EL-13-1830Inspection Worksheet
Miami Shores Village "\ K �09
10050 N.E. 2nd Avenue Miami Shores, FL `1)
Phone: (305)795 -2204 Fax: (305)756 -8972 V�
Inspection Number: INSP- 197142 Permit Number: EL -8 -13 -1830
Scheduled Inspection Date: February 10, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: ,
Job Address: 70 NE 99 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MV ELECTRICAL SERVICES
comments
Inspection Type. Final
Work Classification: Addition /Alteration
Phone Number (305)9704124
Parcel Number 1132060131050
Phone: (305)216 -0677
ELECTRICAL WORK FOR KITCHEN & BATHROOM
REMODEL. NEW SMOKE DETECTORS. INSPECTOR COMMENTS False
Passed ,
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
February 07, 2014 For Inspections please call: (305)762.4949 Page 2 of 44
Miami 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) 7622.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
Permit No. �( J
Master Permit No. M7
JOB ADDRESS: 30 14 G 019 57
City: Miami Shores County: Miami Dade Zip: 331 3 8
Foho/Parcel#: l l ° 32. o c ° oil. 10 ro
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): 70 9-VA VfO- U`ire- Z--L� . Phone#: 3' 3- q,70 q P 'Z4
Address: /M Y 1 c e 11 Av,� S6, %q00 m 1 a w t_ `t-.. JZ 3 17,
City: AA IO m I State: _ L Zip: IS I
Tenant/I.essee Name: Phone #:
Email:
CONTRACTOR.: Company Name:
V
QC- V l CG3
��%� Phone #: ®ip 77
Address: /a Q t l �u 6 )
�A
City. f m State: F L Zip: 33 O 15
Qualifier Name: M I I 6OWPS Phone#. � °pl & -00 �
State Certification or Registration #: Certificate of Competency #: L-54, 2::'-0100 C/®
/
Contact Phone #: 2 a t (o — 0 07 7 Email Address: 6 In 0 e?
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ '3500100 Square/Linear Footage of Work:
Type of Work: .]Address DAlteration ONew ;(Repair/Replace
Description of Work: S00 of C;PS v ®�1clP IVA0 �/ / �gc®.07
gym® Ae A- ec- r . 4e- , .Qio & 4F X-2 04& ZA)'4
Submittal Fee $ Permit Fee $ �'�� 3r/ CCF $ CO /CC $
Scanning Fee $ Radon Fee $
Notary $ TraininglEducation Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
ODemolition
vew
TOTAL FEE NOW DUE $ t ' '
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
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 attach Als a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspectio h' h o sev ) days after the building permit is issued the absence of such posted notice, the
inspection will not b app v a tffan fee will be ch
Owner or Agent ' V Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this,
day of , 201? , byC s'1S �t1r �� ���1 GC' day of YO ` , 20 B by ,
who is personally known to me or who has produced who ' personally known 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:
APPROVED BY
Structural Review
(Revised 3 /12/2012XRevised 07 110107XRevised 06 /10/2009XRevised 3/15/09)
Zoning
Clerk