RC-15-2697 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL C 1 _5 _-22,1 I
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-269001 Permit Number: EL-10-15-2697
Scheduled Inspection Date: November 10, 2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: URRUTIA, MONICA Work Classification: Alteration
Job Address:361 NE 101 Street
Miami Shores, FL 33138-2424 Phone Number (786)356-3445
Project: <NONE> Parcel Number 1132060135220
Contractor: MEGA ELECTRIC INC Phone: (305) 828-5205
Building Department Comments
ELECTRICAL REWIRE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-268132. CREATED AS
REINSPECTION FOR INSP-267824. Move F P L lines N. E. C. 230.24
Add arc fault protection N. E. C. 210.12(6).
13 oct. 16
Failed ❑ Need electrician on job site.
CorrectionA*
Needed a
Re-Inspection /6 '►
Fee /
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 09, 2016 For Inspections please call: (305)762-4949 Page 17 of 34
Permit NO. EL-10-15-2697
`yN-MR t, Miami Shores Village Permit Type:Electrical -Residential
Miami Shores,FL 3313&000
10050 N.E.2nd Avenue NE
Phone: (305)795-2204 '' Work Classification:Alteration
0 Permit Staters:APPROVED
�YORtDP' ,
issue Date: 10/2712016 Expiration: 04/24/2016
Project Address Parcel Number Applicant
361 NE 101 Street 1132060135220
Miami Shores, FL 33138-2424 Block: Lot: MONICA URRUTIA
Owner Information Address Phone Cell
MONICA URRUTIA 361 NE 101 Street (786)356-3445
MIAMI FL 33138-
361 NE 101 Street
MIAMI FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 5,500.00
MEGA ELECTRIC INC (305)828-5205
__....__...._ ..... .. .._................ __.r.� ......._.._._... Total Sq Feet: 0
Type of Work:ELECTRICAL REWIRE Available Inspections:
Additional Info:
Classification:Residential
Inspection Type:
Scanning: 1 Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.60
DBPR Fee Invoice# EL-10-15-57523
$3.38 10/22/2015 Credit Card $50.00
DCA Fee $3.38
$ 194.36
Education Surcharge $1.20 10/27/2015 Check#:400 $ 194.36 $0.00
Permit Fee-Additions/Alterations $225.00
Scanning Fee $3.00
Technology Fee $4.80
Total: $244.36
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 an nin . thermore, I authorize the above-named contractor to do the work stated.
October 27, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent ate
Building Department Copy
October 27,2015 1
F
Miami Shores Village [P*, CpIVE--
Building Department 0�T 2 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:_ _ _
,
Tel: (305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 I
FBC 20 1
:BUILDING Master Permit Nok--C—� l J- 2211
PERMIT APPLICATION Sub Permit No.b--1 �3
F-IBUILDING ® ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION Q RENEWAL
[--]PLUMBING ❑ MECHANICAL 0PUBLIC WORKS ❑ CHANGE OF '[:] CANCELLATION ❑ ,SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 3fo to I SHS"
City: ° Miami Shores County: 4 Miami Dade Zip: 331: 0 ,
Folio/Parcel#: Is the.Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type:40(vco Flood;;Zone: BFE: FFE: '1
OWNER: Name(Fee Simple Titleholder): 40 c o U�Q "l Phone#: �'O 35-6 3qy T
Address:
City: Stater Zip: 33158
Tenant/Lessee Name: Phone#:
Email:
\
CONTRACTOR:Company Name: �Z�h �L��n-�1�- �" �� • Phone#: C�5)82,12) 5205
Address: ((02.52 OU)
City: State: r L. Zip: 311(0
Qualifier Name: IS`�iD vS + fiSZy C-S- C�"Arst�A� Phone#:
State Certification or Registration#: CC 000 PIS Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 5,S Square/Linear Footage of Work:
Type of Work: ❑ Addition [ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
I
+yyarwru_arm.°�w+.ra.cm.ax.a+m ... *;a�aati.wr.":rnrr� tt,,,,+w iM,N
GAJ a:,..,..w.
Specify color{ � fi� v:f 4' d ra�eiia ;•r b
'of,color thiel tile: =hit y
Submittal Fee$ rmifF e$'�Z CCF$
Scanning Fee$ Radon Fee$ DBPR$ Notary$ ~
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ I
(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 com cement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issu t In th a ence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
k ;
Signature Signatur t
OWNER or AGENT CONTRACTOR
The foregoing instrument was ackn wledged before me this The foregoing instrument was acknowledged before me this
L—day of loCkoh>Z 20 by as day of O. 20 S by
who is personally known to AY><S� j lxi R II-GaV110who isersonally kno n to
me or who has producedas 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:`"
r
Print: Print:
Seal Seal: tip" STEPHANIE REY
Notary Public State of Florida ?a MY COMMISSION N 971
' Joanna Ni Feliciano a®[ EXPIRES:February f0,2019
My commission FF 082753
Expires 01/12/2018 A,1t` Bonded Thru%tery Public Underwriters
***** * * ************************************************************************
APPROVED BY Z 2�4�llans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014) _�