EL-13-13181�
i
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-193393
Scheduled Inspection Date: April 09, 2014
Inspector: Devaney, Michael
Owner: JULIANA MIRANDA, PAUL ADAN
Job Address: 500 NE 97 Street
Project:
Contractor:
Miami Shores, FL 33138 -
<NONE>
F JIMENEZ ELECTRICAL CONTRACTOR, INC
Building Department Comments
ELECTRIC FOR NEW POOL
Permit Number: EL -6-13-1318
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
1132060171540
Phone: 3051556-5759
April 09, 2014 For Inspections please call: (305)762-4949 Page 4 of 29
Miami Shores Village
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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
FBC 20 1,3
BUILDING Permit No. ➢,�j�,., — I X
PERMIT APPL ATION Master Permit No. L771� � 3 — 13)"t,00
Permit Typ(:.Electrical
JOB ADDRESS: �
3 y
City: /Miami Shores County: Miami Dade Zip: �d�
Folio/Parcel#: f%3—? 0 k s 012- /V30
Is the Building Historically Designated: Yes NO Flood Zone: -,OV40
OWNER: Name (Fee Simple Titleholder): Rajb°�1A'1 i��� Phone#:
City: f� /r �,4ai' s State: f ��di%i�- Zip: zt
Tenant/Lessee Name: Phone#:
Email:
CONTIL
Address:
City: '-N —State: V
Qualifier Name: irtAk he- 7- Phone#: _V 6 2�� o 7-118
State Certification or Registration #: 1 240 C'A,-7.-7 Ct Certificate of Competency #:
Contact Phone#: 1�.(� re
86) VIS 1 80 Email Address: � � rry net_ _-Ac?_-Ac?Sc � �`� 4 lu
DESIGNER: Architect/Engineer:
a , e ` o rc:Njes —Phoner Te 6 i.3 _g131
Value of Work for this Permit: $,2 oQ0, Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration U ew ❑Repair/Replace
Description of Work: �% Pit1 / /� /Y -7'9G% i or
Submittal Fee
Scanning Fee $
Permit Fee $ ;�70 &'p< ZO® CCF
CO/CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
❑Demolition
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 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 o curs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be,approv and a reinspection fee will be charged.
Sign Signature
caner or Agent T2ontractor
The foregoi instrument was ac MMOO
fore me 's The foregoin instrument was acknowledged before me this
day of , 20 , by �� , day of , 20 �, by ,���� � zylm
wX2.,
personn y known to me or who has produced w o is person y known to me or who has produced
As identification and who did take an oath. 17Ief 1,06 as identification and who did take an oath.
NOTARY PUBLINOTARY
Sign nn''-- Sign:
MARIELA ESPINOS"M OS
Print: = snrrnanecana nceamvm Print:
y EXPIRES: May I3, 20 +6 : °= M' WNSSION @ EE 197797
My Commission Expires: BMW rhm NoUyhbik t,nd,, ,.,,,, My Commission Expires: �;� EXPIRES: May 13 2016
� q@c tended Thru Nolmy Public UrrdetwBtets
APPROVED BY , PlaExaminer Zoning
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
hl CERTIFICATE 4F LIABILITY INSURANCE
9/11/207.3
TLt CER IFMTE 0 MWED AS A MATTER OF LNFORKATWN M0.Y AND CONFERS NO LOf3lM UPL>NL THE CIERMFICATF. HOLD TIES
CERTLI.7CATE DOES NOT AFRM47PJMY OR NEOATWELY AVOW, E)(TE tD OR ALTER 7H8 COVERAGE AFFORDED BY THE PW=5
BELOW. THS CERACATE OF INSURANCE DOES NOT CONSiTMM A CONTRACT BETWEEN THE IS WNO fltW RER(3), AUTHORM
REPRESENTATIVE OR PRODUCER, AND THE COMFICATE HOLDER
RIIPORTANT: If 00;-00cito MUM to 811 ADDtM AL INURED. to poftIwI mud be wW msd. If FUBR0GAMM IS WAIVED, =Wdto
No tEli1n eW condi wo of the puRcy, caido pokift mw nmp*o an andmseamit A aft2knent on #ft CoAfficaft door not CoMw dghte to the
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EXCLUSIONS AND CONDI7LONS OF SUCH POLICUM l Od U SHOVM MAY HAVE BEEN REDUCED BY PAID CLA1NIS.
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City Of Miami Shores
10050 NE 2nd. 'Avenue
Miami Shores, FL 33138
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