EL-14-1767Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-222960
Scheduled Inspection Date: December 17, 2014
Inspector: Devaney, Michael
Owner: ,
Job Address: 150 NE 109 Street
Miami Shores, FL 33161 -
Project: <NONE>
Contractor: RAY WILLIAM ELECTRIC, INC
Building Department Comments
Permit Number: EL -8-14-1767
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)219-8267
Parcel Number 1121360090120
Phone: (305)582-6142
REPLACE PANEL AND RISER, NEW HIGH HATS AND Infractio Passed Comments
LIGHT FIXTURES, NEW SWITCHES AND OUTLETS I
INSPECTOR COMMENTS False
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP-222907. Need the power
connected, F. P. L. notified.
26. iy
December 16, 2014 For Inspections please call: (305)762-4949 Page 21 of 45
I
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
AUG 12 2014
BY - P
FBC 20
BUILDING Master Permit No.zc �� 5
PERMIT APPLI TION sub Permit No.'s—.I`{
r -] BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: /3-e) N ig , 9ft 4 -
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):/ i�� �� U �J/ U"/ i� Gj ! Phone#:
Address: ) i�& f �! 2✓ -7 _2
City: ),Ndn1e)1 Lazier State: lc_�' Zip: -�0/,t/2
Tenant/Lessee Name: Phone#:
Email:
I
CONTRACTOR: Company Name: /r �� Phone#: — ?0_6 -ZZ
Address: gu 124f Q U'e-
City: .9.w. 1& m G wp s / 1 State: Zip: -?-,y3 3.0
Qualifier Name: / L�j� 0- / (1114/ 2 C Phone#:
State Certification or Registration #: C 1306 7.01 R (I Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for -this Permit: $ y��D - Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New E ' pair/Replace ❑ Demolition
Description of Work: R0,014ce // n'&j Ni M Q /Ve ki zoo A -4up aer�e..l Gq ye�l
� h iii A i"z l 47i f Gi f -�ix r�* _ r , lu -�� S �u c -Ge -mss
fx
Specify color of pplor thru tile:
Submittal Fee $ Permit Fee $ i �� CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 4 .
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
Zi
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 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.
"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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 020 by
'tvo is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: V � \ V�- Sign:
Print: 11-4 cn
APPROVED BY Plans Examiner _
as
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of , 2 by
f Li r I�1 GI VILA , who i personally kno n to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
`e
�� ► •,o SANDY ROMERO
SANDY ROMERO
Commission # EE 116040
Commission # EE 116040
y My Commission Expires
yh�a����
My Commission Expires
July 26, 2015
Print:
Seal:
SANDY ROMERO
Commission # EE 116040
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ryhpM
My Commission Expires
p;�p
July 26, 20? 5
Structural Review
(Revised02/24/2014)
Zoning
Clerk