EL-13-2182 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-201576 Permit Number: EL-9-13-2182
Scheduled Inspection Date: October 22, 2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael .Inspection Type: Final
Owner: NEWBY, BENNY Work Classification: Alteration
Job Address:10525 NE 2 Court
Miami Shores, FL
Phone Number (305)336-0676
Parcel Number 1122310130610
Project: <NONE>
Contractor: AMERICAN POWER ELECTRIC CORP Phone: (305)216-7491
Building Department Comments
SERIVCE REPAIR Infractio Passed comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-201429. Need arc fault breakers
and finish grounding.
Failed
Correction
Needed ❑ 7
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 21,2013 For Inspections please call: (305)762-4949 Page 28 of 42
Miami Shores Village ;
Building Department �t sEPu
90050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972 Y °°,°°°°°°o°
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 VO
P iLlDING - Permit lvo. I`
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): V —vlg Phone#: .3p5 33(p "of 2(
Address: O--5 AUK eg Cue Y-1
City: a/ �iLO�o� State.
Tenant/Ussee Name: - Phone#:
Email:
CONTRACTOR:Company Name: 4n4x---/ZreAA. , Aow g l2 Phone#: Z o S-X-/G 0 7 Vj
Address: 0 5 iI O F-A->T 7 g2o
City: 14 gA Lr--,A-J-4 State: EfLo �r DA Tap: 5 5 e:)/
Qualifier Name: p=A^e�®/V ^I T,=— Phone#:.05—�/4 -`?�V
State Certification or Registration#: �—=e-/3,o e>3 f o Q Certificate of Competency#:
Contact Phone#: 3 0 57°V- P{7/ Email Address: s4/a
DESIGNER:Architect/Engineer. Phone#:
Value ' , 't• Square/Linear Footage of Work:
•Y^
Type Wq�l.r ° itdrep'� DAltekatie 9 ClNew I epair/Replace ❑Demolition
Descrition o Vork:t f/i
agaIa��aag��$es?+�s���sIaHsIak Ia�4+ag�R�sIa�X 3a�aR�Ia�:FSIas�ikIakR�7�aAakBasIsh sk��aRa4sAk��s3s�HasR��sIs��A�aknk8sk&Sa�� sIanR�sk�sk�a�a�k
Submittal Fee$ 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 Tap
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Tap
n
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 perform to meet the standards of.all laws regulating
construction m this jurisdiction. I understand that a separate permit must be secured for Ff FCTWCAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOII ERS,BEATERS,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
ITUPROYENUMS 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 ewee&ng$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 cenVled copy of the recorded notice of commencement must be posted at the job site
for the first inspection whAch occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be ap r ed and a rebapection fee will be charged
Signature -- Signature -'—�=- r
Owner or Agent Contractor
The fovego instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,201 by �1 !\mow ��"�.�day of -.&& 0t_:L by
who is personally known to me or who has persona y wn to me or who has produced
As identificatio�jho did t � oath. as identification and who did take an oath.
a: 6S0£L t 33`• /"P ; NOTARY PUBLIC:
NOTARY PUBLIC: # uoissiw
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APPROVED BY `�/� %'/t- 2 Plans Examiner Zoning
Structural Review Clerk
(itevised 3/12=12)(Revised 07/10/07)(Revised 06✓l0/2M)(Revised 3115/09)
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FROM FPL POINT NEW 200 AMP
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200 AMP RATED,120/240V
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ROD - 1/2- DIAMETER
ELECTRICAL RISER '01
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Pweza-fl OSCAR PEREZ 0 o
Wo AS Notary Public-State Of Florida
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Commission# FF 052809
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