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EL-16-830+SDORES 3'! r I T ry—tea" FGORIDp` Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number PerMit NO. °EL-3-16-830 Permit Type: Electrical - Residential It Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 3/3/12016 1 Expiration: 09/27/2016 Applicant 548 GRAND CONCOURSE 1132060171410 ASHLEY M ABESS REVOCABLE Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ASHLEY M ABESS REVOCABLE TRUST 548 GRAND CONCOURSE (917)657-0713 MIAMI FL 33138- 548 GRAND CONCOURSE MIAMI FL 33138- Contractor(s) Phone Cell Phone ODETTE ELECTRIC CO (786)853-4177 of Work: REPAIR AND REPLACE EXISTING ELECTRI itional Info: ;sification: Residential nning: 1 Fees Due Amount CCF $3.00 DBPR Fee $3.38 DCA Fee $3.38 Education Surcharge $1.00 Permit Fee - Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $4.00 Work without Permit Fee $225.00 Total: $467.76 Valuation: $ 4,800.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL-3-16-59189 03/31/2016 Credit Card $ 417.76 $ 50.00 03/29/2016 Credit Card $ 50.00 $ 0.00 In consideration of the issuance to me of this permit, I agree to perform the work pertaining thereto and in strict conformity with the plans, drawings, statements or spec accepting this permit I assume responsibility for all work done by either myself, my required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFII OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and construction and zoning. Futhermore, I authorize the above -named contractor to do Avauaffle Inspection Type: Final Alteration Relocation Fire Alarm Service Change Underground d hereunder in compliance with all ordinances and regulations s submitted to the proper authorities of Miami Shores Village. In servants, or employes. I understand that separate permits are SWIMMING POOL work. will be done in compliance with all applicable laws regulating March 31, 2016 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy March 31, 2016 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 -7—n15 - 2-33n, Inspection Number: INSP-282089 Scheduled Inspection Date: August 16, 2017 Inspector: Devaney, Michael Owner: ABESS, ASHLEY Job Address: 548 GRAND CONCOURSE Miami Shores, FL 33138- Project: <NONE> Contractor: ODETTE ELECTRIC CO Building Department Comments Permit Number: EL-3-16-830 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number (917)657-0713 Parcel Number 1132060171410 Phone: (786)853-4177 REPAIR AND REPLACE EXISTING ELECTRIC OUTLETS Infractio Passed Comments AND REPLACE LIGHT FIXTURES I INSPECTOR COMMENTS False expiration warning sent out 1/3/16 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-255742. Need arc fault protection and 4 wire dEye ord . Failed Correction ❑ I /� �Q f Needed l 7 Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 15, 2017 For Inspections please call: (305)762-4949 Page 2 of 17 Miami Shores Village Building Department ---A R• c'Ij MAR 292016 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 I Tel: (305) 795-2204 Fax: (305) 756-8972 LBY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No.P_c.> I PERMIT APPLICATION Sub Permit No. t�L ❑ BUILDING [% ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING MECHANICAL PUBLIC WORKS [:]CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �5 / 8 C7QLt,,��y Got) C,-(n x)Q5e�- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): t5-� UAone# "� " d4 Address: � 4 6 f2 '�Nzz ro City: State: Zip: Z>2�5 Tenant/Lessee Name: '� Phone#: '7- A Email: V 0,0.� c CONTRACTOR: Company Name: (� G (%, S '�e� vej Address: City: State: �� Zip: ' 3 3 d / `- Qualifier Name: Phone#: 7 L53' State Certification or Registration #: -:6 Certificate of Competency #: DESIGNER: Architect/Engineer: '3TIV6� ` C-1Z4AZ.3 Az c nQ • -e.:.A Phone#: 9s `{ 1711010 Address: Z-!-3�pp NO P L rLY1 -z.,T U _City:��1�� state: Zip: 13 Value of Work for this Permit: $ OO,OeI Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: I 1 Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ 95 Scanning Fee $ GO Radon Fee $ 3 g DBPR $ -3• Notary $ Technology Fee $ %T/, Training/Education Fee $ 1,d0 Double Fee $c-tJ • Co Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address_ City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State Zip 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. Signatu Signature AZA 0,f ' ( L2-I ',�OWNER or GENT -J CONTRACTOR The foregoing instruym�.ent was ackno before me this The foregoing instrument was acknowledged before me this 10 ao A, ?�" day of /� ar 20 % 6 by day of 20 by Ar.h(,Q -Phsst 4heho is personally known to who is Dersonally known to me or who has roduce I —L L. f-/ iL`13c�3� i�� a�1 me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI . Sign: l/ Sign: Print: S Y-cdTW I )J Print: i c�/ft/P Roslyn Seal: ;z:( o �; COMMISSION#EE829921 Seal: ?oo":•''8�% LUISFERNANDEZ �'.A`!- 5 EXPIRES: AUG. 23, 2016 MY COMMISSION # EE 838180 �9 •...•'p4 ` � �. WWW.AARONNOTARY.com *EXPIRES: November T, 2016 11 ", F F��p\op Bonded Thru Budget Notary Sv kes ############################################################################################################ APPROVED BY /0 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)