EL-13-1559Inspection Worksheet �' ► �;,,,:-
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL '
Phone: (305)795 -2204 Fax: (305)756 -8972 N'
Inspection Number: INSP- 207386 Permit Number: EL -7 -13 -1559
Scheduled Inspection Date: February 28, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: GARCIA, JOHN
Job Address: 169 NW 104 Street
Miami Shores, FL
Project: <NONE>
Inspection Type. Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360131370
Contractor: ELECTRICAL MASTERS INC Phone: 305 - 265 -7996
comments
NEW ELECTRICAL FOR SWIMMING POOL
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP- 205620. CREATED AS
REINSPECTION FOR INSP - 195144. 18 Feb. 2014
Reject pool pump to have G. F. I. protection.
Failed
Correction��y
Needed ❑ 12 Ire
Irl
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 27, 2014 For Inspections please call: (305)762-4949 Page 18 of 27
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
JUL 1 ^6
2 e�J r3
Ya � _ — --- -----
Permit No. )
Master Permit No;�1
JOB ADDRESS: A f Z L)
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #: //- 2 1--3 01,3 - 13 V
Is the Building Historically Designated: Yes NO k Flood Zone:
OWNER: Name (Fee Simple Titleholder):_ — 7�:>kn Phone#.
Address: / ki J /GV �5-"
City: a - :5-"'Y State: Zip: 3 3 J.510
Tenant/I.essee Name: ,C�� Phone#:
Email:
CONTRACTOR: Company Name: Phone #: -2o6 - 29,2 - Jd- %6
Address: r "6Y r,& Ac --,) biz %
City: State ry Zip: 3 3/3S
Qualifier Name: Phone #•
State Certification or Registration #: eX� elc'>m3 05? Certificate of Competency #:
Contact Phone #: 4 A Email Address:
DESIGNER: Architect/Engineer: x/j, 7,-I /eL m' �. Phone#:
Value of Work for this Permit: $ 2, 6ZZ-� 4v Square/Linear Footage of Work: 4 I
Type of Work: DAddress _ DAlteration ONew „, :OR ODemolition
D riptjoq:,0 Wmrk:
Submittal Fee $ Permit Fee $,4&0 ,Pe. CCF $ CO /CC $
Scanning Fee $
Notary $
Radon Fee $
DBPR $ Bond $
Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
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
Zip
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 fVNch occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be aAprot4d and a reinspection fee will be charged.
Signatur Signah
wner or Agent Contractor
The foregoing instrument was acknowledged before me this 5'
day of , 20 �3 by J O rd �
who is person to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: °
Print: ,'L®�
My Commission Expires:
MY COI USPON 8 FF
EXPIRES: May 15,
Bonded Thru No" Putt
The foregoing instrument was acknowledged bef re me thisml-
day of��� ,20/3, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
3
X8989
2017
undnnra
0� /3
APPROVED BY �S'/� � ,7 X14 Plans Examiner
Structural Review Clerk
i
Print:
aahn,.,
My Commission t MAC a A
* i+I MY CONlhfl3310N i FFO
EXPIRES: May 15, 2017
Bonded tau Notmy Pue�c th�dmrnde�s
Zoning
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06110/2oog)(Revised 3/15/09)