EL-06-568 Inspection Worksheet
a Miami Shores VHWp
10050 N.E.2nd Avenue Miami Shores,Fl.
Phon 305)795-2204 Fax: (305)756-8972
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Inspection Date: 04/21/2006 Permit Type: Electrical -Residential
Inspector. Devaney,Michael
Inspection Type: W W
Owner: COUNTY, MIAMI DADE Work Classification: Repair
Job Address: 9500 2 Avenue NE
Miami Shores Village,FL 33138-
Phone Number (786)331-4509
Parcel Number 1132060132660
Project: <NONE>
Block: Lot:
Contractor. MIAMI DADE FIRE RESCUE Phone: (786)331-4504
Building Department Comments
Inspector Comments
Passed EJ
Failed El
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid
Friday,April 21,2006 Page 1 of 2
Miami Shores Village
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10050 N.E.2nd Avenue
Miami Shores, FL 33138-0000
�. .� Phone: (305)795-2204 Fax: (305)756-8972
Permit
Permit Status:APPROVED
Issue Date: 3/9/2006 Expires:03/07/2007 Permit Number: EL-3-06-568
Owner's Name: MIAMI DADE COUNTY one: (786)331-4509
Permit Type: Electrical-Residential Parcel#: 1132060132660
Work Classification: Repair Block: Lot
Job Address: 9500 2 Avenue NE Section: PB:
Miami Shores Village, FL 33138-
Contractor(s) Phone Primary Contractor Total Square Feet 4423
MIAMI DADE FIRE RESCUE (786)331-4504 Yes Total Valuation: $ 750.00
omme • R uired Inspections
REPAIR MAIN METER PANEL Final
Additional information
Type of Work:METER PANEL Additional Info:
Clessfication:Residential
In consideration of the issuance to me of this permit, rMg
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covered hereunder in compliance with all ordinancend g
thereto and in strict conformity with the plans, drawings, ss
submitted to the proper authorities of Miami Shores Village. In aI
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-3-06-24070 $106.30
Education Surcharge $0.20 Total:
Permit Fee-Additions/Alterations $100.00
Scanning Fee $3.00 MAR 14 PAIS
Technology Fee $2.50
Total: $106.30
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.
Applicant Signature