DEMO-15-952Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-235588
Scheduled Inspection Date: May 29, 2015
Inspector: Devaney, Michael
Owner: GODOY GONZALEZ, ILEANA
Job Address: 166 NW 100 Terrace
Miami Shores, FL 33150 -
Project: <NONE>
Contractor: MANNY'S ELECTRICAL CONTRACTOR INC
comments
DISCONNECT SMALL APPLIANCES
Permit Number: DEMO -4-15-952
Permit Type: Demolition
Inspection Type: Final
Work Classification: Electric
Phone Number (786)390-9503
Parcel Number 1131010230280
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-234955. CREATED AS
II II REINSPECTION FOR INSP-233088. Need 2 20 amp. G. F. I. protected
receptacles .
Failed 4��_
0
Correction
Needed ❑ G��
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
May 28, 2015 For Inspections please call: (305)762-4949 Page 23 of 26
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number Applicant
166 NW 100 Terrace 1131010230280 ILEANA GODOY GONZALEZ
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone cell
ILEANA GODOY GONZALEZ 166 NW 100 Terrace (786)390-9503
MIAMI SHORES FL 33150-
166 NW 100 Terrace
MIAMI SHORES FL 33150 -
Contractors) Phone Cell Phone
MANNTS ELECTRICAL CONTRACTOI
of Demo: Electric
onal Info:
ification: Residential
Tina: 3
Fees Due
Amount
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$0.80
Total:
$114.60
Valuation: $ 280.00
Total Sq Feet: 00
Pay Date Pay Tvpe Amt Paid Amt Due I
Invoice # DEMO -4-15-55288
04/22/2015 Credit Card
05/11/2015 Credit Card
$ 50.00 $ 64.60
$ 64.60 $ 0.00
Available Inspections:
Inspection Type:
Final —j
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 doneAy either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WIND S, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing infomthti�n is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-OaSnedjoyeffl—raidtor to do the work stated.
May 11, 2016
Authorized Signature: Owner
Building Department Copy
May 11, 2015 1
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
FBC 20 W
BUILDING Master Permit Nom 15— --d t C,
PERMIT APPLICATION Sub Permit No,yaw 4.5':. .I
❑BUILDING D(] ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION E] RENEWAL
[--]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
1(0(0
CONTRACTOR DRAWINGS
JOB ADDRESS: " `� l O O �Zy` V
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE:: �/ �FjFE:
0 /
OWNER: Name (Fee Simple Titleholder): I a-ny� ' 2 `
Phone#: I 0 3
Address: 16(o ow loo L w
City: M iOn Shoyrs State: F(-- Zip: 3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: r -12h h
Address: 05W V1
City: 1- 4 R4
Qualifier Name:
11�7r G Zip: 33 (_375
le- 0/r -g Phone#:
State Certification or Registration #: Fc /3 ®t) 333 q Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ ;-go Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition
Description of Work:
_4J�2� C Se77/�/��Ct ✓� r F' ��,� r
Specify color of color thru tile:
Submittal Fee SSO, 30 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 $ 0
(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
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 after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reins ection fee ill be charged.
Signatu
OWNER or AGENT
The foregoing instrumen was acknowledged before me this
tday of t✓yo20 / Jr by
,—eau-tc �who is.?rsonallyknown to
me or who has produced_ as
identification and who did take an oath.
wignatur !�%�
CONTRACTOR
The foregoing instrument was acknowledged before me this
1 day of `' rvcz✓' - 20 by
61
a , who is RgMonally known to
me or who has produced
identification and who di
NOTARY PUBLIC: 1
a,
a,
Sign:
"I acobo ragman
ACommisdon#FF061271
?s Expires: Qct 09, 2017
as
Seal:MAL Seal
MO
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BorEXPIRE 3: July PubRok 2016
uid Thru Novy
........wax
APPROVED BY J ��✓ �Pfy Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)