EL-14-2486-�5
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-226146 Permit Number: EL -11-14-2486
Inspection Date: January 08, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: ,
Job Address: 490 NE 91 Street
Miami Shores, FL 33138 -
Project: <NONE>
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)596-0111
Parcel Number 1132060190010
Contractor: MESA BROTHERS INC Phone: (305)345-1974
Buildino Denartment Comments
REPLACE KITCHEN OUTLET
Infractio Passed Comments
INSPECTOR COMMENTS False
Passed
I 1/ I
I—J
Inspector Comments
CREATED AS REINSPECTION FOR INSP-225982. CREATED AS
REINSPECTION FOR INSP-223278. Add 1 smoke detector. Put the disch
washer and disposal under a 2 pole breaker.
Failed
E:1
7 jan. 2015
Noone home.
_
Correction
Needed
/J
Re -Inspection
❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
For Inspections please call: (305)762-4949
January 07, 2015 Page 1 of 1
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
BUILDING
PERMIT APPLICATION
❑BUILDING M ELECTRIC ❑ ROOFING
�`'(��FBC 20t _
Master Permit NOT-('— (q-
Sub Permit No. Ei�-
❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: -e-1f� .Load: Construction Type: 2�'c Flood Zone: BFE: FFE;
OWNER: Name (Fee Simple Titleholder): �A C Ae- Phone#:
Address: i� (� CCI�r PL�
City: �
t
Tenant/Lessee Name:
Email:
State: r (/ Zip:
CONTRACTOR: Company Name: _He 5 c 8 y -o -r h ey / V C Phone#: 3�0 S 6 BOJ 2
Address: T l . kir 1, 3 11�a r
City: G u!I.r State: "�/o Zip:
Qualifier Name: f Phone#: 0 0>1r -A5
State Certification or Registration #: Z -'-C- /0 Oa % F%c' Certificate of Competency #: -.- O
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $
Type of Work: ❑ Addition
Description of Work:
City: State: Zip:
Square/Linear Footage of Work:
❑ Alteration ❑ New [Repair/Replace ❑ Demolition
C�`w i4
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ / �� ��� CCF $ (� - CO/CC $
Scanning Fee $ • Radon Fee $ 0-�oQ) DDB/P�R $ V Notary $ W
oTechnology Fee $ Q Training/Education Fee $ ' CA-) Double Fee $
Structural Reviews $ Bond $ P
TOTAL FEE NOW DUE$ 59 - (;0
(Revised02/24/2014)
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 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 i9spIrtion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection w ll noA be approved and a reinspection fee will be charged.
Sign� V \ Signature
r OWNER or AGENT CONTRACTOR
�foregjoing trument was acknowledged beforeiI me this The foregoing instrument was acknowledged before me thisf OCT O 20 6 I y � � day of j 120 14 J by
po vk— o is ersonally known to �A 014,) , who is personally known to
me or who as produced as me or who has produced as
identification and who did tak an oath. identification and who did take an oath.
NOTARY PUBLIC: /---\/ NOTARY PUBLIC:
Sign: Sign:
Print: Print:
10Z4��, GUILLERMO M.
DA �i"
Seal: Seal: c '; 20a
,° Notary Public - State of Florida '` reinsu
My Comm. Expires Apr 26, 2015
sa9'F „ -.cion # EE 87672 „a
***********************************************************************************************************
APPROVED BY ,/ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)