EL-13-2084Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 199137
Scheduled Inspection Date: March 13, 2014
Inspector: Devaney, Michael
Owner: FRAME, ROBERT
Job Address: 680 NE 97 Street
Miami Shores, FL
Project: <NONE>
Contractor:
SHINE ELECTRIC ENGINEER
auliaing Department comments
ELECTRICAL WORK FOR NEW POOL
Permit Number: EL -9 -13 -2084
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid
1132060171610
Phone: (305)688 -2000
March 12, 2014 For Inspections please call: (305)762 -4949 Page 7 of 29
BUILDING
PERMIT APPLICA
Permit Type: Electrical
Miami Shores Village C
Building Department W 16 206
90050 N.E.2nd Avenue, Miami Shores, Florida 33138 r
Tel: (305) 795.2204 Fax: (305) 756.8972 BY:
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20 10
Permit No.
TION Master Permit No.t?ff
J
JOB ADDRESS: C-4!E5 C= `7% —
City! Miami Shores County: Miami Dade Zip: S J / 1:3C2E
Folio/Parcel#: / / 32C.)Gc r--> 1-7 1 Cv I .CD
Is the Building Historically Designated: Yes NO Z),-. Flood Zone:
OWNER: Name (Fee Simple Titleholdery�—> Z=t=,e-f— -Y"P rv7g= phone#k: �
Address:
City: f '�j l I ff-7 rvi
: ':T xp.E3 --2, l 34EE!::�
Tenant/Lessee Name: Phone#
Email
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING phonet 305 -688 -2000
Address: 3876 NW 125 ST
City: OPA LOCKA State. FL Tap: 33025
Qualifier Name: FRANCISCO SANTOS phone#: 305- 688 -2000
State Certification or Registration # EC0001514 Certificate of Competency #:
Contact phone#. 305 - 688 -2000L Email Address: AHUEZO @SHINEELECTRICAL.COM
DESIGNER: Architect/Engineer T �Y r'' Phone#
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: (]Address ' OAlteration UNew ORepair/Replr ODemolition
Description of Work: o �t
Submittal Fee $ Permit Fee $ 01,0' CCF $' CO /CC $
Scanning Fee $ Radon Fee $
Notary $ Training/Edncal3on Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
/,�%��
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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 oc seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will ' e rov rehWection fee will be charged
Si Signature
Owner or Agent Contractor
The foregoing instrument was ac1qowledged before me this l '1'he fol
day of 20 L--�J b ��day of:
who is na11y known to me or wbo-�as produced who is
and who did take an oath.
YORLENY M. F88KV=
MY COMM SM 9 FF022108
EXPIRES: September 27, 2017
8MW Tluu "PU*UndMbM
Print:
My
was acknowledged before me
� II��G limit �
known to me or who has produced.
did take an oath.
Pubb UndelrAws
APPROVED BY 145 E 60,-1— Plans Examiner Zoning
Structural Review Clerk
(Revised 3n712012)(Revised 07/10/07)(Revised 06/10n009)(Revised 3/15/09)