EL-12-2267Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-204365
Scheduled Inspection Date: December 12, 2013
Inspector: Devaney, Michael
Owner: SFARA, VERONIQUE
Job Address: 1080 NE 105 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: PARDIME ELECTRIC INC
comments
POOL ELECTRIC
Permit Number: EL -11-12-2267
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number (305)799-2006
Parcel Number 1122320280090
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-182259. WAntrd a plumbing
E�l inspection.
Failed
Correction
Needed
Re-inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 11, 2013 For Inspections please call: (305)762-4949 Page 29 of 30
Miami Shores Village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762A949
I
� NOV 3 02012
FBC 20
BUILDING Permit No.
PERMIT .APPLICATION Master -Permit NO.
Permit Type: Electrical
JOB ADDRESS: I WOk t� p J
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple
City: l V\ l S �n ® res State:
Tenantaxssee Name: Phone# -.
Email:
CONTRACTOR: Company Name: 1one0VZ "422' v Q� ��b
Address:2462S-
City:
6
City: State Zip:
Qualifier Name: e a 1 Phone#
State Certification or Registration #: 6001 ® L3 Certificate of Competency #: ® �I� � 4
Contact Phone#: ���' � 7 Email Address: Z!--)
�� Y7
DESIGNER: Architect/Engineer. Phone#-.
Value of Work for this Permit: $ - tea Square/Linear Footage of Work:
Type ok Wor:Address OAlteration Aqew ORepair/Replace
Description afl
Work"
• y` e
4 Gin,
Submittal, Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $Radon Fee $ DBPR $ Bond $
Notary $ ' Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
ODemolition
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 9
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulaoAg'
construction in this jurisdiction.- I urderstand that a separate permit-rnust be secured QW PLUMBING; SIGNS,
WELLS, POOLS, FURNACES, BOMERS, 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 applicoti 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 mast 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`naotrre, t-tc
inspection will not be approved and a reinspection fee will be charged
Signature WA Signature
--4�
Owner or Ag nt n Contractor
The foregoing instrument was acknowledged before me this d'` The foregoing instrument was acknowledged before me this3LE7
day of �J , 20t2 by VC�N \SL-C�— 5_6� day of L�- , 201L, by .1evc6u ei Sm- r l ,
who is personally known to me or who has produced ��( D who is personally known to me or who has produced i� L -
As identification and who did take an oath.
CC�u-�rSD 41-Dw i; as identification and who did take an oath.
My Commission Expires:
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Reviwd 06/10/2009)(Revised 3/15/09)