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EL-13-1039 (2)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-193621 Permit Number: EL -5-13-1039 Scheduled Inspection Date: August 15, 2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: FEVIG, JASON & GRETHEL Work Classification: Alteration Job Address: 9520 BISCAYNE Boulevard Miami Shores, FL 33138- Phone Number Parcel Number 1132060142870 Project: <NONE> Contractor: ALES GROUP ELECTRICAL CONTRACTORS Phone: (786)244-0004 comments INSTALLATION OF ELECTRICAL MOTOR FOR GATE ""'-""'" INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-193517. NO electric work started. Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 14, 2013 For Inspections please call: (305)762-4949 Page 8 of 46 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tet: (305) 795.2204 Fax: (305) 756.8972 RECEIPT c PERMIT* DATE: I � (NAME) contractor o Owner o Architect Picked up 2 sets of plans and (other) C D f C of=', F. � Address: � ✓ �'� 7V3 From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: (Signature) PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: A CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE DMNGT AFFIRA+IATNELY OR I1�t:<ATNLLY .�. '," ` l-wm a 91= ••"` i irswa i ra nw&uum i nl AMEND, EXTEM ORAL THE COVERAGE AFFORIM BY THE POLICIES FLOW. THIS CERTIFICATE OF lN3uRANCE HIES NOT CONSTITUTE A CONTRACT BE nVM THE ISSI.IQM MS(oan 9), AuTHMM REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HM11011TAM: E the mmicate holder in an ADOIT)ONAL oMUp , the ponewas) must be IMBROWWWWwriMou to th8 tem g and corAfflong althe Policy. caldn pone mV R3quim 8n Mtdmsmnent Astdoamdam Uft eerftm a dow not eanter ngna to the eertRleet@ taolder In Rao or own endarsemegttel, PWAMM , — Jse Ins�iltStoe �� ffa (SM 9T 232 West Proapec3 Rola mm@a co feat _�gg Ft Lauderfte, FL 333 ING cue Phone wyo 818-78!10 FaX IH O -79th IMSUUM A : SSIFNCE SEMROI_s INSURP.D B:K WiNL4iON GZUM CJS CONSTRUCTION ,= FOMMUMM 3504 NW 84 TERRACED; CORAL SPRINGS, FL 33M 964-Z e: YT ft IS TO OERTIFY t11AT TME POLI MS OF INS UF7AAICE LISTED BLOWWave 86 1 ISSUED TOXTINGUREDNAMED NOTtIy�7ANDINfd A�JY REQUB7EflABJ T TERi19 OR CONINR4N OF ANY CONTRACFIER FCR THE POLICY i�WQCC�ITED. , I IFTCATE MAY BE I OR MAY PERTgpVTt� WhYlRU DENT WtFti FiESPE4T TO WHiCF[TFIISOER DFANMSUBJECTTOALLTI ETERMS,0NSANI]CXlNDI]7dNSOPSL1CF1 OTTIO P+t]LIO[ESLa�tlTg SHOWN 11AAY 'rrn rrxn CLAM. R q TYPE CF �uWSPICE POLICY t+>UMeER G�1r0lAL Y LpItIT3 I.N48R ITY ® COWIMERCiAI. t�NERA1 LIRBMY EACH S 1 ADAM•00 I ❑ C] MAMMMAM © «Ctfg ,� :s 100.000.00 i4 ❑ Y Y PCOMM-0e 02"=3 OZW=14 MMEXp(A71YOA9omw 8 5,00(L10 PERSON&AAM KARY 8 1,01M. .00 GENERAL.AGGRIMATS $ MOOD oo GENE AWRE MATE LMT APPUES PER: ❑ PDLACY W M ❑LOC PRDDUOTB-Cam Atm 9 2,000,0m.00 ACTTO>! OSKE LIAUUM I s LELVMtT 1� �000.� ❑ ANYAUM C ALL OWNED M�� 0 Q ❑ W04YBJJURYiP$P�a) $ AUTOS Y Y mD82o1 ❑ MREDAUTOS ❑ 42M8/2814 aODA Y W.{iJRY {Par aarSa 8 AUT 8 13 UM810a. A UAG 0 oexsLLR STATUATORY PIP IN S 10 #0ow Owma ❑ LM ❑ OLAIIVLE.NIADE N N EACH OCCUMENC $ A(IGREGAT6 $ El DIS AND EIPLPI.OYFRffi LIlM1.ITY Y 1 R B rs�{�s°� b�NIA N FAFLIMM-P10U1 1' OJ 14 EL EACH ACCIDENT S 1.006.000.01)DO t�� goo NH) ELDM8AM-EAEMR"M 8 1,000,000.W OFOPERATK]Al9t�bw I ELDMEASE-PCHlrYLtMff 8 1.000.00111.00 t)ESM PTM OP *PrLRATUM I LDCAVCW I VEMCLES (Ath4b AC7iIRD 101, Addltlwrel Remarks sehatule, Hawro oI regtlirP�) ""CARPENTRY*"*'MASONRY-MONCfiETE PLACOWNT ETC""*CERTIFICATE HOLDER 13 INCLUDED AS AN ADM ZONAL INSURED—BLANKET WOS ON FILE— CERTIFICATE HOLDER C,ANCEI.LATIO SHOULDANY O I THE ABM DHSORMED POLICIES BB CANCELLED BEFORe Formula DWOIQPnm t & Cmish aWn Maltagament Im THE EXfMA LL BE DELIN THERM, NOTICH UMIVERED 1 r 3 Oman Orhm Smith Suite 14 M POLICY PROVIRIM. Hdandele FL SM FOX 954-5354M ACt]Rp 20 (2410A6) �ACMW 0eaACORD CORPORATION. All rights resmad. Rm and lags M Y691503MIll Rtarlte of ACORD Miami Shores Village Building Department artment 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: BUILDING JOB ADDRESS: City: D Folio/Parcel#: I V Is the Building Historically Designated: Yes OWNER: Name (Fee City: 1 -oxGICE 110, 1� np s'' l' n �4uI gg�� / v SU --- ---------------- FBC 20 Permit No. -�M Master Permit No. ROOFING County: Miami Dade Zip: Tenant/I.essee Name: Phone#: Email: CONTRACTOR: Company Address: s Z I � 6ne#:-3OS-1'2S City:- XN1 UI- tate*.—S �i�� Qualifier Name: N ® - Phone#: State Certification or Registration #: C ®S O - Certificate of Competency #: _ Contact Phone#: 'd ' .516 10 Email Address: DESIGNER: Architect/Engmeer: Phone#: Value of Work for this Permit: $ Itz? d uare/Linear Footage of Work: !4 Type of Work: ❑Addition ❑Alteration❑N ❑Repair/Replace ❑Demoli 'on Description of Work: -rA-T A11 t�, � A-®AVtjV A)0.PO) l' A0 , Color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ :onding Company's Name (if applicable) ''454r 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 E14PROVEMENTS 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 inspectio which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will t be prov a a reins ection ee w' a charged. Signature Signature L:144 Owner or Agent �1� Contractor The foregoing instrument as acknowledged iz&re me this day of I -Z ,20 ,b�� who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: aP0.Y PUB $ ' MY COMMISSION aw My CommissionExpirej: * nn_EXPIRE Sp::A�P6112�2,,2014 ��Aa. PSP DWwGu ThNBudg�"^"+ The foregoing instrument was acknowledged fo m � � day of , 20 � by OV7 i who is personally known to me or who has produced as identification and who did take an oath. APPROVED BY V � �Z I/ Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) NOTARY PUBLIC: Print: °4 Y c MOM Ai0W1EIRO a * EXPIRES: A rH 22, 2014 My Commission ExP ��0 Bamn"Budad SWAM zoning Clerk