EL-14-2027Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-224183
Scheduled Inspection Date: December 02, 2014
Inspector: Devaney, Michael
Owner: VELARDE, GERALDINE
Job Address: 9130 NE 10 Avenue
Miami Shores, FL
Project: <NONE>
Permit Number: EL -9-14-2027
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number
1132060030020
Contractor: STATEWIDE ELECTRICAL CONTRACTORS, INC Phone: 305-592-6965
tsuuaing uepartment comments
ELIMINATING OLD EXISTING WIRING AND REPLACING Infractio Passed Comments
WITH NEW WIRING AND ADDING GROUND. I INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed ❑ �) /
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 01, 2014 For Inspections please call: (305)762-4949 Page 28 of 36
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: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑ BUILDING 0 ELECTRIC ❑ ROOFING
ry� a y, m
SEP 17 28%
M
FBC 20 (0 `�
Master Permit No-t7(,7'`� `
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [::]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9130 NE 10th Avenue
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Geraldine Velarde Phone#: 305-467-8057
Address: 9130 NE 10th Avenue
City:
Miami Shores
Tenant/Lessee Name: Geraldine Velarde
Email: vedtov_18@hotmail.com
State: FL Zip: 33138
305-467-8057
CONTRACTOR: Company Name: SI -4 4- e- e— dr / 1%, 1,, , 9 CV�—l.Phone#:.3 0S 9 7 % — 9,F %q
Address: I--, 1_
City: State: Zip: 3 1 ��
Qualifier Name: Gc - �Q % e-y'a Phone#: 7'36 —2 3 6
State Certification or Registration #: F_ c - '0 0 0 _t' u 5 I Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit: $ z�4 ��®• ®� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New IJ/ Repair/Replace El Demolition
Specify color of color thru the:
Submittal Fee$ �,b Permit Fee $ r, P 4 'C� CCF $ CO/CC $
Scanning Fee $ `�� Radon Fee $ � ° DBPR $ Notary $
Technology Fee $ �Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ (g)
eno
TOTAL FEE NOW DUE $
(Revised02/24/2014)
O
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 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
V GENT
The foregoing instrument was acknowledged before me this
�l day of bu. 20 I by
C�@�Qldl V�IQPd� who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY
�._,�.
:h Il
Signature
CON CTOR
The foregoing instrument was acknowledged before me this
T day of ` , 20_1 ! by
C,P2/7Q/Js ona v kn to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
as
Seal: • u�' freta Sep 27, 2017
Seal: �ota�;;us�% SILVANA PATINO Mal *Qanmiae Ff 053901
4EXPIRES:
19
MY COMMISSION # EE 162185%MM National ,Assn
,Q January 22, 2016
,11 Bonded ThN Budget Notary Services
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APPROVED BY�������� Plans Examiner Zoning
(Revisedo2/24/2014)
Structural Review Clerk.
STATE OF FLORIDA
DEPARTMENT OF SU31NF-33 AND PROFE55110NAL, REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
FERNANDEZ, GEORGE
STATEWIDE ELECTRICAL CONTRACTORS INC
14100 SW 102 AVE
MIAMI FL 33198
Ccngratulatlotln! With this sic�ns'e yot4 i;4c 1` ii one of the nebriy
one million �iorrXlians licensed by the Departnnnt of Business acrd
Professional Regulation Our professionals and businesses range
from architedts to yacht brokam, from boxem to barbequo raPtsursnts,
and they keep Florida's emononfy strong.
Every day we work to improve the way we do business in order to
serve you better. For informabon about our services, please log onto
www,mytimidalicme.com. There you sin rind more inrorm ion
about our divisions and the rsguiMions that impact you, subscribe
to department newsletters and learn more about the Depenmenfe
Initiatives.
Our mis*lon at the Department is. Lionnse Effiicientty, Regulate Fairly
We COnsWiltty thrive to serve you better so that you can se va your
customers. thank you for doing buIslltetss In Florida,
And congratulations tin your new licensal
DETACH HCRE
(850) 457-1395
r ' STATE OF FLORIDA
DePARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
EC000'3061 I.SSUI^b' Q8125/2.014
CCRT!F IED ELECTRICAL C• .0[ RAC i OR
FERNANDEZ, OEOROE
S7ATEtJVt13E ELF.,CTRICAL CONTRAdTORS I
IS CORTIFIED cinder the pvo.tstons of Ch.499 FS
Dpint6PP z L A063J 37 418 044FATC[IM g
RICK 51001T, C;iOVEFtN0Ft LEEN LAWSON. S�.I:kETAIRY
siA'r'g OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
ecoomsi
The ELECTRICAL CONTRACTOR
Named below IS CER11FIED
Under the provisions of Chapter 489 F'S
Expiration date: AUG 31, 2015
FERNANDEZ, GE-ORGE • . .
STATEWIDE ELECTRICAL'+�QNTRACTORS INC.
13281 SW 124 ST Oil
MIAMI FI -33'10 --
ISSUED- OWNW14
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