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DEMO-15-2100 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-241690 Permit Number: DEMO-8-15-2100 Scheduled Inspection Date: August 28, 2015 Permit Type: Demolition Inspector: Devaney, Michael Inspection Type: Final Owner: DUQUE, CHRISTOPHER Work Classification: Electric Job Address: 361 NE 101 Street Miami Shores, FL 33138-2424 Phone Number Parcel Number 1132060135220 Project: <NONE> Contractor: ALES GROUP ELECTRICAL CONTRACTORS Phone: (786)244-0004 Building Department Comments DEMOLITION Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed /V ®i< rd G� 1G 60 Failed Correction ❑ Needed �- Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 27, 2015 For Inspections please call: (305)762-4949 Page 8 of 30 `yKOREs L,` Miami Shores Village P � 10050 N.E.2nd Avenue NE tttlrC/a �t��a3Ctrf .... : .k�+ A__ Miami Shores,FL 33138-0000 �e15lt� ApP1lER ,�N Phone: (305)795-2204 X $f Expiration: 02123/2016 Project Address Parcel Number Applicant s 361 NE 101 Street 1132060135220 CHRISTOPHER DUQUE Miami Shores, FL 33138-2424 Block: Lot: Owner Information Address Phone Cell [CHRISTOPHER DUQUE 361 NE 101 Street MIAMI SHORES FL 33138- 361 NE 101 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone LValuation: $ 1,500.00 ALES GROUP ELECTRICAL CONTRAI (786)244-0004 Sq Feet: 0 Type of Demo:Electric Available Inspections: Additional Info:DEMOLITION Inspection Type: Classification:Residential Final Scanning: 1 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# DEMO-8-15-56765 DBPR Fee $2.00 DCA Fee $2.00 08/19/2015 Credit Card $50.00 $60.20 Education Surcharge $0.40 08/27/2015 Check#:375 $60.20 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $110.20 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 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and z ing. Futher thorize the above-named contractor to do the work stated. August 27, 2015 Authori rgnature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 27,2015 1 Miami Shores Village Building Department AUG 19 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795-2204 Fax: (305)756-8972 BY L&�__ INSPECTION LINE PHONE NUMBER:(305)762-4949 0 FBC 20 ref BUILDING Master Permit No2eko- is - (6;9 PERMIT APPLICATION Sub Permit No.l ~ (S — 2 100 F-1 BUILDING (V1 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [—]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP f CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: t /, Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): y 11c)�1�� 0r( "\ Phone#: 6 Address: �� l�C�`7tL � � -jt- 6 H City: \��Llr1\ l� State: L Zip: 33 -313 C1 Tenant/Lessee Name: Phone#: Email: ,// CONTRACTOR:Company Name:1 L � 60/-/r, Phone#: IeQ Address: S f i , ---,W7D,AV E / City: RMH1 3 n State: FL O/�1�,, Zip: 3 f Qualifier Name: /L,4MOr,.J 1_02E,(JTC Phone#: State Certification or Registration#: gec Geool2 169 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ / ,500 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition Description of Work: ' (�l C) (f 0 ) 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$OQ (Revised02/24/2014) i Bonding Company's Name(if applicable) Bonding Company's Address _ City State Zip 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 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 Vv � _ Signature &""p OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this + "1 day of ow Ci L`i't 120 ) by I��h day of Aki!j4 S4 20 1 by who is personally known to R-Qln2c,-, who is rsonally know o me or who has produced L Ot C Ve( k)C61'C .as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: � � /V(/ Sign: C Print: Print: Adv ,G✓NA I- Seal: , rye: BARBARA A:ESTEP Sea I: R;YADRIANA GIRARDI MY COMMISSION FF 073975 '_�:,; ,: MY COMMISSION#EE 867174 EXPIRES:Marc29,2018 . o€ EXPIRES:January 22,2017 Bonded Thru Notary Public Unde writers Bonded Thru Notary Pul c Undertvr lers APPROVED BY S ;R/A40,e-- Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)