EL-13-1556Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-195099
Scheduled Inspection Date: October 29, 2014
Inspector: Devaney, Michael
Owner: GOMEZ-BASSOLS, ISABEL
Job Address: 137 NE 92 Street
Miami Shores, FL 33138 -
Permit Number: EL -7-13-1556
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number
1132060133170
Project: <NONE>
Contractor: WORLD ELECTRICAL CONSTRUCTION SERVICE CORP. Phone: (954)213-5663
Building Department Comments
ELECTRIC FOR ADDITION
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 28, 2014 For Inspections please call: (305)762-4949 Page 1 of 46
Miami. Shores Village
Building Department artment- -
--
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 j 11L 11
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20 (om-
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.' -C -I.3 11 s5
Permit Type: Electrical
JOB ADDRESS: t'6 77 A)�— q Q �/ t f eei
City: Miami Shores County: Miami Dade Zip: !C>Z) I nD
Folio/Parcel#: 11 23 (0 (0 C) 1 221 % 0
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple T, iid
Address:) ) !o Abv,'
city: (n l Q iyl 1 ex -C
Temnt4xssee Name:
Email
CONTRACTOR: Company Nam
Address: I C
City: UQ
Qualifier Name: be I
State Certification or Registration
Contact Phone#JQ- d I
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ Ce) CCO, 00 SquareffAnear Footage of Work:
Tvne of Work: ❑Address ❑Alteration ❑New ❑Reoair/Renlace
ODemolition
I
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $ ft
TOTAL FEE NOW DUE $ 0'
15
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City State 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
COMINIENCEMENT 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 Signature
;Cnier or A Contractor
The foregoing instrument was acknowledged before me this
day of 20 by_Eb 1 �1-
o is personall known to ho has produced
As identification and who did take an oath.
NOTARY P LIC: * RE ��My�g��7
EXPIRES: April 3, 2614
mwo 1y,4Odo,
Bended ft Budget Mary smm
Sign.
Print:
My Commission Expires:
The foregoing instrument was acknowledged before me this "1
day of , 20 13,by
�isrsonalt knome or who has pr uced
as identification and who did take an oath.
NOTARY P LIC: R®ECQAGARCIA
°p�;� ••.,moo
* MY COMMISSION 8 DD 976807
Sign: q \O� EXPIRES: April 3, 2814
Print:
My Commission Expires:
APPROVED BYfaG« lr Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/loi101 XRevised 3/15/09)
4
Miami Shores Village ,c'
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 J
UL 0 3 2 13
FBC 20 l� ; .
BUILDING Permit No.
PERMIT APPLICATION Master Permit No 7
-i1 3 1
Permit Type: MECHANICAL
JOB ADDRESS: 125-1 ® q a
City: Miamii S..,,hoorees�s /r County: n Miami Dade Zip:
Folio/Parcel#: �� 1 (� b 1 -7l .
Is the Building Historically Designated: Yes NO ^1 Flood Zone:
OWNER: Name (Fee Simple
City: VI
Tenant
Email:
CONTR
Address:
City: _
Company Name:
Qualifier Name: _
State Certification or
Contact Phone#:
DESIGNER: Architect/Engineerr 1(2Q!2 �Uj -�'� �" . , I� lol 6 Jl,) 1Phone#: q6' ®' 6
Value of Work for this Permit: $ 0 Y 0 C-) Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑ ew ❑Repair/Replace ❑Del�olition
of Work:
— Is 'IrDO-3 • �11 fit Vi i
Submittal Fee $ Permit Fee $ 1 v CCF $ CO/CC $
Senning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ TraininglE uc ation Fe $ Technology Fee $
Double Fe $ Structural Review $ qq
W DUE $ L�1-1+
1�00
TOTAL FEE NO
.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
Signature IWMJAfSignatures
Owner or Agent
The foregoing instrument was acknowledged before me this
day op 20 Q. by (:� PDQ550 I S ,
is personally known me or ho has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
c • REBECCA QWlA
My Commission* * MY COMMISSION 8. DD 978807
EXPIRES: April 3,2#14
�f''FOF oP�Oc Berm ihru Stk4d Notary Sued
APPROVED BY
Contractor
The foregoing instrument was acknowledged beforeEe this
day of , 20l by P (d,
<wo is pe�rsonaUy�known�toor w has produced
as identification and who did take an oath.
�JL Examiner
NOTARY PUBLIC:
sign:�l l A -M JC ,l0"
Print:
:,'•. ; ,� REBECCA 4ARClA
My Commission F VA * MY COMMISSION # DD 976807
EXPIRES: April 3, 2®14
wp�oino'�`O! Bonded Nu Badge �Y Bl1Y8Bd
Zoning
Structural Review Clerk
Revised 3/12/2012XRevised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)