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EL-16-1041 Inspection Worksheet Miami Shores Village 3 OF 8 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 0 I K� , 9 V Inspection Number: INSP-270075 Permit Number: EL-4-16-1041 Scheduled Inspection Date: November 01, 2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MUSAFFI, NICOLE&JEFFREY Work Classification: Low Voltage Job Address: 1178 NE 99 Street Miami Shores, FL 33138- Phone Number (561)414-9398 Parcel Number 1132050180120 Project: <NONE> Contractor: MG ELECTRICAL CONTRACTOR Phone: (786)385-5637 Building Department Comments LOW VOLTAGE Infractio 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. November 01,2016 For Inspections please call: (305)762-4949 Page 30 of 38 Permit No. EL-4-16-1041 Miami Shores Village Permit Type:Electrical-Residential 10050 N.E.2nd Avenue NE Per I Work Classification. Low Voltage Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 �NTEB M• F�ORLDp' issue Date:4/20/2016 Expiration: 10/17/2016 Project Address Parcel Number Applicant 1178 NE 99 Street 1132050180120 Miami Shores, FL 33138- Block: Lot: NICOLE&JEFFREY MUSAFFI Owner Information Address Phone Cell NICOLE&JEFFREY MUSAFFI 1178 NE 99 Street (561)414-9398 (954)993-5151 MIAMI SHORES FL 33138- 1178 NE 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 500.00 VOLT ELECTRIC CORP (305)200-7967 ._........ ... . _... _ _. ...., ... _m,.,,.,_ Total Sq Feet: 0 Type of Work: LOW VOLTAGE Available Inspections: Additional Info: LneLcn Type: Classification:Residential ctrical Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-4-16-59452 DBPR Fee $2.25 04/19/2016 Credit Card $50.00 $ 114.10 DCA Fee $2.25 Education Surcharge $0.20 04/20/2016 Credit Card $ 114.10 $0.00 Notary FeP $5.00 Permit Fee'-Add itions/Alterations -Additions/Alterations $150.00 Scanning.Fee $3.00 Technology Fee $0.80 Total: $164.10 IZI rd > 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. c-7 x 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 an ning. Futhermore,I authorize the above-named contractor to do the work stated. April 20, 2016 uthoriz ature:Owner / Applicant / Contractor / Agent Date I Building Department Copy April 20, 2016 1 Miami Shores Village C �aJr-1 - I 016 � APR 19 , � ^ Building Departmen - BY: a 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 �i I MSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. )� PERMIT APPLICATION Sub Permit No. I dy ❑BUILDING [O/ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL []PLUMBING MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: J' l 7 /CI CS 5-y— City: M'� Miami Shores County: Miami Dade Zip: C Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: d�-t-rJS, ; FI OWNER:Name(Fee Simple Titleholder): J t��` `7 AW D AJ � W,Lj_ Phone#: &61 N'-111A -%9; Address: I n q City: . 1 . State: Zip: � )3 Tenant/Lessee Name: rrll Phone#: Email: �njSG :\�c hMw1• (�a. CONTRACTOR:Company Name: \J6 0— L:c r e 0,6y d2 Phone#: Address: 3( S3 --r-evrAce City: &(Oton State: Zip: Qualifier Name: iL-2:&�d a,C Phone#: State Certification or Registration#: '�F—�lJ �-f'� Certificate of Competency#: 3 7E In DESIGNER:Architect/Engineer: Phone#: Address: I City: State: Zip: Value of Work for this Permit:$_ ��- u� Square/Linear Footage of Work: Type of Work: ❑ Addition k Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: WIN VV lj Specify color of color thru tile: Submittal Fee$ 0 ' Q Permit Fee$ Pirit7G CCF$ GO CO/CC$ Scanning Fee$ , ( Radon Fee$ IDL' C' DBPR$ Notary$ Technology Fee$ (3' < Training/Education Fee$13 Double Fee$ t Structural Reviews$ Bond$ 10 G TOTAL FEE NOW DUE$ `T•( � • 10 (Revised02/24/2014) 1 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. 1 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$1500, 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. %4 Signature Ufi Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foorregoing instrument was acknowledged before me this day of d 1 L— 20 (�' by �- r day of Ao � 20 ( (O by J��T- Q�Y (D �v oh is personally known to ( o R–A61►ZLL%�who is personally known to me or who has produced �-�r=C VES �. _(Q �as mor 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: ` l N�j( P L't�1 Q � Print: O Seal: Seal: blic Stale of Florida o,�u '• MAGALY MARCANO toRYvv4 Notary' '; ��t+: r° f- Sindia Alvarez Notary PubIlC-State of Florida 156750 • • My commission FF °-1 My Comm.Ex irel Wi »»»*** offry,,,,��,. s»*» Bion* E 843817 APPROVED BYPlans Examiner oning Structural Review Clerk (Revised02/24/2014)