EL-11-1088Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 162548
Permit Number: EL -6 -11 -1088
Scheduled Inspection Date: July 28, 2011
Inspector: Devaney, Michael
Owner: BATISTA, ARNALDO AND ELEIDE
Job Address: 10611 NE 10 Place
Miami Shores, FL 33138 -2103
Project: <NONE>
Contractor: PRECISION TECH, INC.
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)498 -4511
Parcel Number 1122320280590
Phone: 954- 704 -8006
Building Department Comments
ELECTRICAL FOR TERRACE 4 LIGHTS 1 OUTLET
Passed
,/
Failed
Correction
Needed
Re- lnspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
July 27, 2011
For Inspections please call: (305)762 -4949
Page 15 of 20
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit No.
LL !' JU4 1 5 2011
Master Permit No.
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): 6 ►,4Ol Q 3p1(—$ ',Ilona: #: Ow) `7
4/Sit
Address: fO 6 f Q rL .
City: '
DVCS State: F/. Zip:
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: / 0 6t/ / ' V /0 a •
City: Miami Shores
Folio/Parcel #:
Is the Building Historically Designated: Yes
County:
Miami Dade
Zip:
NO Flood Zone:
CONTRAC OR: Com y ame: C(. t0, r f` Phone #: (1S 363 j�
Address: v 2
City: 0 P _ LO (! /'d .� State: Zip: 3
Qualifier Name: /2 -/A-1 .) 0 l V Phone #:
r `� �7
State Certification or Registration #: Ct O 0 (? �j 6 / Certificate of Competency #: 0 co ((C
Contact Phone #: Email Address: A M cm-4 i rk (4:3) O(
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 3 ®° SquarelLinear Footage of Work:
Type of Work: OAddres
Description of Work:
DAltera 5 on New Dl(pair/Replace
4
DDemolition
** * ********* ***** * ********** * ********* Fees**** *****:x******* ** * *** * *** * * * ** x***********
Submittal Fee $ , _ Permit Fee $ /J 4) ° e 41 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee Structural Review $
TOTAL FEE NOW DUE $
Fp 3D
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 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 . e ' osted at t e job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absen . such po tice, the
inspection will not be approved and a reinspection fee will be charged.
erIVAQ,(10 V5Cit
Signature
Owner or Agent
The foregoing instrument was acknowledged bef a this 3 The foregoing instrument was acknowledged before me thi
day of '%004C.. , 20 R , by ®4c ,
who is personally known to me or who has produced �L.A1S •
ation and who did take an oath.
day of , 20/0 , by Icer-roityr,c0 '/ 1/3 � ,
who • or who has produced
cation and who did take an oath.
NOTA
Sig
Pri
My Co
NOTA
..e.ee..
J • `.
Si
APPROVED BY
Expires 61102012
Fbride NottuyAsen., Inc
My Commission Expires:
IRE July 16, 2011
Bonded Thru Notary Public Underwriters
*** * * **** ***** *x:***** d< x: ************************* ** ** **** * * * *** ** * * * ******** ****
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3115109)
DO NOT FORWARD
PRECISION TECH °INC
MARIA TOBARES PRES
P 0 BOX 840726
PEMBROKE PINES FL 33084
33OE4$2?26 8016
SEE OTHER BIDE
PRECISION TECH INC
MARIA TOBARES PRES
P 0 BOX 840726
PEMBROKE PINES FL 33084
11.111,1111111111 1111111111 111111111111111111111,111111111 11
Constructkin rades wiifylneloye
BUSINESS CERTIFICATE* OF COMPETENCY
00001824$-
PRECISION TECH INC
TOBARES FERNANDO
PRODUCER
NORTHEAST AGENCIES, INC
6950 CYPRESS ROAD, SUITE 105
PLANTATION, FL 33317
THIS CERTIF ' TE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY
THE POLICIES BELOW.
PRECISION TECH INC
8600 NW 23RD STREET
PEMBROKE PINES, FL 33024
Off# 954 - 704 -8006 call#305 -303 -9747
211!
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO AU. TIME TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
GENERAL LIABILITY
0 QOMMEOFAL L INERAL LIABILITY
❑ � CLAIMS MADE 0 OCCUR
U OWNRR'S & CONTRACTOR'S PROT
777'
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/PARTERSI INOL
EXECUTIVE OFFICERS ARE ENCI,
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES /SPECIAL
TIQW7 t r
MIAMI SHORES
BUILDING DEPARTMENT
10050 NE 2"�° AVE.
MIAMI SHORES, FL 33138 -2304
ri ..�41t5.n
11^j ��til�nitti i.;
idrTu.ldu�� '
lYi.�iy
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ExPIRATION
DATE THEREOF , THE ISSUING COMPANY WILL ENDRINOR TO MAID DAYS WRITW4 NOTION TO
THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAR SUCH NOTICE SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, IT8 AGENTS OR
REPRESENTATIVES.
AUWow:R,D REPRECENTATNE
USA A FAINA
1,o/ f 1,1 %; "4�4�.9t1.) a1'll�i'ilii�lf {j74Jlf 4�(�i'r !'i �7kln�,7 {j'lf�t }t4i1, /ly7Tii 'I∎�A, 1 tlu 1v.n,�1vf:,x.Luigi f ue.,.:A a rwI,1. 61,110r;a,1.∎ii.!Ze, s :2I.f.,vUtc,)E!.:,; a
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
TOBARES, FERNANDO
PERCI SON TECH INC ELECT CONS T
8500 N.W. 23RD STREET
PEMBROKE PINES FL 33024
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