EL-14-1759 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-234305 Permit Number: EL-8-14-1759
Scheduled Inspection Date: May 22, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: RJG REAL ESTATE LLC, RJG REAL Work Classification: Addition/Alteration
CCTATC II f`
Job Address: 137 NW 106 Street
Miami Shores, FL 33150-1247 Phone Number
Parcel Number 1121360080290
Project: <NONE>
Contractor: GLOBAL ELECTRIC SERVICES LLC Phone: (305)218-0752
Building Department Comments
INTERIOR REMODEL, KITCHEN AND BATH. Infractio Passed CommentsINSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-217758. Service released to F P
El L.
N service connectedIU&o a comple�at test.
Failed �Gr
��
/W&," f
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
May 21,2015 For Inspections please call: (305)762-4949 Page 13 of 36
Miami Shores Village —
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Building Department V1 'e. T (TV
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 (-YA
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No.
PERMIT APPLICATION sub Permit Nom-- 11-4 - (a��
❑ >�ELECTRIC
BUILDING ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL
❑PLUMBING ❑ MECHANICAL F-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: f=--;Vt./&
City: Miami Shores County: Miami Dade Zi P: ��
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE:>�%' t f - FFE:
OWNER: Nam (Fee Simple Titleholder): Phone#: -�J-g — 696"61
Address: JI
City: � State: L- Zip: 5
Tenant/Lessee Name: Phone#:
Email: �_
CONTRACTOR:Company Name: (i>(!�Aa G c�i ��i'd�C°�S�C'f'hone#: 2W7&/&� 04 Z
Address: 65-7 57-.5,<---)
City: Z&A;1-M�, State: G Zip: 3 3 /S
Qualifier Name: aLln'aA- ' 60--7--Z'44'-? - Phone#:. 3C2.'5-,9-( d-JT
r 7.
State Certification or Registration#:�12f 2 D/��O6� Certificate of Competency#: /Z 0 000 54 LZ
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
V#)ue of Work for this Permit$ � U�° Square/Linear Footage of Work:
Type of Work: ❑ Addition Altera 'on ❑ New ❑ Repair/Repla e ❑ Demolition
Description of Work: iW mz K
Specify color of color thru tile:
Submittal Fee$ Jk ). CJD Permit Fee$ 2-,.f CCF$ 'b C7 CO/CC$ l!.J
Scanning Fee$ : ('� Radon Fee$ -3) 3� DBPR$ �n Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
� 0
TOTAL FEE NOW DUE$ L
(Revised02/24/2014)
Bonding Coni n 's Name if applicable) M//�
� t� Y ( pp )
Bonding Company's Address
City State IZip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
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 in ction which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will be approved and a reinspection a will be charged.
Signature �� Signature
OWNER or AGENT CONTRACTOR
The fo oing instrum nt was acknowledged before me this The foregoing instrument was acknowledged before
e me this
day of 20 by `� day of r ` N
v 20 -/ by
M who is nally known to known" to
- ER
me or who has produced as me or w as
identification and who did to an oa identific gho i 18
1 1F oom
CA NOTARY UB
L
s a ;•?
EX
Sign: ES 00' Sign:
Print: 77 Print:
Seal: Seal:
APPROVED BY Z f �6Ld f Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)