EL-14-2406Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-227817 Permit Number: EL -10-14-2406
Scheduled Inspection Date: February 09, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , Work Classification: Alteration
Job Address: 22 NW 103 Street
Miami Shores, FL
Project: <NONE>
Phone Number
Parcel Number
1131010180010
Contractor: SUNSHINE ELECTRICAL CONTRACTORS CORP Phone: (305)265-4958
tsuualing luepanment comments
GFI;S IN TWO BATHROOM
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed -L01
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
February 06, 2015 For Inspections please call: (305)762-4949 Page 18 of 26
Addr
City:
Quall
State
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ :5M , 0z) Square/Linear Footage of Work:
Type of Work: ❑ Addition El Alteration ElNew
Description of Work: FT, "N
Specify color of color thru tile:
Zip:
Repair/Replace ❑ Demolition
414-S.
3,�`-!9,Op
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ p Radon Fee $ a DBPR $ Notary $
Technology Fee $ Training/Education Fee $ 6 •, Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $'a42- ° 2
(Rev1sed02/24/2014)
Miami Shores Villageo��
®L7 3 1,Z
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
FBC 20 f�
BUILDING
Master Permit No. Q a,----
PERMIT APPLICATION
Sub Permit No. t/ //l —ew w
❑BUILDING ® ELECTRIC
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL
❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
'
JOB ADDRESS: 9-40), N 0
®�� •
City: Miami Shores
County: Miami Dade Zip:
Folio/Parcel#: 10 ( °� 4 00 V) Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
a L Phone#:
Address:
?2- �g
City: ��
State: El Zip: 'R -3 (��
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Name: �l%y/J/��
�-�`� PhoS� 7 p
Addr
City:
Quall
State
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ :5M , 0z) Square/Linear Footage of Work:
Type of Work: ❑ Addition El Alteration ElNew
Description of Work: FT, "N
Specify color of color thru tile:
Zip:
Repair/Replace ❑ Demolition
414-S.
3,�`-!9,Op
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ p Radon Fee $ a DBPR $ Notary $
Technology Fee $ Training/Education Fee $ 6 •, Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $'a42- ° 2
(Rev1sed02/24/2014)
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
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 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.
Signature>�7�,s.14---
i
TNER or AGENT CONTRACTOR
The foregoing instrumnts.,acln iledg a ore m this The foregoing instrument was acknowledged before me this
day of20 by :a-0 day of 0 C I J ncr C . 20 1 q , by
ho is personally known to
me or who has produced ,), as
identification
NOTARY PU
Seal:
, who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
• - - ,
Seal: _ : s o
�*'�mw**�x�x
APPROVED BY r'%� /DAG ¢tans E amiher
Structural Review
(Revised02/24/2014)
as
4�
.
v
ee
1 Zoning
Clerk