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EL-15-2164 24 Miami Shores Village --'�ft'sldentiAl 10050 N.E.2nd Avenue NE II }y Miami Shores,FL 33138-0000 Pe hW S(Wdo:,AP" M yes Phone: (305)795-2204 �"tORYDp' 'gw F 9 Expiration: 02/20/2016 Project Address Parcel Number Applicant 358 NE 101 Street 1132060135280 Miami Shores, FL 33138- Block: Lot: PATRICE AND SCOTT SMITH Owner Information Address Phone Cell [,PATRICE AND SCOTT SMITH 358 101 Street MIAMI SHORES FL 33138- 358 101 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 w YORK ELECTRICAL CONTRACTOR C, (305)962-0759 Total Sq Feet: 0 Type of Work:ELECTRICAL ROUGH Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Light Niche Bonding Review Electrical Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-8-15-56838 DBPR Fee $4.50 10/09/2015 Check#:13082 $271.20 $50.00 DCA Fee $4.50 Education Surcharge $0.40 08/24/2015 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $300.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $321.20 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 A IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construct nOro zoning At��ize the above-named contractor to do the work stated.� October 09,2015 Authorized Signature:Owner / Appli t / Contractor / Agent Date Building Department Copy October 09,2015 1 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-242120 Permit Number: EL-8-15-2164 Scheduled Inspection Date: June 30, 2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SMITH, PATRICE AND SCOTT Work Classification: Pool - Private Job Address:358 NE 101 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060135280 Project: <NONE> Contractor: YORK ELECTRICAL CONTRACTOR CORP. Phone: (305)962-0759 Building Department Comments ELECTRICAL ROUGH Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed 12/ Failed Corrections Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid June 29,2016 For Inspections please call: (305)762-4949 Page 3 of 35 Miami Shores Village y - Building Department AUG 4 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 — 4 INSPECTION LINE PHONE NUMBER:(305)762-4949 F`B;C�20 G�-( BUILDING Master Permit No. � PERMIT APPLICATION sub Permit No.TEL 151 216 ❑BUILDING ffELECTRIC ❑ ROOFING F-� REVISION ❑ EXTENSION [--]RENEWAL PLUMBING ❑ MECHANICAL []PUBLIC WORKS M CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: >S`d tJz l O 1 Si' . City: Miami Shores County: Miami Dade Zi 1 Folio/Parcel#: 1 .O 1 a> - t>2%0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ScxT* Cm,i+k Phone#: Address: 3Sg WE: (O( ST. City: M 1 a►rnn r Sire S State: F1_ Zip: 3313$ Tenant/Lessee Name: f`1 h Phone#: Email: CONTRACTOR:Company Name: r Phone#: Address: 1 I 1 EG ' �JIICAirYI I State: T G 43. 5 1 Qualifier Name: Lov-e4n= Dov-ireS Phone#: State Certification or Registration M F-CGG13i00JCoS10 Certificate of Competency#: DESIGNER:Architect/Engineer: Mario fiG'YY(f' de?i PE -1 t(R$.3 Phone#: 29DS-5045-'5-14% Address: 125 L4 LA 1 sw 2Q nr G v City: "'I o.m1 State: Zip: 331,% Value of Work for this Permit:$_ nnn Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: e I e a7hr', -ca d rby A 6 Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ �I (Revised02/24/2014) Bonding Company's Name(if applicable) �1) &- Bonding Company's Address lJ City State Zip Mortgage Lender's Name(if applicable) -•Nff IJ A A Mortgage Lender's Address II ac 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 a roved and a reinspection fee will be charged. 4�SignatureSignature OWNER or AGENT CO TRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _QO day of JJ IV 20 05 ,by ;"40 day ofJ y 1�-1 ,20 t S ,by 14-In,who is ally known �Z c� to rf e-2-who i ersonally know to me or who has produced as me or who has produced'T1aWJZD 50325 U as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: rJ Print: inc-42-Z-5r+C Seal: EE YB, MARCOS A MARTINEZ Seal: 6 MY CQMMISSION#FF008989III 0It EXPIRES:May 15,2017 ;*= M r F;°�`' Banded Thru Notary Public Underwriters =1, oPo� EXp MMISSIO FFA R°,f�c``' Bonded IRES, 1 8989 w**ww**www***www*ww**ww*****wwwwwwwwww**wwwwwww*w*w*www**ww**w*****www* W Www ****www* 7� Qrs APPROVED i�/� �� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)