EL-14-636Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-223769
Scheduled Inspection Date: December 09, 2014
Inspector: Devaney, Michael
Owner: SALT, ABBIE
Job Address: 1468 NE 104 Street
Miami Shores, FL 33138 -
Project: <NONE>
N -
Permit Number: EL -3-14-636
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number 1122320320320
Contractor: SHINE ELECTRIC ENGINEER Phone: (305)688-2000
comments
ELECTRICAL WORK FOR NEW POOL AND SPA------
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-210002. Existing receptacles on
El the building have to be G F I protected and rain proof.
Failed G l�
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 08, 2014 For Inspections please call: (305)762-4949
Page 17 of 48
Miami Shores Village
Building Department
90050 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
FBC 20
Permit No. _15) O'y " z 36
Master Permit NoNp /!Z— t 35
JOB ADDRESS: 1-4-- 4— 25E�, N t=_ /
City: Miami Shores County: Miami Dade Zip: Ef > z's-,
Folio/Parcel#: r I :;;a2— 2 — —
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Phone#::3� ,SZS • 12
Addressi'`�
City: %-��l►-vti���tate:-- gyp; 3 1 �'c�
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 #. ECO001514 Certificate of Competency #:
Contact phone#. 305-688-2000Email Address: AHUEZO@a SHINEELECTRICAL.COM
DESIGNER: Architect/Engineer:
Value of Work for this, Permit: $ ��— ��� _��Sgquare/Linear Footage of Work:
Type of Work: DD
Address. Alteration iNew ORepair/Replace ODemolition
Description of Work:
Submittal Fee $ Sid -L/XJX Permit Fee $ 3'^Q'G' CCF $' CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ �� gl�!>
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
not be approved and a reinspection fee will be charged
inspection will
Si Si
Owner or Agent Contractor
The for g2mg instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �
day of �J t k2d ZO � �Uy ALS.-��-'fit i—'t ; day of 120 I -t, by es co — ?ate
who is personally known to me or who has produced who is personally known to me or who has produced
i 111011111/!t �
As ide ificatioR, CjylW % an oath. as identification and who did take an oath.
NOT17 PUF
Sign: UWU
PrintS
My C ssio
APPROVED BY
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�ber�H?o,�c'/�� N T RY UBLIC•°° R1.E�tYM`'
a �Q �, N ; — • �pMM/gs
:gy o.• :* s M e,�C
Si
2C'1,01' Plans Examiner
Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)