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EL-13-1106Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 210815 Permit Number: EL -5 -13 -1106 Scheduled Inspection Date: April 18, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: BLANCO, CHRISTIAN Work Classification: Alteration Job Address: 1360 NE 103 Street Miami Shores, FL 33138- Phone Number (754)214 -2875 Parcel Number 1132050300070 Project: <NONE> Contractor: CPS ELECTRIC, INC. Phone: 305 - 607 -8221 tsul comments NEW CENTRAL A/C SYSTEM INSTALLATION. AND RELOCATE 2 RECEPTACLES AND 6 LIGHTS INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP - 210642. CREATED AS REINSPECTION FOR INSP- 210589. ACCU add a TP/Wp gfi receptacle within 20 feet of unit. AHU sleeve nm cable in flexible conduit and put a connector on the low Failed ❑ voltage cable connection. Add a receptacle by the island in the kitchen and all receptacles to be g.f.i. protected. Correction ❑ 4/14 Needed CW6D_B E R e- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 17, 2014 For Inspections please call: (305)762 -4949 Page 14 of 24 Miami Shores ,Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fag: (305) 755.8972 INSPEMON'S PHONE NUMBER (309) 762A90 �,L.. --S- 1 3 -1 10(,,o BUMDING PERMIT APPLICATION Permit Type: Electrical FBC ZO MAR 1 04014 Permit No. Master Permit No. E I �3— 0 JOB ADDRESS• 1360 &�_, /03 S'r City: 1Vtiami Shores County: Miami Dade Tip: F0li0fi,A w. Is the Building Historically DesipmW& Yes NO Flood Zone: OWNER: Nance (Fee Simple Titleholder): PhoneW Address• City: State: Zip: Tenant/[xssee Name: Phone#: Email: CONTRACTOR: Company Name: PS �J%L� _ T Phone#: N SC3 Z9 Address: City: 11 qM i Qualifier Name: A22 P PboneB: State Cerfifimtion or Registration: �f3 6b NO l of Competency #: Contact Phone#: Email Address: eWS -?��i/� `� �i t e Cry'01 DESIGNER Aisehitect/Engiaeer. Phone#: of YaWe of Work for "Permit: $ SgoarclUaw Footage of Work: Type of Work: QAddress DAlterathm ONew OR"WdReplace ODemolOw Description of Work: �o�s+a�eaom aas�a�t�s�+ as�ao� *�a�vss�e�sa�s+�s�ea�wsa+ea��s Submittal Fee $ Peru Fee $ 1 SO , CCF $ MCC $ SeannWg Fee $ • c-U Radon Fee $ DBPR $ Boml $ Notary $ Tr tion tube $ T Fee $ Doable Fee $ moral Resew $ TOTAL FEE NOW DUE 'P, Banding Company's Nam (if applicable) Bonding Company's Address city State zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address city State zip Application is bemby male 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 inihimation 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 m the issuance of a bullding permit with an estimated value exceeding $25W, 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 cert&d 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 budding permit as issueZthe nce o f such posted notice, the inspection will not be approved and a reinspectdon fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this day of . 20 _, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: sign: Print: My Commission Expires: APPROVED BY Sign My Plans Examiner Zoning Structural Review Clerk (Rued 3n2rAt2XRcdwd 07AQff1XReviwd ft1WAWXRcdwd 3IM" a'P s . Mm tY i e ,wp Y�h✓5S �. I �'� S rye 4 daay r� r "�'^Y� tir .gym, .. ':.?MkMi�t`fia`�.• .. 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) 762.4949 BUILDING PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: j 3 6 0 t-J 6 10 3 s-r. FBC 20 KAY 2o2013 e ®000000voovveta ®wvoa� Permit No. EJ 15— 11 & Master Permit No. City: Miami Shores County: Miami Dade Zip: 3 3 i M Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): C N 21ST 1 A 0 B LA t3 CCU Phone #: 17 4V ° 2.14- Z 9 -*s Address: 13(.0 p E 1 o3 sT City: P1 1 A'rn I skoirz f.'3 State: Zip: l +� Tenant/Lessee Name: Email: CONTRACTOR: Company Name: C P,5 , . 1� Phone #: 3Ors(. W55-2 Address: `(D0 co Aa&2 - City: M I-qM State: -0 3 /d-!F777 Qualifier Name: q a-xj Phone #: State Certification or Registration #: 6'EO C7 110 2-- c7 Certificate of Competency #: ®yy 3 Contact Phone #: 20 5-0 4-5-570 Email Address: �S ���� .�- 44Z DESIGNER: Architect/Engineer. Phone #: Value of Work for this Permit: $ '/t 0 Q -,Q e Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: Submittal Fee $ Permit Fee $ CCF CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notar i 5���Tr m ducaaing Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ .Bonding Company's Name (if applicable) _ Bonding Company's Address City 1 pe j- 9 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 att c ment. lso, a certified copy of the recorded notice of commencement must be posted at the job site for the first insp^ ,do which o curs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection ill 4'L Pe d a reinspection fee will be charged. Signature caner or Agent The foregoing ins ent was acknowledged before me this day of V 20 1,, by 29W.11fibm 61-0 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: A— Mff TON ROMEIZ0 Print:. my comnss M Commissi o�jf E`�: oa, zois Yrn�n co. Signature Contractor The foregoin instrument was acknowled,�geed%bef e me this day of , 20 by lrai " 1 who is personally known to me or who has produced l as identification and who did take an oath. NOTARY PUBLIC: APPROVED BY /� Mans Examiner Zoning Structural Review Clerk (Revised 3 112'/201; )(Revise4 07 /10 /07XRevised 06110 /2009)(Revised 3/15/09) 4 1, .