EL-13-2832Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 207446 Permit Number: EL -12 -13 -2832
Scheduled Inspection Date: March 05, 2014
Inspector: Devaney, Michael
Owner: CELANO, MARIANO
Job Address: 695 NE 93 Street
Miami Shores, FL 33138-
Project: <NONE>
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)215 -7236
Parcel Number 1132060141770
Contractor: APR ELECTRIC CORP Phone: (305)318 -3692
Building Department Comments
INSTALL 2 NEW OUTLETS 2 LIGHTS AND 1 SWITCH
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP- 206131. CREATED AS
REINSPECTION FOR INSP- 206009. CREATED AS REINSPECTION FOR
INSP- 205928. Conduit under stairs is o. k..
Repair broken conduit.
Failed ❑ 24 Jan 2014
On work since last inspection.
19 feb. 2014
Partial o. k. add smoke / carbon monoxide detectors.
Correction ❑
Needed ,a
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 04, 2014 For Inspections please call: (305)762 -4949 Page 13 of 26
Miami Shores Vi
Building Departme t DEC 1 � 2013
10050 N.E.2nd Avenue, Miami Shores, Florida 3:
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.49
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
Permit No. c-! `-3 ~a;21 Boq
Master Permit No. W S_ n — L3- p' ,j 9V
JOB ADDRESS: 6 rJ NE q 3 sli
City: Miami Shores County: Miami Dade Zip: 3Z 1 3 ff
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO (Z Flood Zone:
OWNER: Name (Fee Simple Titleholder): l ► iQ r ► a Vt b LXYI Q A0 Phone #:
Address: A.?
City: m t Q ma ; 1� 1i 0 2 FS State: Ek Zip:
Tenant/Lessee Name:
Email:
a
CONTRACTOR: Company Name: Pr P R f V-1 C � C_ Phone #:
Address: � (K3 • V I4) % sS7— -0 C y
ty: ` ' �-- Zip: 1j /0-40
Ci State
Qualifier•. Name: Phone #: 79/ 2219 ,?i6
,_
State Certification or Registration #: 0 0®^0 4 1Y Certificate of Competency #:
Contact Phone #: —796— 319— 36 92, Email Address: /- c
DESIGNER: Architect/Engineer: w l I I I a w, �P_ 111A Phone #: '3 a` (07j
Value. of Work for this Permit: $ ��i) Square/Linear Footage of Work:
s
Type bf Work?:- L1Address. LiAlteration ONew ORepair/Replace J ODemolition
Description of Work: .� -;A & %o (� .Z woWj 0A I gAs lvk o- l C 4G "/
Submittal Fee $ Permit Fee $ / 7 ®P CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
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 approved and a reinspection fee will be charged.
Signature,
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:
Signature
�oActor
The foregoing instrument was acknowledged [-� before �
®me this j7
day of , 20 jJ, by A L K o%4 14� -/�
who is ersonally kno to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My
July 15, 2017
a� iT
APPROVED BY , ? eo 00e— Plans Examiner Zoning
Structural Review Clerk
(Revised 3 /12 /2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
JEFF A `T`WATER
CONSTRUCTION
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