EL-14-1823Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-220494
Scheduled Inspection Date: September 30, 2014
Inspector: Devaney, Michael
Owner: VOGTNER, ALINA
Job Address: 53 NE 98 Street
Miami Shores, FL
Project: <NONE>
Contractor: ATLANTIS ELECTRICAL CORP
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Permit Number: EL -8-14-1823
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (954)452-0110
Parcel Number 1132060131140
Phone: (305) 551-4043
rsuuaing uepartment comments
REMODEL HALL BATHROOM REMOVE AND REPLACE Infractio Passed comments
PLUMBING FIXTURES AND WALL AND FLOOR TILE I
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
� y
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
)ptember 29, 2014
For Inspections please call: (305)762-4949
Page 25 of 31
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING IM ELECTRIC ❑ ROOFING
,IVSD
AUG 2 0 20% i
FBC 20 L�
Master Permit No. l� °, 1
Sub Permit No. l `-`" 4 s
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 5 -�)
City: Miami Shores County Miami Dade zip: 1307"
Folio/Parcel#: 3 2a -00 -1 iq�O Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):_ ��r.� 0®6T-jL� Phone#:
Address:
City: M(" -u State: i�L eOci�®� Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: �TL 5 `�C- Phone#:
Address: / 2 �� S 7-0��
City: t-kk A -VN..1 State: C --L Zip:
Qualifier Name: Phone#:
State Certification or Registration # 13 ob I !cp I Certificate of Competency #:
DESIGNER: Architect/Engineer: N/Op— Phone#:
Address: City: State:
Value of Work for this Permit: $ /00j Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: A-V- 6! S-r-a—'T-a r 6"l [ 'r,itr-6 7t� 0.&t ",,
PO eew i `cue_ iron --k .
Zip:
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ - Permit Fee $ o0 O CCF $ (0°6n COXIP't
Scanning Fee $ Radon Fee $ �° �® DBPR $ 2 s Notary $
Technology Fee $ 0 20 Training/Education Fee $ 0 241 Double Fee $
Structural Reviews $_ Bond $
TOTAL FEE NOW DUE $ G
(Revised02/24/2014)
LObLp ,
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
Zi
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 and a reinspection fee will be charged.
Signature -
OWNER or AGEN
The foregoing instrument was acknowledged before me this
day of d\11w 5 20 J by
who is personally known to
me or who has produced '�b(,U"-1 Ff L -C'- as
identification and who did take an oath.
NOTARY
Signature
_ wv—�"J
CONTRACTOR
The foregoing instrument was acknowledged before me this N
day of NC,.,-L/S9r- , 20 t q by
G $Geo Pug* L2' L , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY
Z'
Print: Print: TPI QCA Wt CLY Xi>_._..
BECA M. PASTRANA
Seal: COMMISSION A EE872624 Seal: REBECA M. PASTRANA
L-*%cW27/EXP1RES:
F�xaazy 07,2017 MY COMMISSION 9 EB872624
EXPIRES: February 07, 2017
oc
APPROVED BY a .2® AP 416- Plans Examiner Zoning
Structural Review
(Revised02/24/2014)
Clerk