EL-12-358Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 177777 Permit Number: EL -3 -12 -358
Scheduled Inspection Date: August 30, 2012
Inspector: Devaney, Michael
Owner: OREJANA, FERNANDO MONEDERO
Job Address: 101 NE 105 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: FIALLO ELECTRIC CORP
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (786)329 -0222
Parcel Number 1121360050090
Phone: (786)399 -0832
Building Department Comments
ELECTRICAL REPAIR
STOP WORK ORDER ISSUED BY CHIEF EL INSPECTOR
DUE TO NO GFI PROTECTORS RECEPTACLES FOR
PERSONEL. NEC590 -6 -GFI
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- 177720. CREATED AS
REINSPECTION FOR INSP- 176540. CREATED AS REINSPECTION FOR
INSP- 176499. CREATED AS REINSPECTION FOR INSP- 173880. Not
ready for final. need rough first.
Add 4 ckt. panel under the A. H. U. for the A. H. U. and A. C. C. U..
Breaker locks on fixted appliances.
Add receptacle to counter.
F. P. & L. notified to connect permenent
Need proper breaker locks.
Disposal not wired.
Remove or repair wiring to sprinkler pump.
Check panel schedul
August 29, 2012
For Inspections please call: (305)762 -4949
Page 7 of 18
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 176540
t cl
Permit Number: EL -3 -12 -358
Scheduled Inspection Date: August 09, 2012
Inspector: Devaney, Michael
Owner: OREJANA, FERNANDO MONEDERO
Job Address: 101 NE 105 Street
Miami Shores, FL 33138-
Project:
<NONE>
Contractor: FIALLO ELECTRIC CORP
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (786)329 -0222
Parcel Number 1121360050090
Phone: (786)399 -0832
Building Department Comments
ELECTRICAL REPAIR
STOP WORK ORDER ISSUED BY CHIEF EL INSPECTOR
DUE TO NO GFI PROTECTORS RECEPTACLES FOR
PERSONEL. NEC590 -6 -GFI
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- 176499. CREATED AS
REINSPECTION FOR INSP- 173880. Not ready for final. need rough first.
Add 4 ckt. panel under the A. H. U. for the A. H. U. and A. C. C. U..
Breaker locks on fixted appliances.
Add receptacle to counter.
F. P. & L. notified to connect permenent service.
August 08, 2012
For Inspections please call: (305)762 -4949
Page 12 of 27
OFFICE COPY
Permit Holder Permit # €--03-
F.B.0 Violation /V t ‘.4'"-- 1 —
Address 6,C C7-
----a/7- By
Date
Building Official
Miami Shores Village
Building Department
10050 N.E.Znd Avenue, Miami Shores, Florida 33138
Tel: -(305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
RECEIVE
MAR 012012
EST:
Permit No. EU / —3S
PLICATION Master Permit No. R 1 Z — (Gai
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): Fe rno,' G 0 r e ,2 \i Phone #: 3-g lj -b 7 60
Address: (0 1 tJ h ) o
City: )j W L r 1 ) f y ' 3 state: F L zip: 53 ) 3
Phone#:
Tenant/Lessee Name:
Email:
JOB ADDRESS:
City:
Miami Shores
County: Miami Dade
Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: AAi 0 g' (� a� �i C'
Address: ? ®0, . & / 7�
City: Ai-ei State: 11
Qualifier Name: GV / $ / 342-A5
State Certification or Registration #: �-^�(� 0 00 a/ 6 3 Certificate of Competency #:
Contact Phone #: Wb•— 3 7/ ,/ ®2 % - Email Address: f /4lI I �°N/T�`'l /e SO
DESIGNER: Architect/Engineer: Phone #:
Phone#: k — 3 f9— ?,
Zip: 3 .. >._5"s 1,r'
Phone#:
Value of Work for this Permit: $ " Ir 0 C� (� Square/Linear Footage of Work:
Type of Work: ❑Address 1ikAlteration
Description of Work: El ec-\- r 1 c
UNew
15
❑Repair/Replace
❑Demolition
Submittal Fee $ • i ▪ • Permit Fee $ Are' f®® CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
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 MR 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 absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. f"
Owner or Agent
The foregoing instrument was acknowledged before me this
day of Z1 , 20 [�, by A MeiYt6f L 611-)W &. ,
(who is personally known to i9 or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
N
Signature %J.U_7 A-0-4) ,
Contractor
The foregoing instrument was acknowledged before me this ,7
day of F. 2 , 20 , by
d who is personally known to me or who has produced
IL-
as identification and who did take an oath.
NOTARY PUBLIC: ``„Iluwlulll'�
ICEIVe ����i
• Sign: 1 = . . ( X91822 Sign: - M ... ; `''7�.
Print: f '� ?3�1 i`i��� Print: to it', r7 ..
M Comex: . _ :� ��
My O l.5 My Commissi ;,� rays: a '4
• ***** �x+ x�: x�x��x**** x� ****�x **** *** *�x�x�xu:**** * *** ******** �x�xu:+ x* �xx��x�: x�u��x ** **�x�nx� *+xx�x�x�x��xu�**Af ******* *•xx�+x *� ***
APPROVED BY
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)