EL-13-426 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-186706 Permit Number: EL-3-13-426
Scheduled Inspection Date:July 10,2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: MINSKI,JOEL&ANDREA Work Classification: Addition/Alteration
Job Address:9969 NE 4 Avenue Road
Miami Shores, FL 33138- Phone Number (305)510-0916
Parcel Number 1132060171230
Project: <NONE>
Contractor: FRANKIE ELECTRIC CORP Phone: (305)332-7516
Building Department Comments
ELECTRICAL FOR 1 BATH ROOM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Co e
Passed }
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections lease call: 305)762-4949
Jul 10 2013 p ( 4 of 23
Page Y 9
Miami Shores Village _ .
Building e a. ment MAR 01 2013
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax:(305)756.8972 ---------
INSPECTION'S PHONE NUMBER:(3057 762.4949
FBC 20 C
BUILDING Permit No.F—L 3 '1 24co
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical
JOB ADDRESS: 99 J qqA A4,
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address: q%') 6v1✓ `"t
City: AAA S+kp'19 State: Zip: �I
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: J Phone#:
Address: °
City: t State: Zip
(qualifier Name Phone#: t,
State Certification or Regis n#. Certificate of Competency#:
Contact Phone#: tio _ mail Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work ifor this Permit:$ 9kll Square/Lfear Footage of Work:
Type of Work: ❑Address LIAlWation ONew 4 e 1 qq ODemolition
Description of Work: 720 47101hl
Submittal Fee$ rl� Permit Fee$ _ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double 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 t ttachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection w ich ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be ap rove nd a reinspection fee will be charged.
Signature Signature
O Jero Agen t Contractor
The foregoing instrument owledged before me this The fore o' instrum t was acknowledged before me this day of A,201 day of 20 13,by
who is personally known to me or who has produced Alt ho is pe onallyy kkno to me or who has produced
As identification and who did take an oath. entification and who did take an oath.
NOTARY P LIC: NO ARY LIC: "
Sign: app Sign: da
Print ��. VY►�+� Print: °N.'' Notary Public ' $e�23,2015
ices
My t�^ �' � IeRID W My Commis ion a .�,qY Gomm�ss�nNationatt`totary ssn.
nvji�c 932769
1 MISSION # 00
MY COM.
5 �i�
APPR did Thtu Budg9$N'Di°" ans Examiner Zoning
Structural Review Clerk
J
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)