EL-18-448 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-302388 Permit Number: EL-2-18-448
Scheduled Inspection Date: April 26, 2018 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: MOYER,GORDON Work Classification: Solar
Job Address:9301 NE 12 Avenue
Miami Shores, FL 33138- Phone Number
Parcel Number 1132050270010
Project: <NONE>
Contractor: GOLDIN SOLAR, LLC Phone: (305)469-9790
Building Department Comments
GRID TIED SOLAR PV Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
CREATED AS REINSPECTION FOR INSP-297794. For final will need j box
Passed for wire connections.
Failed
Correction
Needed
Re-Inspection a
Fee `
No Additional Inspections can be scheduled until
re-inspection fee is paid.
April 25, 2018 For Inspections please call: (305)762-4949 Page 22 of 34
J
Permit NO. EL-2-18-448
�sORs y� Miami Shores Village Permit Type:Electrical -Residential'
.5. 10050 N.E.2nd Avenue NE
eni Work Classification:Solar
- Miami Shores,FL 33138-0000 Pllt
Permit Status:APPROVED
Phone: (305)795-2204
CORtDp`
issue oate:311312€118 Expiration: 09/09/2018
Project Address Parcel Number Applicant
9301 NE 12 Avenue 1132050270010
Miami Shores, FL 33138- Block: Lot: GORDON MOYER
Owner Information Address Phone i Cell
GORDON MOYER 9301 NE 12 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 28,759.00
GOLDIN SOLAR, LLC (305)469-9790
.sd ...
Total Sq Feet: 0
Type of Work:GRID TIED SOLAR PV Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final
Scanning:3
e Review Building
Review Planning
Review Electrical
Review Structural
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1740 Invoice# EL-2-18-66522
DBPR Fee $15.10
DCA Fee $10 07 03/13/2018 Check#:2137 $42.57 $0.00
Education Surcharge $0.00
Miscellaneous Fee $0.00
Permit Fee-Additions/Alterations $0.00
Scanning Fee $0.00
Technology Fee $0.00
Total: $42.57
l
t
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 contracto do the work
%__ March 13, 2018
Authorized Signature:Owner / Applicant / Contractor / Agent Date
i
Building Department Copy.
March 13, 2018 1
r � Miami Shores e
Villag �cE�T
2- �-�� g FIB 2 12018
Building Department BY:
U� 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 20'I-�(0
BUILDING Master Permit No. Fij& y146
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
(� r� n CONTRACTOR DRAWINGS
JOB ADDRESS: "I�VI N L I��h A\Ie.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: H- ,�X_'5-d aq- o oy Is the Building Historically Designated:Yes NO ••
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Lq3w �) . �Gy� Phone#:
Address: q Q �,r W 8\f-
City:
\fCity: U ICT& l mnre_'� State: L Zip: ?)z
Tenant/Lessee Name: Phone#:
Email: Gu-'o
2n �t 1CONTRACTOR:Company Name: bpb( Phone#: (Jv5)g21-349 txk 101
Address:
ffZM 'T Pa6\01 Ave-
City:
/-City:M larni State: L Zip: '33183 r'fl
Qualifier Name: Doom l]d(� / Phone#: ��J_�� cj�-1y'gr4"IV
'State Certification or Registration#: Cy C_5 Co G6� Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ �g ,_R-!5 01 ' 50 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration `` 3 INew ❑ Repair/Replace [:1 Demolition
11
Description of Work: d t im eIIy P V
Specify color of color thru tile: I
Submittal Fee$ ' 0 Permit Fee$ CCF$ 1-4 - 4 D CO/CC$
Scanning Fee$ Radon Fee$ 0` d� DBPR$ f (� Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
r
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,
r
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.
Signature a-..��5 Signature`��
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�h day of ,20 1g ,by _� day of Fe h ,20 18 ,by
who is personally known to 00fC l 0d In ,who is personally known to
i me or who has produced �— (_ �� as me or 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: �� Print: t
i
Seal: Notary Public State of Florida Seal: �%I► Notary Public State of Florida
Madelin Rojas �' Madelin Rojas
y c My Commission GG 157509 yMy Commission GG 157509
'4crnoi�° Expires 11/05/ 021 �ij0 ' Expires 11105/2021
APPROVED BY Plans Examiner { Zoning
Structural Review Clerk
(Revised02/24/2014)