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EL-13-1679Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-223398 Scheduled Inspection Date: November 14, 2014 Inspector: Devaney, Michael Owner: KHALEEL, MICHELLE Job Address: 795 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: ATLANTIS ELECTRICAL CORP Building Department Comments c Permit Number: EL -7-13-1679 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition Phone Number Parcel Number 1132060142360 Phone: (305) 551-4043 ELECTRICAL WORK FOR BATHROOM AND BEDROOM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comm s Passed ET Failed 1411 P O P/-/ 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 22 of 28 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 FBC 20 JUL 2 6 266 Permit No. _ :: I 13 - RO-P Master Permit NG..P__C ed 3 7P�Iix JOB ADDRESS: Al LCI IS"LXCGt. City: Miami Shores County: Miami Dade Zip: 33j,3g Folio/Parcel#: 113 i _(Qoi 23U) Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 117 : tljap!2� �1(i t-�� Phone#: —'11-h l — Address: _49 U F, "� -4 S-L� City: i &i ��thOpS State:PL crAkn Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: � L 1��C'l l.l_��TRfC_ Phone#: 78G 77S -972C) Address: 129ys S w ZO -)�2 City: /'-�VAk State: �Zip:. Qualifier Name: rQ '-j C' S [c, % ��^L Phn„A�• State Certification or Registration #: fC 1'kO 91 Certificate of Competency #: Contact Phone#: �Em� ail Address: DESIGNER: Architect/Engineer: V 1 clzw 1, d �i�CP' Phone#: 30T — 310— 56AQ Value of Work for this Permit: $_A t ue) Square/Linear Footage of Work: v Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: 6_L,_J'0(2_l b(z„ NEW AAAKIC i; PM ��xx��x��x��x�x�x��xwx�+x��x��n�x��x��n�x�a��x��x��xFees��x��•��n�x��xu��x�x�x+x��w+��x��xx��x��x�� Submittal Fee Scanning Fee $ Permit Fee $ i 6W CCF Radon Fee $ CO/CC $ DBPR $ Bond Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 6 9 D . 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. W14) Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 27- The forego' g 'nstrument was acknowledged before me this --?_Z r day of, 20 by Q� t: AA d nalay of , 20 (3, by �!�-r_nnC[,S '� who is persoy known to me or who has produced L t] who is person y known to me or who has produced fL % I -VL d►� 't C'.. As identification and who did take an oath. vel �iQ as identification and who did take an oath. Print: NOTARY REBECA K PASTRMA Print: M Commission Expires: ' EXPMEStFebmmg07,2017 My p ----------- My Commission Expires: MY 00MMwSS10N A 8BSMU �x��ru��x��x��a�m��x��x��x�x��•x�x�x�x��x�x��x�a��x��x��x��u��x��xa��a��x��x��x�x��x��x��x��w�� APPROVED BY Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk 01/07/2005 09:58 3056434410 Jos PAGE 01 0 PEREZ FPJWCISCO JULIO ATEN+IS 128StECTTMtRRICAL CORP 03 SW 2 MIAMI FL 3317S t,4 (850) 487-1395 C0nW9hjIqVons1 With this license you become one of the n"11 Yom million AC# 6 13 9 50 7 1 . Floridians licensed by the Depaftent of Business and ProfessionalRegulaft-Lgor 1 JM imintiss mm Our Proftesionails and burin ass ran go from architecIs to yacht brokers, from PROVZOSIOWiL RE LATXCW ou � boxas to barbeque restaurara, and fl* keep Florida's economy skong. SC13003.914. 2• 1; 110398967 Every day we work to Improve the way we do businew In order to Solve you bettor.! For Ifillorrriation about our services, please log onto www Uw1cansecom There you can find more lrftmeflon about our divIgOons i"n theregulations ftnt Impact you, subscribe to department newsletters and learn more CUTXVI ED i-,! PER-�zz, 10 about the Departmerves inmeavm ATLAW- a :to AS044, c6RP Our MINIM at the Department Is: Manse EfUdently, Regulate FgWy, We coWw* strive to carve you better so that you can serve your ouftmem Thank you for doing btmineas In Florida, and congratulations on your newiloonsel 13 CXRTXVZSD =4kw Ow prwitLeat of ft.489 Fs xmizuum dwt*, WO 33., 3014 =2053401181 DETACH HERE 05/24/20121110398967 JEC130*1014 The ELECTRICAL COX M CTOR Named below IS CERTIFIED Under the provisions of ChIL lbeir Expiration date: A1UG 31, 2014 PEREZ, FRMCISCO JULIO ATLANTIS ELECTRICAL CORP`-' MIA12803 SST20 TERA rL 333.75 MI SEQ#L12052401181 Sa STARY pqCK SCOTV LAW GOVMOR DISPLAY AS REQUIRED By ull u ri Xulat) atia ntl 6U*b4$4410 1 N PAID f 6'wIRm�o ld" 1 372675-0 THIS IS NOT A SILL - Do NOT pAy ��pp RENEWAL ' A II'LEN TRICAL CORP STATMC"10001914389164-6 12803 W 20 35175 UNIN DADERCOUNTY owtm ATLANTIS ELECTRICAL CORP CAL CONTRACTOR M I I 7f 17/1011 000075.00 0EE OTHER SM WORKERIS 00 NOT FORWARV ATLANTIS ELECTRICAL CORP FRANCISCO J PEREZ PILES 12803 SW 20 TERR MIAMI FL 33179 �ae��ese��rsaa��raa�a�r�rare��r►��aarr�,�r�a�tl��rar��a��a� 0