EL-15-2249 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-242774 Permit Number: EL-9-15-2249
Scheduled Inspection Date: September 08,2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: WOLLOWICK,JOSH Work Classification: Temp for Construction
Job Address:.1255 NE 99 Street
Miami Shores, FL 33138-2642
Phone Number (305)531-0970
Parcel Number 1132050090100
Project: <NONE>
Contractor: WINGLOAD ELECTRICAL CONTRACTOR CORP Phone: (305)431-6685
Building Department Comments
TEMPORARY POWER FOR CONSTRUCTION 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
September 04,2015 For Inspections please call: (305)762-4949 Page 21 of 33
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10050 N.E.2nd Avenue 4„
Miami Shores,FL 33138-0000 Issue Date: Not Issued Expires:02/29/2016
Phone: (305)795-2204 Fax: (305)758-8972
Pro ect Address Parcel No.. Tract No. Block No. Lot No. Section Township
1255 99 Street 1132050090100
Miami Shores, FL 33138-2642
Owner Information Address Phone Cell
JOSH WOLLOWICK 1255 99 Street (305)531-0970
FL 33142-
1255 99 Street
FL 33142-
Contractor(s) Phone Primary Contractor Required Inspections:
WINGLOAD ELECTRICAL CONTRACTOR(305)431-6685 Yes For Inspections call 1(866)701-3365
Inspection IVR
Proposed Construction/Details E1,600.00
TEMPORARY POWER FOR CONSTRUCTION Valuation: $ See Permit Record
Total Sq Feet:
Fees Due Amount
Total I Amt Paid Amt Due
CCF $1.20
DBPR Fee $2.00 $216.20 $116.20 $ 100.00
DCA Fee $2.00
Education Surcharge $0.40
Permit Fee-Additions/Alterations $100.00
Scanning Fee $9.00
Technology Fee $1.80 Building Department
Total: $116.20 Copy
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Frida September 4,2015 2
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Miami Shores Village
Building Department SEP 0,2 2015
10050 N_E.2nd Avenue,Miami Shore%Florida 33138
Tom:(305)795-2204 Fac(305)756-8972 BY: 9
LM FROM N#d<yl M— b
FBC 20
PERMIT Atte o *.�
C]BUILDiNG CTR1C 0 ROOFING 0 REVISION SOON ORENEWAL
®PLUMBING 0 MECHANICAL OPUBLIC WORKS 0 CHANGE OF 0 MCELLATION 0 SHOP
CONTRACTOR DRAVANGS
Miami Shores cow= Matni Rik a&r. 33/gr
the id Yes NO
Occupancy Type: Laud: Construction Type: Flood Zone: 6FE: FFE:
OWNEIL,Nacos(Fee Simple Titleholder: e�O S!/� �.O®U�� C41,'4t Phone* 3QS��("'��j
Address: r; fA<,', 1 ..��[��✓�' G a
city: /tae,° nnv State: t' Ztw. :33 13
Tenactt Umft Name: F%onel
Email: »SG► e— c® S ,,, U"140ko tm , c..
CONTRACTOR:Conqx"Narw. /,o,,
Address: t lye 72 4w 5T
City: � State: —ZIP-. 3
Quardler Nacos• ez1,;q �e��i�� Pho ����16
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State certification or i rattiion t__ e;3Qj4j ?f Certificate of Competency
ArchitecVEvt inner: phone#:
AftCity: steer ZIP.
Vakie of Work for*&Pwaft$_ IW®, ScPM/Unew FovftQ of
TVpeofWwk 0 Addition UAteratio. 0 Frew 0 Repair/Replace Demolition
Dwa
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Spec*COW Of color thm d1e.-
Fee $ 1®0e e® CCF$ C0 $
Scanning Fee$ Radon Fee$ $ Notam$
Technology Fee$ TralblinglMucation Fee$ Doubae Fee$
Sbuchiraf Reviews $
TOTAL FEE NOW DUE
(ReWsedWA/M141
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ftriding Company's Addmn
CRY State ZIP
MortPP Lent's Name(if appfi
Mortpp 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 nes work or installation has
commenced prior to the issuance of a permit and that all work will be pedbrmed to meet.the standards of all tam regulating
construction In this Jurisdictlam, f understand that a separate permit .trust be secured far ELEcnuc, PLuovwa,Sicim, Pms,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONI3i7 OVERS,ETC
OWKWIM AFWAWW I cerft that all the foregoingIrif+ormatiose Is a and that ail mock will be dates In compliance vft all
appllcable 61M regulaft construction and-zonve.
0WARN1146 TO OWNM- YOU FAMURE TO RECORD A NOTICE OF CE Y
RESXT IN YOM PAYING IMPROVEMENTS TO YOM PROPERTY. MF YOU INTEND
TO OBTAIN C % CONSULT WffH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicaatt: As a condition to the Issuance of a bulldhv permit with an estimated value eweedfig S=the applicant must
promise in good Jbith that a copy of the notice of commencement and construction lien low brochtare w9i be dahwed to the persm
whose property.is subject to attachment. Also,a cert&d copy of the recorded nodes of commencement angst be posted at the job site
for the,#first inspectn which occurs seven(7) days after the bt ditg permit is issued In the absence of such posted natke, the
inSPectibri WN nMbeeAwmedand aa rekspectian fee-will be charged.
Stnature Signature
O#NER or AGENT R
The foregoing Instrument- kn�►wledg�before me this The g ent was acknowledged re i me Oft
day of .2015 ,by Z4 day of V 21) 1 S ,by
who Is personally known toV O ,,who is ley known to
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me or wha has produced � ,�(� as me or who has produced as
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klentifie•ation and who did take an oath. identification and who did take an oath.
Sign: - Sign:
Print: ,A �—��_ Arint: 41f i A o r & z.
Seal: LEV AVIV SNIiBER Seal; a��'�. i/,r-
Notary pWft State of Fieft WN!RUM
ComtrdWon#EE152972 = cow
EXPIRE$: 1�
My comm.expires Dec.13,2015
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APPROVED Plans Examiner Zoning
Structural Rem Clerk
(ReuMdW24/2014)