EL-18-654 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-299246 Permit Number: EL-3-18-654
Scheduled Inspection Date: March 27, 2018 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: CARROLL, MARK AND BARBARA Work Classification: Addition/Alteration
Job Address: 1461 NE 103 Street
Miami Shores, FL 33138-2625 Phone Number
Parcel Number 1132050310190
Project: <NONE>
Contractor: MISTER SPARKY Phone: (954)933-5874
Building Department Comments
REPLACE 150 A MAIN LUG PANEL Infractio Passed Comments
INSPECTORCOMMENTS False
i
Inspector Comments
Passed EZ_ O;klp �7�'
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
a
March 26,2018 For Inspections please call: (305)762-4949 Page 21 of 42
Permit NO. EL-3-18-654
�sKO1s y� Miami Shores Village Permit Type:Electrical -Residential
10050 N.E.2nd Avenue NE Per I
Work Classification:Addition/Aiteratio n ,
Miami Shores,FL 33138-0000
Permit Status:APPROVED
Phone: (305)795-2204
�ORtDp' 09/11/2018
-"' Issue Date:3/15/2018 ' Expiration:
Project Address Parcel Number Applicant
1461 NE 103 Street 1132050310190
Miami Shores, FL 33138-2625 Block: Lot: MARK AND BARBARA CARROL
Owner Information Address Phone Cell
MARK AND BARBARA CARROLL 1461 NE 103 Street
MIAMI SHORES FL 33138-2625
1461 NE 103 Street
MIAMI SHORES FL 33138-2625
Coritractor(s) Phone r Cell Phone
Valuation: $ 13,678.75
MISTER SPARKY (954)933-5874
.��_ _.,. . . ...... .,••.... _. _......m._...._.. Total Sq Feet: p
Type of Work: REPLACE 150 A MAIN LUG PANEL Available Inspections:
Additional Info: REPLACE 150 A MAIN LUG PANEL
Inspection Type:
Classification:Residential
Final
Scanning:3 Meter Box
Alteration f
Relocation
Fire Alarm
Service Change
Review Electrical
W.W.
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $8.40
Invoice# EL-3-18-66773
DBPR Fee $7.18 03/15/2018 Credit Card $472.37 $50.00
DCA Fee $4.79
Education Surcharge $2.80 03/13/2018 Check#:581 $50.00 $0.00
Permit Fee-Additions/Alterations $479.00
Scanning Fee $9.00
Technology Fee $11.20
Total: $522.37
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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.
t
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 nin Futher ore,J quth i e t above-named contractor to do the work stated.
March 15, 2018
Authoriz Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 15, 2018 1
C161
,�
Miami Shores Village RECEIV4
Building Department MAR 1a 10
\ 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 204 C C
BUILDING Master.Permit No. -� �✓ "1
PERMIT APPLICATION Sub Permit No.
❑BUILDING dELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
i
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I y6/ IJJ6, 103rd 5T-
City: Miami Shores County: Miami Dade Zip:330
Folio/Parcel#: lI-ja05-031 - 0 r 9 0 Is the Building Historically Designated:Yes NO
Occupancy Type:Jrg Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): &rharA 1 Q&rro/ ! Phone#:30,5-r 79-/k(��
Address:1g6I Air10314 Sr
City: ii it a m l Shares State: El. Zip:
Tenant/Lessee Name: Phone#:
Email:
I ,/
CONTRACTOR:Company Name: Kts'4 r' SAarIGLr Phone#: RS` 43i3-JF77
Address: I LLSD 6 L Yd sr #6 q
City:�O , State: F� Zip:35 06 ✓
Qualifier Name:Chrts-6D ,r r_PeAj Phone#: -!q'933-S77L/
State Certification or Registration#: i5C«oD7b&7 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ /3,6-79f 15 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ElNew pair/Replace ElDemolition
Description of Work: Az/ace 15-0,4
Q in 1 uq Pa
r
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ '1 7!r G 0 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 'T DBPR$ �� I C°� Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ <4
(Revised02/24/2014)
. 1
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.....
i
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. 1
"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.
I , *2
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Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing.instrument was acknowledged before me this The foregoing instrument was acknowledged before
me this
7 day offt�ML4Y—A 120 by j day of ��� 20 d by
&bW4 C K,/'�� ,who is personally known Ci r Cire� who is personally known
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:
/�i NOTARY PUBLIC: \���`���'H
ESN A• P �` p .• �ssio� •.C' '•
C' /Nc"�
(/�/ `/Jn.J � .1U-20 F+A.'F�% tel. V �' �e°6 ?� 's'•S�
Sign: �'• °�' ?' '9.9's Sign: g 0 T A R y
Print: G l l �7n - _ e"0-40 _= Print: G �I J r PUBLIC m;
c� o:
Seal: % °.y 9�: Seal: , T O
#GG�O.\OQ\�� ' i,��q�F•.......OF F p\X
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APPROVED BY ?, / /GfAA—Plans Examiner Zoning
i Structural Review Clerk
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(Revised02/24/2014)
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Main Breaker ~
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Miami Shores Village 6=min. 2-8'x5/8 _,,•c GARY F�
DATE
Ground rods — •� ®.
APPROVED BY #-- [ "ire = PUg�1G
ZONING DEPT
G4.eI6�P1ty-' Gne-�
BLDG DEPT — (
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE.AND COUNTY RULES AND REGULATIONS
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51. _w _ .. d•. .e • _ .P
_ Barbara Carroll
•• •• • a • •• •• • _...... __. ......
-- 1461 NE 1036d ST.
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Miami Shores FL. 33138
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11 Existing
O S/D
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ELECTRICAL REVIEW
APPROVEC'0—; - - -DATE Christopher Crew
. . o- .... EC 13007667