EL-11-1473Ar
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 163491
Scheduled Inspection Date: August 24, 2011
Inspector: Devaney, Michael
Owner: PAZ, EMMANUEL
Permit Number: EL -8 -11 -1473
Job Address: 1291 NE 102 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: AJL ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (239)565 -3103
Parcel Number 1132050200050
Phone: 305 - 895 -4971
Building Department Comments
INSTALLATION OF NEW OUTLET FOR GATE MOTOR
Passed
Q
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- 163289. Not ready.
August 23, 2011
For Inspections please call: (305)762 -4949
Page 16 of 23
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT AI�PLICATION
Fsc 20
5ISIVRME5
1 l�C 2011
Permit No. .A 11-
Master Permit No.
Permit Type; ELECTRICAL
Phone # Z� l ,. ee (�
EM tt
Owner's Name (Fee Simple Titleholder) �- {P S T l
Owner's Address
City State Zip
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done)
City Miami Shores Village
02 i /-k t, i csz,
County Miami -Dade
Zip
�
3
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name A Sc_ Lsc.E'C rere I C—
Phone #
Contractor's Address lass /3i l-ne Oa,' **slit,
City A• 4t. State art_ Zip
Qualifier Name I4i(� ,� p .,n72,. Phone #
State Certificate or Registration ation No. �' ( 3
9
Contact Phone 3&'i'5 441 ( E -mail
Flood Zone
305 -mss «s?/
33I
3os &Is 49W
Certificate of Competency No.
jaileo /14
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Z• O O Square / Linear Footage Of Work:
Type of Work:
Describe Work:
['Addition
❑Alteration 1(ew
❑ Repair/Replace ❑ Demolition
***************************************F ********** * * ** * * *: * * * *** x***** *** ** * * * * ****
Submittal Fee $ Permit Fee $ /a e' r e) CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ ' Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
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 ha
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulatin:
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 al
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 w. approve s... ection fee will be charged.
Owner Aae t
The fore° ing instrument was ac owledged before me this
day of ,20 / , by
who •
y known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commiss.(
APPLICATION APPROVED BY
(Revised 07/10/07)
Signature
The forego
day of V , 20 l\ , by
who
Contractor
g instrument was acknowledged before me this
sonally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commissi • n Expires:
,, Plans Examiner
Engineer
Zoning
Clerk checked