fee Siimol jJ Titleholder) / � ll< 11'414-01`00 Phone# 50C g q Owner's Address l l V^ a CityState �`7/ Zip Tenant/Lessee Name Phone# E-MAIL: Job Address(where the work is being done) City Miami Shores Villaee County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES O Contractor's Company Name ( C C' /�C wl0C Phone6266) 75bla©(/ Contractor's Ad ess . 11 CityA 1, o, State Zip Qualifier Name Phone# -2 :5/- 2) State Certificate or Registration No. ( 21. Certificate of Competency No. E-MAIL: Arch itect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ /, (®® Square/Linear Footage Of Work: Type of Work: ❑Addition WAlteraxion ❑New ❑ Re air/Re late Demolition Describe Work: AA� � p ��A®pM . ��,��x,�,�,�,�,�•��x�*�x�,�,��,��x�FeeS�x��,r��xxx,��x��,�xx��,•��,�,�,��,r�,�,�� Submittal Fee$ Permit Fee$ CCF$ CO/CC Notary$ Training/Education Fee$ t 40 Technology Fee$ Scanning$ Radon$ DPBR$ ni �Op Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee N4ow , $ See Reverse side- MIAMI SHORES VILLAGE C:C, `7 056 Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address j City State ' Zip commenced tpriore o the�iss issuance of a permit and that all work w,i I�be perford to I certify that work or installation has Application y permit to do the work and installations as rmemed to meet the standards of all laws regulating construction In this jurisdiction. 1 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 constructions lien law brochure will be delivered to the person whose property is subject to attachment. Alm.a certified copy of the recorded notice of commencement must be posted at the job site for the first inspects n which occurs seven (7) days after the building permit is issued In the absence of sucdi posted notice, the inspection w'l not bUoa.a reinspection fee will be charged. Signature.- - _- Signature-494 ignature - - Owner or Agent ontracto The for instrument was acknowled _S�eedbefore me this The foregoing instrument was acknowledged before me this A.- day of 20�by tom- P t� � day of 20&,by#f 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 i5"ft0153 on and who did take an oath. NOTARY PUBLIC: +F,�r DANIEL P:DO NOTARY-P JBov D MYOOMMISSION#!)>JqAA )TEL P � ® �Y�MMI�tON,yD• % aitL EXPIRES: ?^ Sign: ts�ora9 �S�,2o09 Sign: l ER exPra>�;,�,sz1. Print: Print: �z -�� E My Commission Expires: �� My Commission Expires: A1111, aYudr vY 4r sY oY 4osYlrsYxdr4r4rskoY dr eYxx,4drdntx4cxdraYdcirxoYdr deshde4rdnes4 x,tr&,h 4r YsYsYsY dntxdr4e4r4t 4r de de drdtdrueY&xx,Rx4tusY,Y aYdo aYs'rsYxxlr4rdrdr&s4sYxdrorJrsa4toY4r9r.4xdtsY+4o44rxdrx r • 1 APPLICATION APPROVED S rms'&Olans Examiner Engineer Zoning (Revised 02/08/06) Receipt Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Number: EL-9-07-1923 Owner Address: Invoice Number: EL-9-07-29822 1146 97 Street NE Applicant:J PATRICK VILLOLDO MIAMI SHORES, FL 33138• Company Name: Job Address: 1146 97 Street NE Miami Shores, FL 33138- Date Payment Type Check Number Amount Change Thursday,September 20, 2007 09/20/2007 Credit Card $158.35 $0.00 Total Payment: $158.35 Page 1 of 1