EL-13-2546 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-202882 Permit Number: EL-11-13-2546
Scheduled Inspection Date: November 14, 2013 Permit Type: Electrical- Residential
Inspector: Devaney,Michael Inspection Type: Final
Owner: RODIER,ALEXANDRE&EMILIE Work Classification: Temp for Test
Job Address:1009 NE 104 Street
Miami Shores, FL 33138-2655
Phone Number
Parcel Number 1122320290140
Project: <NONE>
Contractor: WEATHERMAKERS ELECTRICAL CONTRACTORS LLC Phone: (786)249-8880
Building Department Comments
30 DAYS FOR TEMP FOR TEST Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Co
Passed
Ez
Failed 6V
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 13,2013 For Inspections please call: (305)762-4949 Page 23 of 31
o
1a1�1 Shores Village
Buildin g Y �Department 10, �
Navj' hcA
� 44 10050 N.E.2n U Yd Avenue,Miami Shores,Florida 33138 � �
Tel:(305)795.2204 Fag:(305)756.8972 8 Y
INSPECTION'S PHONE NUMBER(305)762.4949
FBC 20 O 3.z r q 93
BUILDING Permit No. 13
PEA APPLICATION Master Permit No. QC G/ >,A 57`
Permit Type: Electrical
JOB ADDRESS• /4® 9 /Q y--
City: Miami shores Cormty: Miami Dade gip:
Folio/Parcew.
Is the Building Hlstorleally Designated:Yes NO Flood Zone:
A
OWNER:Name(Fee Simple Titleholder): �X cr Phone#:
Address: _ /®'1 P !a T
City:--&f�/ � 0���" State: ��� Zip:
Tenant Name• phone#.
Email:
CONTRACTOR:Company Name:
Address: l31!25— 541 /,1, 9 All
City: , J"/state / State• l'"C� Zip: -
Qualifier Name•_ K (.0 P .//1Y �Or Y&Z
State Certification ar Registration#: 4f-/Z ® ® -,7 F?'j� Certificate of Competency#:
Coact Phonei#: Emati Address:
DESIGNER:ArchitecVEngmeer. Phoue#:
Value of Work for this Permit:$ SqeAUnear Footage of Work:
Type of Work: UAddress OAlteration �Tew C Repair/Replace Memalition
Description of Work: 9 Fbt(
ar u,�,�Fceg r,ir,�wrINK
Submittal Fee$ Permit Fee$ Af dr-o' CCF$ CO/CC$ .
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Educadon Fee$ Technology Fee$
Double Fee$ Structural Review$ '
Bdndieg Company's Name(if applicable)
Bonding Company's Address
City State rip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State �P
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 wit] be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for KCAL 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 w#h 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 properly 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 rebapection fee will be charged.
G o i
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this l Z The foregoing instrument was acknowledged before me this J,3
day of ors /Z 20 by 7- ea� � day of N44 V 20 1-7.by ' % A,- 1��
who is personally known to me or who has produced who is personally known to me or who has produced
1 As identification and who did take an oath. as identification.and who did take an oath.
NOTARY PUBLIC: NOTARY Put:
UBLIC: ``\\\"au ;
wwww��nnn
A.ELIZABETH RAISZADEH �� j
MY COMMISSION 9"035434 6� 0 iii
S UAW Sign:
Print: Print:
VA
My commission Expffes: My CommissionoTires: = n lino
APPROVED BY Plans Examiner Zoning
Strucwral Review - Cleak
cam 3/1=012)Revised 07/10/07)x d 06/10rM)(Revised 3/15/09)
Building
MIAMI•DADE 71805 SW 26th Street
Miami, Florida 33175-2474
786-315-2100
miamidade.gov
AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE
ELECTRICAL CATEGORY 26
ELECTRIC SERVICE WILL BE DISCONNECTED"WITHOUT NOTICE" UPON 30 DAYTERMINATION
UNLESS APPLICATION IS RENEWED OR CERTIFICATE OF OCCUPANCY OBTAINED.
It is understood thatthe temporary electrical approval by the Miami-Dade Building De�ppart�m� ent is given in connection
f.
with the building being co structed under the Building Permit # e- /Z4-7- — and Electrical
Permit# & L at address /®® 2 flay> V, S7-
for owner: — an ! being given only fojr construction purposes or for
testing the following equipment in said structure:_ �C1
The owner does hereby agree to assume the responsibility of maintaining the installation in such manner that there
is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the
purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been
called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion
is obtained.
The undersigned also understands that the temporary electric approval is subjectio rescission and cancellation
and electric power can be cutoff at the discretion of the Building Official and will be disconnected if the building
concerned is occupied before final inspections are approved and/or a Certificate?of Occupancy or Completion
is obtained.
being first duly sworn, depose and say th'at 1 am the owner of the above
described property, and that I agree that the structure covered in this agreement shall not be occupied until the
building contractor has obtained approval of final inspections and/or obtained a Certificate of Occupancy or
Completion. Note: Failure to comply with the provisions of this affidavit will result;in your bein unable to obtain
future Temporary for Test permits.
Y A.UIZABETH RAAISZADEH
!
X1__` SSION 017033434
7
Sign ner Signature of Notary
My Commission Expires:
being duly sworn, depose and say that I am the Electrical Contractor for
the above-d scribed property and that the electrical installations as now existing wv-jll not create aa' ( �if
tem or ervice is onn e p
•l
Uo 0s�tn•' ,�=
Signature of Electrical Contractor Signature of Notary;
�.� �,Ad�Z � My Commission Expires: gl .
I, /
being first duly sworn, depose and say that I am the t r� ffd 9. door.,
of the above described property and that I will not permit occupancy of this building until final�011
been called for by the contractors and sub-contractors concemed and final approval by the inAioriiMion
obtained and that I have the author' nsofar as the owner of said property is concerned t prohibit occupan until
such final inspe ins are obta' nd/or a Certificate of Occupancy or Completion i ss
Si re of B i ding Contr or Signature of Notary �\0``�
My Commission Expires: �`N
Date:
Signature of Electrical Inspector _ 1Q�r
91
Date released to FPL �z� /8p/ n
''� ' 1... • '' `
S
123_01-124 6106