EL-16-1221 �\ c 3-7-15
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-272184 Permit Number: EL-5-16-1221
Scheduled Inspection Date: December 13,2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: FRANCESCA RINONAPOLI TRS, Work Classification: Alteration
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Job Address:9915 NE 4 Avenue Road
Miami Shores, FL Phone Number
Parcel Number 1132060171300
Project: <NONE>
Contractor: TRUE POWER ELECTRIC INC
Building Department Comments
INSTALL RECESSED LIGHTS, RECEPTACLES AND Infractio Passed Comments
SWITCHES ACCORDING TO PLANS IN ONE BREEZWAY INSPECTOR COMMENTS False
TURN OUT TO ONE BEDROOM AND ONE BATHROOM
RELOCATION
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-272001. Arc fault protection, N>
1Z III E> C>210.52.
Smoke detector need 3 feet from A/Cgrill.
Install all fixtures.
Failed ❑ Seal opening panel.
Dryer on 4 wire receptacle.
Correction
Needed
Re-Inspection ❑ / �li/�
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
December 12,2016 For Inspections please call: (305)762-4949 Page 21 of 33
Miami Shores Village
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16Buildin Department r:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 ;-
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2014 —f
BUILDING Master Permit No.f-G t (,. " rs
PERMIT APPLICATION Sub Permit No.T�LI(a - 1 2Z'
❑BUILDING �LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
Q n,CONTRACTOR DRAWINGS
JOB ADDRESS: l l 1 � ' 4 � 2j
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
R:ao�Rk: UuU%. TfWsr
OWNER: Name(Fee Simple Titlphotld`er): �QfA1 446 RUNCdit Phone#: - 603,ASL
Si
Address: 91S f� 44h Ot/Z RA
City: W I. AAA, Suogzl State: - Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: C'�.-Po.w`cc 4G�i4e4,Cry Phone#: (a))
1
Address: <>3 N w /T N
City: 03( P"�T ► State: FL Zip: 3 C)
Qualifier Name: / D y x '>- -L (::;, p Phone#:
State Certification or Registration#: /3 0-3 O o 3 ) Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ NewI nn❑ Repair/Replace ❑ Demolition
Description of Work: AT11 f UT, (e ipL-h f �fG'R�i: z31 A0 gwi'1�1�,� •dc�C" ia��Ib
1 r 4t,o��sf��i i 4�1� && m eF-%44, 11 PCU &jT' To oilA aeoQ00► -i-- Ot17 &—A(470k —
W6 � �R.Y�/� �\{L Wvi'111 7J� •~ ...�. .. k;�,. .. '!
Specify color of color thru tile: y
Submittal Fee$,,6 Permit Fee$ CCF$ �. "•,'.�... . ,.�..CO/CC$
Scanning Fee$ �a�� Radon Fee$ ✓v DBPR$ 3 ' V Notary$ JCJ
Technology Fee$ 2 .40 Training/Education Fee$ 60 Double Fee$ J
Structural Reviews$ Bond$ ICJ
TOTAL FEE NOW DUES `
(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$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-cert'red-copy of -notice-of corrrmencerirertt'm�st`b-e pb3ti�21-df-fhe joGsife - -
rf"
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 ackpowledged before me this
11r�
J day of 20_& byB-flayof MA4 20�J by
�ffA�lCdL� Q:�uouaPoL: who is personally known to to who is personally known to
me or who has produced as me or ho 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:
Seal: Notary Pubtir, ?�qt o}Florida Seal: ' Nary Pu State of Florida
Patricia t:.;yi,i ato Patricia f 0.
-1
My Com niss+un F 856809 My Commisskv�F 866808
�Ipq n Expires 03115/2020 a n Expires 03/16/2020
APPROVED B - Q'YIJ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)