EL-18-652 r ,
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Inspection Worksheet
Miami Shores Village I
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INO-299233 Permit Number: EL-3-18-652
Scheduled Inspection Date: March 30,2018 Permit Type: Electrical- Residential
Inspector: Devaney,Michael
Inspection Type: Final
Owner: ROMAN, DIANA Work Classification: Addition/Alteration
Job Address:177 NW 96 Street
Miami Shores,FL _..... Phone Number (786)512-8541
Parcel Number 1131010250140
Project: <NONE>
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Contractor: MISTER SPARKY Phone: (954)933-5874
Building,Department Comments
REPLACE 200 A METER MAIN CIMBO, INSIDE LUG Infractio _ Passed. .Comments ,
PANEL GROUNDING INSPECTOR COMMENTS False
I
k
i
f ,
Inspector Comments
Passed
Failed
Correction D
Needed
V
I
Re-inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
f
March 29,2018 For Inspections please call: (305)762-4949 Page 25 of 39
t Permit Nth. EL-3-'I 8-652
`yµortEs°,t Miami Shores Village Permit Type:Electrical-Residential
10050 N.E.2nd Avenue NW ' Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000 Pen
Permit Status:APPROVED
Phone: (305)795-2204
�teRioA iration: 09/11/2018
. Issue Dat+a:3l1v/Z018 Ex p�
Project Address Parcel Number Applicant
177 NW 96 Street 1131010250140 t
Miami Shores, FL Block: Lot: DIANA ROMAN
Owner Information Address Phone Cell
DIANA ROMAN 177 NW 96 Street (786)512-8541-
MIAMI SHORES FL 33150-
177 NW 96 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 7,100.00
MISTER SPARKY (954)933-5874
�.. .. . .... ,.�._ _, n...�. w ...r.... Total Sq Feet: p
Type of Work:REPLACE 200 A METER MAIN CIMBO,INS Available Inspections:
Additional Info:REPLACE 200 A METER MAIN CIMBO,INS Inspection Type:
Classification:Residential Final
Scanning:3 Meter Box
+ Alteration
Relocation i
Fire Alarm
Service Change
Review Electrical
Underground
W.W.
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF ' $4.80
Invoice# EL-3-18-66771
DBPR Fee $3.73
DCA Fee $2.49 03/13/2018 Check#:580 $50.00 $226.52
Education Surcharge $1.60 03/15/2618 Credit Card $226.52 $0.00
Permit Fee-Additions/Alterations $248.50
Scanning Fee $9.00
Technology Fee $6.40
Total:' $276.52
"
"
" 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. i
" 4
OWNERS AFFIDAVIT: I certify that all foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
„onstruc' z ing. Fu her?7, I u ize the above-named contractor to do the work stated.
(/� March 15, 2018
Author ed Signature:Owner / Applicant / Contractor / Agent Date
.'wilding Department Copy
'larch 15, 2018 1
4
4
G�I �a,�� �� �d c ��
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Miami Shores Village RECEIVED
MAR 1 18
Building Department
- g p
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 P
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201
BUILDING Master Permit No. 5"I
PERMIT APPLICATION Sub Permit No.
❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[--]PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1-77 N O 6 rt s .-m:r
City: Miami Shores County: Miami Dade zip: 3 31 S
Folio/Parcel#: /l'—c3101— 0 as-0/y 0 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): IU / em 0.. � o m Qr/ Phone#: 7do 6 —S1.2 — $sY
Address:: ,177 AJw 7k" 5-r1"I
City: (am( L5hori$ State: F1 Zip: 33 115,49
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Mister Sparky Phone#: 954-933-5874
Address: 1450 SW 3rd St. #A8
City. Pompano Beach State: FI Zip: 33069
Qualifier Name: Christopher Crew Phone#:
State Certification or Registration#: EC13007667 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$__7 100' 0 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New [�Repair/Replace ❑ Demolition
Description of Work: 9e4A"'-_ I_00'Q /Vhe: r nl caul Coen Ud: /n,51 d'e In't1h A,j /8a/l el
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ �y8�3 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ �4 DBPR$ —4 3 Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
i
TOTAL FEE NOW DUE$
(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 on 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
Jar 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 Signature
OWNER rAGENT CONTRACTOR
The
pf,going instrument wa-s/acknowledged before me this Thepf riegoing instrument was acknowledged before me this
/ day of 1 "C-A 20.1 S ,by / day of /"t al&A .20 by
U !a✓19, /eO M 4,el who is personally known to C)hPL5401P 6J- CCif,P.J ,who is personally known to
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:
ISSIp''•, C, �i
Sign: � �, S � Sign:
CC�� Ov' Cg i 6, / Y� 0 T
Print: I 7N = a`� T9 n d — Print.
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s� _ = PUE_iC
Seal: le A H'17 10 N �.f-77` Seal: c off:'
:'b Hy��\\���� OF F,01\�����
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APPROVED BY /?M0-1'Z Plans Examiner Zoning
Structural Review Clerk
I
(Revised02/24/2014)
3/13/2018 Miami-Dade Official Records-Print Document
` 1111111 dill 111N 11111111111111111111 Ilil 1111
G-FN 2t�it�4-FieD�83�76
OR Bk 22638 Ps 2308: (las)
RECORDED 09/08,2004 18:48:38
DEED DOC TAX 0.61)
HARVEY RUVIN, CLERK OF COURT
bared by anti rete to: MIAMI-DADE COUNTY, FLORIDA
Marcl Lowman,Esq. LAST PAGE i
Kim&Lowman,LLP
10800 Biscayne Blvd,Suite 725
Miami,Florida 33161
FBN 0383295
_[Space Above This Line ror-Recording Datal '
Quit Claim,Deed
i This Quit Claim Deed made this 24th day of August,2004,between Esther Y.Acosta, a single'woman and Diana
t
Roman,a single woman,whose post'office address is 177 NW 96 Street,Mlanii Shores,FL 33150,grantor,and Esther Y.
Acosta,a single woman and Diana Roman,a single woman,as Joint Tenants with Right of Survivorship.whose post
office address is 177 NW 96 Street,Miami Shores,FL 33150,grantee:
(whenever used herein the ternss "grantor"and "grantee" include ail the parties to this'instrum t and the heirs, legal representatives,and assigns of
individuals,and the successors.and assigns of corporations,trusts and trustees)
Witnesseth,that said grantor,for and in consideration of the sum TEN AND NO/100 DOLLARS($10.00)and other good
and valuable consideration to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, does
hereby remise, release,,and quitclaim to the said grantee,and grantee's heirs and assigns forever, all the right, title, interest,
claim and demand which grantor has in and to the following described land,situate,lying and being in Miami-Dade County,
Florida to-wit:
Lot 14, Block 3, REPLAT OF BLOCK 3 OF BONMAR PARK, according to the Plat thereof,
recorded in Plat Book 42,Page 60,of the Public Records of Miami-Dade County,Florida..
0
Parcel IdentificationNumber:11-3101-025-0140
a/k/a 177 NW 96 Street,Miami Shores,Florida 33150.
Note: This Quitclaim Deed was drafted and executed without a titke,search and examination. No title
insurance is being issued in association with this Quitclaim Deed.
To Have and to Hold, the same together with all and singular the appurtenances thereto belonging or in anywise
appertaining,and all the estate,right,title,interest,lien,,equity and claim whatsoever of grantors,either in law or equity, for
the'use,.benefit and profit of the said grantee forever.
In.Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. 1
Signed,sealed and delivered in our presence:
a
771—
Sea])
itnes e: i Esther Y.Acosta
Witness Name: e
itnes Na ane R man
I
Witness Name:
t 'State of Florida
County of Miami-Dade .
The foregoing instrument was'ackmowledged before me this 24th day of August,2004 by Esther Y.Acosta and Diana Roman,
who LJ are personally!mown or[X]have produced a driver's license a fication.
[Notary Seal) Notary Public
Printed Name:
OMCLAL AR
It�ARt]I My Commission Expires:
NMPARY PUBLIC STATE OF FLORIDA
[("JLC/l1J/
COMMISSION NO.DD0396.34
MY COMMiSSiON D5_LILY5 lips
DoubleTimeo
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ExigExisting Customer Name
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Size of pipe � Size of pipe 5 �
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Size of wire � � ('i Size of wire � /` J
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APPROVED BY DA rE _ °®, .-®
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ZONING DEPT
BLDG DEPT OF
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS - - -
' Esther Acosta
177 NW 96th St.
--- - Miami Shores FL 33150
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ELECTRICAL REVIEW
PRROV I DATE�—
Christopher Crew
EC 13007667