EL-14-2752Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-231771
Scheduled Inspection Date: April 07, 2015
Inspector: Devaney, Michael
Owner: BERNSTEIN, HOWARD
Job Address: 178 NE 111 Street
Miami Shores, FL 33161-7048
Project: <NONE>
Contractor: MESA BROTHERS INC
tiunamg uepartment comments
J
Permit Number: EL -12-14-2752
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1121360040140
Phone: (305)345-1974
ELECTRIC FOR REPLACEMENT OF KTICHEN CABINETSI Infractio Passed Comments
AND INSTALL SMOKE DETECTORS INSPECTOR COMMENTS False
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional inspections can be scheduled until
re -inspection fee is paid
Inspector Comments
April 06, 2015 For Inspections please call: (305)762-4949 Page 51 of 63
r
Miami Shores Village
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
tffl 111 L1
PERMIT A=ON
❑BUILDING ELECTRIC ❑ ROOFING
DEC 17 014
FBC 20 W
Master Permit No. gC —;k(D
Sub Permit No. L-1 1--i 'z-1 5'2—
[:]
,2—
❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
f� /J� // C�C/� CONTRACTOR DRAWINGS
JOB ADDRESS: � � r/ s" � ` ` � l 1 .0 P e�
rite. Miami ehnror rnuntvc Miami Dade 7in- 3 / io
-,204-00q- 0/
the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):1 jj2V'-R C-3�CyN \ 41 Phone#:3S-34 3 x`39 --7 5
City: \ `
Tenant/Lessee Name:
Email:
(' CONTRACTOR: Company Name:
Address:
State: JA--
City: f,� / State: �2LO �C` Zip: ✓ ��
Qualifier Name: Phone#: Z&4ri - �1': � v :;)- 4 W 9
State Certification or Registration #: 6e— 4 2170 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ ' Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New EiRepair/Repla e De lition
Descr do f Work: P C' �R t C D R 14CPA e14 � � � f`� � �` G j�PA)
inf -A s-r/,q l S o P C 6�S
Specify color of color thru the
Submittal Fee,O" °�°"" ° Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ F V 6
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 on estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatur Signature
OWNER or AGENT
Th orpgoing i tt was acknow edged befolreipe this
20
0 V who onall k o
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal: »••• LEEDAVDZUARW
* * MY COMMISSION # FF 161=11
BMS: S$PWI* 26, 2018
"dos who Budge* ft,
as
CONTRACTOR
The foregoing instrument was ac nowledged before me this
Y of 20 —J by
who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
* * *** * **+**************************************************************************************
do /dl
APPROVED BY /"" } /t /f` �e Plans Examiner
Structural Review
(Revised02/24/2014)
Zoning
Clerk
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••• ••• ••• • ••• •
NO POINT ALONG COUNTER TO BE MORE THAN
2 FEET FROM G.F.I PROTECTED RECEPTACLE.
PUT DIW RECEPTACLE UNDER SINK.
ALL FIXED APPLIANCES ON DEDICATED CKTS.
ADD SMOKE/CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED.
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