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EL-15-1104Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-236232 Permit Number: EL -5-15-1104 Scheduled Inspection Date: June 08, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: LOFFREDO, STEPHEN Work Classification: Alteration Job Address: 317 NE 102 Street Miami Shores, FL Phone Number Parcel Number 1132060135060 Project: <NONE> Contractor: APL ELECTRICAL CONTRACTOR INC. Phone: 305-331-9876 ounaing uepartment comments WIRING FOR NEW 3 TON CENTRAL AIR SYSTEM Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed Failed _ Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. June 08, 2015 For Inspections please call: (305)762-4949 Page 18 of 25 ea!F y Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 `F Phone: (305)795-2204 Project Address Parcel Number Applicant 317 NE 102 Street 1132060135060 STEPHEN LOFFREDO Miami Shores, FL Block: Lot: Owner Information Address Phone Cell STEPHEN LOFFREDO 317 NE 102 ST MIAMI SHORES FL 33138-2428 Contractor(s) Phone Cell Phone APL ELECTRICAL CONTRACTOR INC 305-331-9876 of Work: WIRING FOR NEW 3 TON CENTRAL AIR Sy tonal Info: kation: Residential nine: 3 Fees Due Amount CCF $120 DBPR Fee $2.25 DCA Fee $2,25 Education Surcharge $0.40 Permit Fee - Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $166.70 Valuation: $ 1,200.00 Total Sq Feet: 00 Pay Date Pay Type Amt Paid Amt Due I Invoice # EL -5-15.55504 05/11/2015 Check* 2612 05/12/2015 Check #: 2615 $ 50.00 $ 116.70 $ 116.70 $ 0.00 Available Inspections: Inspection Type: Review Electrical In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authoyize the aooe-named contractor to do the work stated. May 12, 2015 Owner Z AppliegMt / Contractor / Agent Building Departmevnt Copy May 12, 2015 1 ie 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 BUILDING PERMIT APPLICATION ❑BUILDING ELECTRIC ❑ ROOFING MAY, 11. 2819 FBC 20 1® Master Permit Nog /I0 3 , Sub Permit No/% /l pa G ❑ REVISION ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR 10B ADDRESS: '3V-1 iso ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS Folio/Parcel#: 1 1_6 20(0 01 b — ! Q J Is the Building Historically Designated: Yes Occupancy Type: o b� Load: Construction Type: Flood Zone: BFE: _ OWNER: Name (Fee Simple Address: NO _ FFE: City: kt41 M ( a,"Ji" 12 -LS State: R_ Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: City: Quail State Certification or Registration #: 14-q Q 5 Certificate of Competency M _ DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 12M . 00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 1:1 New -- cc [IRepair/Replace ❑�Demolition � �1 Description of Work: w io IJC rp-p- New 3 `�I� Vy <Tg Specify color of color thru tile: Submittal Fee $ Permit Fee $ ��CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) 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 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. Signatuk V, 4,Jl- Signature . ,,, � Z Llt=� WNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of . 20,_ y � day of 20 who is personally known to L f2j�l�'C_ , who is personally known to me or who has produced IV O/ as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Print:Print: �..•��.., DASSILLE N. DURAN �•`'+ "ei,:, Seal: .•`.�`� �e',, a° o; Notary Public -State of Florida �•• 40 £ Notary Public -State of i iorida Seal: .= Commission # FF 1.93762 ? • Commission # FF 193762 My Comm. Expires Jan 26. 2019 b"„ •••� My Comm. Expires Jan 28, 2019 ., � •. p 0.0 Bonded tlllralpll NW" NAtary Assn APPROVED BY (Revised02/24/2014) 2?_�is— Y Plans Examiner Structural Review Zoning Clerk 480 NW170 ST 11film FL 33055 DF3-F2-DVVC-252 CERtIFICATE OF ELEC'nON TO BE rt)(EMFrr REWSED 08-13 fittps.,I[aW,tldfs.coliVr,freportviemrftpodVjewer.aspx?data-kdvpginc9 ... e7RzaSOtEbN41ziOxOwkVL%XxSVvlOgFPOxytdHNaNVVTwUAzGajVqMt AlIA-111LOAll- 215[16, 9:55 AW Page I of -� IMPORTANT Pwsuwdt*Chapw440. 14).F.S..enofflowofacorWaft OU who eimb =tm 6 =nmay &apfiw by ftbo a cwffWe of electkm up W rsooverbemft or :F comperamion underthis du0w. '0 Pursuant toChapter 44aZCerfteles of eleoffm to apply scope oltheWskessorradeL td no of= to be exempt. ID ftweltio=0440.05(13 F,9.,NoH0wofe%cUontob9 exempt &W Of=tobeexwA swbe :H ottfm nobw :E or the Inuffime,of U* cowtals. Vw= named W ft no** or owt[Nmte no ImW meets requhmmft of this E sectim for bawnce of a cafflodo. The depwWwt sW revoke a cefffmate = time for A&n offt person nand on the oedEceft to the ra*"mft ofthis section. DF3-F2-DVVC-252 CERtIFICATE OF ELEC'nON TO BE rt)(EMFrr REWSED 08-13 fittps.,I[aW,tldfs.coliVr,freportviemrftpodVjewer.aspx?data-kdvpginc9 ... e7RzaSOtEbN41ziOxOwkVL%XxSVvlOgFPOxytdHNaNVVTwUAzGajVqMt AlIA-111LOAll- 215[16, 9:55 AW Page I of -� STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DI'VISION OF WORKERS' COMPENSATION PWWjWt0ChG0W440 14).F.$.,an~iafawvwWw 0 uft eleft L=Xw,*crft dopier by ft emmund" seww"MyndTacw"bewbor campensaw underoft dopier. 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