EL-08-1125 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
R> Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I'NSP -87758 Permit Number: E.Q - &0?8- 1'1'2'5
Scheduled Inspection Date: July 01, 2009 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: GUERRA, LUIS Work Classification: Addition /Alteration
Job Address: 162 NE 107 Street
Miami Shores, FL 33161 -7032 Phone Number
Parcel Number 1121360070190
Project: <NONE>
Contractor: JC ELECTRIC INC Phone; (305)754 -6949
Building Department Comments
CONVERT OVERHEAD FPL TO UNDERGROUND.
Inspector Comments
Passed E!r_ XZ
Failed El
1
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
I, - an .,,,,, For Inspections please call: (305)762 -4949 K) 47-f40
........ . . . . .
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
fiem 0
..... . . . . . y Phone: (305)796-2204 Fax: (305)756-8972
.........................
. . . . . . .......................... ...
................
......... .
Inspection Date: 07/07/2008 JUL I Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: W. W.
Owner: GUERRA, LUIS Work Classification: Addition/Alteration
Job Address: 162 107 Street NE
Miami Shores, FL 33161-7032 Phone Number
Parcel Number 1121360070190
Project: <NONE>
Block: Lot:
Contractor: JC ELECTRIC INC Phone: (305)764-6949
Building Department Comments
CONVERT OVERHEAD FPL TO UNDERGROUND.
Inspector Comments
Passed
Failed
Correction �° /� ����®
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-Inspection fee is paid .
Thursday, July 3, 2008 Page 1 of 2
r c'
r'
Miami Shores Village •::�' :x•: -
F
r
' >.
10050
N. E. / 2nd Avenue
;
r<
t ba
e>
ff .t
' t ... Miami
Shores, FL 33138 -0OOQ
l s
6
P hone: -
305 7 -
.> 95 2204
Ex iration•
M200
Project Address Parcel Number Applicant
_.......... ................. .........
162 NE 107 Street 1121360070190
Miami Shores, FL 33161 -7032 Block: Lot: LUIS GUERRA
.... 42 v! ngf. lrlf. 4Spl �tioR ........................... ............................... Address.................................................... ............................... Phone.................... ............................... Cell ..............................
LUIS GUERRA 162 NE 107 Street
. •.ee
MIAMI SHORES FL 33161 -7032
:.,. e........ .......... �.'�......e.. . .• ES$• 1 .•'A :A.:FSC.•3M.P.•�,. .h9^•?. A '4..Y•yM.TY.•tw.•t:.. SA.Tv wwwv ww..w.r..., .. .... �>,
........ ......... ...........:.:. ..:..w.x .n...e... .•..e...... eeeev :..�:.vefiJ:2ie::. }:i0:•:.•1 .e•.....e�Sx .e....e<...
Contractor(s) Phone Cell Phone :. ................................................... ...............................
$ 3,000.00
JC ELECTRIC INC (305)754 -6949 ;Valuation:
__.......... _ __ ..........._.. ....._... ... _ ............_... ..._ .......... .. ... __..... ;Total Sq Feet: 0
Type of Work: ELECTRICAL Available Inspections:
Additional Info: UNDERGROUND SERV. Inspection Type:
Classification: Residential Underground Rough
Final
W. W.
Fees Due Amount Total Amt Paid Amt Due
CCF $1.80
Education Surcharge $0.60 $ 0.00 $ 0.00 $ 0.00
Notary Fee $5.00
Permit Fee - Additions/Alterations $160.00 Pay T ype:
YPe:
Scanning Fee $3.00
Technology Fee $4.00
Total: $174.40
JUL 0 3 2008
IAiVIII8 0 ICE S VIL �C'
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 zoning . Futhermore , I authorize the above -named contractor to do the work stated .
June 24, 2008
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Tuesday, June 24, 2008 1
Miami Shores Village [REC PV ,
Building Department JU 1 as
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ---
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No.
PERMIT APPLICATION Master Permit N o.
FBC 2004
i
Permit Ty Electrical
Owner's Name (Fee Simple Titleholder) �-� �S G ( Phone # ( �0 -• �
Owner' s Address 1 CO2 /\�-\ r— 10 S°
CitY L& i . State_ C - �, �. Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 3 V
FOLIO /PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name r'' Phone #
Contractor's Address es Y 1.2 U g
City P" j.= ilk-on State F–t Zip
Qualifier Name o Phone # �,'�,"'� ' (, Y
State 6rdficate or Registration No. ® 2 - 0 G Certificate of Competency Na
E -MAIL: fq.L-ra. .o e-
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 0 0 ' Square J Linear Footage Of Work:
fi
Type of Work: DAddition ❑Alteration E]New ❑ Repair /Replace ❑ Dem ition
Describe Work: 1 /'4� / , s✓';r'S v r• i-� +,
i
I
Yxkx&xxoYzeYnY ok oY 9: xdtxsY okxxxxxxxoYx: kx�a °4rxxoY & &xFeesuoY &aYxxx & &xY oY vYxxxxY�3cux ��x����x�����x��x���xx.
Submittal Fee $ Permit Fee $ /40�Pvev&--5 CCF $ U 1 CO /CC
Notary $ r3 z Training /Education Fee $ Technology Fee $ e
Scanning $ -' bz� Radon $ BR $ Zoning $
�9
Bond $ Cod r e+ Double Fee $
Structural Review. $ Total Fee Now Due $ 1,4 6
JUL 2 2008 ( r'j ® See Reverse side
MIAMI SHORE VILLAGE
Bonding Company's Name (if applicable)
Bonding Company's Address
City �'� State Zip
Mortgage Lender's Name (if applicable)
Mortg
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 $2500, the applicant must'
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first insp ion whi curs n (7) days after the building permit is issu the absence of such pos. notice, the
inspection will t e appr ved �la rei ection fee will be charged.
Signatur =—®ems- Signature
O ner or A nt Contractor
The ore in inst men was ac owled ed before me this L— �
g g eC The forego' instrument was acknowledged before me this
day day of 20 �f, by WR�
who i ersonally known to a or w o has produced who is p rsonally Vown to me or who has produced
As identi ion and who did take an oath. as identification and who did take an oath.
NOTARY PUBLI NOTARY PUBLIC:
",YP+svc, MONICRLISSETNCIIAZ
W COMMISSION DD 64 75 �$ , MY COMMISSION # D 0 �9 5
Sign: EXPIRES:Febru 2D, 2011 Sign: Ea) PIRES:Octo A ide PublicUnderv+m
Print: Print: --- --- "
My Commission Expires: My Commission Expires:
�oExxxxxxxYx & &'xXS: oYxaBuxYoYxxa49: YxoYxe@nY dcxxxzYxtie 3r dcxocxnY a°s4k dcx4cs4xxxdrxseeYxxekx'x4r % &4e de aY YxxoYkx xxaeYdexY &9r eYa4 x4r 9e oYx4e Se eYx�Srxsr sk k hex
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
d
Inspection Worksheet
Miami Shores Village
O� t�
10050 N.E. 2nd Avenue Miami Shores, FL
?� Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 07/18/2008 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Underground Rough
Owner: GUERRA LUIS Work Classification: Addition /Alteration
Job Address: 162107 Street NE
Miami Shores, FL 33161 -7032 Phone Number
Parcel Number 1121360070190
Project: <NONE>
Block: Lot:
Contractor: JC ELECTRIC INC Phone: (305)754 -6949
Building Department Comments
CONVERT OVERHEAD FPL TO UNDERGROUND.
Inspector Comments
Passed cc
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Thursday, July 17, 2008 Page 2 of 2