EL-14-12Inspection Worksheet'-*'
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-221177 Permit Number: EL -1-14-12
Scheduled Inspection Date: November 13, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: KAHN, STEPHEN
Job Address: 1470 NE 101 Street
Miami Shores, FL 33138 -
Project: <NONE>
Inspection Type: Final
Work Classification: Pool - Private
Phone Number (305)758-7912
Parcel Number 1132050240060
Contractor: SHINE ELECTRIC ENGINEER Phone: (305)688-2000
Comments
ELECTRICAL FOR POOL RENOVATION
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-205307. No rough or bonding
inspections.
Time clock not rain tight.
Where is pump G. F. I. breaker?
Failed
Correction ❑
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
November 13, 2014 For Inspections please call: (305)762-4949 Page 19 of 45
Miami Shores Village
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
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS• 14--7 L� N)E- I ,=:,i '!Ssr
FBC 20 l---)
Permit No. F— L-1 L4 — l Z -
Master permit No.191 1 —' I D
City: Miami Shores County: Miami Dade Tip: 3 3
Foho/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple T1t]eholder):-'S4=p k–re �Phone#:
Address• 14-7 =1 ' V F— I i i �
City: I State: [ _ Tip: 3 3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: SHINE ELECTRICAL ENGINEERING phone#: 305-688-2000
Address: 3876 NW 125 ST
City: OPA LOCKA State FL Zip: 33025
Qualifier Name: FRANCISCO SANTOS Phone#: 305-688-2000
State Certification or Registration#: EC0001514 Certificate of Competency #:
Contact Phone#: 305-688-2000 Email Address: AHUEZO@SHINEELECTRICAL.COM
DESIGNER; Architect/Engineer. Phone#:
75�
Valae'of Work for this Permit: $ Square/Linear Footage of Work: _
Type of Work: ❑Address ❑Alteration
DescriptionofWork:
❑New a . ❑Repair/Replace
l l al y-1 4 -
Submittal Fee $ Permit Fee $ �96&10'® G CCF $- CO/CC $
Scanning Fee $
Radon Fee $ DBPR $ Bond $
Notary $ ining(Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $,,2
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
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 thisThe foregoing instrument was acknowledged before me this �
day of .2013 bye 1 }�� ►--rte day of �� 20) "'b ��v,c� ��.o
who is personally known to me or who has produced
As identification and who
PUBLIC:
27,
an oath.
who is personally known to me or who has produced
as identification and who did take an oath.
APPROVED BY Plans ExaminMI
Structural Review
(Revised 3n2/2012)(Revised 07/10107)(Revised 06/10/2009)(Revised 3115/09)
a�_,,�I'(�,II/IIIIIIIIII,11lAi�iTiiiilh�il(81��17�
Print: g6.
e
My Com nission
Zoning
Clerk
ir-