EL-14-24770
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-223217
Scheduled Inspection Date: November 17, 2014
Inspector: Devaney, Michael
Owner: ATASH, KARIM & METIS CORINA
Job Address: 1195 NE 100 Street
Miami Shores, FL
Project: <NONE>
Contractor: JJ ELECTRICAL OF DORAL LL
iaundmg Department comments
TEMP FOR CONSTRUCTION
Permit Number: EL -11-14-2477
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Temp for Construction
Phone Number (305)790-5551
Parcel Number 1132050190360
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Phone: (305)305-1620
November 14, 2014 For Inspections please call: (305)762-4949 Page 21 of 31
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
FBC 20 0 -
BUILDING Master Permit No. >� lL yq 4
PERMIT APPLICATION Sub Permit No
❑BUILDING CgELECTRIC ❑ ROOFING ,REVISION ❑ EXTENSION E] RENEWAL
❑PLUMBING [:]MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION .❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I! l f— 10
City: Miami Shores Countv: Miami Dade zip: 3 3 1 3k
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Lf /1 7Z -F.7^ rA -Ph one#: 305-1
Address: LC� /V &—'" 10 0 S r•
city: Z4 S oyt= No R E S State: r�L Zip: 7
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: _� IAC_TP-A G 0F " l I Phone#: 805. - (G
Address: 7965 1 001 FL
City: L_ State: Zip:
Qualifier Name: Phone#:
State Certification or Registration M Certificate of Competency M 1131E00065
DESIGNER: Architect/Engineer: Phone#:
Address: c City: State:
Value of Work for this Permit: $ 7 d Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New [IR
Description of Work: o+rr+ L7 4% •� V4 ��t r.�y .` L'R )-),7,
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ /4040" "41' ® CCF $
Scanning Fee $
Technology Fee
Structural Reviews
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
DBPR $
Zip:
❑ Demolition
CO/CC $
Notary $
Double Fee $
Bond $
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
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 standar& ;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.
"WARN ING°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 pgrmjt 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 irsubject to attachment. Also, a certified copy of the recorded notie'e of bdmmincement Mug be gasted'at the job site
for the first inspection which occurs seven (7) days after the building permit isissue In �th��hcence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoing instru was acknowledged before me this
16 day of AbA82 lbel' , 20 7 • , by day of %��✓ - 20 by
dL��l j40 -ersonally known :� ti0Aeg_ ___-,who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
identification and who did take an oath.
NOTARY'PUBLIC:
_ it
fi Florida --- rs j. i� /Lfj
vv Notary
Seal: :° @°; Joanna M Felic+ano
Seal: °`;."::�B�,o LIANAMARnNQ
y es mis io g 082753 MY COMMISSION # EE 224401
EXPIRES: September 8, 2016
.114OFOv_ Bondedi'hruBWONotaySomm
APPROVED BY P� �� f:�P Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)