EL-16-577 tV
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-255685 Permit Number: EL-3-16-577
Scheduled Inspection Date: March 29,2016 Permit Type: Electrical- Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner. BARRY,BETTY Work Classification: Alteration
Job Address:716 NE 92 Street 1-M
Miami Shores,FL Phone Number
Parcel Number 1132060440510
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC Phone: (305)758-1211
Building Department Comments
POWER FOR WASHER AND DRYER lnfractlo 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
March 28,2016 For Inspections please call: (305)762-4949 Page 26 of 27
Miami Shores Village
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
Phone: (305)795-2204
Expiration: 09f0612016
Project Address Parcel Number Applicant
716 NE 92 Street Number: 1-M 1132060440510
Miami Shores, FL Block: Lot: BETTY BARRY
Owner Information Address Phone Cell
BETTY BARRY 716 NE 92 ST UNIT 1M
MIAMI FL 33138-2958
Contractor(s) Phone Cell Phone Valuation: $ 400.00
LONGMAN ELECTRIC INC (305)758-1211
-- - -- - Total Sq Feet: 0
Type of Work:POWER FOR WASHER AND DRYER Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Review Electrical
Scanning:3 Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# EL-3-16-58890
DBPR Fee $2.00 03/03/2016 Credit Card $50.00 $64.60
DCA Fee $2.00
Education Surcharge $0.20 03/10/2016 Credit Card $64.60 $0.00
Permit Fee-Additions/Alterations $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total '? $114.60
k
PFJ
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertainingereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting s permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for-ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS. FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructiorrand zoning. Futhermo ,I authorize the above-named contractor to do the work stated.
March 10,2016
Authorized Signa re:Owner kplil'11'e Contractor / Agent Date
Building Department Copy
March 10,2016 1
Miami Shores Village
?� Building Department ® � 2x16
/ 10050 NY-2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fa=(305)756.8972 �.Y,
INSPECTION'S PHONE NUMBEST(305)762.E
FUC�O (��`T
BUILDING Permit No.
PERMIT APPLICATION Master Pern*No. (6_✓�i
Permit Type:Electrical
JOB ADDRESS: 7( KE: Z' 45Tref-
City: Miami Shores County: Mme;Dade Zip: 1`�
Folio/Parcel#:
Is the Building Historically Desknate&Yes NO Flood Zone:
OWNER:Name simple Titleholder): �� N ZAI& P� 0� 2 •_{0 '4"
Address: 771<{ N 9 GI ZN 0, C ec.T
City: M► AK%• 1n rG S State:_ F L' Zm: 331.38 --
r
Tenant/Lessee Name: Phone*
Email:
CONTRACTOR.-Company Name:- LomGtAAr4 Lk-C r C C SNC. ,nwn40ft! !1 y' W 1
Address:�l� Y C/ s
City: 4 /�/�qi/ �1 State... 1 zip: 0O►/g.�.
Qualifier Nam: 1-4111
�i�/1I� Phone#
State Certification or Registration# 4 G13/,06 3 7/3 Certificate of Competency*-.
Contact Phone#: c�a �l/ Address:
DESIGNER:AmbitectlEngineer:_ PbD ;
Value of Work for this Permit:$ Footage of Work:
Type of Work: DAd&= �itteration LINew URepair/Kepl/mace li
LIDemotion -
DakAption of Work: P 116(4 1)1-lio ,�J a., -
s+as���+esas�pwe* saea��ease �sasF� �asa��sa�a� rwsr+�e+�ac�ass��s��es
Submittal Fee$��` Permit Fee$ /A51,oa CCF$ • Gb CO/CC$ (2)
Senning Fee$ -d "" Radon Fee$ - W DBPR$ 0 , Co Bond$ _
Notary$ 0 g/Fducation Fe.$ Technology Fee$ n• ?JC)
Double Fee$�_ Structural Review$ _
TOTAL FEE NOW DUE$ �q-70
Bonding Company's Nance(if applicable) � 1.4 ti
Bonding Company's Addlress ?
City State Zip \
Mortgage Lender's Name(if appliable) /114
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
consRndion in this jurisdiction. I undmulmd that a separate permit must be secured for EI ECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
0
OWNER'S AFFIDAVIT I certify that all the foregoing information a accurate and that all wadc will be tom 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 falrh 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 She first inspection which occurs seven (7) days after the building permit a 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 iraunamnt was admowledged before me this• L7 11 The ib regoing instrument was acknowledged before me this
day of�20,(e by ETP Y SAA&,/ day of���20 L(�by A51 q
rswn to me who has produced w personally krmwn 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:
Sign:
Print VSc R Q Print:
My Commission Expires: ,teaVExWCLWW=
esta My CommissionLNx.=te of Florida
;v
9287 F 000321 7
888+8��Iu8�b�s�sSaA�9s�R�R�Bs lni�B�RSnBB ��l8�6e
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10107)(Revised 061111CAM)(Revised 3/15/09)
0014
, • ?le S(mie� ��aga F,�t eaad�a�te�k��ea�tte.�, lac.
745 North East 91 u Street
Miami Shores,FL 33138
305-759-9069/FAX 305-759-2101
E-MAIL spe123Qattnet
February 26, 2016
Miami Shores Village
Building Dept.
10050 NE 2nd Avenue
Miami Shores, FL 33138
Dear Sir/Madam:
This letter will serve as your confirmation that "Longman Electric, Inc"has
been contracted by the owner of Unit 1M, at 716 NE 92 Street, Miami
Shores, FL, and is authorized by the Board of Directors of the Shores Plaza
East Condominium Association to perform "Electrical Work/Installation"
for Washer &Dryer machines at said Unit.
Should you have any questions regarding the enclosed, please feel free to
contact the condominium office.
Sincerely yours,
Ror71AX--4/
ralez
President
cc: file
AML
CITY
COPY
Longman Electric
95 NE 1661"street
Miami,FL 33162
305-758-1211
EC13003713
Sink
Kitchen Area—Betty Barry
716 NE 92nd street#1M
Miami Shores,FL 33138 00
00
Stackable
Washer
Dryer
Miami Shores Villa a •• •
. .. . . . . ... .
APPROVED BY DATE
ter'
_. EL
bEPT • . .
CET
BLDG DEPT
MAR 0 7 20
SUBJECT Tip COMPLIANCE WITH ALL FEDERAL• • i } ••• • •
STATE AND COUNTY RULES AND REf3ULATiON3 � • • • • • • • .
Betty Barry
716 NE 92nd street #1 M
Panel Schedule B
1.) Range 50 Amp 2.) Space
3.) Range 50 Amp 4.) Space
5.) Receptacles 15 amp 6.) Lighting 15 Amp
7.) Space 8.) Lighting 15 Amp
9.) Washer/Dryer 30 Amp 10.) Lighting 15 Amp
11.) Washer/Dryer 30 Amp 12.) Lighting 15 Amp
Longman Electric
95 NE 166th street
Miami, FL, 33162
305-758-1211
EC 13003713
ELECTRICAL REVIEW
APPROVE DATE
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