EL-15-1725- 3
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-238763
Scheduled Inspection Date: March 28, 2016
Inspector: Devaney, Michael
Owner: SMITH, PATRICE AND SCOTT
Job Address: 358 NE 101 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: AJL ELECTRIC INC
Building Department Comments
ELECTRICAL ADDITION AS PER PLANS
Passed 121
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Permit Number: EL-7-15-1725
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number
Intractlo Pasw
INSPECTOR COMMENTS False
Inspector Comments
(9 H16 t1t__ / ��
1132060135280
Phone: 305-895-4971
March 25, 2016 For Inspections please call: (305)762-4949 Page 2 of 31
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Miami Shores Village
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10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
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Phone: (305)795-2204
Permit No. EL-7-15-1725
Permit Type: Electrical - Residential
Pen Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 10/5/2015 1 Expiration: 04/02/2016
Project Address Parcel Number Applicant
358 NE 101 Street 1132060135280
Miami Shores, FL 33138- Block: Lot: PATRICE AND SCOTT SMITH
Owner Information Address Phone Cell
PATRICE AND SCOTT SMITH 358 101 Street
MIAMI SHORES FL 33138NNEMMONEW
-
358 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
AJL ELECTRIC INC 305-895-4971
of Work: ELECTRICAL ADDITION AS PER PLANS
itional Info:
;sification: Residential
nning: 1
Fees Due
Amount
CCF
$2.40
DBPR Fee
$3.38
DCA Fee
$3.38
Education Surcharge
$0.80
Permit Fee - Additions/Alterations
$225.00
Scanning Fee
$3.00
Technology Fee
$3.20
Total:
$241.16
Valuation: $ 3,800.00
Total Sq Feet: p
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-7-15-56293
07/10/2015 Credit Card $ 50.00 $ 191.16
10/05/2015 Credit Card $ 191.16 $ 0.00
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W. W.
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 alt the fore information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermote, 4horiz th�bove-named contractor to do the work stated.
October 05, 2015
Authorized Signature: Ova Contractor / Agent Date
Building Department Copy
October 05, 2015 1
Miami Shores Village kjxT�4'
Building Department L 10 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949rJ
FBC 201
BUILDING Master Permit No. -Z.(� 1 �5_
PERMIT APPLICATION Sub Permit NoEL il�5- (__i) 25
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL
❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
% (— CONTRACTOR DRAWINGS
JOB ADDRESS: S7 0 C
City: Miami Shores County: Miami Dade Zip: (% J f 3
Folio/Parcel#: Is the Building Historically Designated: Yes NO _
Occupancy Type: Load: Construction Type:: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 'S T ( 1 Phone#:
Address: 3 S r �_t & ( b S
City: ei'L-'A tGL State:
Tenant/Lessee Name:
Email:
one#:
p:
7i t
CONTRACTOR: Company Name: ����,� C— L, C,: L77, Phone#: '/��� f l.S— q9 _V
Address: 1 Z5 ]j 7� L_,'/ is Z�
City: • to Lp� i / State: F Zip:
Qualifier Name: _`! � (ti t/ P O V Phone#:
.\
State Certification or Registration #: t57C_
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work:
64 S
u
Zip:
❑ Demolition
Specify color of color thru tile:
3 °f
Submittal Fee $ � '� z7, c� Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
DBPR $
Notary $
Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ I
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.
9
Signature Signature
OWNER or AGENT CONTRA R
The foregoing instr ment was acknowledged before me this
day of c.-t 20 by
Sc a ��� , who is personally known to
me or who has produced
as
The foregoing instrument was acknowledged before me this
day of ✓ �ti 20 t 5 , by
4--ILo_,Pn who is personally known to
me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
.
-CSign:
�''t y
Print: e:i
�Gr+t
Print:
Seal: �`;:F� o�4e
* *
FARLEY
MY COMMISSION If FF 188021
EXPIRES: March 16.2019
Seal:M�r�►�k�
LAURA PARLEY
* MY COMMISSION # FF 188027
Banded Thru Budo Notary Services
EXPIRES: March 16, 2019
°74�i�iolMirV�' Bandedihn;'31AHINotaryS#nica
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APPROVED BY
/
/,4 Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
MM I® MADE
1929745
DBA/BUSINESS NAME:
AJL ELECTRIC INC
BUSINESS LOCATION:
12408 N BAYSHORE DR
NORTH MIAMI, FL 33181
OWNER/CORP.
AJL ELECTRIC INC
PHONE # 305-895-4971
12555 BISCAYNE BLVD BOX 826
NORTH MIAMI, FL 33181
NAICS CODE: 23821
MIAMI-DADE COUNTY - STATE OF FLORIDA N/A October 05, 2015
LOCAL BUSINESS TAX RENEWAL
2015 -2016 APPLICATION RECEIPT: 2037000
STATE # EC13002089
BUS. COMMENCEMENT DATE: 10/01/1988
SEC TYPE OF BUSINESS
ELEC ELECTRICAL CONTRACTOR
1
If no longer in business, please notify us in writing.
Review and correct the information shown on this application.
A 25% penalty will be assessed to anyone found operating
without a paid local business tax, in addition to any other
penalty provided by law or ordinance (Sec 8A-176(2)).
A Certificate of Use and/or City Business Tax
Receipt may also be required.
MIAMI-DADE COUNTY -
STATE OF FLORIDA
LOCAL BUSINESS TAX
2015 - 2016 APPLICATION
1929745
BUSINESS LOCATION:
12408 N BAYSHORE DR
NORTH MIAMI, FL 33181
OWNER/CORR
AJL ELECTRIC INC
AJL ELECTRIC INC
ANTHONY JAMES LUPO PRIES
12555 BISCAYNE BLVD BOX 826
NORTH MIAMI, FL 33181
APPLICATION DETAILS
FEE
AMOUNT
Receipt Fee
30.00
UMSA Fee
0.00
Beacon Council Fee
15.00
Bingo Permit Fee
0.00
Nightclub Permit Fee
0.00
Multi -Municipal Contractor Fee
0.00
Restricted Contractor Fee
0.00
Library Fee
0.00
Transfer Fee
0.00
Doing Business without a License Penalty
0.00
Late Penalty
0.00
Collection Cost
0.00
NSF Fee
0.00
Prior Years Due
0.00
Amount Recently Paid -
45.00
TOTAL AMOUNT DUE:
0.00
To pay online go to www.miamidade.aov/taxcollector
To pay by mail, make check payable to:
Miami -Dade County Tax Collector
Business Tax
200 NW 2nd Avenue
Miami FL 33128
To pay in person go to:
200 NW 2nd Avenue
(305) 270-4949, fax (305) 372-6368
A service fee of not less than $25.00 up to a minimum of 5%
will be charged for all returned checks.
t RETAIN FOR YOUR RECORDS 't
................................................................................................................................
1 DETACH HERE AND RETURN THIS PORTION WITH YOUR PAYMENT 1
N/A October 05, 2015
RENEWAL
RECEIPT: 2037000
STATE # EC 13002089
BUS. COMMENCEMENT DATE: 10/01/1988
SEC TYPE OF BUSINESS
ELEC ELECTRICAL CONTRACTOR
APPLICATION IS HEREBY MADE FOR A LOCAL BUSINESS TAX RECEIPT OR PERMIT FOR THE BUSINESS PROFESSION
OR OCCUPATION DESCRIBED HEREON. 1 HAVE BEEN INFORMED OF ALL ZONING RESTRICTIONS IMPOSED ON THIS RECEIPT.
I SWEAR THAT THE INFORMATION IS TRUE AND CORRECT.
SIGNATURE REQUIRED SEE INSTRUCTIONS ABOVE
Please pay only one amount. The amounts due after Sept 30th include penalties
per FS 205.053.
If Received By Oct 31, 2015 Nov 30, 2015 Dec 31, 2015 Jan 31, 2016
Please Pay $0.00 $0.00 $0.00 $0.00
7000000000000000000000002037000201600000004500000000000007