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EL-12-2034Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 v°2- Inspection Number: INSP- 183159 Permit Number: EL -10 -12 -2034 Scheduled Inspection Date: December 20, 2012 Inspector: Devaney, Michael Owner: PEARSON, LEONARD Job Address: 246 NE 103 Street Miami Shores, FL 33138 -2431 Project: <NONE> Contractor: RAYS ELECTRICAL SUPPLY INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060134880 Phone: (786)236 -2777 Building Department Comments RE- INSTALL GFCI OUTLETS IN NEW KITCHEN Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 19, 2012 For Inspections please call: (305)762 -4949 Page 16 of 22 Miami Shores Village Building Department BUILDING PERMIT APPLICATION Permit Type: Electricali" JOB ADDRESS: iono OCT 252012 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 INSPECTION'S PHONE NUMBER: (305) 762.4949 Tel: (305) 795.2204 Fax: (305) 756.8972 FBC20 t� Permit No. L12- 2 y Master Permit No. 12-e' I'l- 2 '5' City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titti holder): gLe�IJ/a a �9�- �� {�s _ �Ph�one#: Address. ` a �( i1 1 etC V, o C 6Q Y i d 61l �U City: ILALd&i'vade State: Ft.. 3`3°3t) Tenant/Lessee Name: t • i Phone#: 700 1 Email::' ' cz,v'1 ctke$A sa• rtoa Y ry a C e % CONTRACTOR: Company Name: a�iy.S IC/'— Phone #: z g r 7/33 Address:' �i�t �� ®Pi /., 142) state: ri G City: n �r ry Qualifier Name: 1(J,%/1 �� ,Q�' �' Phone: 7R b ZI Z:77, State Certification or Registration #: /°C /% de i l Certificate of Competency #: Contact Phone #: F MO Z Y G Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 7t Square/Linear Footage of Work: Type of Work: Address DAlteration UNew XRepair/Replace Description of Work: C S �— C/ re- I ou ITS_er / 4 zip: .3)© S $G Ev i tr 1✓ i UDemolition ******** *** * ** ************ **** * *** *** ** Fees************* ** * * **** ******** ***** * * * * * * **** Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ Structural Review $ Permit Fee $ 1°4° 8 CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ TOTAL FEE NOW DUE $ 109 • U V 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 absence of such posted notice, the inspection w'll not be approved and a reinspection fee will be charged. Signature "�� . f Signature 0 or Agent _ Contractor The foregoing instrument was re7 was acknowledged before me is The foregoing instrument was acknowledged before me thisZ,f day of 6— (, 20 by D S O 11 day of W ,20it, ,`b 4 t"2-1) P j'2-1, ��- who is personall own to me or who has produced /� - ' ��viro 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: Sign: %, I►%/ �: Print: /11)0, efoOla My Commission Expires: APPROVED BY 40-01110■K ROBYN MOSI/iS M' COMMISSION # EE 175892 a ;vip EXPIRES: March 20, 2018 NOTA1Y�P Sign: Print. My C erni;Sidi{ EIp `esr ******************* * * * * * ** * * * ** * * * * ** * * * * * * * * * * * ** Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk 663630 -3 B t u g SUPPLIES INC THIS IS NOT A BILL - DO NOT PAY RENEWAL STATE E l 8 2844 2015 OPA LOCKA BLVD 33054 OPA LOCKA D RAYS ELECTRICAL SUPPLIES INC SligmelleTVICAL CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CRIES. NOR . DOES R EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADS COUNTY TAX COLLECTOR: 09/12/2012 02230009003 000045 00 SEE OTHER SIDE WORKER /S 10 DO NOT FORWARD RAYS ELECTRICAL SUPPLIES INC 2015 OPA LOCKA BLVD OPA LOCKA FL 33054 .0 FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 240067-9 1ilil iii11It1Iili1ll IIli, 1Eiii1 llJifii1ilfIIi)iilJJi1iiiili1ll 144 Oct 171210:53a p.2 DBPR. - RENZI, EDWARD JR; Doing Business As: RAY'S ELECTRICAL SUPPLIES I... Page 1 o€1 4:04'23 Pfld 10412012 Licensee Det .; fiHs Licensee Information Name: Main Address: County: License Mailing: LicenseLocation : License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Additional Business Qualification RENZI, EDWARD 3IR (Primary blame!) RAY'S ELECTRICAL SUPPLIES INC (DEEM Name) 2761 LAKE PAM CIRCLE WEST B' FORT LAUDERDALE Florida 33328 -7001 v` ";O aa��ARl�' Certified Electrical Contractor Cert Electrical EC13002844 CurrentrActive 05/09/2005 08/31/2014 Qualification Effective view Related License Information View. license Connolaint 1940 North Monroe Street, Tallahassee art. 322309 :: Email; Customer Cdntect Center :: Customer Contact Center: 850.487.130S The State of Florida IS ar•. AA/EEO employer. Cogvrlaht 2001 -431.0 State of Fiarida, Prtvacv StatQmenli Under Florida law, email addresses are pablIc records. ff you do not went your email address released In response to a public- records request, do not send electronic man to this entity Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 550.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 2, 2012, licensees Licensed under chapter 455, FS, must provide the Department with an email address If they have one. The mails provided may be used For official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with en email address which can he made available to the public. Please see our Chanter 451 page to determine if you are affected by this charge.