EL-14-1064Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-212956
Scheduled Inspection Date: February 17, 2015
Inspector: Devaney, Michael
Owner: NAVARRO, MIGUEL
Job Address: 50 NE 96 Street
Miami Shores, FL 33138 -
Project: <NONE>
Permit Number: EL -5-14-1064
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number 1132060130630
Contractor: ON CALL ELECTRICAL CONTRACTORS INC Phone: (786)388-5880
comments
NEW POOL ELECTRICAL WORK
INSPECTOR COMMENTS False
Inspector Comme
Passed
� 7
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
February 13, 2015 For Inspections please call: (305)762-4949 Page 2 of 30
Miami Shores Village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 7952204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: 50 /V6-
-.4r--7—
FBC 20
Me
MAY 22, 2014
Permit No. 4�r-- -/ /!� - Z 0 1 GZ
Master Permit No.BPP11/ /o6 .3
City: Miami Shores County: Miami Dade Zip• 3313-Y
Folio/Parcel# 99 < 3.4(J14` -- V t 3 - . &
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): ®4® 4�d 614 k - 0 Phone#:
Address:_ 5()Ahh26 -Sr
City: dmf 1&0*10 -silo r C5 State: ir4L Zip: 3 -9 / 3r -
Tenant Name: Phone#•
Email:
CONTRACTOR: Company Name: A) -/ t- CLe c "& i c Phone#: 778 tr / 7 *7 ,. % 7 f
Address: 7L^ 10 AJ lij's i "- . `it /Ckv
City: � l �d�jl State: FL- Zip: '35i a 'l
Qualifier Name:
State Certification or Registration #: - CC 61000 Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ P Y TWO, a Square/Linear Footage of Work:
Type of Work: LlAddress ❑Alteration ONew ORepair/Replace ®Demolition
Description of Work:� i p f le r- ��/ C
_
Submittal Fee $ Permit Fee $ 70,0-po CCF $ CO/CC $
Scanning Fee $
Notary $
Radon Fee $
Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ Q '�'4 - '40
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 coed' on to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith thatjaof the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subjecthment. AIso„a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection Aurs seve ) days after the building permit is issued In the absence of such posted notice, the
inspection will not be aperd a _rte' fee will be charged
or Agent
Signature
Contractor
The fbregoin ' trum ,t acknowledged before me thisr;AY The foregoing instrument was acknowledged before me this
day of 20 , by/�IA-1 A1,141411 R C day of M&Q* 20 -,,, by V t° f i, -a
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: ' 9
Print:
My Commission Expires:
APPROVED BY
as identification and who did take an oath.
NOTARY PUBLIC:
Sigt
Prin
' MY COMMISSION # EE 1295M My
EXPIRES: jantut 10, 2016
Banded Tluu Notary Rft UndenwRers
2G'11!1
Plans Examiner
Zoning
Structural Review Clerk
(Revised 3l12t2012HRevised 07110) 7XRevised 06/1012009)(Revised 3115109)