EL-13-1854Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-197295
Scheduled Inspection Date: August 29, 2014
Inspector: Devaney, Michael
Owner: REBELO, ALEJANDRO
Job Address: 353 NE 94 Street
Miami Shores, FL 33138 -
Project: <NONE>
Permit Number: EL -8-13-1854
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number 1132060136110
Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Phone: 3051556-5759
comments
ELECTRICAL WORK FOR SWIMMING POOL AND SPA
INSTALLATION
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 28, 2014 For Inspections please call: (305)762-4949 Page 1 of 27
!i
Miami Shores Village
Building Department
90050 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
JOB ADDRESS:
FBC 20
�j
Permit No. ✓
Master Permit No.V 71 P'
City: Miami Shores y, ) County: Miami Dade Zip: d l J
Folio/Parcel#:11 "' — 0' ` — �, 1 0,
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
Zone: AJO
City: IM � State: T-1 Zip: �� 1
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name \i 1@ ydQ,(, ''�e �; Rhone#:
Address: I 4P
City: A , C
Qualifier Nan
State Certific:
Contact Phony
DESIGNER:
U i - gra. �low—u
of Competency #:
Address:
:;�A V,n2C; Phone#• / SV b I
Value of Work for this Permit: $ 1 p1 r) Square/Linear Footage of Work:
Type of Work: OAddress OAlteration ONew ORepair/Replace ODemolitio
Description of Work:
Submittal Fee $ Permit Fee $ 30,0-0,0 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Educatiou Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ y VI..
Bonding Company's Name (if applicable)
Bonding Company's Address
City
r
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 inspection which occurs seven (7) days after the building4&issueI the absence of such posted notice, the
inspection will not be approved and a rein coon fee will be charged.
Si
eror Agent tractor
The fore ping instrument was acknowledged bef me this - �,1 The foregoing instrument was acknowledged before me this �
day of , 20 by day of , 20 by���`�t
who is rsonally known to a or who has produced who is onally known me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
My Commission Expires:
NOTARY PUB:
My Commission Expires:
APPROVED B , Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)MeAsed 07/10/M(Revised 06/10=M)(ReAsed 3/15/09)