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EL-15-1548 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-241372 Permit Number: EL-6-15-1548 Scheduled Inspection Date: August 14, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: FARACH, RUBEN M Work Classification: Alteration Job Address: 114 NE 109 Street Miami Shores, FL 33161-7042 Phone Number (305)281-7790 Parcel Number 1121360090150 Project: <NONE> Contractor: ATLAS BUILDING & DEVELOPMENT CORPORATION DBA Al Phone: (305)226-5590 Building Department Comments UNDERGROUND SERVICE 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. August 13, 2015 For Inspections please call: (305)762-4949 Page 28 of 29 l ,SgoaEs y� Miami Shores Village ( ; 10050 N.E.2nd Avenue NE }}�'�# �s {lon £ • a x� 3 \�'� 3m�\ ai$*�ca6� AA�tt�i �. Miami Shores,FL 33138-0000 g t \ "4e� a Phone: (305)795-2204 FLORIDA.. ,. Expiration: 12/23/2015 ME Project Address Parcel Number Applicant 114 NE 109 Street 1121360090150 �Miam�! Sho�res, FL 33161-7042 Block: Lot: RUBEN �FARACH Owner Information Address Phone Cell RUBEN M FARACH 114 NE 109 Street (305)281-7790 MIAMI SHORES FL 33161- 114 NE 109 Street MIAMI SHORES FL 33161- Contractor(s) Phone Cell Phone Valuation: $ 900.00 ATLAS BUILDING&DEVELOPMENT C (305)226-5590 (305)796-3789 _.._.... Total Sq Feet: 00 Type of Work: Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-6-15-56070 DBPR Fee $2.25 06/26/2015 Credit Card $ 170.10 $0.00 DCA Fee $2.25 Education Surcharge $0.20 Notary Fee $5.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $170.10 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 certi at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fu er re, I authorize the above-named contractor to do the work stated. June 26, 2015 Authorized Sign / Applicant / Contractor / Agent Date Building Department Copy June 26,2015 1 '0` •� Miami Shores VillageRECEIVE Building Department D • LASS JUN 2 3 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY• Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 /D BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING Q ELECTRIC ❑ ROOFING REVISION ❑EXTENSION MRENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 114 NE 109th Street City: Miami Shores County: Miami Dade Zia: 11-2136-009-0150 X Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Ruben Farach Phone#: Address: 114 NE 109th Street City: Miami Shores State: FL Zip: 33161 Tenant/Lessee Name: N/A Phone#:305-281-7790 Email: CONTRACTOR:Company Name: ALCA Electric (dba Of Atlas Building & Dev) Phone#: 305-226-5590 Address: 60 NW 129 Ave Miami FL 33182 City: State Zip: Qualifier Name: Alberto Caro Phone#: 305-796-3789 State Certification or Registration#: EC0001437 Certificate of Competency#: N/A 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 ❑ Repair/Replace ❑ Demolition Description of Work: Underground Electrical Service 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$ I • 1 O (Revised02/24/2014) Bonding Company's Name(if applicable) N/A Bonding Company's Address City State / Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address CA 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 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. Signature Signatur OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrume t was acknowledged before me this day of t,�C1��20 15 by day of ��, — 20 5 by Ruben Farach Alberto Caro who is personally known to who i &sonally known'ta, me or who has produced as me or who has produced as identification and who did take an oath. identification and who did 7tke an oath. NOTARY PUBLIC: NOTARY PUBLIC: Si Sign: Print: Seal: Naary Pudic StaSeal: MYCOMMISSION*EE194790 • ®nna M 1i Ono FAWa EXPIRES MY commIseion FF l 3 059 Y Q2.2016 Expire I Z�?01g Oi?753 FbneW°yryg cam sssssssssssssssssssssssssss s sssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss APPROVED BY % z��LP� /s Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Ck N.E. 109TH STREET 75' R/W (IMPROVED) 15' ASHPHALT LO M M 5' WALK• 75.00[. a •:a w.e.. SET 1/2" 89°53'13" FOUND 1/2' IRON ROD 90°06'47" IRON PIP LB# 7893 i4 04 N N 10.1' ✓G� l bn 22.2' 2 9.6' 19.3' COV 3.3' �Ofs 0:13i` ^ ,. 10.4' tri � N 1.4'I T QO I RESIDENCE q #114 to 14.2' 0.2'"i M LOT 6 LOT 8 0 to BLOCK 216 BLOCK 21604 c� a} r I r N to 16.1' N 4.4' R i 7duitAttached to 150 aump Metering&Panel LOT BLOCK 216 0. j 0• .� i ♦�2^Electrical Conduit Buried 24"deep FOUNDI IRON PIPE" 90°09-02" 0 89°50'58" , Conduit attached to Service pole Ael qpw 15' ALLEY R/W 75.00 (IMPROVED) Application for Underground Electrical Service Iv' em S h�r:sVilla e BY DATE Ruben Farach 114 NE 109th St DEPT Miami Shores,FL 33161 DEPT _! . F.CT 1'0 CGNIPIWICE WTTH ALL FEDERAL .':� U(JA