EL-13-523Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-213427
Scheduled Inspection Date: August 14, 2014
Inspector: Devaney, Michael
Owner: JULIANA MIRANDA, PAUL ADAN
Job Address: 500 NE 97 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: AC ELECTRICAL CONTRACTOR
Building Department Comments
NEW PANEL NEW LIGHTING FITURES
Permit Number: EL -3-13-523
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number
INSPECTOR COMMENTS False
1132060171540
Phone: (305)970-2024
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-213273. Add arc fault breakers.
Disch washer and disposal receptacles need proper cover plate.
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 13, 2014 For Inspections please call: (305)762-4949 Page 3 of 17
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: 6700 44 C %
FBC 20 P
Permit No. F'U 13 `5z_5
Master Permit No Cjl,3 ,52
City: Miami Shores County: Miami Dade Zip: � 3 VIC?
Folio/Parcel#: /1- 3209 - 017 ( S i D
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): °�� L �i /lz Phone#: ( 305 3-31-1 ZS
Address: �'� ✓ `/ ��� S 0 %
City: /1/,1/171 S A/C'il �State: Zip: _ F3 1 3 F
Tenant/I.essee Name: Phone#:
Email: (, /)/-NA,/L/ a,
CONTRACTOR: Company Name:
Address: -5 �4 /V 0 '�
City: Ml e't wt /
Qualifier Name: 0.5
Ai
. flo 1'
j ®.§-V' 3 S- lD,23
FL Zip: 3 ? / S12
Phone#: .J®J—170 2,0 2 9
State Certification or Registration #: 4!�7Z /:a ® P / 3 KS Certificate of Competency #:
j
Contact Phone#: Email Address: o-g'e V1 1
11 � 7 lel ez/_
DESIGNER: Architect/Engineer:
Valu - D Square/Linear Footage of Work:
Type Wor AWMV"n��
ONew ❑Repair/Replace
Description of Work: - o'e utaaJ AJ4u) P /" 4 i7lM /tel
Submittal Fee $S3 Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
❑Demolition
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 oc s seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be proved a reinspection fee will be charged.
Signature Signature
Owner or Agent /'// // Contractor
The foregoin instrument was acknowledged before me this '3
day of 200 , by;% 'UL 444" ,
who is personally known to me or who has produced % tO
As identification and who did take an oath.
NOTARY PUBLIC:
The foregoingfmstrument was acknowledged before me this—6
day of (q✓ , 20 3, by SV5F--
who is personally known to me or who has produced
Y 100 -'120 4? -:Was identification and who did take an oath.
NOTARY PUBLIC:
COM. ERphes Jan 31
Commisslcw
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
618870-0 THIS IS NOT A Sit t _ DO NOT PAY
CESS NAM / LOCATION
A C ELECTRICAL CONTRACTOR INC
3451 NW 48 ST
33142 UNIN DADE COUNTY
OWNER
A C ELECTRICAL CONTRACTOR INC
CAL CONTRACTOR
& TAX
08/21/2012
60010000248
000075.00
BEE OTHER SIDE
FVT-CLASS
U.B. POSTAGE
PAI!
MUUk%
PERNT NO. 231
RENEWAL
RECEPTNO. 645323-7
STATE* EC13001345
WORKER/S
3
DO NOT FORWARD
A C ELECTRICAL CONTRACTOR INC
DAYIRA HERNANDEZ FIRES
3451 NW 48 ST
MIAMI FL 33142
III1111111111111tifolio itifIIII Ifil" 111111IIIII11111IIdi111it 21
�. 7iiiSJQ�Jk1EN'Ti-!AS ti C'tit noi: -
A�#
6230655 STATElOF FLORIDA
DEPART OF BUSINESS To PROFESSIONAL REGULAT
E E TRICAL CONTRACTORS.LICENSING BOARD
w.a �OO
DIDi[07 27 20I2 120022439 EC1345
The ELECTRICAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration dates AUG 31, 2014
AC
VIVO, LECCTRICAL CONTRACTOR INC
334451 ASW 48TH STREET
MIAXI FL 33142
ION
SEQ#L12072701289
RICK SCOTT
GOVERNOR REN LANSON
DISPLAY AS REQUIRED BY LAW SECRETARY