EL-16-2895Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 MO ) C _ 2 9 9 LI
nspection Number: INSP-271760
Permit Number: EL-10-16-2895
Inspection Date: November 28, 2016
Inspector: Devaney, Michael
Owner: SCHWEIGER, JOSEPH
Job Address: 1196 NE 97 Street
Miami Shores, FL 33138-2558
Project: <NONE>
Contractor: KLEAN POWER ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: : gh
Work Classification: Al ation
Phone Number
Parcel Number 1132050170130
Building Department Comments
RELOCATION OF ELECTRICAL DISCONNECT FOR AC
SYSTEM
Infractio Passed Comments
INSPECTOR COMMENTS False
Paf/ 11/ /4'
ssed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
79,,vev),6
November 23, 2016
For Inspections please call: (305)762-4949
Page 1 of 1
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
I$stie Date: 11 /
Permit NO. EL-10-1.6-2895
Permit Type: Electrical - Residential.
Work Classification: Alteration
Permit Status: APPROVED
12016
Expiration: 05/14/2017
Parcel Number
Applicant
1196 NE 97 Street
Miami Shores, FL 33138-2558
1132050170130
Block: Lot:
JOSEPH SCHWEIGER
Owner Information
Address
Phone
Cell
JOSEPH SCHWEIGER
1196 NE 97 Street
MIAMI SHORES FL 33138-2558
Contractor(s)
KLEAN POWER ELECTRIC INC
Valuation:
Total Sq Feet:
$ 800.00
0
Type of Work: RELOCATION OF ELECTRICAL DISCONNECT
Additional Info: RELOCATION OF ELECTRICAL DISCONNECT
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 Pay Type
Invoice # EL-10-16-61772
10/25/2016 Credit Card
11/15/2016 Credit Card
Amt Paid Amt Due
$ 50.00 $ 58.60
$ 58.60 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
I
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 tyy t all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above- ed epntractgr to do /tl a work stated.
Authorized Signature: Owner / Applicant /
Contractor
Agent
November 15, 2016
Date
Building Department Copy
November 15, 2016 1
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
BUILDING
PERMIT APPLICATION
BUILDING IEKECTRIC ❑ ROOFING
C VED
OCT 252016
FBC 20 IL(
Master Permit No. VIC I (0 —Zzcly
Sub Permit No. c I J (O - 9 5.
❑ REVISION ❑ EXTENSION El RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: { t q' NE cti
City: Miami Shores
Folio/Parcel#: ((-320 S -o 17 - 0 (ID
County:
Miami Dade
zip: 3 3 ► 3 81
Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 3 6 SL)14' c H El Phone#: 30� 7S4 080 O
Address: \ I b t Tl 7 ST
City: 1Vltc ` S I-10 r e 5
State: FL
Zip: 3 31'3 CS
Tenant/Lessee Name: Phone#:
YiG 1 e AtLLaY►'\
Email:
CONTRACTOR: Company Name: V-k-e-ah
Address: S 1312. S iAN \ (0) --e_
City: tAl`(aWtc
Qualifier Name: A n5e1 NIA) C 0
4<: " L t b2_O
ioo6 State Certification or Registra n #:
o tJ -e. v 2--1.Q_.C,
tv
State: F L-
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $ 8 o 0
Phone#:
zip: 3 3 027
Phone#: 7 g 2-17 0 2- 1-7
Certificate of Competency #:
Phone#:
City: State: Zip:
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: IZe10c_c;(.-J izv \ of. --e-C,e_Cp ' Cok ( $CO nfled ly A "C
S L\ S 1-2 Yy - cat S r e..(.4t-t ►IA1 e c ko:r► i c:cL pQ r w 4 u.reti cE_
•
Specify color of color thru tile:
Submittal Fee $ �a° Permit Fee $ r �%eze7
Scanning Fee $ 34 /w
Technology Fee $ 0 • Training/Education Fee $
Radon Fee $ 2 . T1
CCF $ O ' `"-) CO/CC $ 0
DBBPPRR $ 2 . c Notary $
UJ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ Sg • 6i
(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.
Signature
The foreg; ing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2 day of
OWNER or AG 'T
OC,06e1/ , 20 1(0
i
me or wh as produced
, by Z'-k day of Dclobhv , 20 L , by
who is personally known to (k.. (4+0 SU .vho is personally kn to
as me or who has produced
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: 5 5 Z%e- 4 eq.S2'L1S WNOTARY PU
Sign:
Print:
Seal:
\ `__ \_. io.D
:i,tie„ r,..,...„,,,,...-
tN
\.�\\'�P��., ELVIRA CASTANO
o .-
Notary- Public -
*********'****************
APPROVED BY
2
as
Sign: 1__�(2C�
Print:
Seal:
- ELVIRA'CASTANO
Notary Public'- State of F
Commission # FF 150242
1, Bondedthrough National Notary Assn.
,2. •4.- - -—rnmiatxanin,er— ► Zoning
-mLair-A; CaCCLViI1'
ELVIRA CAVAN°
j tiot,' I'
Notary PWin • Stele of Florida
My Cormn: Eq[ttq Sp 2. 2018
N ,,,,,,
Commission • FF 156242
Bonded Notional Not Aso.
*********
(Revised02/24/2014)
Structural Review
Clerk