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EL-14-583Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-216437 Scheduled Inspection Date: July 24, 2014 Inspector: Devaney, Michael Owner: , Job Address: 957 NE 99 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: HIGHGRADE ELECTRIC CONTRACTORS CORP tsunamg uepartment comments KITCHEN AND BATH CHANGE GFI'S Permit Number: EL -3-14-583 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. 1132060340260 Phone: (305)576-8807 July 23, 2014 For Inspections please call: (305)762.4949 Page 29 of 34 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 l--') Permit No. Fc _ I H _ 5 &3 Master Permit No. � y — �� r JOB ADDRESS: �J ®I �1 'r4" - City: Miami Shores County: Miami Dade Zip:'" Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): (3 . �,� V!2�' t�n �� \P� f one#: Address: (--)C) t- ' '�'< _ City: ( t, State: Pk_- Zip: '?s 78 I "� Tenant/Lessee Name: Phone#: Email: 3 � e t I&'' � Li CONTRACTOR: Company Name: V-\ G v-jrc \ C-- e hone: Address: a(,a t Av� . City: 1= i State: Zip: e Qualifier Name: i4 in 1.I nrYY4_ Phone#: `3 State Certification or Registration #: z� Certificate of Competency #: SIG IF— © ®O 3 —158 Contact Phone#: 96 - 4 Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $_ !0ASO SO "`' Square/Linear Footage of Work: 11 Type of Work: ❑Address ❑Alteration ❑New RRAJ-air/Replace ❑Demolition Description of Work: 1-� 1 5, rte' i C�►Pli' x-i--a.9sr �" acid t G Y --Q-1 'j ►� e 1-� h C � ;�� 1��_ rpm-ila-im" Submittal Fee Scanning Fee $ Permit Fee $ >®® CCF $ CO/CC $ 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 Signature 04 or ent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this -z E' day of F -e -,k:3 , 20 14-, byC-4--i 0- of 20 1+.by who ispa`so-nZy'own me or who has produced, P who ' onal y known to a or ho has produced v As identification and who did e ' datli. 3 as identification and who did take i uwa& APPROVED BY Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 1 G� V-01 Zoning Clerk mj Z o 9 NOTARY PUBLIC: M z a m NOTARY PUBLIC: 'O 2 z n ' \ U .� 0 0 0 '2 jj 1,0 /''j ,(/ Sign: �`� /� ` ,� Sign: Print: � l c.� 'a n Print: � r—,, My Commission Expires:;;-, My Commission Expires: APPROVED BY Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 1 G� V-01 Zoning Clerk DBPR - PALMA, NELSON A; Doing Business As: HIGHGRADE ELECTRIC CONTR... Page 1 of 1 9:29:16 PM 412412094 Licensee it Licensee Information Name: PALMA, NELSON A (Primary Name) HIGHGRADE ELECTRIC CONTRACTORS CORP (DBA Name) Main Address: 3613 SW 167 AVE MIRAMAR Florida 33027 County: BROWARD License Mailing: LicenseLocation: 3613 SW 167 AVE MIRAMAR FL 33027 County: BROWARD License Information License Type: Registered Electrical Contractor Rank: Reg Electrical License Number: ER0015138 Status: Current,Active Licensure Date: 01/07/2000 Expires: 08/31/2014 Special Qualifications Qualification Effective Dade V=__ _;TW ,w License i . !a int 1940 North Monroe Street„ Tallahassee FL 32399 :: Email: Customer Contact Center :; Customer Contact Center: 850.487.1395 The State of Florida is an WEED employer. Copyright 2007-2010 State of Florida. PriyaCy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emaiis provided may be used for official communication with the licensee. However email addresses are public record, if you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our ChaRte page to determine if you are affected by this change. hos://www.myfloridalicense.comALicenseDetail.asp?SID=&id=DDBFD01 A5DFCA9E70... 4/24/2014 Miami -Dade County - Building and neighborhood Compliance Office Page 1 of 1 Home I Product Control I Contractors I Building Officials I Contact us Contractor License Information Contractor Number: 99E000388 Contractor name: HIGHGRADE ELECTRIC CONTRACTORS ELEC CORP Address: 3613 SW 167 AVE City, St, Zip: MIRAMAR FL 33027 Phone: (786) 357-8728 Other Phone: Fax: (954) 433-9360 Email: D/B/A: Contractor Status: ACTIVE Class Category Category Description Expiration Date ELEC 1 ELECTRICAL 09/30/2015 ELEC 4 FIRE ALARM SPECLT 09/30/2015 CONTRACTOR INQUIRY COMPLETE Contractor Mayfly and Complaint Search I Home Page I State Ucense Search Menu 9 Nome I using Our Site I About I Phone Directory I Privacy (Disclaimer E-mail your comments or questions to BLDGDeotPmiamidade.00v © 2001 Miami -Dade County. Ail rights reserved. http://egvsys.miamidade.gov:1608/WWWSERV/ggvtBNZAW941.DIA?CNTR=99E000388 4/24/2014