EL-12-2345Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-191333 Permit Number: EL -12-12-2345
Inspection Date: May 13, 2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: SUAREZ, ALEJANDRO Work Classification: Alteration
Job Address: 85 NE 110 Street
Miami Shores, FL 33161- Phone Number 9541961-1400
Parcel Number 1121360040240
Project: <NONE>
Contractor: NEC ELECTRICAL CONTRACTOR INC Phone: (786)389-8116
Buildina Deoartment Comments
LOW VOLTAGE
Infractio Passed Comments
INSPECTOR COMMENTS False
Passed
Inspector Comments
x
Failed
Correction
Needed
❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
For Inspections please call: (305)762-4949
May 13, 2013 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'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
tIOZ 11330
Permit No.1 U— L /fZ 80"
P.
Master Permit No.
JOB ADDRESS: f -C AI45 /10 rj ! �i
City: Miami Shores County: Miami Dade Zip: 193/6
Folio/Parcel#: 121
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder):,Q-A-(kiN Rift/f! aw�G� -TRAM hone#:
Address: /17W SW /rJ �?T
City:
State Zip:
TenanVlxssee Name: Phone#:
Email:
CONTRACTOR: Company Name: /VGC e46&*1 GO.0 /L Phone#:
Address: 1 / 720 c51A It 4 S'T
City: "/4"* State: F'L 17
Qualifier Name: A44414X-t "%164- 00/W'!j Phone#:
State Certification or Registration #: ' Certificate of Competency #:
Contact Phone#.%V 24 7 — I ft -7 Email Address: M QPA0 P6+22! 1 SO 1 V r m r 1444 t, Cb P- .,
DESIGNER: Architect/Engineer: Phone#:
Value of Work for Square/Linear Footage of Wor • , y
Type of Work: ❑Address "' ❑Alteration ❑New ❑Repair/Replace bDemolition
Description of Work: �GGl t/f%G
Submittal Fee $75� �Q Permit Fee $ ���' ' �' ' CCF $ CO/CC $
Scanning Fee $
Radon Fee:5
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
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
Zip
obtain a permit to do the work and installations as indicated. I certify that no work or installation has
y an of a permit and that all work will be performed to meet the standards of all laws regulating
tfas`` ' on. 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. ZIn,absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
.e'er .4 - _-
Signature C4i5y- /" I 'Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of b+`c- 120 0— , by 9/41 t �& h 1w ,
Contractor
The foregoin strument was acknowWdged before me this
day of ; 201-4; by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and whodid take an oath.` as identification and who'did take an oath.
NOTARY PUBLIC:
IO LUCAS.
Sign: EL >c 0W414 .
Print:
My Commis+ n E Cres:
NOTARY
Sign: w. 1a
Print:
My Commission_,
APPROVED BY , ' /I Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)