EL-14-651Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-221601
Scheduled Inspection Date: October 15, 2014
Inspector: Devaney, Michael
Owner: CARR, JOHN
Job Address: 246 NE 101 Street
Miami Shores, FL
Project: <NONE>
Contractor:
PENCE HEATON ELECTRICAL CONTRACTING INC
Permit Number: EL -4-14-651
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number
1132060134630
Phone: (954)961-8005
Isunamg uepartment comments
REMOVE/REPLACE WIRING CONDUCT FOR OUTLETS, Infractio Passed Comments
SWITCHES & LIGHTING. ADD REQUIRED SMOKE INSPECTOR COMMENTS False
DETECTORS
Inspector Com
Passed 21
Failed ev /J�
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 14, 2014 For Inspections please call: (305)762-4949 Page 38 of 40
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
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
Permit No.
Master Permit No.
JOB ADDRESS: -2-46, 1xic I o 1 4 '5 t 6zccT
City: Miami Shores County: Miami Dade Zip: 3 3 3 e
Folio/Parcel#: ®/ 3 ,2 D(. a/ I- a 3 0
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): -TO tri N i CAA I SL_ `$ i t j 1` Ca A RRPhone#: HS 0 p
Address: C iQ G 1®1 f Q C T
City: 1"d r4 i" t S 1+0 0- C. 7S State: V -L Zip: 73 5 1 3B
Tenant/Lessee Name: bi l A Phone#- N
Email:
CONTRACTOR: Company Name: &A" adsl " Ldrl2. Phone#: 74Y., Fa i eAftr
Adam
City:
Mfl
State Certification or Registration #:E C. 13.Q%Y Certificate of Competency #:
Contact Phon • L�(®� u' Email Address: • o AL.
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit:
Type of Work: ClAddress
$S0Q, 6) �Square/Linear Footage of Work:
teration ONew _ epair/Replace
ODemolition
V�)eG"it) k5 e - a
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Notary
Radon Fee $
Tndning/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond
Technology Fee $
TOTAL FEE NOW DUE $ �l
Badding 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 117-AICE 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 a approved and a rel ection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this ` The foregoing instrument_ ys acknowledged before me thiis
day of ,IgQ�L� 20 k� by--SC� N � l— -, day of L 120' , by Pawl .S• )900/ 4
who is personally known to me or who has produced_ w to me or who has produced
As identification and who did uke an oath.
NOTARY PUBLIC:
Sign: J /
Print:
My Commission Expires:
APPROVED BY
'i,? // ,f
0,c: S
,�//��iilllllll111\
as identification and who did take an oath.
NOTARY PUBLIC:
My Commission E iT 'r, ELIZABETH A. FOX
a <+% Notary Public - State of Florida
• My Comm. Expires Apr 20, 2016
Commission # EE 155587
_ Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised O6/10/2OO9xRevised 3/15/09)