EL-14-625Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-226564
Scheduled Inspection Date: January 16, 2015
Inspector: Devaney, Michael
Owner: DOVALINA, ARTURO
Job Address: 730 NE 94 Street
Miami Shores, FL
Project: <NONE>
Contractor: ATLANTIS ELECTRICAL CORP
Permit Number: EL -3-14-625
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition
Phone Number
Parcel Number
1132060141690
Phone: (305) 551-4043
tsunaing uepartment uomments
ELECTRICAL WORK AS PER PLANS FOR FAMILY ROOM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
_J
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 15, 2016 For Inspections please call: (305)762-4949 Page 22 of 24
Miami Shores Village
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
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: -� e� 1,3 E Cj
FBC 20
MAR 2 g 2014
Permit No. _0 14 -- 6 p�
Master Permit No.-�L— j
City: Miami Shores County: Miami Dade
Zip:
Folio/Parcel#: ``- 320 - y\ q - lcclo
Is the Building Historically Designated: Yes
NO %9 Flood Zone: Ny
OWNER: Name (Fee Simple Titleholder):_ I\LTog-e-, V A- L. adv fl- Phone#: 36 j -
Address: SO AJC ®q 5r
City: �,k �_-® State: _ Zip:
Tenant/I.essee Name: AJ U Phone#:
Email:
CONTRACTOR: Company Name: - V L/�, 1 r ec-yrz (C— Phone#:?
Address: 12.663 �W —Zp r— K
City: J r4-11-\ State: Zip: 7
Qualifier Name: ,✓�� C� �� Phnnr+i
State Certification or Registration #: o \CA 1 Certificate of Competency #: _
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit:$ �j ® � a Square/Linear Footage of Work; .
Type of Work: DAddress ❑�
Descri n of Wir -
pVuu t V krn n VN
ir/Re a ODemolition
A
Submittal Fee$
® Permit Fee $ o /®® CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond
Technology Fee $
TOTAL FEE NOW DUE $ a . l
Bonding Company' 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 i4apped
ven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wiins ectionfee will be charged.
Signature Signature Contractor
17
The foregoing instrument as acknowledged before me this�0 The foregoing instrument was acknowledged before me this,,
day of i , 20 , by 0lo � ( day of , 201'4 ., by—�'iQ��fy('A hPZ
w o is personally knowntome or who has produced ' who is personal nown to me or who has produced L
,�. u ," �oentification and who did take an oath. CA as identification and who did take an oath.
ATl1T A nv IMTTnT Ti".
APPROVED BY
�a iv
Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk