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EL-16-2392
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-272363 Permit Number: EL-8-16-2392 Scheduled Inspection Date: December 05,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: BROWN,CORY A Work Classification: Service Change Job Address: 11028 NW 2 Avenue Miami Shores, FL 33168-4304 Phone Number (913)269-1610 Parcel Number 1121360020260 Project: <NONE> Contractor: ONLY ELECTRIC CO INC Phone: 305-785-6059 Building Department Comments FPL UNDER GROUND SERVICE 200 A-10 Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed121 Failed Correction a Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 02,2016 For Inspections please call: (305)762-4949 Page 30 of 42 h Miami Shores Village *K"d' ntlat�; 10050 N.E.2nd Avenue NW 1a� 6tt4� Miami Shores,FL 33138-0000 �y ' Phone: (305)795-2204 PO APIP I +LORa ' t y �a y s Expiration: 0310f017 3 `... L M\ 7YI!I Project Address Parcel Number Applicant 11028 NW 2 Avenue 1121360020260 Miami Shores, FL 331684304 Block: Lot: CORY A BROWN Owner Information Address Phone Cell CORY A BROWN 11028 NW 2 Avenue (913)269-1610 MIAMI SHORES FL 33168- 11028 NW 2 Avenue MIAMI SHORES FL 33168- Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 ONLY ELECTRIC CO INC 305-785-6059 _...,. .. _.........:::. Total Sq Feet: 0 Type of Work:FPL UNDER GROUND SERVICE 200 A-10 Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# EL-8-16-61121 $2.25 09/09/2016 Credit Card $ 109.10 $50.00 DCA Fee $2.25 Education Surcharge $0.20 08/26/2016 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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 forei,gong information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fut ore,I authori th above-named contractor to do the work stated. September 09,2016 Authorize ignature:Ow r / Applicant / Contractor / Agent Date Building Department Copy September 09,2016 1 Miami Shores Village _ Building Department UG 2 J10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 LB)Y- INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 (�-( II BUILDING Master Permit No. 2 � PERMIT APPLICATION Sub Permit No. ❑BUILDING CK ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACT/'ORDRAWINGS JOB ADDRESS: 11021 — MWZ � � Ay6 hm I S_aR k S City: Miami Shores County: Miami Dade Zip: �D Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE:: FFE: OWNER:Name(Fee Simple Titleholder):y Ruft Phone#: Address: I1 C` 9) A181 2ND l ye City: H),a l E rQC State: Flori doL Zip: 331(o 6 Tenant/Lessee Name: Phone#: Email: SLK)C+f 2 1461aCOM CONTRACTOR: �,C/o pan�y(1N'a/me:r I' 1 16– co Phone#: 3 o- �0 J 6 0901 Address: 3 LT Iv �`� (0 Z ±Mtg City: N l(� 1 state: �L Zip: ���Z� Qualifier Name: -1-4 E Y'0 W AP Uc Lri Phone#: State Certification or Registration#: 6G_ 13 V O 22-3 13 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: nn City: State: Zip: Value of Nfdrk for this Permit:$ rr��rr o0o Square/Linear Footage of Work: Type of Work: ❑ Addition LSI Altera ion ❑ New /ew/ ,� ❑ Repair/Replace D ❑ Demolition Description of Work: V N L v `v V r c' 2_ '96 Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ 7 DBPR$ Notary$ Technology Fee$ Training/Education Fee$ 6" 30 Double Fee$ Structural Reviews$ _ Bond$ TOTAL FEE NOW DUE$ 16�. (Revised02/24/2014) IF 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 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 oved and a re' ection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was lacknowledged before me this The foregoing instrument was acknowledged before me this © day of �1Ll4 UST ,20 /(0 by 4L day of �,JVO ,20 I C by CoryCull 7OWO ,who's personally known to �e hry SDH R who i personally known o me r who has produced as me or who has produced — as identification and who did take an oath. identification and who did take an oath. U NOTARY PUBLIC: NOTARY PUBLIC: Sign: �O; Sign: Print: C Z L)S S nto Print: L Seal: "' Seal ea,,x. - DANNY Co JESUSA.SOTO - My'COMMISSION FF241795 MY COhibVIIS m#EE 848756 EX@>IRES EXPIRES:Odobw25,2016 (d07)3�8OtS3 July 99.2019 ; j Bonded Thor Noffiry Pub2c Undww tm Fro+i6allotarySerofc�.com APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)