EL-13-2662Miami Shores Village
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
IF
BUILDING
PERMIT APPLICATION
KV 2 ti 2013 it
IR` . a�oo e�o
BC 201
Permit No. 2 CoG 2_
Master Permit No.
Permit Type: Electrical '�
JOB ADDRESS: W.
W.
City: Miami Shores County: Miami Dade Zip:
Foho/Parcel #:
Is the Building Historically Designated: Yes
NO iL Flood Zone:
Zp: J./State 340
CONTRACTOR: Company Name: .5;,7 ,y4i-i a Phone#: 7d'G3LG 83
Address: �bd �W`--
City: / State: Zip:
Qualifier Name: L° Phone #:
State Certification or Registration #: 0 O !Kf3 Certificate of ! Competency etency #: //
Contact Phone #: �j,3V1,g y Email Address: y G 'D V4 4-6,D e-- n
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: DAddress UAlteration ONew /� epair/Replace
ODemolition
Submittal Fee $ Permit Fee $ 610® CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural 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
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 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 reiction fee will be charged
d
The foregoi instrument was acknowledged before me this
day of > 2Q�4_ by !k ,
t
who is personally known to me or who has produced
APPROVED BY
identification and who did take an oath.
M.
EXPIRES October 23^2015
go-
Signature
Contractor
The foregoin instrument was acknowledged before me this
day of 20 %n, by /���il�a S IIZQ ? S
who is perso y known to me or who has produced
Plans Examiner
Structural Review
(Revised 3 /1=012)(Revised 07 /10 /(Y7)(Revised 06 /10/2009)(Revised 3/15/09)
and who did take an oath.
October 23, 2015
Zoning
Clerk
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 206595
Scheduled Inspection Date: February 05, 2014
Inspector: Devaney, Michael
Owner: ,
Job Address: 9425 N MIAMI Avenue
Miami Shores, FL 33150-
Project: <NONE>
Permit Number: EL -11 -13 -2662
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060130510
Contractor: SUNSHINE ELECTRICAL CONTRACTORS CORP Phone: (305)265 -4958
tsuuai
comments
MISC ELECTRIC REPAIRS SOME METAL CONDUIT IN I " "'°` °'"
EXTERIOR OF HOME TO POWER OUTLETS, SERVICE INSPECTOR COMMENTS False
PANEL REPAIRS.
Inspector Comments
Passed
Failed
Correction a
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 04, 2014 For Inspections please call: (305)762 -4949 Page 44 of 47