EL-13-592 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL �I
Phone: (305)795-2204 Fax: (305)756-8972 CO
Inspection Number: INSP-197433 Permit Number: EL-3-13-592
Scheduled Inspection Date: August 21,2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: ROBINET, PATRICE Work Classification: Pool- Private
Job Address:1055 NE 96 Street
Miami Shores, FL Phone Number
Parcel Number 1132060143710
Project: <NONE>
Contractor: AMERICAN POWER ELECTRIC CORP Phone: (305)216-7491
Building Department Comments
ELECTRICAL WORK FOR SWIMMING POOL Infractlo Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSPA88061.Add 120 volt receptacle
within 10 to 20 feet of pool.
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 20,2013 For Inspections please call: (305)762-4949 Page 21 of 39
METZ
Miami Shores village rwc� 2 6 2013
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
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit Nob re 1:3-
Permit Type:Electrical
JOB ADDRESS: ,wo.S s 'Rik
City: ,Miami Shores County: Miami Dade Zip: F_ . .3 3138
Folio/Parcel#:
Is the Building Historically Designated:Yes NO k Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address- 6 C�g TL
City: State: 04a j o g 3323P
Tenant(Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name. l - l e#: vin-a A&
Address: ISLAO 4Z.,_� v 22
Cif: _State:
Qualifier Name: Phone#: n
State Certification ' ion#: ..�� � Certificate of Competency#:
Contact Phone#• � ��1�[?M Email Address•
DESIGNER:Architect/Engineer. Phone#:
Value of Work for this Permit:$ rIJAJ 5quare/Linear Footage of Work:
Type of Work: OAddress DAlteration W(New ORepair/Replace ODemolition
Description of Work:
I
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
ScanningYee$ Radon Fee$ DBPR$ Bond$
Notary$ Training{Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE
I
1
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 AFFIpAVIT: 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 roust
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 f7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Si e Signature
- wner Agent Contractor
The foregoing instrument was acknow edged before me this The for o instrument was ackno ed before me this
da y o of , 5, ,
�- 20�b y day 20 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: NOT LIQ
Sign: Sign:
Printp'f ff)( Print:
My Commission it My Commission Expires:
.�i �INOU
APPROVED BY Plans Examiner g
112ii,Zp18
Structural Review � erk
(Revised 3/1=012)(Revised 07 110/07)(Revised 06/10/2009)(Revised 3/15/09)
I