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EL-14-889.I - Inspection Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-211709 Permit Number: EL -5-14-889 Scheduled Inspection Date: September 29, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Pool - Private Job Address: 1172 NE 103 Street Miami Shores, FL 33138-2652 Project: <NONE> Phone Number Parcel Number 1132050190040 Contractor: SHINE ELECTRIC ENGINEER Phone: (305)688-2000 tsuncuna Department comments ELECTRICAL WORK FOR NEW SWIMMING POOL INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 26, 2014 For Inspections please call: (305)762-4949 Page 4 of 29 Miami Shores Village Building Department 90050 NY -2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUIILDING PERMIT APPLICATION Permit Type: Electrical FBC 20 Permit No. l �L/" Y(T 4 Master Permit No. �i3-7% V JOB ADDRESS: 1 l -7 1 c --::D 3 -E:5-r City: Miami Shores County: Miami Dade Zip: 1 3 Folio/Parcel#: I I. — 2 (,-:::D ,:S; — ® I -==? - C Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): d S I�--�2�2--hone# �- Z Address:_ _E' / City: N1 Tip: 3 I 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 Finail Address: AHUEZO@SHINEELECTRICAL.COM DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddress UAlteration *ew L]Repair/Replace ®Demolition Description of Work: Submittal Fee $_ 5�a ©Q Permit Fee $ A0, >^0 CCF $- CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 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 EMPROVEMENTS 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 insp whic occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will t be approv a=da reinspection fee will be charged Signature Sisnature Owner or Agent Contractor The foregoing ins ent was acknowledged before me this day ofd' —1 20 ��6y (/U l who i. pzmo� ba-� nally known to me or who has produced As identification and who The fore oing ' ent was acknowledged before me this 2'� day of 20 1 f1hy�- who is personally known to me or who has produced oath as identification and wla.V#4*,qath. APPROVED R5 ,?-� IA/ _ Plans Examiner Structural Review (Revised 3/1212012)(R-ised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk