EL-14-832Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
BPP 11. 831
Inspection Number: INSP-211302 Permit Number: EL -4-14-832
Scheduled Inspection Date: September 29, 2014
Inspector: Devaney, Michael
Owner:
Job Address: 271 NE 95 Street
Miami Shores, FL
Project: <NONE>
Contractor: SHINE ELECTRIC ENGINEER
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number (704)408-0784
Parcel Number 1132060133950
Phone: (305)688-2000
Building Department Comments
ELECTRICAL WORK FOR NEW SWIMMING POOL
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
E'
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
(•
September 26, 2014
For Inspections please call: (305)762-4949
Page 3 of 29
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: 271 NE 95 ST
BY
FBC 20
CEIVED
APR 242014
Permit No. // /9- cr3-Q
Master Permit No. Rf NY - 83/
City: Miami Shores County: Miami Dade zip: 33138
Folio/Parcel#: 11-3206-013-3950
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): NOMADBRUSELLS, LLC Phone#: 704-408-0784
Address: 271 NE 95 ST
City: MIAMI SHORES
State: FL zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING
Address: 3876 NW 125 ST
Phone#: 305-688-2000
City: OPA-LOCKA
State: FL zip: 33054
Qualifier Name: FRANCISCO SANTOS
Phone#:
State Certification or Registration #: EC0001514 Certificate of Competency #:
Contact Phone#: ANY HUEZO Email Address: INFO@SHINEELECTRICAL.COM
DESIGNER: Architect/Engineer: PFEIFFER ENGINEERING Phone#: 786-235-2435
Value of Work for this Permit: $ 1,500 Square/Linear Footage of Work:
Type of Work: GI Address UAlteration ❑New URepair/Replace UDemolition
Description of Work: ELECTRIC WORK FOR NEW SWIMMING POOL
***************************************Fees********************************************
Submittal Fee $ ..3.7 10 C) Permit Fee $ 5 dam° i°' CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $ 1 1 , '.-1't-
a.
•
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 inspec on w1 c ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not e ap and a reinspection fee will be charged.
Signature
Owner or Agent
Contractor
The foregoing istrument was acknowledged before me this .111-3--)Z
The foregoing ins ment was acknowledged before me this Z
day Y 1 , 20 11 , by WALTER DE WEERDT , day r. of 20 1.17 -by FRANCISCO SANTOS
, ,
who is personallyw known to me or who has produced
As identification411,01141p145fan oath.
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Print:
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who is personally known to me or who has produced
as identification and who did take an oath.
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Sig
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*********************************************************************************************************MMM
APPROVED BY
-? 47/2- Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/102009)(Revised 3/15/09)
Zoning
Clerk