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EL-12-687
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 FC- Inspection Number: INSP- 181620 Permit Number: EL -4 -12 -687 Scheduled Inspection Date: November 15, 2012 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MORALES, RUTH & ALFREDO Work Classification: Alteration Job Address: 169 NW 110 Street Miami Shores, FL 33161- Phone Number Parcel Number 1121360030510 Project: <NONE> Contractor: DAW ELECTRIC, INC Building REPLACE L GTH FIXR URE ADD OUTLETS. RELOCATE I INSPECTOR COMMENTS False KITHCEN AND ADD BATHROOM Inspector Comments Passed E21" r� Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 14, 2012 For Inspections please call: (305)762 -4949 Page 28 of 30 e BUILDING C Miami Shores Village ���� Building Department RED u g p ... 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 QI s T&- (305) 795.2204 Fvx (305) 756.8972 i INSPECTION'S PHONE NUMBER (305) 762A949 ° "'' °'" FBC 20 Permit No. & L' C/ �/ L PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: e�l G' /° sr city: Miami Shores County: Folio/Parcel#: /%,�s l 3 ®n i 0 ;5 I %7 Master Permit No. !` ,Q - Y Is the Building Historically Deserted: Yes NO Flood Zone: .L MIVL I Lei - OWNER: Name (Fee Simple Titleholder): W0,165l /V ./Vim L,'r" v rnvuorr. Address: Z 5� Aekl Z / ® s 7 State: r ( zip: Tenant/Lessee Name. Email CONTRACTOR Company Name. Address: "10 It City. `N!t'41 Qualifier rnonen: State Certification or Registration #: % 0 32 Certificate of Competency #: Contact Phone# Email Address: DESIGNER Architect) nginew. Phone#: Value of Work for the Permit: $ SgmuWLinrar Footage of Work- Type of Work: ClAddress Ieseription of Work: Submittal Fee ilteration , < _ . ONew Permit Fee $ IS - CiD Cam' $ CO /CC $ Scanning Fee $ `'_ v Radon Fee $ DBPR $ Bond $ Notary $ TrainiaWTAW cation Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ODemolition N :)o Pt 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, BORERS, 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 wring. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR R"ROVEMENTS 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 properly 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 t fier 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 om this day of 20 ZL by �ld'is l�l �1l[R Llb ll who is personally y^known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print ` /� My Commission Expires: APPROVED BY i signatu r�.�,rnrrnr The foregoing instrument was acknowledged before me thislo day of � 20 bya rriekA L. * -*d s who is personally known to me or who has produced as identification and who did take an oath. fni F - fte d Roma R Comm. Evhn So 27,201.1 Coaion • DD 928375 .Z40/z, Plans Examiner Structural Review (Revised 3n2=12XRevised 07 /1M)Mxv=d 06110/2009)RevnW 3115/09) NOTARY PUBLIC: Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR I ARCHITECT Permit N. Owner's Name (Fee Sim le Title Holder) Owner's Address: 7k a A/W City: M, IA41 — �1y�,� S State Phone #: ?Y 4-30. 30%. f�l Zip Code: 3 31 tot- Job Address (Of where work is being done): 1 & q j 1/6 5% City: Miami Shores State:—Florida Zip Code: .3 3 ) 61 Contractor's Company Name: _ )6 A ij & L O LiA1C Phone #: TKG 4-77.35 0 Address: 2 0 d, 0 0 AA 47 A �� City: M )A M/ State: F G, Zip Code: Qualifier's Name: 1 6-491C& zs.,l G i,(A R^ Lic. Number: Architect/ Engineer of Record Name: �' Phone #: l r �/ J r� -ya�� Address: ® A/ �'S� r - (� City: State: to Zip Code: Describe Work: J// �;G'J0'Ot/ 4- 1140 / ✓� j����� AI I hereby certify that the work has been abandoned and/or the contractor /architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless for all legal involvement. f) f Signature 1 Signature- ''�� °� /� owner or Agent Contractor or Architect The foregoing ins ment was aknowledged before me,1 The foregoing instrument was aknowledged before me B this day of ,20X -,by 941CL `L f�G ' 'v this ` day of �, 20 /Zby .4"CP' Who is personally known to me or who has produced who is n nown to me or who has produced at— persoas indentification. as indentification. Notary Pu Sign: Seal: ,,,... ANGELIA NOBLE ? Notary public - State of Florida My Comm. Expires Nov 28, 2014 Commission 8 EE 45405 NOTARY KE' IC•STATF. OF FLORIDA ,,• 1)C. t .` E, Cetnpbell Notary ub .W: Corr,mL,ior:. #Dn" n632 a Sign: so�b U �* s Dic, Seal. Miami Shores, August 9, 2012 To Whom It May Concern, I, Mariluz Hurtado certify that the contractor A CUSTOM ELECTRIC SOLUTION INC is no Longer our contractor. Reference Permit # EL -4 -12 -687. Mariluz Hurtado Home Owner 169 NW 110 Street Miami Shores, FL 33168 Contact number: 786.281.0511 FROM :A CUSTOM. ELECTRIC SOLUTION FAX NO. :9545300857 Aug. 10 2012 02:33PM P4 A:CUS`rOM ELFcmic SOLUTION, INC. EL.ECTmcAL'CONTRAcnNG EC0002954 4100 NW 98 H AvE SUNRis», F'[.A..32351 49543868-6809 FAX (9,"530.0857 Miami Shores Village Building Department August 10, 2012 10050 Northeast a Av. Miami Shores, FL Re: permit # EL4-12 -687 169 NW 11 CP St. -- Miami Shores F! 33138 Corsin & Mariluz Barblan To: Senior Building Official and designates. Request to cancel the above noted permit is made ttft date. No contra was ever entered into, no work has been performed at this site. Please contact me at the # shown if you require additional information. • Miami -Dace County - Building and neighborhood Compliance Office Page 1 of 1 Contractor Number: Contractor name: Address: City, St, Zip: Phone: Other Phone: Fax: Email: DB /A: Contractor Status: Contractor License Information 04EO01146 D A W ELECTRIC INC 20200 NW 2 AVE #301 MIAMI GARDENS (786) 877 -3500 ACTIVE FL 33169 Class Category Category Description Expiration Date ELEC 1 ELECTRICAL 09/30/2013 ELEC 2 BURGLAR ALARM 09/30/2013 ELEC 4 FIRE ALARM SPECLT 09/30/2013 CONTRACTOR INQUIRY COMPLETE Contractor Inquiry and Complaint Search I Home Page I State License Search Menu Home I Using Our Stte I About I Phone Directory I Privacy I Disclaimer E-mail your comments or questions to BLDGDept0miamidade.gov © 2001 Miami -Dade Courriy. Al rights reserved. http: / /egvsys. metro- dade.com: 1608 /W W W SERV/ ggvtBNZAW941.DIA ?CNTR= 04EO01... 8/10/2012 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PER ICATION FBC 0 1 APR 1 7 2v2 Permit No. 2 Master Permit No. /, (_ ° 3" 1 L `16 Permit Type: Electrical . kt OWNER: Name (Fee Simple Titleholder): C6&14-1 909M14 AI Phone #: /45-6 "'3Sd ` L119 f Address:W /G✓ //o f'c A City: A /M! _�4L&::�ES State: r L Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: , ltf W,(- S7. City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: �,i/' �✓�.f'u�/tJ �lfi �f✓E <1� Jf��'l�/ ��G'_ Phone #: S)Y-- Address: /yG I✓�N�/ City: V— Qualifier Name: State Certification or Registration #: k& � C I1112 Y Certificate of Co petency #: Contact Phone#4J/,& Email Address: _5k .411 rf DESIGNER: Architect/Engineer. Phone#: Value of Work for this Permit: $ � �� Square/Linear Footage of Work: Type of Work: ❑Address Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: ��� o ✓ZG b 7S x -%L� G'� p (X7y✓ -0-1 / Submittal Fee Scanning Fee $ Permit Fee $ 1-4 � - CCF $ CO /CC $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $ r I 14P 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 $2500, the applicant must promise in good faith -that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to- attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. t Signature Signature Owner or Agent Contractor The foregoin ins went was ackn wledged before me this The foregoin �strument was acknowledged before this day of day of , 20�,�, by O , who is pe onally known to me or who has produced who ' personally kno me or who has produced As identification and who did take an oath fication and who did take an oath. NOTARY Sign: lglt?t"'" a Print: �•+`+""►+n•, �tp11c' 2.2013 My Commis n Expires h , Y sk�Asissla�Issksk�Ia��kdsda�Ia�R�iksia ik�Issk�Ia8a8a= kskskiHHaHa�sAsAsias$ �: A�Ia$ a�Is�IsBa�s�k�k�asIasia�ksIssIa $s APPROVED B �,,0 - 12_ Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3115/09) NOTARY PUBLIC: Sign: Print: My Notary Public - State of Florida Commission # EE 108193 Bonded Through National Notary Assn. Zoning Clerk