EL-15-242Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-228269 Permit Number: EL -2-15-242
Scheduled Inspection Date: February 24, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: YZQUIERDO, JOSE Work Classification: Alteration
Job Address: 1351 NE 101 Street
Miami Shores, FL 33138 -
Phone Number
Parcel Number 1132050230080
Project: <NONE>
Contractor: YORK ELECTRIC CORP Phone: (786)287-7380
suiming uepanment comments
ELECTRICAL UNDERGROUND
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-228159. Need to bond the gas
I I line.
Failed
Correction
_
Needed
(
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
February 23, 2015 For Inspections please call: (305)762-4949 Page 33 of 51
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
FBC 2016
BUILDING Master Permit No.EL— 15 — 2.42.
PERMIT APPLICATION Sub Permit No.
❑BUILDING bqELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
OWNER: Name (Fee Simple Titleholc
City: A 4 a—
Tenant/Lessee Name:
Email:
'�-f� cm, � �
CONTRACTOR: Company Name:
Address:
City: l J LA '
ry
Qualifier Name:
LPhone#:—
State:
-
b �
0--1— Phone#:
M
3 @ —:;, 21
p:I%k:
State Certification or Registration #:-- 1 -)0 `�$�1 Certificate of Competency #:
DESIGNER: Architect/Engineer: 2 I2 �"k �— , �i Phone#:
Address: i o--7 -7c,�q -,-4w
p e, City: t a LAA c State: Zip:
Value of Work for this Permit: $ Vy Square/Linear Footage of Work: 6
Type of Work: ❑ Addition ❑ Iteration ❑ New ❑ Repair/Replae ElDemolition
Description of Work: C'
ZZ� I
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 4,"1,00 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ _%D 2
(Revised02/24/2014)
CONTRACTOR
DRAWINGS
JOB ADDRESS: 13,51
l C t A
City: Miami Shores
Countv:
Miami Dade Zip:
Folio/Parcel#: 1- 3 _,7 o - 0
- 50 9 0
Is the Building Historically Designated: Yes
NO
Occupancy Type: Load:
Construction Type:
Flood Zone: BFE:
FFE:
OWNER: Name (Fee Simple Titleholc
City: A 4 a—
Tenant/Lessee Name:
Email:
'�-f� cm, � �
CONTRACTOR: Company Name:
Address:
City: l J LA '
ry
Qualifier Name:
LPhone#:—
State:
-
b �
0--1— Phone#:
M
3 @ —:;, 21
p:I%k:
State Certification or Registration #:-- 1 -)0 `�$�1 Certificate of Competency #:
DESIGNER: Architect/Engineer: 2 I2 �"k �— , �i Phone#:
Address: i o--7 -7c,�q -,-4w
p e, City: t a LAA c State: Zip:
Value of Work for this Permit: $ Vy Square/Linear Footage of Work: 6
Type of Work: ❑ Addition ❑ Iteration ❑ New ❑ Repair/Replae ElDemolition
Description of Work: C'
ZZ� I
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 4,"1,00 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ _%D 2
(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
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 an nspection fee will be charged.
Signature Signature
o NT TRACTOR
The foregoing instrumeennt, was acknowledged before me this
day of �4 , by
'LEa�>e1 VE51�(?A-,-4ho is personally know��to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
SpAy o0e Notary Yu°uc -- — • ._.._
Seal: ?° v; Roberto Sanchez
c My Commission EE043995
Fo� Expires 1 210 512014
The foregoing instrument
;was acknowledged before me this
day of !- 20 by
CA-tv-c-) , who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:'`
Seal:
a° `; Roberto Sanchez
� c.Q My Commission EE043995
9j`°oFF�°e Expires 1 210 512 014
as
APPROVED BY E �Z Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)