EL-15-240 (2)Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-228270 Permit Number: EL -2-15-240
Scheduled Inspection Date: February 24, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: YZQUIERDO, JOSE Work Classification: Pool - Private
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
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ELECTRICAL FOR POOL
TO CLOSE PERMIT# EL -13-675
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-227634. Need to install door
alarms.
Failed
a -
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 34 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
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FEB 4 2015
BY: _I
FBC 20 rp
BUILDING Master Permit NO—EkP-1 S —:Z33
PERMIT APPLICATION Sub Permit No. 15-214 C)
❑BUILDING �M ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: � —5 -' I u � C, ) "fi
City: Miami Shores
County:
Miami Dade
Zip:
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Is the Building Historically Designated: Yes
NO _
Occupancy Type: Load:
Construction Type: Flood Zone:
BFE:
FFE:
OWNER: Name (Fee Simple Titleholder):
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Phone#:
Address: I 5 25-5 1 1A�
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City:
Tenant/Lessee Name:
Email
Es State: -
one#:
CONTRACTOR: Company Name:
Address:
City:—I
Qualifier Name:
Phone#:
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Zip: % 3 1 -a d
State: C Zip: 1
0 A v/' Phone#:
State Certification or Registration #: 13 (.=u 4'� f 1 Certificate of Competency #:
DESIGNER: Architect/Engineer: ��< l.-• Phone#:
Address: City: 1 d (. I i State Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace c ❑ Demolition
Description of Work: ��1�`�-`�� �-- ���
Specify color of color thru tile:_
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
(Revised02/24/2014)
Permit Fee $ 7eal d ,�P CCF $ CO/CC $ _
Radon Fee $ DBPR $ Notary $
Training/Education Fee $ Double Fee $ _
Bond $
TOTAL FEE NOW DUE $ 31 `)
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 _
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 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 Signature
&WNERIor CONTRACTOR
The foregoing instrument was acknowledged before me this
ems-- day f 20 A '�- by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
The foregoing instrumas acknowledged before me this
day of -C-- 20 , by
)JOYCV-D who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:" Sign:
Print: Public State of Florida Print:.,VY PPublic State of Florida
Sanchez °RobertoAt
Roberto Sanchez
Seal: Ate:My Commision EE043995 $eal: a My Commission EE043995
Expires 12/05/2014y s 9TfOFIl Expires 12/05/2014
as
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)