EL-14-1501 (2)Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-216535 Permit Number: EL -7-14-1501
Inspection Date: July 25, 2014 Permit Type: Electrical - Residential
Inspector. Devaney, Michael Inspection Type: Final
Owner: ,
Job Address: 1030 NE 105 Street
Miami Shores, FL 33138-2106
Project: <NONE>
Contractor: AMENGUAL ELECTRIC INC
Building Department Comments
Work Classification: Alteration
Phone Number (305)420-6611
Parcel Number 1122320280040
REPLACE CEILING LIGHTS SMOKE DETECTORS 6 NEW
OUTLETS NEW HRC
Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
7
Failed El
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
For Inspections please call: (305)762-4949
July 24, 2014 Page 1 of 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING RP ELECTRIC - ❑ ROOFING
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS
JUL 14 2014
FBC 20 )6
Master Permit No. 6e /z/ —
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I o:i L7 N E 4.0 ") 6.1 I' e -6 -
City: Miami Shores County: Miami Dade Zip: 391,319
Folio/Parcel#: ' I s `L2 31. ® Z �5 a ® 0 L4 0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: I FFE:
OWNER: Name (Fee Simple Titleholder): i b s ) N VE: E)T L(- i_ Phone#: 71'6.-302, 671 a-9
Address: lid%i 5uJ te_ 1160
City: 141 /. J -Mi State: %- L Zip: !
Tenant/Lessee Name:
Email: �_il P/ jr& L //mew E 61i/1 all_ ; e4o"
�1
CONTRACTOR: Company Name: , ���o' Lc li cf SPL IAC c� Phone#: _ /rto
Address: -Qpf r /t% to /Z 7�e�
City: i
Qualifier Name:
�-- Zip:
Phone#: l dy W8 6
State Certification or Registration #: U® 00 AS F'-1-1 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit:
M
City: State:
Square/Linear Footage of Work:
Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
�c�r-v i tea. �ec�i�/ i i�c Ar. i -4a -f „R.,c�,r-...r.:r, yr
Specify color of color thru tile: u
Submittal Fee $e Permit Fee $ ® CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 absenceosted notice, the
inspection will not be approved and a reinspection fee will be charged. ,,/ of s
Signature
-e�'�WIIER or AGENT
The foregoing instrument was acknowledged before me this
day of 20by
who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
EXPIRES: NQVWJ r 14,2D17
eaweftKt yaWftu s
79,
The foregoing instrument was acknowledged before me this
c� day of —JV/54 20 14 , by
176 t who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Iafar►
.y:- -o:. - . �. .7Gftu
Print:* MY MMIS I #tFF11904'
........w+ •` E) IRES VAay 4, 2018
Seal: x.01 r5 Fl rirlawnt.-Q—ine....w.
as
Z
/'y
APPROVED
APPROVED BY V Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)