EL-13-763Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-195302 Permit Number: EL -4-13-763
Scheduled Inspection Date: July 17, 2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: RITTER, STEVEN Work Classification: Alteration
Job Address: 29 NW 105 Street
Miami Shores, FL 33150-1241 Phone Number
Parcel Number 1121360050300
Project: <NONE>
Contractor: CPS ELECTRIC, INC. Phone: 305-607-8221
comments
REPLACE OUTLETS AND SWITCHES IN EXISTING ' False
KITCHEN INSPECTOR COMMENTS False
i Inspector Comments
Passed
C�lFailed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
July 16, 2013 For Inspections please call: (305)762-4949 Page 30 of 38
Miami Shores Village
Building Department
050 N.E.2nd Avao% Mind Shares, Mod" 33138
Tel: (305) 795MM Far (305) 756.8972
I PECTK?N'S PHONE NUMBER: (305) 762.4949
WELDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: ZI MW W _ 1® '5 7 &
FBC 2013
APR 15 2013
Permit No. IFLA 3
Master Permit No. RP� C)
City _ . Miami Shotes , ^County: Miami Dade Zip: 3 3. / S
Folio/Patcel#:
Is the Building Historically Dedgnated: Yes NO ✓ . Flood Zone:
OWNER: Name (Fee Simple VWne#:J_.__
Address:_Z q ,V (A)
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City: `�i �+� ��
Sfste: 4-
Tenant/I.essee Name:
Mone#:
Email:
CONTRACTOR: Company Name:
�I.�- �/4L
Phone#:
Address: /600 LJ
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City: M
State:
Zip:
Qualifier Name: ���_
Ron -&e2o
Phone#:
State Certification or Registration #.
a n b // o `z c)
of Competency #:
Contact Phone#•
/Certificate
Email Address c/�
P p
DESIGNER: Architect/Engineer..
Phone#:
Value of Work for this Permit: $ '-- Footage of Work: �L
Type of Work: OAddress DAlteration ON
ORepair/Replace OD/emolition
Description of Work:
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Submittal Fee $ C _
Permit Fee S-1:0-40, ® ®
CCF $ CO/CC $
Scanning Fee $
Radon Fee $
DBPR $ Bond $
Notary $
Training/Education Fee $
T
lechnotolly Fee $
Double Fee $
Structural Review $
TMAL 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 PYSM—T IN YOUR PAYING TWICE FOR
1WROVEMENTS TO YOUR - PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH, YOUW , LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT:'
Notice to Applicant. As a condition to the hsamwe of O_bu&y ng 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 attachmerat Also, a cem&d 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�thece of such posted notice, the
inspection will not be approvedandw reinspection fee will be charged 11*1)
Owner or Agent ,1 Contractor
The foregoiM instrument was ac owledged before me this t all'The foregoing instrument was acknowledged before me this.
day of, , 20 by Zggi�;
0 a byAAA e �6�'0-0
who is onally known m o w o as produc Y to me or who bas produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY
Print: ✓0,1'1,01�?'�
My Commission Expires:
APPROVED BY
Sign:
Print:
LOLUMOM-My Commission
, WO . ��FOO a
By Caton. i
CommisdWOODW155
q4a,/7
Plans Examiner
Mtto01 # DD 937199
EXPIRES: Deomda 16, 2D13
B=WThtuPdotayPubic tindaae m
Zoning
Structural Review Clerk
(Revised 3n212012xRevised 0711 7)(Revised 06/1W2MXRevised 3/15M)