EL-13-2684Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
LOW VOLTAGE
Inspection Number: INSP- 208231
Permit Number: EL -11 -13 -2684
Inspection Date: March 05, 2014
Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: PEDRO DE MELLO, CYNTHIA DA
Work Classification: Alteration
f`/1QT A
Job Address: 1208 NE 95 Street
10,
Miami Shores, FL
Phone Number
Parcel Number 1132060144100
Project: <NONE>
Contractor: TRUE POWER ELECTRIC INC
Buildina Deoartment Comments
Needed
LOW VOLTAGE
Infractio Passed Comments
INSPECTOR COMMENTS True
Passed
10,
Inspector Co
s
Failed EJ
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can
be scheduled until
re- inspection fee is paid.
For Inspections please call: (305)762 -4949
March 05, 2014 Page 1 of 1
Miami Shores Village
Building Department
10050 N.Elnd Avenue, Miami Shores, Florida 33138
Tel: (305) 7952204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
�G4 2 � 2013
FBC 2010 —
Permit No. J� 2� LA
Master Permit No. J
JOB ADDRESS: 112- o y N& IS s S roe e E r
City. Miami Shores County: Miami Dade Zip:
Foho/Parcel #: A4 3 Z a6 o 4!V Q d d®
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER Nam (Fee Simple Titleholder): _ P£ ')12(o DG /lE'l in,-cb l r"uiA l]4Phone#:
Address:
City.
State Zip:
TenanVUssee Name: Phone#:
Email:
CONTRACTOR: Company Name: —IN95 - PO W IAA k� OXT-U C- Phone#:
Address l t, 3 Q U) i
City: _
Qualifier
State Certification or
#: eC-J. 3. b n Z Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer. Phone#:
Value of Work for this Permit: $ 3 0 ® '
Squarellinear Footage of Work:
Type of Work: ❑Address DAlteration JKNew ORepair/Replace ODemolition
Description of Work:
Submittal Fee $ Permit Fee $_ /A�P' 106' CCF $ CO /CC $
Scanning Fee $
Radon Fee $ DBPR $ Bond $
Notary $ Trnl_ ning/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
4
TOTAL FEE NOW DUE $
Banding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
zap
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 COMaIENCEMENT."
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 approved and a reinspection fee will be charged.
Owner or Agent
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
C41wiractor
The foregoing ins ru was acknowledged before me this j/
day o44identific , by
who me or who has produced
on who did take an oath .
7 177-7 7r�,
Pabruaty n,
My CommisAion Expires:
------------------- - - - - --
Plans Examiner Zoning
Structural Review Clerk
(Revised 3/1=012)(Revised 07 /10107)(Revised 06110 M)(Revised 3/15/09)