EL-14-1578 i
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-216326 Permit Number: EL-7-14-1578
Scheduled Inspection Date: April 27, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , Work Classification: Repair
Job Address:9400 NW 2 Avenue
Miami Shores, FL 33138- Phone Number
Parcel Number 1131010150290
Project: <NONE>
Contractor: RAYS ELECTRICAL SUPPLY INC Phone: (786)236-2777
Building Department Comments
WORK ACCORDING TO MASTER APPROVED PLANS Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed a
Failed WL
Correction
Needed ❑
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
April 94,2015 Page 4 of 36
Miami Shores Village —icFT—D
Building Department Iu' 2 2, 2014
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
FB 2010
BUILDING Master Permit No.RC1 -1224
PERMIT APPLICATION Sub Permit No.
❑BUILDING 0 ELECTRIC M ROOFING ❑ REVISION Ej EXTENSION ❑RENEWAL
M PLUMBING D MECHANICAL MPLIBLICWORKS ❑ CHANGE OF [:] CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9400 NW 2 AVE
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO X
Occupancy Type: R-1 Load: Construction Type: CBS Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):ELITE HOME PARTNERS Phone#:305-905-6913
Address:2300 WEST 84 ST# 602
City: HIALEAH state: FLORIDA Zip: 33016
Tenant/Lessee Name: Phone#:
Email: JDELAFE@TEAMDELAFE.COM
CONTRACTOR:Company Name: i Phone#: �Y- 4 7%3
Address: 7nf1, � �
City: e'i� /;� Z'("c/L,± State: _�✓ %J Zip:
Qualifier Name: �l�r:ice ,-lL �f L� 7L- Phone#
State Certification or Registration#: 2 I>V'G" Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$2,500.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition M Alteration ❑ New [ER pair/Replace ❑ Demolition
Description of Work: WORK ACCORDING TO MASTER APPROVED PLANS
Specify color of color thru tile: 1
Submittal Fee$�50 . Q Permit Fee'$ 1 5 Q* 00 CCF$ ` P,0_ CO/CC$
Scanning Fee$ 1 0 C) Radon Fee$ 2 - Z`; DBPR$ 'Z • 21 Notary$
Technology Fee$ -L 0 Training/Education Fee$ Double Fee$ --
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ L �
(Revised02/24/2014)
ti
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 oe"� 7.. . '-0, L Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
-JU2Lday of nn '' 20 by Z Z_ day of >.G _ 20 rJr by
--e junin 1� nt►rkes personally known to f ��r.'V/if?�`�. , 1=c� who Is pers AWly known to
me or who has pr av as me or who has produced as
o
UBS
identification and aid �e a � ROMERO identification and who did take an oath.
• ►y ublic.State of Florida
NOTARY PUBUC:. „mac;`' My Comm.Expires Oct 24,201 7 NOTARY PUBLIC:
Commission N FF4)66091
Sign: Sign:
t:- Print:
Print•
�;�,•� Seal: ALTY RAYMORE
,.o,�__
0.ENA- MY COMMISSION#FF020273
' • Notary Public St of Florida `�; ,,
;r c� My Comm.Expires 24,2017 ;ForFQpEXPIRES June 19.2017
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)