EL-13-994Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-191055
Scheduled Inspection Date: September 18, 2014
Inspector: Devaney, Michael
Owner: MARIA PAULA GARCIA, CHARLES
WAI TCCI
Job Address: 94 NE 93 Street
Miami Shores, FL 33138 -
Project:
Contractor:
<NONE>
WELL ELECTRIC TECHNOLOGY
13uncling Department comments
BATHROOM REMODEL
Permit Number: EL -5-13-994
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
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.
1132060130150
Phone: (305)726-7098
September 17, 2014 For Inspections please call: (305)762-4949 Page 1 of 33
Miami Shores Village gar o
2014
Building Department
LY
:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
1; FBC 201,E
BUILDING Permit No.45�L
PERMIT APPL ION Master Permit No. pig' l 3
Permit Type: Electrical
JOB ADDRESS: 94 I `L5 — l 2) 5+
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee
City:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: VV�h� � Coi,�/ Phone#: —RY- 116 ?f
Address: 11312— 1k W // 57 --
city:
%°
City: IVL 1/"l
Qualifier Name:
Zip: --�, -,V%
Phone# -7&W' 7-46747f
47f
State Certification or Registration #: �'"� ®300 A6 Certificate of Competency #:
Contact y Email Address: Ot�i�� !
a.p„aa„ Phone#• �
DESIG C7S S D f
�'cs��tec_ ��i'�i�i�er:
Value of Work for this Permit.IGO 014W. IM
$i0� ' H �itiUalintLlie `µ.
Type of Work: ❑Address OAlteration ,,��PP )Y� air ODemolition
Description of Work' �Sfir� inai"t:isa4i1 asaaacs.
xa ag ala ala ag ata >ta ag ak ak ak aR ap ak xa ag ap ak ak ala ag ak ap ak ag ak ag ala ap ap ap ak ag ag ak ap aK ak a$ Fe e s xa Ha ak sk ak aN ak � ak xa ak+k xa ah ak ax ak Na ak ax w xa ak xa as ak as sk Ha ak Ha #a ak ak ak as ak ak ak .k ala ax ak ak
Submittal Fee
Scanning Fee $
Permit Fee $�J BB �® CCF
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CO/CC $
DBPR $ Bond $
Technology Fee $
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
Zip
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 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 Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of k06cUC-T , 20 13, by "A&01 -_(A()--A day of Dom - , 20/3, by
who i ersonally known to ) or who has produced o is personally known to or who has produced
entification and who did take an oath. av' 'ficatio"A%a214
NOTARY PUBLIC: NOTA R � wry Public ` St
w URAfifA imp (,` o oei My Coinm.'tk` h%
a` f qry► P�Il1C - 8�te of FtOlida % ,q all% Commission
Sign: �- fid► Comm. 9.2014 ig
;h r COmm n # 0o 989332
Print Ann nt•
My Commission Expires:
APPROVED 1. �� J' Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Commission Expires:
Zoning
Clerk
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Miami Shores Village
Building Department RECEIVED
11050 N.E.2nd Avenue, Miami Shores, Florida 33138 MAY 0 8 204
Tel: (305) 795.2204 Fax: (305) 7-%-8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20
BUILDING Pert No.
PERMIT APPLICATION Master Pert No.
Pert Type: Electrical �l
JOB ADDRESS: _ 91A
City: Miami Shores County: Miami Dade Zip: _ 3� � _
Folio/Parcel#: I Q 13 J CA SU
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titlehol er): � �� � VVI GLOAX gone# 3 `� �
Address: 1
City:
TenandUssee Name:
Email:
state: Zip:
CONTRACTOR: Company Name: � � �l� G— i ��� aie#: — L 79
Address:
City: i,ml State:
Qualifier Name:
State Certification or Registration #: 13390//p/e Certificate of Competency
�#:
Contact Phone#: _Z5 — �Y /h 7f Email Address: W ��1i � l �l , ®� — • 4-1-0A
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ -,M SquarelLinear Footage of Work:
Type of Work: 13Address rr -- DAlteration
Description of Work: V, V-CX>A-)
ONew . DRepair/Replace ODemolition
Submittal Fee $ Permit Fee $ "-4 CCF $ MCC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ _
Bendkg Company's (if applicable)
Bonding Company's Address
City
D
MerVW ]vender's Name (if applicable)
Mortgage 's Address
M1
State
zip
Zip
Application is hereby made to obtain a permit to do the work and 'installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to net the standards of aU laws regulating
construction in this jurisdiction. ➢ understand that a separate permit n%ust be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS. R1RNACES, BOILERS, HEATERS. TANKS aad AIR. CONDITIONER& ETC.....
OWNER'S AFFIDAVIT. I certify that all the foregoing information is accurae 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 laiv brochure avill be delivered to the person
whose property is subject to attachment. Also, a certified cop% of the recorded notice oft ommencement mast be posted at the job site
for the first inspection whichocc rs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will n t be approved fin a reinspection fee will be charged.
2-77—
lie
Signature �� Signature
:p
Owner or Agent " Contractor
The foregoing instrument was acknowledged before me this
day of kL& —, 20 1-S, by --f'Rm ra I -,=- t— W7
who is personally known to me or who has produced
600 -1? -068051 As identification and who did take an oath.
The foregoing instrument was acknowledged before e this ✓
m �a
day of MAY , 20 3— bydjili -
o is perso y known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
APPROVED 13Yt'� y Plans Examiner Zoning
Structural Review
(Revised 3/12/2012)(Revised 07/10/07XRevised 06/10/2009)(Re-.ised 3115109)
Jerk