EL-13-8700Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone. (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 198122
Scheduled Inspection Date: September 25, 2013
Inspector: Devaney, Michael
Owner: RAMOS, MARIA ERICA
Job Address: 308 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: CPS ELECTRIC, INC.
isulnaing Department comments
2 RECEPTACLE IN BATHROOM
Permit Number: EL -4 -13 -870
Permit Type: Electrical - Residential
Inspection Type: Rough
Work Classification: Alteration
Phone Number (305)757 -8815
Parcel Number 1132060135990
INSPECTOR COMMENTS False
Phone: 305 - 607 -8221
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 198001. alas covered without
Passed El� inspection.
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
September 24, 2013 For Inspections please call: (305)762.4949 Page 22 of 37
Miami Shores Village APR 2 6 2013
Building Department W-1
10050 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 No.�•�� -'
PERMIT APPLICATION Master Permit No. f2.,Q 3 —141
FBC 20V0
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): KAS-xNA A 'T A L.tAb 1 F4 o Phone#: 18 6 7151 8041
Address: 3° 6 N E R6 " ST
City: M {Aru SHORES State: f I-OlL i RA Zip: 3313A
Tenant/Lessee Name: Phone#:
Email: HO'TriAiC. w Cmn
JOB ADDRESS: 3 o8 NF- 96TH ST
City: Miami Shores County: Miami Dade Zip: .33138
Folio/Parcelk
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: �PS �E �T [�sY Phone0os -63 ri 0
Address: It"30 0
City: �/ 1 e State: Zip:
Qualifier Name:
State Certification or Registration #: ]E—D 0 & Q ?- 0 'Certificate of Competency #: CC Q ®0 0172
e
Contact Phone #: Email Address: c °° r
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ 5bQ - "� Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New W air/Replace ❑Demolition
Description of Work: Z- lLC. /'k AA,7 !r2ej"I-K,!Q
Submittal Fee �� Permit Fee $ 14� 14',(-'
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
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
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 proved and a reinspection fee will be charged.
P
Oy '
Signature Signature
Owner or Agent ontractor
The foregoing instrument w cknowledged befo a me this Q8 The foregoing instrument was wledged before me thisQ
day of �� : I , 20 b aO , day of , 20 / b YY! P
who is personally known to me or who has produced who is pe onally known to me or who has produced
tC=6 As identification and who did take an oath. Z' as identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
APPROVED BY
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
P�,7 z e.,17
Plans Examiner
Structural Review
Zoning
Clerk