EL-12-1469Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 176817 Permit Number: EL -8 -12 -1469
Scheduled Inspection Date: September 13, 2012
Inspector: Devaney, Michael
Owner: DENIS, CAMILLE AND MARIE
Job Address: 10330 NW 2 Avenue
Miami Shores, FL 33150-
Project: <NONE>
Contractor: TOP ELECTRIC SERVICE CORP
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (786)426 -7904
Parcel Number 1121360161090
Phone: (305)303 -6960
Building Department Comments
REPLACE POOL (ONLY THE WATER PUMP, THE LOW
VOLTAGE TRANSFORMER AND THE POOL TIMER)
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
/ g\oft 2" / 2-
September 12, 2012
For Inspections please call: (305)762 -4949
Page 10 of 31
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_
Permit Type: Electrical
.JOB ADDRESS: 1030 I v 0 e-
FBC 1401 Permit No. )0
Master Permit Ng) I" -1XI S
--qj v w,3
City: Miami Shores County: Miami Dade Zip J
Folio/Parcel#: I ( ati%.% —b10 -1 oqui :
Is the Building Historically Designated: Yes NO Flood Zone:
)4OWNER:, ame (Fee Simple Titleholder): l l.. L l� �CC Phone#: 5-7E12 go?"
Address: �°, (Li,., 5
City: ,��i ,,3 State: Zip: -Fzi-11-J7)
CONTRACTOR: Company Name:
Address: /0/30 ,gW
op F' , 'ERIeC S CORio Phone#: 305-303 °696(9
City: M / t2Yy1/ State: - Zip: 39/6_S
Qualifier Name: yog (O.'I � /0"Z/84 O"¢/.9- Phone#:
State Certification or Registration #: Certificate of Competency #: /O t 004/3/
Contact Phone#: 12g a 9 !Of.? Email Address: The ELRa Ia..6 /141 !°1, • Coili
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ / V0O Square/Linear Footage of Work:
Type of Work: DAddress DAlteration DNew 1(Repair/Replace DDemolition
Description of Work: Er/0 I6tCF Pod. ®a )( M j, e A J'-E 1_ louks4�/ lad
�®liale fluthsrom ►er ayiei Z'`ig 6r // 7frdt )
***** *** ****+x**********r:***** **********Fees I 9 *j * *** xx��x�x�x�x�xw+�a�e�**** *a ***yam *** *x * **
Permit Fee $ 2-XS " CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $
Submittal Fee $
Scanning Fee $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 0
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 -se secured forELECPRICAL WORI PLiJMBINQ 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 co y of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to 'tta, 'nt. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection w ch/ curs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection w 11 b' ' ' p o and a rein i ectionn fee will be charged.
Owner or Agent Contractor
The foregoing i .frame ' as acknowledged before me this 2 The foregoing instrument was acknowledged before me this a,..
day of , 20 LZ,by , day of t3 , 20 /2, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
y Commission Expires:
* * * * * * * * * * * * * * * * * * ** _****** * * * * * * * * * * * ****** *+x ******* ** ************* ** ***** ***** ************ *************
APPROVED B
co. /`t-
f 2 , Plans Examiner
Zoning
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)