EL-14-265Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-207109
Scheduled Inspection Date: August 06, 2014
Inspector: Devaney, Michael
Owner: GORMAN, SEAN CHELSEA
Job Address: 372 NE 98 Street
Miami Shores, FL 33138 -
Project: <NONE>
Permit Number: EL -2-14-265
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number 1132060135680
Contractor: MESA BROTHERS INC Phone: (305)345-1974
comments
ELECTRICAL WORK FOR NEW POOL
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 05, 2014 For Inspections please call: (305)762-4949 Page 6 of 37
•t
iami 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 11
JOB ADDRESS: 3 _�
FBC 20
FEB 12 2014
Permit NOE/ /�''
Master Permit No.6 % •�/i
City: Miami Shores County: Miami Dade Zip: Q
Folio/Parcelk 19 — 33�- O& o l --� ^ 5Ca B c)
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): \—Y) Pa G 0 f mom' %,N Phone#:
Address: 'S a -�,, - l 22 s -\-
City: M o (i. t--
Tenant/Lessee Name:
Email:
State:
CONTRACTOR: Company Name: s � t\ `P Phone#:° ��<�✓e ? '° �� `� �%
Address: 1 47- .Ali a C33WV -
City: �'/�!" �` A? State: %ens"`r'��. zip:
a
Qualifier Name: �`' e !; c, Phone#:
State Certification or Registration (1110e/I'70 Certificate of Competency #:C'"
Contact Phone#:._4C;i/4� ,40 -. t �i' Email Address: �W6 ere" 4-'l Ay Ce- IvIe f
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ ;�"-.'a -V
Type of Work: DAddress DAlteratipn
Description of Work:
Square/Linear Footage of Work:
❑Repair/Replace ❑Demolition
m�a�x��xa�w��a���xaa�xa�x��ax��x�����u�raxa��x�xx��x�:x�xax�x�Feesx�a�x�aam�aax�x��xaxxa�xxax���anaxan�xax��a��x��x���x��x���xa����x�n�xaxx�
Submittal Fee $ '�d Permit Fee $ �Kaz5G1 40 -41 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Educadon Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ v
I
Bonding Company's Name (if applicable) _
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
•
Zip
City State 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 inspectio which occurs seven (7) days after the building permit is issued.. -Tri the absence of such posted notice, the
inspection ' l not be p oved reinspection fee will be charged.
A ... -
Signature Signature
Owner or Agent
The foregoing instrument was ackn'aq edged before me is
r
day of... 20 jam, by t"+;
who is personally known to me or who has produced
As identification and who did take an oath.
NOT.
Sign:w
Print: h /�.
My Commission Expires:
APPROVED BY.
Contractor
The foregoing instrument was ackno ledged before e this
day of , 20W , by
who is personally known to me or who has produced
,SLUIS A OARM
MY COMMISSION # EE096242
EXPIRES: June 10, 2015
Bonded Tin Notoy Pubtk Umwdtem
2v/y
�� Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
identification and who did take an oath.
Sign: L04`� 01
Print: A,t .s
My Commission Expires:
W WWWION#EE096242
W-€XPIRES: June 10, 2015
nn Notary Putt uW8WhM
Zoning
Clerk