EL-13-2764Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 204249 Permit Number: EL -12 -13 -2764
Scheduled Inspection Date: May 05, 2014 Permit Type: Electrical - Residential
Inspector: Rodriguez, Jorge
Owner: WALKER, MARK & PATRICIA
Job Address: 237 NE 100 Street
Miami Shores, FL 33138 -2418
Project: <NONE>
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060134670
Contractor: VEROTEX CONSTRUCTION INC Phone: (305)261 -8777
comments
KITCHEN REMODEL
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 02, 2014 For Inspections please call: (305)762 -4949 Page 9 of 26
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
JAN 2.9 ZW
Permit No.17 /,. - 76 Y
Master Permit No. I I :17� o3
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO V/ Flood Zone:
OWNER: Name (Fee Simple Titleholder): ate_ PA 7-; g c,-m nA 411 -16-2 Phone #:,�Q5 • &, e 0 -e.4; ; ()
Address: 2 `37 4G / tj 0 l ,
City: 4 A P,// I -,j 46 0.0 S; State: _-r e-14 ?P a / ,)/4
Tenant/I.essee Name:
Email:
CONTRACTOR: Company Name: Az e� Gf2yup j4c c ce7d- %d Phone #: �6 a -3 - A �
Address: 896 Vul 70 Ave r
City: State: F Z c Ix j o 4 Zip:.- - -314- 4-
Qualifier Name: r 0 %2 E i Q 'y E Phone #:3 0 ° 119 ® 4-P t, F1
State Certification or Registration #: 4E7e, 0400 /2 6' E Certificate of Competency #:
Contact Phone #: 9�Q -5 �O 0 ° 6 6 Email Address: A i e
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit:
Type of Work: OAddress .
Description of,Work:
OA Iteration ye
'iv 1ACC ,(,t �
e/LiaesW Footage o Work:
New epair/Replace .. #'. ODemolition
y s -
®brd°o
Submittal Fee
Scanning Fee $
Permit Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding st-4 (if applicable)
�ondmg Company's Address'
City i State zip
0
1ljiortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
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 Signature A%�,e-e '
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 201 , by AftoK- kooa% t�nt.�&g, ,
who is personally known to me or who has produced fl-'bU
W 44— 5'Qji I -W3 -OAs; dentification and who did take an oath.
v6 13 �
NOTARY PUBLIC:
Sign:
Print: y ,?.e,'fe EDGAR DEL RIO
Contractor
The foregoing instrument was acknowledged before me this
day of 2LI 20!q, by ge no, I.an , A 4.,e
who is_ personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: a
Print: AckcrA 6 ADRWdA GP
ARDI
MY COMMMON t EE 867174
My Commission Expir 0. EXRR Jamaly 2Z 2017
so, W nw
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09)
Miami Shores Village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (3057 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
DEC 1.0 2013
Permit No. Z-% /3-627A
Master Permit No. R-C 13 `° a 76
JOB ADDRESS: �°%j �'� ` 0 C�T . '(� K1111 47 V�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #: l 1 -- 1 W & -j D (3 °'`46-rD
Is the Building Historically Designated: Yes
Zone:
OWNER: Name (Fee Simple Titleholder): Mk- M"k- Wkt Phone #: 304 � G 0
city: k. I oA, t 4U&A&�2
Tenant/Lessee Name: A LE5 C7zxctJp
Email:
7,%r /. Fall=
CONTRACTOR: Company Name: y
Address: (o j q> A3 L_� t re
MW
up Phone #: 305 - Z& 1 " ff 77 -)
city: IR L J State: L- Zip:3'3 1 5.s
Qualifier Name: ?6-riss, Phone #: 10V `--4
State Certification or Registration #: 66°e- e s7 14 ( Certificate of Competency #:
Contact Phone #: I;o Email Address: V 4 0D j'&_-v1- &HAJ1 C.Q ��
DESIGNER: Architect/Enginep
Value -of Work for this Permit:
VIP
``type of Work: DAddress
Description of Work: 6--(T C
lnrVt-) 066 W� VAI-t'.fA
Phone #:
PA D Square/Linear Footage of Work:
OAlteration ONew 14�epair/Replace
Submittal Fee Permit Fee $ 6J f m e-;' CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond
Technology Fee $
TOTAL FEE NOW DUE $
ODemolition
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
promise in good faith that a copy of the notice of commencemen,
whose property is subject to attachment. Also, a certified copy
for the first inspection which occurs seven (7) days gfte .
inspection will not be approved and a reinspection b'
Owner or Agent
The foregoing instrument was acknowledged before me this
day of DkC, , 20 f -, by WMC44 U-Pk e i?s ,
who is personally known to me or who has produced
As identification and who did take an oath. 1
NOTARY PUBLIC:
Si/l,
Sign:
Print: =
osrzo�s�
My Commission Expires: C O RI M I S S 10 (I #
%v'�'•.EE173059.
estimated value exceeding $2500, the applicant must
gn lien law brochure will be delivered to the person
?tice of commencement must be posted at the job site
k issued. In the absence of such posted notice, the
Contractor
The �regoinginsl nt w as acknow ged before me this / o day 20 (3, by
who is personally known tome or who has produced
-�Y$5 0 as identification and gho_di� take an oath.
APPROVED BY Plans Examiner
Structural Review
(Revised 3 /12/2012 )(Revised 07/10/07 )(Revised 06 /10/2009XRevised 3/15/09)
NOTARY P LIC ALMA A. ESPINOZA
_ Notary Public - State of Florida
ar Mq Comm. Expires Aug 15, 2011
Sign: E,,;,;,`a':`° Commission # EE 827187
Print: /
My Commission Expires: X 15,
Zoning
Clerk