EL-13-1327Inspection Worksheet
Miami Shores Village n
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 193443
Scheduled Inspection Date: November 22, 2013
Inspector: Devaney, Michael
Owner: BRUCE, JON $ KIMBERLY
Job Address: 1113 NE 98 Street
Miami Shores, FL 33138 -2507
Project: <NONE>
Permit Number: EL -6 -13 -1327
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050180260
Contractor: SHINE ELECTRIC ENGINEER Phone: (305)688 -2000
eunamg Department comments
ELECTRICAL WORK FOR NEW POOL
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
INSPECTOR COMMENTS False
Inspector Comments
November 21, 2013 For Inspections please call: (305)762 -4949 Page 2 of 20
Miami Shores Village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
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Permit No. 32-1
Master Permit No. 1 ' 6 a2 C)
JOB ADDRESS: —11 1 S N ��
City: Miami Shores County: Miami Dade
Folio/Parcelt 1 1 32 (f:D l c
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): J z-- 22 1
Address: 1 1 ► 3 r-4 'C—:7-T `7 iE3
City:
�� rc— State: rZ zip: 3�3 1 32?>
Tenaut/L,essee Name: Phone#:
Email:
CONTRACTOR Company Name: SHINE ELECTRICAL ENGINEERING phone#: 305 -688 -2000
Address: 3876 NW 125 ST
Ciiy: OPA LOCKA State• FL 33025
Qualifier Name: FRANCISCO SANTOS phone#: 305 - 688 -2000
State Certification or Registration #: EC0001514 Certificate of Competency #
Contact phone#. 305 -688 -2000 Email Address: AHUEZO @SHINEELECTRICAL.COM
DESIGNER: ArchitecdEngineer. Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Ad
Description of Work:
❑Alteration ❑New
❑Repair/Replace ❑Demolition
Submittal Fee $ Permit Fee $ � ?®a eBuo- CCF $' CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Edncat3on Fee $
Double Fee $ Stractanal Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding - Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
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
CONBIENCEMENT 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 COMAIENCEMENT:'
Notice to Applicant. As a condition to the issuance of a budding 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 inspection which occurs seven (7) 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
iguat�e Signature
-- — Owner or Agent Contractor
The for oing ' ent was acknowledged before me this The foo /' g instrument was acknowledged before me this pro
day o day of a-4 , 20 L by v
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 �PR"�pat& oRIDA
NO Y PUB C: , i'�'rleny 1yf, Fiery z
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Structural Review Clerk
(Revised 3n2=12)(Revised 07/10 /07)(Revised 06/100MXRevised 3/15/09)