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EL-17-2880Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-293485 Permit Number: EL -12-17-2880 Scheduled Inspection Date: December 08, 2017 Inspector: Devaney, Michael Owner: Ockert, Darren Job Address: 445 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: DANTO ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Temp for Test Phone Number 917 573-9022 Parcel Number 1132060140520 Phone: (954)856-4740 Building Department Comments TEMP FOR TEST 30 DAY. Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments December 07, 2017 For Inspections please call: (305)762-4949 Page 21 of 30 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 445 NE 94 Street Miami Shores, FL Owner Information Darren Ockert Address Permit N©. tL Permit Type: EIet 2017 Expiration: 06/05/2018 Parcel Number Applicant 1132060140520 Block: Lot: Phone 445 NE 94th Street Miami Shores FL 33138 Contractor(s) DANTO ELECTRIC INC Phone (954)856-4740 CeII Phone Darren Ockert 917 573-9022 CeII Total Sq Feet: Type of Work: TEMP FOR TEST 30 DAY. Additional Info: TEMP FOR TEST 30 DAY. Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $3.00 $0.80 $108.60 Pay Date Invoice # 12/06/2017 12/07/2017 Pay Type EL -12-17-65836 Check #: 1102 Check #: 1103 Amt Paid Amt Due $ 50.00 $ 58.60 $ 58.60 $ 0.00 Available Inspections: Inspection Type: Final Review Electrical 1 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 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named cpntractor to o the work stated. 'S>fl‘ ( December 07, 2017 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date December 07, 2017 1 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 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 Master Permit No. QL - - lb • 1 "18`c Sub Permit No. E L ❑ BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 44%5 KE 14 •STeEET 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: OWNER: Name (Fee Simple Titleholder): 7if-(L.?th1 GCPhone#: e/14 902Z Address: 445 I1/41F 16.711STi -' I) �? 65 33 City: fir/M1 S e3 State: L_ Zip: 3313g Tenant/Lessee Name: Phone#: Email: GLOC NO e ( .L oM. CONTRACTOR: Company Name: PA"1) C" Phone#: q if)./JP4.74t) Address: 3 ) I4 a 00043L00043LF" seol1 City: O `'1 L NG State: fL Zip: • Dpr D 0. State Certification or Registration #: 011-3 b0 TA1 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 * ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: WV r D Qualifier Name: Phone#: Specify color of color thru tile: Submittal Fee $ t Permit Fee $ /040 riPG CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $-:e • C 0 (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 $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 approved and a reinspection fee will be charged. Signat OWNER or AGENT The foregoing instrument was acknowledged before me this 11 • day of n 20 1/by , who is personallyknown to me or who has produced \\\`��►►►I��llll�i,/ identification and who did t� �n AVl(q '� •��g510N cam•. NOTARY PUBLIC: ; Vp;'" eER 1s •. ;moo 0U'.•�* • ? Sign: �� tiff 936143 Print:-SA:. i — .• ' "onded0- cscr' �� Seal: ''/;SBC;C .STP�O‘� �� Signature CONTRACTOR The foregoing instrumenttwas acknowledged before me this 1 //dayyyoo�f '✓� , 20 17 , by '112111 IJ> , whpi ersonally known as me or who has produced`\`\\\\� \ AV/ttli as identification and who did tarn oa ,1SS1O#% NOTARY PUBLIC:• • Sign: Print: Seal: UAtl ►.BER i. oN • .c • F 143 si 145• ,1 foto mtv 0 " v . .ainedsu �o• off` a('C STATt��\�\` Illllll O ****************************************************************************************************** APPROVED B (Revised02/24/2014) Plans Examiner Zoning Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY -ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary -electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: Building Permit N: - -t6 9'89 Electrical Permit N: EL -9 -16 - 2664 At Address: 4A -S NE 141A E'112c.ET Miami Shores, FL For Owners: nW1eEt.k ccvEdT oc A2mAN66 nem? , and is being given only for construction purpose or for testing the following equipment in said structure: The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of ie building concerned is occupied before final inspections are approved and/or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Test permits. 1, bR4LIZEri cctteI , being first duly sworn, depose and say that I am tflwdtiNPOf4 above described property, and that I agree that the structure covered in this agreement sl mill' i piiki� until the building contractor has obtained approval of final inspections and/or obtained . 'ertiii • ..•• Occu ayy��cy of Completion. Note: Failure to comply with the provisions of this - '' ' it �sGGu'' t '�grnur bein�y(nable toopptain future Temporary for Test permits. * ; �•+ a • Mr 5061143 re of Owner Signature of o Sig I, "1 -- , beingdulysworn, depose and saythat I am the EI , �.-� �,� Lb\A-1) p ;' • �t the above-described property and that the electrical installations as now existing wi re ,. aKt. if temporary service is Connected. ^ f 0 :4'0 •,o �n * : Signature of Notal :