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EL-10-841Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 170199 Permit Number: EL -5 -10 -841 Scheduled Inspection Date: February 27, 2012 Inspector: Devaney, Michael Owner: SNOW, TIMOTHY AND DAVID Job Address: 12 NE 101 Street Miami Shores, FL Project <NONE> Contractor: MOODY ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060131380 Phone: (305)758 -2000 Building Department Comments SERVICE UPGRADE 200 AMPS Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 153537. CREATED AS REINSPECTION FOR INSP - 153498. Service & A/C O.K..Allcloath & rubber conductors to be replaced. Add smoke/ carbon monoxide detectors. Smoke detector ckt. to be arc fault. February 24, 2012 For Inspections please call: (305)762 -4949 Page 31 of 43 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 401 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. L °� FEB i4 ICATION Master Permit No. Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): David Snow Phone#: 623 - 330 -5438 Address: 12 NE 101 ST City: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: Phone#: Email: dsnowdevil @hotmail.com JOB ADDRESS: 12 NE 101 ST City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel #: 11- 3206 - 013 -1380 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: /! OO i ofRiL /,tk Phone#: aQS -75-- zaz. Address: ro iull) gosr City: {Ml State: rL Zip: ?j31'5-o Qualifier Name: Oft 13 J mC) Phone#: State Certification or Registration #: g 0000y Certificate of Competency #: Contact Phone#: 306--70 "ZOO O Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ ` dG Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew ORepair/Replace ODemolition Description of Work: e22.4 e / /,) ; /eGQ rTS C00-7 -7c *************************************** F************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ c° CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ UI'VL/ 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 FT.RCI'RICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S A}FIDAVIT: 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 inspec,,yy which occurs even (7) days after the building permit is issued In the absence of such posted notice, the inspection will not :. 'lapproved and reinspection fee will be charged. Signatus Owner or Agent ! The foregoing instrument was acknowledged before me this / day of F , 20 %i, by bAv / D *®(f who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: / '' _ 2 43 / APPROVED BY 4'i/ /' r -%P°/3 Plops Examiner Zoning Contracto The foregoiinrngg- instrument was acknowledged before me this day of re-.13 , 20, byC /tA6 . /0't00P1 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Ex Structural Review (Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09) Clerk Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR 1 ARCHITECT Permit N. O �`l Owner's Name (Fee Simple Title Holder):. `t ak,tC.1 "1C9 U./ Owner's Address: 1a lV E` jcP/ 3T City: /l?atw: '?w .e s State : FL Job Address (Of where work is being done): City: ___Miami Shores Phone #: G23;550 ' /36 Zip Code: 33i P A/M la! s State: Florida Zip Code: 33(38 Contractor's Com any Name: , h ,>r, C kit Address: 106,61 MW O5 r City: , I, State: Qualifier's Name : „ONO T m000Aii 0/ A-- Architect/ Engineer of Record Name: Address: City: State: Zip Code: one 105-- 70' - ?Qie) Zip Code: 33) 50 Lic. Number: Phone #: Describe Work: 16kE'd 00 44 ey--11 S 4 5 /'�'t /4) 5/61 I hereby certify that the work has been abandoned andlor the contractorlarchitect is unable or unveiling to complete the contract. I hold the Building Official and the Mia ''Shores harmless for I involvement. Signatu owne or Agent The foregoing instrument was aknowledged before me this 13_ day of ,2017by _ Ld Who is personally known to me or who has prod Contractor or Architect The foregoing instrument was aknowledged before me rr this day of Fee , 20 /2by who is personally known to me or who has p Notary P ic: Sign: Seal: 7160 3901 9846 4582 7127 1 0- 840 Giancarlos Garcilazo CPS Electric Inc. 16374 SW 61 Lane Miami, FL 33193 October 12, 2011 RE: Cancellation of service notice for electrical work being commenced at 12 NE 101 ST (Electric Permit EL -5 -10 -841) Dear Mr. Garcilazo, At this time I am notifying you that I will no longer be utilizing CPS Electric Inc. services for the completion of Electric Permit EL -5 -10 -841. The balance owed for the existing contract has been paid in full for the amount of $4,900.00 as of October 1St, 2010. Thank you for your services. Respectfully, Article Number J ~�:» David Snow , 111111111111111111 11111 . 7160 3901 9846 4582 71 3. Service type CERTIFIED MAIL 4. Restricted Delivery? (Extra Fee) ❑ Yes 1. Article Addr =seed td: EGA h e4 . s CPS htfri 1/-1 no 3 7y SPO Of ,ta 7 COMPLETE THIS SECTION ON DELIVERY L64. D. Is dellve address different ', item 1? If YES, e , =r delivery address . 2'c PS Form 3811, January 005 ? omestic Mail Oil "' IVo Irisurance overage Provide Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees Sent To: ,r efkiletr5 .6-As/CA 1A7 D CPS M C l c- TA c_ . )43)L1 cik i-tw, FL, g3 PS Form 3800, January 2005 US Postal Service Certified Mail Receipt B. Date at Delivery 4a 6 -1; Addressee ❑ Yes ❑No Domestic Return Receipt Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. WV MI 1 2X10 B4: ... Master Permit No. IC Permit Type: Electrical l Owner's Name (Fee Simple Titleholder) b o t/, U1 S "0W Phone # Z " 3�� Y 38? Owner's Address /2 N F' f 0/ St city /Am; kct/c s state F/ Zip 33/38 i Tenant/Lessee Name Phone # E-MAIL: Jd5 .ot,Jek✓1 kcp 4 wkol (. Covvi Job Address (where the work is being done) /. /tf /0/ &"t" City Miami Shores Village County Miami -Dade Zip ' (3 g FOLIO / PARCEL # /( ,320 0 °0(5 -1 0 Is Building Historically Designated YES NO X Contractor's Company Name CPS C C $i,�.,, , z,, Phone # 30c— C3 5'fs-- 70 Contractor's Address /6 0 0 HIV 21 A-(2— City /�l'J ) 4 %7'i / /� State r� zip Qualifier Name � rK 67n-eckr D Phone # State Certificate or Registration No. 6, Q 0 / / 0 2V Certificate of Competency No. G C 0 0 ©0 f 7Z 3 3 E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 112-(3 ®� �I Square / Linear Footage Of Work: Type of Work: DAddition DAlteration DNew Repair/Replace 0 Demolition Describe Work: D Se i l,/ � ���c � 0 p� , /e- i 4 /21 /y e ' - .OIL , e4,8 9rz.- ReAeR .c ** * * * * * * * * * * * * * * * * * * * * * * * * * * * *,�i * *F * * * * * *aa **** ** ***** **** *,�,�,�****r�****,wr, *** �e1y' ,4`�j%` -i Yp �� cnj 0I� Submittal Fee $ Permit Fee $ . CCF $ ' • o(,V CO /CC Notary $ Training/Education I u cC$ azio Technology Fee $ I `� Scanning $3. Radon $ 0 - DPBR $ 0 1 J Zoning $ Bond $ Code Enforcement $ Double Fee $ � n Structural Review. $ Total Fee Now Due $ 1 1 U�) :10 See Reverse side -+ 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, MATERS, 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 conduction 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 i n which occurs seven (7) days cater the building permit is issued In the absence of such posted notice, the inspection wil be ,z' , roved� , a reinspection f be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of Mot , 20 , /Q, by who is personally known to me or who has produced M identification and who did take an oath. NOTARY PIIBI,IC:: Sign :474 Print: My Comm e7'/071,0 MILTON ROMERO ,, MY COMMISSION 6 DD 704040 EXPIRES: December 3, 2011 Piano BidgettiobyS Signature -72 -46-2-0 Contractor The foregoing instrument was acknowledged before me thisAef day of 29e 7 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: m My Commis; ROMERO ON * MY COMMISSION# DD 704640 EXPIRES: December 3, 2011 Vint BudgetAl Services r**, 4** a *iv aa ara a* aaa it, aaaaa¢ a, aaaaa aaaaaaaaaasa Sr* aaasaaaaaaa it, if, aama sir aiawaaaito 44 ,avaaaa41 csaaaaa004 vt,mm,aamaa51, a4,5V APPLICATION APPROVED BY: (Revised 0210810e) Plans Examiner Engineer Zoning Permit No: -89=- Job Name: , 2009 Miami Shores Viiiage Building Department ELECTRIC Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 �el-- 0 4!,Y de Oa, --)P -P Y )- 5 (1 e', - t-G7-? / if tog' Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Mike Devaney 305 - 795 -2204 C.P.S. Electric Inc. 16374 SW 61 Lane Miami, FL 33193 R.O. # Terms Date 5/26/2010 Estimate # 1 Due Date 5/28/2010 Other All new electrical to kitchen and bathroom,running 840.00 840.00 new wires for all new outlets and lighting and appliances in kitchen. All new service upgrade from 100 to 200 amp service,new panel ,new meter combo,and new conduit and wiring also change from a over head service to a underground service A/C wiring hook up C.P. . Electric Inc chess039 @aol.com /86 -286 -9816 1,050.00 1,050.00 600.00 600.00 Subtotal $2,490.00 Sales Tax (7.096) $0.00 Total $2,490.00