EL-13-1742 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-196419 Permit Number: EL-8-13-1742
Scheduled Inspection Date: November 01,2013 Permit Type: Electrical- Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: PERAZA,SILVIA AND GUILLERMO Work Classification: Addition/Alteration
Job Address:720 NE 94 Street
Miami Shores, FL 33138-
Phone Number
Parcel Number 1132060141700
Project: <NONE>
Contractor: MIKES ELECTRICAL CORPORATION
Building Department Comments
REPLACE ELECTRICAL PANEL, REWIRE GARAGE Infractio Passed Comments
LIGHTING, UTILITY ROOM,AND FOUR SMOKE INSPECTOR COMMENTS False
DETECTORS.
I
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 31,2013 For Inspections please call: (305)762-4949 Page 7 of 19
Miami Shores Village
Building Department AUG 0 2 2013
10050 N E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20
BUILDING Permit No. 4
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical �
JOB ADDRESS:— '-20 /K 7� 5
City: Miami Shores County. Miami Dade Zip:
Folio/Parcel#• /d zo .-O/V- /4-OD
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): -1 VA lt�.0 P2-A Phone#:
Address: Z 1114? �,K S I
City: State: ZEL Zip: 3 3 / -3 f
Tenant1l,essee Name: Phone#: 0 0
Email:
CONTRACTOR:Company Name: U "///`'�-r �� Phone#: .3
Address. 19137b Sw 91 7-F A^ �5� • ;L)lU•9 r
City. /»t O M I State:
Qualifier Name: /r, Phone#:
State Certification or Registration#: EC- 150 D 7-7 4 Certificate of Competency#: _--
Contact Phone#: 9- Qf;L-7 7S-0 Email Address:
DESIGNER:Architect/Engineer. Phone#:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of'. or ' DAltera' ONew t !! air/Replace ODemolition
Desption of b etw8 ��i�,c.�/
r 13th£.� - s7� a®.®;�
WNW 0
Submittal Fee$ Permit Fee$ /1'��®� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Doable Fee$ Structural Review$
TOTAL FEE NOW DUE$
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 o rs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not a approved a reinspection fee will be charged.
Si Signa
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 31 The foregoing instrument was acknowledged before me this.
day of &VI. 20 L�,by Sig.v4 &U3,A day of ,20 L;?2,by a vd-! TO S
who ersonally known tom or who has produced who' so known tom r who produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: / NOTARY PUBLIC:
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