EL-14-1365Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-231644
Scheduled Inspection Date: April 07, 2015
Inspector: Devaney, Michael
Owner: HANSEN, DENNIS
Job Address: 10642 NE 10 Place
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: AMENGUAL ELECTRIC INC
comments
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Permit Number: EL -6-14-1365
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1122320280860
HIGH HATS IN KITCHEN ENTRY AND BATHROOM ' `��'_"- INSPECTOR COMMENTS False
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP-230868. CREATED AS
REINSPECTION FOR INSP-229825. CREATED AS REINSPECTION FOR
INSP-229639. Add 1 counter receptacle and install outside light fixture.
3 apr. 2015.
No one home at 4:35 p.m..
April 06, 2015 For Inspections please call: (305)762-4949 Page 43 of 63
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Miami Shores Village
Building Department uN2�v�
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 2014
Tel: (305) 795-2204 Fax: (305) 756-8972 BY®
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
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BUILDING Master Permit No.19 — 12L-3
3
PERMIT APPLICATION Sub Permit No�_/ /,-/
❑ BUILDING
ELECTRIC
❑ ROOFING
❑ REVISION
❑ EXTENSION
EJRENEWAL
❑PLUMBING
❑ MECHANICAL
❑PUBLICWORKS
[:]CHANGE
CONTRACTOR
CANCELLATION
❑ SHOP
DRAWINGS
JOB ADDRESS: ��
lei C7 1 -0
LA
City: Miami Shores
County:
Miami Dade
Zip: AR
Folio/Parcel#:
Occupancy Type: Load
OWNER: Name (Fee Simple
Is the Building Historically Designated: Yes NO
Construction Type -/4/4® Flood Zone: BFE
Address: -V% _11KJ T1tl� G." \)I
City: ov i� (�� —State
Tenant/Lessee Name:
Email:
01
0
FFE:
CONTRACTOR: Company Name: � l®46;n Phone#: 17
Address:
City: /�-A f 4A-1 % State: Zip:
Qualifier Name: /---S bq C,4 6 C Phone#:
State CerEifiicat_ion or Regis ration.#: 0 () 00 Certificate of Competency #:
DESIGNER: Architect/Engineer: - -- Phone#:
Address: City: State: Zip:
Value ofWork fdrihisslrermi { o Square/ ar �ocitage of UFlorki �
Type of Work:;
El Addition El Alteration ❑ New El Repair/Replace Demolition
,. r....
ription of -Werk: V!� e� ®-0
color of color
Submittal Fee $ S2�), ad Permit Fee $
Scanning Fee $
Notary $
Radon Fee $
ZSR®® CCF $ CO/CC $
DBPR $ Bond $
Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
X@
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 t pers n whose
property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at th job site or the
first inspection which occurs seven (7) days after the building permit is issued. /n the absence of such posted notice, a inspe on will not
be apgaeve= tvn4_a reinspection fee will be charged. ---7 '4"5�
Imo: /%%ice �� '1 1" I► _'
Owner or Agent jContractor
P
The foregoing instrument was acknowledged before me this 2— The foreg Ing instrument w s acknowledged before me this 1
P �fi
day of 20 �, by /�,�5' s�oCf day of 20 by �'� `t
w rsonall know o me or who has produced o is personally known o me or who has produced
take an oath. as identification and who did take an oath.
JORGE ROSSEAU
NOTARU lip MY COMMISSION #FF119045 NOTA JORGE ROSSEAU
` a�dF" EXPIRES May 4, 2018 ��:. � MY COMMISSION #FF11go45
I407 A 39"IJ3 JbMallotarysefvice'com .,, oFrPIKE® Mey 4, 2018
Sign: Sign: °0 a�1 i Nita �nrl�.cam
Print: Print:
My Commissionpir s: My Commissio E fres:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)