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EL-16-498Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number:INSP-253461 Permit Number: EL-2-16-498 Scheduled Inspection Date: February 25, 2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: PERIKLES, JOHN & MARIE Work Classification: Temp for Test Job Address: 9730 NE 5 Avenue Road Miami Shores. FL Project: <NONE> Contractor: BULLARD ELECTRICAL INC Building Department Comments TEMP FOR TEST Phone Number (786)236-0254 Parcel Number 1132060171470 INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction D Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Phone: (786)487-9505 February 24, 2016 For Inspections please call: (305)762-4949 Page 19 of 29 Permit No. EL-2-16-498 Miami Shores Village t Permit Type: Electrical - Residential s �� 10050 N.E. 2nd Avenue NE M- Miami Shores, FL 33138-0000 Pwo% r ' Work Classification: Temp for Test " y4FN Phone: (305)795-2204 Permit Status: APPROVED F�ORiDp' Issue Date: 2/24/2016 Fxpiration: 08/22/2016 Project Address Parcel Number Applicant 9730 NE 5 Avenue Road 1132060171470 Miami Shores, FL Block: Lot: JOHN & MARIE PERIKLES Owner Information Address Phone Cell JOHN & MARIE PERIKLES 9730 NE 5 Avenue Road (786)236-0254 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone BULLARD ELECTRICAL INC (786)487-9505 ype of Work: dditional Info: lassification: Residential canning: 1 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee - Additions/Alterations $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 Valuation: $ 500.00 Total Sq Feet: 00 Pay Date Pay Type Amt Paid Amt Due Invoice # EL-2-16-58788 02/24/2016 Credit Card $ 58.60 $ 50.00 02/23/2016 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Electrical 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 and zonog. Ff, rFmore-MUtKonze the above -named contractor to do the work stated. February 24, 2016 Authorized Signature`: Owner / Applicant / Contractor / Agent Building Department Copy February 24, 2016 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 20TELECTRIC ❑ ROOFING FEB Z S 2016 F,B�C" 20 v Master Permit No. `r % -(I Sub Permit No. a i h -- ��o ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: -1 l Citv: Miami IN e J'C� 0-- . r Occupancy Type: Load OWNER: Name (Fee Simple Titleholder): Address: 3 ti j�:) City: , Tenant/Lessee Name: Email: County: Miami Dade Zip: hD Is the Building Historically Designated: Yes NO Construction Type: Flood Zone: BFE: FFE: Phone 34- State: Zip: CONTRACTOR: Company Name: W t `(4,IE .PCS-41 Phone#: Address: N-7 1�k (,✓ �� �i City: At C-% I State: Zip: D (( q Qualifier Name: .1C't d I rr fi Phone#: State Certification or Registration #: 00 ` Certificate of Competency #: '\ DESIGNER: Architect/Engineer: uL Phone#: Address: City: State: j;� Zip: Value of Work for this Permit: $ Y quare/linear Footage of Work: "Dl 5 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: i / , r .r- e- s"10-- Specify color of color thru tile: Submittal Fee $ � Permit Fee $ /Ott CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ J (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City ' State WE 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 wi of be ap oved and_�j7 fee will be charged. Signatu OWNER or .The f iregoing instrument was acknowledged before m this day of 20 by wh is personally know o me or who has produced as identifi io and who did take an oath. NOTA Y PU LIC: Signature CONTRACTOR ThJinstrument was acknowledged before me this yj o 20, by lIDUA who i ersonally know_., o I r me or who has produced as identifica ' and who did take an oath. NOTAR PUB IC: Sign Prinr L./V"'t % \- 1V� NrintN--,/ J—,-1 %,.It—k t ffww— LORETfA COMES Seal: ,r+Y►o Seal: W COMMISSION #ff1810 LORETfA COMES E )SRES: MAR 21, 2016 ^� Bonded through 1 St State Insurance my COMMISSION #ff181658 °F ORRES: MAR 21, 2016 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 0 Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY -ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary -electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: Building Permit N: S `� Electrical Permit N: At Address: Miami Shores, FL For Owners p�� c� i �J , and is being given only for construction pur se or for esting the followin equipment in said structure: o�1 J �,c�-1� r' Cc� The owner does herby agree to assume t e responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and :ancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of le building concerned is occupied before final inspections are approved and/or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable off future Temporary for Test permits. I, P� �'`l , being first duly sworn, depose and that I am the owner of the above described prope ,and that !)agree that the structure covered in this g ; ement shall not be occupied until the building cont ctor has o ined approval of final inspections and/ r obtained a Certificate of Occupancy of Compl tion. N : Failure to comply with the provisions fithis affiidavit wAresult in your being unable to obtain Tutu; — - -Signat a of Owner 11 a., LORE TA COMES WCOMWAOIN001311658 n ure of Notary EXPIRES: MAR 21, 2018 1 _ . ` B4)r*d through let State Insurance I' %V , beirig Zwy swo. n, dean say th I m the Electrical Contractor for the above -described Proaerfond that the electrical installations as now a is ng w' I not cre a safety hazard if zft)�T� d. - r�ar►� LORETTA COMES Signature of Electrica Contractor' MY COMMISSION#�EE181 g 9 EXPIRES: MAR 21, 2018 I u re Of Notary l "� Bonded through let State Insurance I, �q%� TC1ti�(� , being Irs y d say that I am the Building Contractor of the above described property and that I will not permit occupancy of this build' until final inspections have been called for by the contractors and sub -contractors concerned and final ap o I by the inspection division obtained and that I have the authority insofar as the owner of said property is o erneq to prohibit occupancy unt' h 'n inspe btained and/or ef QGGR 1pa or pleti is issue 1 7aa ORETTA COMES MMISSION #�EE181 RES: MAR 21,201 f Building C tractor roughIstSta Ineur�d ature of Notary Signature)Qf Inspector Signature of Notary e �If �13 3 Charles C. Mitchell, P.E. 924 N. Federal Hwy. .Hollywood, Fla. 33023 Civil/Structural # 11127 305-336-5069 "Welding Certificate" Feb. 16, 2016 Building Official Building & Zoning Dept. City of Miami Shores Miami Shores, Fla. Re: Welding 766 NE 96 h St Miami Shores, Fla. Dear Building Official, In reference to the field welds for the steel column and steel beam connections, an inspection was done to verify the welding. It was determined that the field welds done at jobsite were structurally sound. The welds were observed at all steel to beam connections, steel angle to beam connections and beam to beam connections. The methodology used was to visually observe the welding at all connections to verify work done to FBC 2010 and per the approved set of plans. Sincerely, _ C < •* Charles C. Mitchell, P.E.