EL-13-2090/3 -
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-209764 Permit Number: EL -9-13-2090
Scheduled Inspection Date: March 27, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: PICARD, MATHIEU Work Classification: Pool - Private
Job Address: 401 NE 103 Street
Miami Shores, FL 33138-2456 Phone Number
Parcel Number 1122310150130
Project: <NONE>
Contractor: ON CALL ELECTRICAL CONTRACTORS INC Phone: (786)388-5880
Building Department Comments
ELECTRIC FOR POOL Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
PassedEl� Vz
p0401l)-
Failed
Correction
Needed ❑ °�
Re -inspection
Fee
No Additional Inspections can be scheduled until®G ��
re -inspection fee is paid.
March 26, 2014 For Inspections please call: (305)762-4949 Page 24 of 28
Miami shores Village
Building Department c�g��
SEP 16 2013
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972 + ;
INSPECTION'S PHONE NUMBER: (305) 762.4949 ` '
FBC 2010
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS:
Permit No. L —209 D
Master Permit No. cqn�T
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: �> - 0 0 � � L- � � �` �
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): A7 d k 0 1 l C f -V `QPhone#:
Address: L-�o I 1�,2 L (_
'-�3•5 1 3
City: �S C "l 0 IL
- - State:p�-3 1
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ® y 1 (_ ut` I c Phone#: -715 0 3U S ��
Address: -) L' �- (21 1-2 !- 0 " ::; `� I
City: Ik- k ► t=! I -\. �, ( State: (_ Zip: 373
Qualifier Name: �C k" 4 "o`N � l ( E r,-�_� Phone#:
State Certification or Registration #: Certificate of Competency #: r -7C C)C' C)C) c-1 7
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ �"T() Square/Linear Footage of Work:
Type of Work: ❑Address DAlteration New ORepair/Replace
Description of Work -
Submittal Fee $�Permit Fee $ Y,0140'' ZPt$
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO/CC $
DBPR $ Bond
Technology Fee $
❑Demolition
TOTAL FEE NOW DUE $ 2- 6 - ��
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
zip
City State 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 2instion fee will be charged.
Signaturei Qui -N-LL,; Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me s The foregoing instrument was acknowledged before me this—q—
day
hisday of _01 , 20 -, by °J AJ K 6 E2 U 1 C.A gV day of 200, by k,o' I,/ t
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: Y Sign
Print: p(p ES: Qec�mber 17,201 Print:17 20 A
ES
: :.'___ PAY WMMISSlQN # EE 048167
My Commission Ex �'� My Commiss„No�und
APPROVED BY Plans Examiner Zoning
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009XRevised 3/15/09)
Clerk
Miami- Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20 -- - ---
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: 40/ 00 E/ 03 s r
City: Miami Shore,
Folio/Parcel#: 1 / 2-2
Is the Building Historically Designated: Yes
County:
0
Permit No. E L - 7— 3 --2o Fo
Master Permit No. 810 9 — /.3 — -,�� 7
Miami Dade ,dip: 33 f,
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): 0 -ti / A G RPhone#:
Address: L ko %�J 'F_ 1 03ST
City: AA !�;l7 O 12- State:
V
Tenant/Lessee Name:
J
Email: -Sr /
CONTRACTOR: Company Name: �-% t e% C- / a / c Phone#: N 6Q % :i 7V
Address: -7 40 0 /-) W % -?f- I /
City: l / State: 7-t— Zip l 2 -
Qualifier
Qualifier Name: 0,�1.-' I F) l� I I I -e !S Phone#:
State Certification or Registration #: Certificate of Competency #: - � 0000 �Y7
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ Square/Linear Footage of Work -
Type
--
Type of Work: DAddress DAlteration XNew ORepair/Repke f g °. ODemolition
Description of Work:
rM _P u/ S 4r� 1--) t2/ -C,4
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Los 3 =tpe aC-/Lj
CCF $ CO/CC $
DBPR $ Bond
Technology Fee $
TOTAL FEE NOW DUE $. '7y'rjr_�
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
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 einspection fee will be charged.
Signature Signature ' `--L--.-
Owner.
Owner or Agent - Contractor
The foregoing instrument W#S acknowledged before me this �� The foregoin ' trument w s acknowledged before me this
day of Q- , 20 , by t� y t AR 7 %t t V ,► C. --0 , day of �` , 20)�, by �S2 V ► /1 (91119-S
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
4e4e4eJntr9r4r4r4c4e4etL Y�Y3e3edesF�Y3rJrc�Y3ede:F�sYs4ksF�Y�Yk3e3nY�Y4r�3r3r3e�Y:Y�k3e�Y9e4e�Y3e9e3e3nk3c4r9rok3c�Y�Y�Y3nY9e3rt1e4cFr3e4r4r�Naedr&4cic3c9r3cdc3esF3e�Yde�Y9e4e4c4c4eFr�4e�Y�Y3eFr��sY3e
APPROVED BY
Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk