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EL-15-2702 I L�" (I K 7 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-253872 Permit Number: EL-6-15-1358 Scheduled Inspection Date: March 03,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MUSTAD, KRISTEN Work Classification: Alteration Job Address: 1260 NE 94 Street Miami Shores, FL 33138- Phone Number (305)661-6633 Parcel Number 1132050100180 Project: <NONE> Contractor: LONGMAN ELECTRIC INC Phone: (305)758-1211 Building Department Comments FIXTURES AND RECEPTACLES Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction '�f Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid March 02,2016 For Inspections please call: (305)762-4949 Page 37 of 44 �rucC. 615 Miami Shores Village ermrtj ,�) �� esientai= 10050 N.E.2nd Avenue NE .. Miami Shores,FL 33138-0000 .,. Alteration Phone: (305)795-2204 xmt' '. 1$$Uw t Expiration: 12/09/2015 Project Address Parcel Number Applicant 1260 NE 94 Street 1132050100180 Miami Shores, FL 33138- Block: Lot: KRISTEN MUSTAD Owner Information Address Phone Cell KRISTEN MUSTAD 1260 NE 94 Street (305)661-6633 MIAMI SHORES FL 33138- 1260 NE 94 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 7,300.00 LONGMAN ELECTRIC INC (305)758-1211 ..., _ Total Sq Feet 00 Type of Work:FIXTURES AND RECEPTACLES Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees DLs Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.80 DBPR FeInvoice# EL-6-15-55835 $3.84 06/12/2015 Credit Card $235.48 $50.00 DCA Fee $3.84 Education $1.60 06/04/2015 Credit Card $50.00 $0.00 Permit Fe $256.00Scanning $9.00Technolo $6.40Total: $285.48 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 t fo oin 'formation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I a t rize above named esntractor to de4he work stated. June 12, 2015 Authorized Signature:Owner AppftR nt ! ontractor / Agent Date Building Departure t Copy June 12,2015 1 � w Miami Shores Village WPM Building Department JUN ®4 2015 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 1C) BUILDING Master Permit No. 2�e 2 2 Z-57,2 PERMIT APPLICATION Sub Permit No.Z 10. S ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: R66 1')1g- g4 S1 City: Miami Shores County: Miami Dade Zip: / Folio/Parcel#: 1 f d 3�ZQ5 -ow Is the Building Historically Designated:Yes NO 1/ Occupancy Type: Load: Construction Type: a f3 5 Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): T1 r 1 g � / \V Sk 4 Phone#: 3� - �j j- )663 Address: kqo I ai O City: cti State: Zip: I Tenant/Lessee Name: 1 Phone#: Email: k�sSh VIQVTd�J�('eQl e (� s CONTRACTOR:Company Name: �'r '®C Phone#: Address: q Yui City: j"k*,?W State: Zip: 17 -3 0 1 Qualifier Name: q,"' Phone#: State Certification or Registration#: r:---c- Certificate of Competency#: DESIGNER:Architect/Engineer: V %CA0V- (�)cUCR- Phone#: Address: 310 A)a 10 i S+ City: A%ckv n i S6,reS State: FL- Zip: Value of Work for s Permit:$ 41 3 00 Square/Linear Footage of Work: '+To® Type of Work: Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ Permit Fee$ A5-4&r'®a CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ � (Revised02/24/2014) 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. I 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 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 jab 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 qv-e'"'e-�;�4�� L;W'NER­®rAGENT' CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 /5 by J- day of 3 v At ,20 15 by NAn's ,/. k4i k ,who is personally known to M iLtA. l L o4 M atA ,who is personallyknown t me orwho has produced 70-0,26esO 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:. ('. aA 2Cd► J4U A.-Lt Sign: Print: ✓ IG} , ' TU4l - fill? Print: eZ Seal: yr�y , REBECAI.ART1AdATURNER Seal: e' "oav Notary Public State of Florida MY COMMISSION#FF 130252 : Michelle Perez OM EXPIRES:August 24,2018 6boa My Commission FF 000321 Bonded Thru try Pulik UndemBem OF po Expires 04/08/2017 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)