EL-13-2354 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-201362 Permit Number: EL-10-13-2354
Scheduled Inspection Date: December 05,2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: WEBER,STEVEN Work Classification: Repair
Job Address: 1214 NE 92 Street
Miami Shores, FL 33138- Phone Number (631)379-8547
Parcel Number 1132050270480
Project: <NONE>
Contractor: SHINE MAINTENANCE ELECTRICAL Phone: (305)688-2000
Building Department Comments
ELECTRIC SERIVCE METER Infractio Passed comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 05,20113 For Inspections please call: (305)7624949 Page 3 of 27
Miami Shores Village
Building Department OCT
10050 N.E.2nd Avenue Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PIiXONE NUMBER:(305)762.49 49
FBC 2010
LTIL I� Permit No. Ci `a
PERMIT APPLICATION Master Permit No.
Permit Type:Electrical
JOB ADDRESS: 1214 Northeast 92nd Street
City: Miffw Shores County: Miami Dade Zip: 33135
Folio/Parcel#: !i° �JoS'--6�7-04gO
is the Building Historically Designated:Yes NO Flood Zone: A
OWNER Name(Fee Simple Titleholder):Steven 0 Weber Phone#;631-379-8547
Address:1214 Northeast 92nd Street
City: Miami Shores State: FL ZIP; 33138
Tenant/Lessee Name, Phone#:
Bbl; 9tevendw@gmail.com
CONTRACTOR:Company Name: Shine Maintenance Electrical Contractor Corp. phone#:
Address; 3876 NW 125 Street
City: Opa Locka State: F1 zip: 33054
Francisco E. Santos 305-688-2000
Qualifies Name: Phone#:
State Certification or Registration#: EC 0001514 Certificate of Competency#:
Contact Phone* 305-219-4881 Bxnail Address: VMarUnez@shineelectrir.al.com
shineeiectrioal.com
DESIGNER:Architect/Bngineer: Phone#:
Value of Work for this Permit:$ 't VQ�00 Square/Linear Footage of Work:
Type of Work: DAddress UAlteration ®New 14epaidReplace UDemolition
Description of Work: XAS1411 Aev Lek- Gt`b, a00 Al"P5 Wi IK Sf� 4- btf4e4 Uuds d 6vf,2 a�
50"t IOC** 00 dfdl� r^4 CdA44 Fft S•IVU 41— cttpr ;.� 40 r'JA 1wa C�
Submittal Fee$ Permit Fee$ 410!"'OP CCF$ CO/CC$
Scanning Fee$_ Radon Fee$ JDBPR$ Bond
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ ,
Adlnompany'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 AFF IDAVIT: 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
prondse in good faith that a copy of the notice of conunenceinent and construction lien law brochure will be deliverer)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 (7) days after the building pennit is issited. Irr the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature�'G%�/ Signature
Owner or Agent Contractor
The fore oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of �-�.20113,by 1�✓'� _4�t F day of .201,by iaA���r� ✓ti/�S
who is personally known to me or who has produced who i personally know o me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:. �✓ Sign
Print:_ L' � V�J 'L6 S Print: 111 S rCJ►.1 O'ezn
4P Anisley Hum
My Commission Expires: My Commission Expires, ,'o:c °,�;
-� USA 0.WEBSIER ::. �p en COMMISSION#EE 194256
MSrcoMMlss♦or1 �os21w z EXPIRES;JUN,14f?016
4
EXPIRES:January 8,2015 at
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APPROVED BY /��'�j" Plans Examiner Zoning
Structural Review Clerk
(Rev ised 3112t2012)(Revised 07110t07)(Revised 0611Ot2009)(Revised 3/15/09)
�,��,:STEVEN WEBER SHINE ELECTRICAL ENGINEERING Master Ele�ctricia�n: 1& .se, �
T 3873 ICI'+►" 125 ST Signature: "...f! Anisley Hum
OPA LOO A,FL.33054 EE194256
N- TMI, SHORE,FL.33138 TEL: 305 6$$-2000 Nota y: " ` °°EXPP"S:JUN.24,2016
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