EL-13-1309Inspection Worksheet
Miami Shores Village /� �� �•
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 193337 Permit Number: EL -6 -13 -1309
Scheduled Inspection Date: April 23, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: MARINAS, ANGELA
Job Address: 118 NW 104 Street
Miami Shores, FL 33150 -1240
Project: <NONE>
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360131440
Contractor: MITCH JOSEPH INC Phone: (954)655 -7911
tsui
comments
ELECTRICAL WORK FOR NEW ADDITION
INSPECTOR COMMENTS False
Inspector Comments
Passed E PL
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 22, 2014 For Inspections please call: (305)762 -4949 Page 2 of 37
Miami Shores Village
Building Department
10050 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
JUN 11 21013
0
By. 0 oP mN .Rm Pe?9@1 C�9a. i.?P,u
Permit No. -' i
Master Permit No
JOB ADDRESS: 117 r r v-4 I 0Y S k
City: Miami Shores County:
( Miami Dade
Zip:
Folio/Parcel #: I i a 13(b ®'V YH
Is the Building Historically Designated: Yes
NO i✓
Flood Zone:
OWNER: Name (Fee Simple Titleholder):_AQ`' t
1� A �4 4"�5 °
Phone #: ?"05 � �7
Address: I � N � I d 11' �� •
City: ��' �� State:
,
Tenant/Lessee Name:
Phone#:
Email:
°
CONTRACTOR: Company Name: 1" `� V o,:!
f4 t-rc' `
Phone#: IS '1 6Ss 1901
Address: % I a 1 rc jV CIS 44�, &je,
City: State:
]E L .
Zip:
Qualifier Name: M• ° CAA ® LQg
Phone #: 1 SY C S S -70111
State Certification or Registration #: Go -pS 5 .9
Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer:
S C,4
Phone#: —(86 �� J i T -71 aS
Value of Work for this Permit: $ ),T ®� ' Square/Linear Footage of Work:
3 83F .
Type of Work: OAddress arAlteration ONew ORepair/Replace ODemolition
Description of Work: 4�w ��� /��� , YeQ�t 1� 1 tuto C-&}e- • -T10te-J.
Submittal Fee $ Permit Fee $ ZZ-4" _1 -0'10 CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond
Technology Fee $
TOTAL FEE NOW DUE $ 1 c14 11
Bonding Company's Name (if applicable) _
Bonding Company's Address
City ; I -: I State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. n the absence of such posted notice, the
inspection will not roved a n fee will be charg
a /► w
Signature ignature IV
Ofter or Agent
The foregoing instrument was acknowledg before me this 1
day of 'JUY%k , 2013 y rtg0- [JOxe � � '
who is personally known to me or who has produced
NOT
Sign: kxykl
n
Print:
My Commission Expires: *
and who did take an oath.
kil
VNEROS
* my00NMISSI0N5EE
EXPIRES: May 5, 2015
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The fobrofioing instrument was acknowledged before me this
day o 73 U It a- , 2013 , by M AdA -�DO�r k
who is personally known to me or who has produced .f
as identification and who did take an oath.
NOT
Sign:
Print:
My Commission �eFn�'- soft 01�
APPROVED BY
49WA - -�`��"� Plans Examiner Zoning
Structural Review Clerk
(Revised 3 /12012)(Revised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09)
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BUSINESS 11712 WFOR-E DR
LOCATION 'TAMPA 3361 '
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TAX RECEIPT
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THIS. RECEIPT MUST BE7POSTED CON4F4jcU0.USLY1 1 .N YOUR PLACE OF BUSINESS
THIS BECOMESA TAX RECEIPT TNS.W is levied for the prMeQ8 Of doing business w ithin Broward county and is
non-requ lat I Ory - in -nature: You quid met all county and/or Municipality planning
and.zoning r6q.uiC0rftr1ts'.ThJ Business' Receipt must be transferred when
WHEN vALIDATED 6 or you have moved the
the. bLt*fe" I$ busirms name has
business . location. This re..G.w does riot Indicate that the business Is legal Or that
. itAs In compligime with Stg&e 'Of local t%ws-and regulations.
Mailing Addmss:
MITCH JOSEPH INC
11 ()1 NW .95 AVE
PLANTATION, FL 33322
115 S, And . rews;Ave-, I Rm. -A400jr
Ft. Lapdordale, FL 33301-1895 — 95"31-4000
VALMOCT-OVIER-1,2012i. THROOGH SEPTEMBER So,2013
DBA:
INC
%LECTRICAL/ALARMS/ CONTE
Type-
Business NOMO:.: MITM - JOSSPIi
Busmoss (FLEMICAT, CONTRACTOR)
m1T; dmLL
0Wnor-NaMe*, M JOSZPK
pusinoss-opened:-03/10/1994
ausinesslocationp. .1115,9S NX '53 S7
sb*WC*,unty/CortfReg.EC1300,2.559
SUNRISE
EXempt.jon Co-de:
Business PhOTW954= 345-8372
Rodft Seatft
Ernpioyees Machines professionals
1.
NumberofftthlhM
Vandlrfg- Ty
Prior Years Collection Cod Total Paid
TaxAmo unt Translbr Fee :bMf Fee
PW�SIY
0.00 0.,0() 27.00
27.0p o.0:0
THIS. RECEIPT MUST BE7POSTED CON4F4jcU0.USLY1 1 .N YOUR PLACE OF BUSINESS
THIS BECOMESA TAX RECEIPT TNS.W is levied for the prMeQ8 Of doing business w ithin Broward county and is
non-requ lat I Ory - in -nature: You quid met all county and/or Municipality planning
and.zoning r6q.uiC0rftr1ts'.ThJ Business' Receipt must be transferred when
WHEN vALIDATED 6 or you have moved the
the. bLt*fe" I$ busirms name has
business . location. This re..G.w does riot Indicate that the business Is legal Or that
. itAs In compligime with Stg&e 'Of local t%ws-and regulations.
Mailing Addmss:
MITCH JOSEPH INC
11 ()1 NW .95 AVE
PLANTATION, FL 33322
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