DS-15-1392 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236338 Permit Number: DS-6-15-1392
Scheduled Inspection Date: September 11, 2015 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez, Jorge Inspection Type: Final
Owner: GAIQUI, MARITZA Work Classification: New
Job Address: 1450 NE 101 Street
Miami Shores, FL Phone Number
Parcel Number 1132050240040
Project: <NONE>
Contractor: ALL QUALITY ELECTRICAL SERVICES, INC Phone: (305)968-7832
Building Department Comments
INSTALLATION OF CONCRETE PAD TO SUPPORT A Infractio Passed Comments
36KW GENERATOR INSPECTOR COMMENTS False
Inspector Comments
r`
Passed
Failed
Correction C`
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 10, 2015 For Inspections please call: (305)762-4949 Page 10 of 31
Permit No. DS-6-1,54,192
s�! S Miami Shores Village t Permit Typ@'DdV0W&P1S1deW41kWS1abs
10050 N.E.2nd Avenue NE
Worts Cl�ssativn;1�1sW
Miami Shores,FL 3313&0000 ermi
Perrnit Status.'
Phone: (305)795-2204
�$ ,;7{1flIlZa15. Expiration: 01106/2016
Project Address Parcel Number Applicant
1450 NE 101 Street 1132050240040
NATASHA GAIQUI&MARITZA G
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
NATASHA GAIQUI &MARITZA GAIQUI& FIRST UNION PO BOX 40062/C MOORE
-- — -- - JACKSONVILLE FL 32231-0062
Contractor(s) Phone Cell Phone Valuation: $ 8,500.00
ALL QUALITY ELECTRICAL SERVICE (305)968-7832
Total Sq Feet: 75
Approved: In Review Available Inspections:
Comments: Inspection Type:
Date Approved: : In Review Final
Date Denied: Foundation
Type of Work: INSTALLATION OF CONCRETE PAD TO S Additional Info: Review Planning
Bond Return: Classification:Residential Review Building
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $5.40
Invoice# DS-6-15-55893
DBPR Fee $2.00 06/08/2015 Credit Card $50.00 $71.40
DCA Fee $2.00
Education Surcharge $1.80 07/10/2015 Credit Card $71.40 $0.00
Permit Fee $100.00
Scanning Fee $3.00
Technology Fee $7.20
Total: $121.40
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.
OWNE A FIDAVIVgj�t�hermore,
hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
const r ctio and z�ni I authorize the above-named contractor to do the work stated.
July 10, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 10, 2015 1
Miami Shores Village '' ttTED ,
dvx JUN 8 2015
�W 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 2016 ^�
BUILDING Master Permit No.IF_L- — 6— n'
PERMIT APPLICATION Sub Permit NoDS S
� "ISci
dBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I lls�6 A) /0/ S 7 ?(�
City: Miami Shores County: Miami Dade Zip: -331,13
Folio/Parcel#: 11 —3A OS 0 7
� T — Q0 Q Is theBuildingHistorically Designated:Yes NO
Occupancy Type: _Load: Construction Type: C UJ Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): e-4 0 1 Phone#:
Address: �/1�/ S-6 A,)
City: /�L C _YA State: Zip: 2 y 13
Tenant/Lessee Name: k-)Z Phone#:
Email: Q
CONTRACTOR:Company Name: W f /�G /G Phone#:�0� ! 6 4 793
Address: I'V 7 S v J0
City: t n'! State:''' ( Zip: 3-F14/ n/� 7
Qualifier Name: - .J v Y Phone#//�36Y,26 r 7_9' �
State Certification or Registration#: Certificate of Competency#:05-25 7o7
DESIGNER:Architect/Engineer: N /T Phone#:
Address: �► City: State: Zip:
Value of Work for this Permit:$ O, S� Square/Linear Footage of Work: 7S- 1
Type of Work: ❑ Addition ❑ Alteration Ne iipaar/ide Demolition
Description of Work:
Gt_J
Specify color of color tthru tile:
Submittal Fee$ ) W 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$
(Revised02/24/2014)
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.
-;7
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 �7 by ;Z7 day of 20 , by
l %( � who isersonaIIvy known who is personally known q
me or who has produced as me or who has produced 2 Z U as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
AN
h
�•'•; MANIA E DIAZ
Y '• 1 • Sign:
. . My Comm Expires Oct 13,2017 �„
Print: Print: YMCKNIGHI
# FF 036824—
Commission#FF 065936
Seal: Seal: x,•. ra Expires January 23,2018
BwWW Tin Tmy Fain loam B0WW1019
rIM Type or Stamp.,Karne of Notary
Personalty Known 1
** of* �
*rof V*1&itRlCWM*****************************:*******************:**********************************
Type of Idertdcatlon Produced
MWWbtE®BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)