EL-14-421Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-214123 Permit Number: EL -3-14-421
Scheduled Inspection Date: June 16, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: MIAMI PROPERTY SOLUTIONS LLC,
BAIA RAI 0070ESTV CAI I mini IC 1 1 f%
Job Address: 122 NW 110 Street
Miami Shores, FL 33168.4321
Project: <NONE>
Contractor: DEVELOPMENT ELECTRICAL CONTRACTORS INC
Building Department Comments
Inspection Type: Final
Work Classification: Alteration
Phone Number (786)344-6463
Parcel Number 1121360030100
UPGRADE EXISTING LOAD CENTER A PANEL CHANGE I ""'----
EXITING OUTLETS GFPS AND LIGHT SWITCH IN INSPECTOR COMMENTS False
BEDROOM CLOSET
Inspector Comments
Passed EB x
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Phone: (786)273-0025
June 13, 2014 For Inspections please call: (305)762-4949 Page 26 of 32
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
JOB ADDRESS: I Z Z " • w • ! rrr1- 8172(wnr
FBC 20
6 2014
Permit No. E`[ L 4 — 9 aL
Master Permit No.A C ) LI — I
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11- Z l U -CSD 3- a 1 GG
Is the Building Historically Designated: Yes NO " Flood Zone:
OWNER: Name (Fee Simple Titleholder): /_ ` 2: ?Ac-eD''t y -50 Phone#:.jur So-), YbYS�
Address: 1,90 N. E ) c .$) AV!6- t
City: Mss State: Vie_ Zip: 3 314. 1
Tenant/Lessee Name: Phone#:
Email: 4-_L3N iL n 4 1 C C! l
CONTRACTOR: Company Name:17 1"L�-ate e-&47NWV_ &Q -M4 u2. LLC Phone#:
Address: % S 7 11 SG✓ S- 9TI4 71"A-
City: MT -4t" x State: f Zip: 33 lg-3
Qualifier Name: t t•°i 5, V aUt3 2- Phone#: -2,9(nZ,--> 3 O® 2S
State Certification or Registration #: e % 1301 `( 5'22 Certificate of Competency #: //tOCN0008
Contact Phone#: 3DY 5'(n / 36A Email Address:
DESIGNER: Architect/Engineer.
Value of Work for this Permit: $ e- 0 Square/Linear Footage of Work:
Type of Work: DAddress DAlteration ONew d5;air/Replace• ODemolition
Description of Work:
Submittal Fee $ J` WI� 0 Permit Fee $ j?y CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ . Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ L2 L/.. �i�
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
weer or Agent Contractor
The foregoing instrument was acknowledged before me this SW The foregoing instrument was acknowledged before me this S Ty
day of , 20 by itiQ1 e`��= jL—,ZLti day of /h - , 20L by °� -� � ,
who is personally known to me or who has produced who is personally known to me or who has produced
NOTARY PUBLIC:
Sign: f - J '
\Jvv. 74Y
Print:
My Commission Expires:
APPROVED BY
take an oath.
W-,FAEL E GIAMPETRUZZI
MY COMM:SSION # EE088809
EXPIRES May 01, 2015
Plans txaminer
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
as identification and who did take an oath.
NOTT PUf RAFAEL E GIAMPETRUZZI
,ab MY COMMISSION # EE088M
EXPIRES May 01, 2015
b
Sign:. n.3 Fork! Nomery3enx®.can
Print:
My Commission Expires:
Zoning
Clerk