DS-14-1770Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-222671 Permit Number: DS -8-14-1770
Scheduled Inspection Date: March 24, 2015 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez, Jorge . Inspection Type: Final
Owner: COY, J FRANK MC Work Classification: New
Job Address: 85 NE 94 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060130580
Project: <NONE>
Contractor: ALL QUALITY ELECTRICAL SERVICES, INC Phone: (305)968-7832
junamg uepartment comments
INSTALLATION OF CONCRETE PAD FOR 22 KW
GENERATOR. DIMENSION= 55" W X 28" DEEP X 12"
HIGH.
INSPECTOR COMMENTS False
rg
Inspector Comments
MCREATED AS REINSPECTION FOR INSP-222648. Final when job
—completedPassed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
March 23, 2015 For Inspections please call: (305)762-4949 Page 8 of 52
N
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 ❑ ELECTRIC ❑ ROOFING
FBC 20 !3
Master Permit Nb:,�
Sub Permit No.-D—SI !A® RM
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: O � I � t=- � 7
City: Miami Shores County: Miami Dade Zip: 3313'j
Folio/Parcel#: //" 3 aO 01 3 65- Fd Is the Building Historically Designated: Yes NO
Occupancy Type: SG Lt Load: Construction Type: CQ S Flood Zone: Ai BFE: FFE:
OWNER: Name (Fee Simple Titleholder): r^4'9n I<, N< Ce Phone#: 3� 7r7 6 / O g
(eJ
Address: K Aje 9 V -TF --
City:
City: &I 4",4"i ar-ei State: �'� • Zip: -3
Tenant/Lessee Name:�2 /y- Phone#: gj.&
Email:
CONTRACTOR: Company Name: Uu.< < T " �G Phone#:365~ 94p 79 3Z.
Address: A/75 -d SovT�L r t* Drlbl-.e
City: t & 1ti1 j State: C"r 1 • Zip: 3
Qualifier Name: C[ m // Pie Phone#: 3a.S 96 f- 7r.y'z
State Certification or Registration #::. V '19/ Ce AI a of Competency #: / d
DESIGNER: Architect/Engineer: /+� /�' Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 6) Square/Linear Footage of Work: Ir sq Pr
Type of Work: ElAddition ❑l Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work: Z*n .S TC�,C� tM 6 Cbyf l►—PiT"�Q C`GrG
h rh S 164'
e 3
Specify color of color thru tile: _. I�
Submittal Fee $ s () ® Permit Fee $ _ CCF $ '2_0 CO/CC $
tA
Scanning Fee $ Radon Fee $ DBPR $ 2-' Notary $
Technology Fee $ 0 Training/Education Fee $ 0 "� Double Fee $
Structural Reviews $ Bond $ 0
TOTAL FEE'NOW DUE $_ 6o
(Revised02/24/2014)
11
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
s m
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 $2506, the applicant must
promise irC gobq 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.
Siignatur
� OWNER or AGENT
Tire foregoing i,nstru,Me
Dt was acknowledged before me.this
day of �� 20 l by
who is personally known to
me or who has produced ✓ LOO.416. ZZ- 0 Z742 as
identificatipn and who did take an oath.
NOTARY PUB
,*
Sign: ,
Print: : �ALFRED MCKNIGHT
14 005936
Seal: ; Vis; `E' pines January 23, 2018
RP- :•'brmw leru Troy Fein InswarmSDOMM19
APPROVED BY
(Revised02/24/2014)
Signature
a ,
CONTRACTOR o
The foregoing instrument was acknowledged before me this
3 day of ULA 20 1 , by
who " personally known t
me or who has produced as
identification and yvho did take an oath.
NOTARY PUBLIC:
Sign:
Print: •'�+
Seal: €;
Plans Examiner
Structural Review
vv.oauaaivn n IF wagau = -
'Expires January 23, 2018
B -W ileo troy Fain Imuronaed9p385 7618
Zoning
Clerk
0