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EL-14-2324 to --X Vt Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-222036 Permit Number: EL-10-14-2324 Scheduled Inspection Date: October 23,2014 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: BUTLER,JACQUELINE Work Classification: Temp for Test Job Address:1461 NE 102 Street Miami Shores, FL 33138-2621 Phone Number Parcel Number 1132050240140 Project: <NONE> Contractor: LONGMAN ELECTRIC INC Phone: (305)758-1211 Building Department Comments TEMP FOR TEST Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments IVA Passed /O.' W ,rte Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 22,2014 For Inspections please call: (305)762-4949 Page 17 of 28 f 6 � VoN Miami Shores Village Building Department OCT 212014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION UNE PHONE NUMBER:(305)762-4949 FBC 2010 BUILDING Master Permit No. q PERMIT APPLICATION Sub Permit No. C'l. '23 21/` ❑BUILDING XELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL [PLUMBING ❑MECHANICAL MPLIBLICWORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: IzIh N 6 /* 2 54 moi• Miami Shores County Miami Dade Zia• Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: _CConstrydion Type: Flood Zone: BFE: FFE: *OWNER:Name(Fee Simple Titleholder): JA- `2c a ase 1 Ne Y�,M cp, Phone#: 7 t(o —7 9 SJ"a 7 Address: 1`((-) Ird t' W 2- city: city: State• Zip: 3 313 Tenant/Lessee Name: Phone#: Email: CONTRACTOR,Company Name: Z 4),n A In A— Phone#: Address: City: X1'1: ; 4: O re S Zip: 3 3 3 Qualifier Name: i f, ®�� Hyl ��- Phone#: lc� f fl3r^ State Certification or Registration#: c_ /1gm: 37/3' Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this PermR*$ Cne' Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Ej New ❑ Repair/Replace ❑ Demolition Description of Workf'�M� Specify color of color thru tile: Submittal Fee$ © Permit Fee$ IJAPF I m® CCF$ 0 'C20 CO/CC$ (25 Scanning Fee$ 07 Radon Fee$ - DBPR$ —/2'C7 Notary$ Technology Fee$ O V Training/Education Fee$ '�53 Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (ReOwd02/24/2014) 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. 1 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 on estimated value exceeding$2500, the applicant must promise In good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this If day of_0 G-4-b {U� .20 1 L4 by l (- day of D-_-Fa LO$ .20 by L e � �A r .who is personally known t� �04Ae t 1...ori 4 Pee n who is nersonaI known to me or who has produced D A��Lf�-`Ja3-5�'sb,1--0 me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: 400%% No"Puft Stale of Florida Seal: 41? Micheffe POW Seal: MkWe Perez stft of Florida My Comminion FF os aP Exphes 041082017000321 ,or w ` CM ft 04 M FF OOQ321 04!08/2097 AA ***ee*es**sssssss*ee********eseeses$asses****eeesass*sssssss*****esesssasess******assess s *e**asses /H APPROVED BY 7-/ 4 ' 7- Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Building MIAM 11805 SW 26th Street Miami,Florida 33175-2474 oma 786-315-2100 miamidadegov AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE ELECTRICAL CATEGORY 26 ELECTRIC SERVICE WILL BE DISCONNECTED"WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED OR CERTIFICATE OF OCCUPANCY OBTAINED. It is understood that the temporary electrical approval by the Miami-Dade Building Department is given in connection with the building being constructed under the Building Permit # RL 09 -Alb 60 and Electrical Permit# CL, - a -- I) - �t q at address 14(c l AX, to-2, SI- for owner: �'►vco.��1�nj r&{- w and is being given only for construction purposes or for testing the following equipment in said structure: The owner does hereby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the Building Official and will be disconnected if the building concerned is occupied before final inspections are approved and/or a Certificate of Occupancy or Completion is obtained. I, V RCG,J Q lw1a eU-V(4 , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and/or obtained a Certificate of Occupancy or Completion. Note:Failure to comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Test permits. 1148 s W COMMM#FF 107919 RoamEXPIFS F 2018 Si tur f Owner Si at r of N taryumnamewnwWwon My mission Expires: 1, being duly sworn, depose and say th,;t I am the Electrical Contractor for the above-desc ibed pr-oikio and that the electrical installations as no exist ng ' l not create a safety hazard if temporary service is conn ed. Signature of Electrical Contra or Signat a of Nota imine Perez My Commission pires: VC MY CMRMMWMFF00MI I, Z. pu, 3 -Xwj blvk6 I q , being first duly sworn, depose and say that I am of the above described property and that I will not permit occupancy of this building until final inspections have been called for by the contractors and sub-contractors concerned and final approval by the inspection division obta' ed an t have a authori insofar as the owner of said property is conce ned to prohibit occupancy until u inal i i ns a obtained a or a Certificate f Occu or Complet' n is issued. u , Sig ature of Bu i tling Contractor Signature of Wry My Commission Expires:�- '�_ Date- 16 -90 - 14- Signature of Electrical Inspector tip Ap NARY OOLDRA+IQ Date released to FPL: �,•••.�� * * WCOhtu118310N II EE 8 EXPIRES:Febm"15,2017 12301-124 6(06 4jFa lxv B ITink*KNoWy$wJ=