EL-11-1706Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Y(0
Inspection Number: INSP - 167115 Permit Number: EL -9 -11 -1706
Scheduled Inspection Date: November 29, 2011
Inspector: Devaney, Michael
Owner: MARIA GONZALEZ, ISABELLA
DCTCI 17CI 1 1
Job Address: 9546 NW 1 Avenue
Miami Shores, FL
Project: <NONE>
Contractor: PRECISION TECH, INC.
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1131010240240
Phone: 954- 704 -8006
Building Department Comments
RELOCATE AND INCREASE SERVICE TO 200 AMP.
INSTALLATION OF SMOKE AND MONOXIDE
DETECTORS. REPLACE FOR GFI OUTLET IN KITCHEN
AND BATHROOM. INSTALL NEW LINE FOR TITAN
WATER HEATER. REPLACE ALL OUTLET AND SWITCH
IN THE HOUSE.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
November 28, 2011
For Inspections please call: (305)762 -4949
Page 20 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. EL-11 1:10(0
X11
Master Permit No.
Permit Type: Electrical II
OWNER: Name (Fee Simple Titleholder): 1 Sal3ench Pe. Lk l) Phone #: 3 oS • i-'S t'1 'M°t61
Address: 9S 4 6 OW 1 A
City: TA vseni � rtn State: 11— Zip: 2.3 I SD
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: 01:;-'116 1t.9 I AO(
City: Miami Shores
County:
Miami Dade Zip: .3z 1 SU
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
--r/
CONTRACTOR: Com any Name T -G 61C k. 0 it iii ....4..1C----- C----' Phone#
Address: iY�� CO 6 4 1) 4 6 s"'t"
ity: OPA — Lo c t-A State:
% .Qualifier Name: i(7' 4 (
State Certification or Registration #:
zip: 3 3 00 5
Phone #: 3c) l 7 C/7
Certificate of Competency #: 0 Q p 6 (7 la?
w.
-Ct
S 9 Y tl
• Contact Phone #: Email Address:
1.
DESIGNER: Architect/Engineer:
Phone #:
Value of Work for this Permit: $ . (Ca )• 00 Square/Linear Footage of Work:
Type of Work: ❑Addrss ❑Alteration ❑New
Description) of Work: /
❑Demolitiob
*** * * * * * * * * * * * **O * * * * * * * * ** ' ** **C* **Fees*****
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
ar7 .17
g p * * ** * * * ** *x *-say ** **
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
1'
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 be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the enc ' of such posted notice, the
inspection will not be a proved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged efore me this is
day of 45 ' , 20 A , by VP et uze ll i ,
who is personally known to me or who has produced ttl e1ri
4ter
QD' 6 �-- 4' 34 -0As identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print:
di 4
My Commission
APPROVED BY
.,
491 Notary Public . State of Florida
• ; My Comm. Expires Feb 19, 2015
•.,����������. Commission # EE 37712
Bonded Through National Solar As n
Tat
The foregoing instrument was acknowledged before me this %
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NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF•FIRST INSPECTION
PERMIT NOEL. ' 9- // -rio6 TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1 111111 11111 11111 1111111111111 111111111111111
iC F-14 2011R064-574-6
OR Bk 2783E Ps 1776; (1Ps)
RECORDED 09/26/2011 13:41:07
HARVEY RUVINr CLERK OF COURT
MIAMI-DADE COUNTY r FLORIDA
LAST PAGE
Space above reserved for use of recording office
P property \ �( e 3 y -- l 1 I }- �-6C N 1 I.:L OS L fi 3
1. L al description of and street/address: � rrnac 0.�
S't'd 1-S•303 x 113
2. Descrip io f 2-1 c 4-1
3. Owner(s) name and address: . 1.icA Qt_kxk1 }-itlk.' - $irnia • (forn4.0.6 1 rte �cm; $
Interest in property: -I r(ndarvt ho c
Name and address of fee simple titleholder:
4. CoD tractor's name, address gnd phone number: 9Z CO 1:0449,417 f C/s4-40 144 T
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number.
Amount of bond $
6. Lender's name and address:
7.. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
Section 713.13(1)(a)7., Florida Statutes,
Name, address and phone number:
x.305
as provided by
STATE OF FLORIDA, COUNT OF DADE
8. In addition to himself, Owners designates the following pert aef Eto p .
713.13(1)(b), Florida Statutes. original f i r d in P
Name, address and phone number:
9. Expiration date of this Notice of Commencement:
sactivfiyisaTeliormithe Notice
s office on day of
, AD 20/1
WITNI S my hand and Official Seal.
(the a -- • u gss a rfferer dater pecked)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECOR D AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LE NHE O AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner(,) or Owner(s)' Authorized Officer /Director /Partner /N,la�nag
By
Print Name 15 .114
By
Print Name
Title /Office Title /Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The foregoing inst tent was acknowledged before me this 2 day of. . ' O j I
By ...1. II' -n., (1� � �01r-ict 4 r 7L;lez
dividuall or ❑ as for
the following type of identification:
ature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
Signature(s) of Owner(s) or Owner(s)'s Authorized Officer /Director /Partner /Manager who signed above:
By By
RV-Ay
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
Permit No. EL i 110
BUILDING
PERMIT APPLICATION
FBC 20
RECEIVED
SEP 2 0 2011
BY :�,
Master Permit No.
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): :� lIA �Q Pe *.oZ2 a (1 I Phone #:
Address: 991.16 Alto Ave
City: F°t t4iLil Shone
State:
Pi zip: ; 3/ 3Y?
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS:
95'JA iv. t=om Ave.
City: Miami Shores
County: Miami Dade
Zip: 3a 3R
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
AL&t<UID 11 �•
CONTRACTOR: Company Name:
Address: bA �# j
City: CD FA _ (JD � State:
Qualifier Name:
Phone #: 5 3r)/ 6647
State Certific#tioa or Registration #:
Contact hone # :'' 'Se (D ' 7L � Email Address:
DESIGIITER: Architect/Engineer:
Zip: '330y
Phone #: ? ° / eq
(?? 2 L Q .
1: 2-3G/ Certificate of.Cpppeteney #:
Phone #:
Value of Work for this Permit: $
Type of Work: DAddress
DAlteration
.eeck
:4 0,,.,an °,
DC,
it &;
DDemolition-
,®f.)
** **** ** ****** ** **** u**+ x+ x*+ x**** ********Fees**+x****** six * *** * * * ** ************ ******** ****
Submittal Fee $ 6 PatDPermit Fee $ 2 5 CF $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip 'l
•
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 b, s ' ,'te
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence o no he
inspection will not be approved and a reinspection fee will be charged.
Signature �, Y
Owner or Agent
The foregoing instrument was acknowledged before me this DP
day of c f', 20 �, by XErtleilta Pt. TeiyoZzell
who is personally known to me or who has produced brunet.
'.
Ltcenbe A identification and who did take an oath.
NOTARY PUBLIC: ��a 4`'
Sig
Print: L
My Commission Expires: f b • ! $jj Z6 IS
or �,4
The foregoing instrument was acknowledged before me this? `
day of ik 2 , 20 IL, by ltr'1ncind0 ley bQV ►
who is personally known to me or who has produced del*
L'enbe as identification and who did take an oath.
TARY PUBLIC:T'`a 340 6 0 g 5 9-0
awry PubIlc - State ot. t
• My Ccanm. Wm Feb 19, 2015
37712
B--der Throuoh National Notary
* * * * * * * * * * * * * * * **
My Commission Ex r F. e‘up Feb 19, 2015
• Commission of EE 37712
Bonded Through National Notary Also.
* : * ** * * * * ** +: x******** ******•xx:** **** *** * ***** ::a:** ********. ****** ***a : ****a:u:a:************
APPROVED B
® 5 " /"// Plans Examiner
Structural Review
• syo
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk
RESIDENTIAL
OVERHEAD OR UNDERGROUND SERVICE CHANGE
JOB ADEWRIS; 951-4 2 Ma .4 A Ve. PlAke-tt A flaje 2-3
M V13 173
SEP 2 0 2011
CONTRACTOR OR OWNER Par CI S rOtY C atl -110co
TYPE OF SERVICE:
UNDERGROUND
>( OVERHEAD
ALL CONDUCTORS SIZED PER NEC ARTICLE 220
AIL UNDERGROUND SERVICE CONDUCTORS MIAT HAVE
A WARNING RIBBON 12" ABOVE CONDUIT 30115 (D) (3)
Miami Shores Village
APPROVED
BY
DATE
r7ONiNG DEPT
Fkiltie-Ar-
[DG DEPT "1,100
,1 11 4.11 (T TO CO^11'1 IANC;E WITH ALL FEDERAL
'!!•' 3;11 FS AND REGIJI ATIONS
SERVICE ENTRANCE CONDUIT AND WIRE SIZE CU OR ALUMINIUM
3 o tJ i z,"421, OtPe
OVERHEAD SERVICE CONDUCTORS SHALL
COMPLY WITH NEC 230 PART 11
SERVICE
DISCONNECT .
wrni oR
WITHOUT
BRANCH
CIRCUIT
BREAKERS
SLJB SIZE
/20/2q0VOLTAGE RATING
/5'6, A AMP RATING
NEB
SER. CE RATED PANEL
VOLTAGE RATING
00 AMP RATING
00 MAIN BREAKER SIZE
/OOO D A.LC. RATING
COLD WATER BOND
SIZE 102.7WHIJ
NEC TABLE 250.66
GROUNDING ELECTRODE
CONDUCTOR SIZE 1-ITZ-YHHAI
NEC TABLE 250.66
GROUND ROD
sra9. 11.1 V Fr
TYPE OR GALV
j APPROVED BY
i ELECTRICAL DIVISION
SUB PANEL
NEW
EXISTING
SUB FEEDER:
CONDUIT SIZE
CONDUIT TYPE
WIRE SIZE
ES ITEM" IXTARM
WIRE TYPE CU OR ALUMINIUM
WME
1 APPROVED BY "'DI ELECTRI
gm,
i CONTRACTOR: 141/%111st.:..
j OR
rl'ar
44■34fr
■1.1101triMPEfilirr■1740*.w.....-
NOTARY SEAL:
j DATE: