EL-14-1083Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-213107
Scheduled Inspection Date: October 23, 2014
Inspector: Devaney, Michael
Owner: CANOBBIO, GIANMARIO & ZOE
Job Address: 142 NW 99 Street
Miami Shores, FL
Project: <NONE>
Contractor: ELECTRICAL MASTERS INC
Permit Number: ELC-5-14-1083
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)989-8415
Parcel Number 1131010240040
Phone: 305-265-7996
tiunamg uepartment comments
CHANGE WATER HEATER AND ADD 8 FLOOD LIGHTS Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 22, 2014 For Inspections please call: (305)762-4949 Page 1 of 28
Miami Shores Village
Building Department I
MAY 2 1
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 °° r
Tel: (305) 795-2204 Fax: (305) 756-8972'�-
INSPECTION LINE PHONE NUMBER: (305) 762-4949 -�-
BUILDING
PERMIT APPLI ATION
❑BUILDING ELECTRIC ❑ ROOFING
FBC 20 (0
Master Permit No. FL L$114 — 1 VC6, 7
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: A/W/V411111
City: Miami Shores County: Miami Dade Zip: V/ tm
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder):
Add
City:
BFE: FFE:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:��� �T"� i, �� 1 y° r� �`' �`-a / �rC= - $hone#: 7—
Address: "t [�L 5(-j Z "`I
City: State: ? Zip:
Qualifier Name: ® 2 LIA f D® I `y , . f Phone#:
State Certification or Registration #: C&tificate of Competency #: F-,�\OD V' ID 5
DESIGNER: Architect/Engineer: - - Phone#:
a
Address- r City: State: Zip:
Value
Type of Wbr* r^x
Square/Linear Footage of Work: y.
❑ New ❑Repair/Rei ale�, ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ /��� ��� CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL 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
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 nd a reinspe 'fee will be charged.
NCA�—
Signature Signatur
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 /4 , by 619 day of �`(1 , 20 1 , by
wh ' ersonally know o N ac°OJt 6 9 w n— who is personally known to
me or who has produced as me or who has produced �) � t—! _ _ _ —as
identification and who did take an oath.
identification a take 'rP8 4 .L RODRIGUEZ
ip` ¢• Notary State of Florida
NOTARY PUBLI My Comm. Exoes Aug 1, 2018
Commission 0 FF 121317
fl m°'y �� •`��AVAW 1kauch N WW Natary Assn.
Print:
Seal: NOR" SANCFEY Seal:
���ooaaet�t
EXPIRES: AIN 07, 2014
APPROVED BY A%j" Aj' .X Plans Examiner
Structural Review
(Revised02/24/2014)
Zoning
Clerk