EL-13-2644Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-213321 Permit Number: EL -11-13-2644
Scheduled Inspection Date: August 05, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type' Final
Owner: , Work Classification: Addition/Alteration
Job Address: 101 NEI 10 Street
Miami Shores, FL 33161-7045 Phone Number
Parcel Number 1121360040230
Project: <NONE>
Contractor: HIGHGRADE ELECTRIC CONTRACTORS CORP Phone: (305)576-8807
Isunamg uepartment comments
REPLACE SMOKE DETECTORS ADD/REPLACE GFI'S IN
KITCHEN AND BATH ADD DISPOSER OUTLET IN
KITCHEN
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-211068. CREATED AS
E�r REINSPECTION FOR INSP-203453. AMP SERVICE 4 PANELS
BREAKERS ABOVE 6'-8' NO GROUND IN FLEAMBLE CONDUIT.
29 may 2014
Failed ❑ Cancelled need power on first.
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 04, 2014 For Inspections please call: (305)762-4949 Page 5 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
FBC 20
NOV 212013
F
Permit No.
Master Permit No.Vc 1-2) - 26q
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Foho/Parcel#:
Is the Building Historically Designated: Yes NO �< Flood Zone:
OWNER: Name (Fee Simple Titleholder): 6S L e -C
Address- �� (Z) 0 711_AAz
City: I — L, State: zip:.
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 14& n 6 Kncl-&
� I -C C+r I CPhone#: 305 - 919( '0 - Q SS4-.
Address:
City: rY-N State: EL.
00 .
Qualifier Name:Pbkry_1(-'::i.
Phone#: a0s -.-a 5S4.
State Certification or AgMsion #: �q E 00C� ---315a
Certificate of Competency #:
21- a a 04
Contact Ph(;kf rlillairuur
DE W__ MIR
Ph6ne#.
AAVOAa
1,
Va e ftrwaftrear-Footage
of Work:
to
T 'OrWork: L.I.Address LIAlteration LINew
Q<epair/Replace UDemolition
Description of Work: r k C CA --
!C V
Submittal Fee $ Permit Fee $ IYa CCF $ CO/CC $
Scanning Fee $ Radon Fee $
DBPR $ —Bond $
Notary $ Training/Education Fee $
Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company.'.s Natg1.(f'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 noti e, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
er r Agent ntractor
The foregoing instrumen was acknowledged before me this—The foregoing instrument was acknowledged before me this.
day of , 20L3, by C ( 13!-10 Y of NA-->20LI,by � esb o � F ('moi,
who is orally kno to me or who has produced who is pewn to me or who has produced
NOTARY PUBLIC:
Sign:
Print: A 0s1r,
My Commission Expires:
My Commission Expires:
APPROVED BY Plans Examiner Zoning
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Clerk