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EL-13-490 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 1 Inspection Number: INSP-198400 Permit Number: EL-3-13-490 Scheduled Inspection Date: September 23,2013 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SMITH, PATRICE AND SCOTT Work Classification: Addition/Alteration Job Address:358 NE 101 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060135280 Project: <NONE> Contractor: PROSTAR ELECTRICAL CONTRACTOR INC Phone: (786)307.4295 Building Department Comments ELECTRICAL WORK FOR INTERIOR REMODEL infractlo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-198302. CREATED AS REINSPECTION FOR INSP-187240. CANCELLED BY SANDRO 8/12/13 Add G F I protected receptacle to the island and protect existing receptacle with G F I. Failed ❑ Expose microwave drover receptacle ore put a locking device on its breaker. Dryer to have 4 wire cord and receptacle. Correction ❑ Needed Re-Inspection ❑ � �� Feed No Additional Inspections can be scheduled until re-inspection fee is paid. September 20,2013 For Inspections please call: (305)762-4949 Page 10 of 15 Miami Shores Village Building Department �l;i'1' I 'k3r3 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. f PERMIT APPLICATION Master Permit No. 5--:: 4CvS_vD Permit Type: Electrical } JOB ADDRESS• c35e n e / ©� + City: Miami Shores County: Miami Dade Zip: 3 1 3 g Folio/Parcelk Is the Building Historically Designated:Yes NO X Flood Zone: OWNER:Name(Fee Simple Titleholder):S C'ao'}�} W1 T Phone#: n Address: q1_758^8 01 e_ )191s+ " City: It c.t S�n reS State:: L. Zip: Tenant/Lessee Name: %CoO+F S6G4 rA2 'T?C_C- S l U e1 _(;,,144 Phone#: Email: CONTRACTOR:Company Name: Aq D 674 Cd &&C;M,cal i. /dy C Phone#:Zfl'2�-3,01` 4 oZ9 Address:4'12 AV E City: State: << Zip: Qualifier Name: R! f1 A�p o Phone#: 2 P e-3 a) Vj_�Y 6 State Certification or Registration t eCO OD b ti/D _Certificate of Competency#: Contact Phone#:7Xe* 3 6 2 Ya. t-C Email Address: to a .rz;—og t4 E c.7-giC,4 C• G 0 /'r DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$25`9 Square/Linear Footage of Work: 215(;�D Type of Work: DAddress ration w ORepair/Replace Demolition Description of Work: �v� e�t 0 �J6%t-> (]gGS�D �k^i\ K)C41 X1,1 Nbe-15 * eLS\ _ S Submittal Fee$ Permit Fee$ 2, �CCF$ CO/CC$ �5 rr o® Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ �L 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 inspect'In which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not a approved and a reinyv0jon fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this iii day oo ,2d3 ,b� '81—4 d�t e 0 rtin,, "",.day of ,2(�,by d `� who is person y known to me or who has produt~ed is personally own to me or who has pr� uc�dxF es'•. 021 As identification and wlij did. AVd oatht�C = as identification and why(lid•ta1C ah(boa s NOTARY PUBLIC: Phu n NOTARY PUBLIC: N0TbRY P o8l#C . Commission � •' � �• :' crj ..E�160045:'�Q m .�EE1�60045:Q�-�.� OF F�..a�` Sign: ^ ��' Print: _®�� `-'�'� Print: My Commission Expires: My Commission Expires: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)