EL-14-2628Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 1 O0 S
Inspection Number: INSP-224328 Permit Number: EL -12-14-2628
Inspection Date: December 05, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: BOURNE, ROBERT Work Classification: New
Job Address: 490 NE 101 Street
Miami Shores, FL 33138-2449 Phone Number
Parcel Number 1132060170430
Project: <NONE>
Contractor: METRO ELECTRIC SERVICE, INC
Buildina Denartment Comments
RUN HDMI CABLES, SPEAKER CABLES AND INSTALL
Infractto Passed Comments
INSPECTOR COMMENTS True
SPEAKERS.
Inspector Comments
Passed
1Z
/41
Failed El
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
For Inspections please call: (305)762-4949
December 08, 2014 Page 1 of 1
Miami Shores Village
jj\ Building Department
10050 N.E.2nd Avenue, Miami Shoes, Florida 33138
Tel: (305) 7952204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMOM P" 762-4949
BUILDING
PERMIT APPLICATION
[38uILDiNGELECTRIC
DEC 2014
Y.
OPLUMRING O MECHANICAL OPUBUC WORKS p CHANGE _ F O CANCELLATION [ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 490 NE 101 STREET
Afilsw S lz 9wil law MwmI PA& 33138
o/p yo; 11-3206-017-0430 is the Sulldft WsWicapy :Yes No 'XX
occupanq Type: Load: Construction Type: f=lood Zone: OFE: FFi _
O►WNEM Name (Fee Simple Titleho der) ROBERT BOURNE f hone#i: 786.281.8376
Address: 490 _NE 101 STREET
CltI/' MIAMI SHORES _ StaW, FLORIDA gip; 33138
Tanant%Lessee Name: Phone#:
State Certification or Registration#: l ' 6� ,� 'Y� Certificate of Gampete t I v I " '
OESIGNEMArchitect/Enghwer: BILIS RODRIGUEZ Phone#;
Address: 2655 Le Jeune Rd qty;, MIAMI , , FL. Zip; 33134
Value of Wank for tl Pera t. $ 600-00 Squareffln ear Footage of Warta _
TVpe of,Woft El Addition 0 Alteration New Repair/Replace Demolition
Description ofWaric RUN HDMI CABLES, SPEAKER CABLES AND INSTALL aP .AE KERS -
i>ouza/zosat
Application Is hereby made to obtain a permit to do the work and Installations as indicated. I certify that no work or illation has
commenced prior to the Issuance of a permit and that all work will be performed to meet thes-tandards of all laws regulating
construction. In this jurisdiction. t understand that a separate permit mast be secured for ELKTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, j ETC,....
OWNEIVS AFFMAVIT I certify that all the foregoing Information is accurate -and that ell work will be done to compliance with ail
applicable taws 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 osum FINA►NaNGr CONSULT WITH YOUR LENDER OR X41 ATTORNEY BEFORE RECOR 'ZING
YOUR NOTICE OF COMMENCEMENT:
Notice to Applicant: As a condition to the issuance of o building permit with ort esstirnoted value exceewng $.25oa, the appllca»t must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the perm
whose property is subject to attachment Also, a cert#ied copy of the recorded notice of commencement roust he pasted at the job site
for the flat inspection which amrs seven (7) days alter the building pmts Issued- In the absence of such pond notice, the
rasped "011 Witl nut off appraved and a rernsplectrarrfee wrnbe charge'
Signature
OWNER or AGENT
The foregoing Instrument was acknowledged before me this
dayof _ G7ec,e_ 1'2L'2 by;
AMM _eZ who Ispersonally known to
me or who has produced 3 FSS` ZW-6 l
Identification and who dirt take an oath.
NOTMY PUBLIC:
Identification and who did take an oath.
NOTARV VUB
• P hlic Stat® of Florida
_ FpI
a°, ,-^
Notary Public -State of Florida
Joanna M Fel ano
_ , , , -----MV
Comm. xpires pr 30, 2018
Seal; va My Commission FF 082753
Seal::Na
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Commission # EE 194096
�oFs`0� Expires 01/12/2018
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Bonded Through National Notard Assn.
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APPROVEt? R
P{ Examiner
Zoning
Structural Review
Clerk
(Re>ris WV2.4/V14)