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EL-15-1273 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-242791 Permit Number: EL-5-15-1273 Scheduled Inspection Date: September 14, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: GOLD JTRS, CAROLINE Work Classification: Alteration Job Address:803 NE 99 Street Miami Shores, FL Phone Number Parcel Number 1132060340090 Project: <NONE> Contractor: HI-TECH ELECTRIC & FIRE CORP Phone: (786)326-0931 Building Department Comments INSTALL NEW SWITCHES 1 GFI AND CEILING SOFFIT Infractio Passed Comments FIXTURES INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-242596. Need smoke detectors 1E, installed. Faded Correction ❑ Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 11, 2015 For Inspections please call: (305)762-4949 Page 17 of 34 rrf f 73116 09K �yN ,o.,, y Miami Shores Village 'eIt ype -Rtt(� 3' 10050 N.E.2nd Avenue NE 1 l04,10asi0catio n A)teriOf P- rmltM Miami Shores,FL 33138-0000 FOR Phone: (305)795-2204 f::.. f r pt SfatUS: ti tia f<ORiDA '. , Date:g 2p Expiration: 02/01/2016 Project Address Parcel Number Applicant 803 NE 99 Street 1132060340090 CAROLINE GOLD JTRS Miami Shores, FL Block: Lot: Owner Information Address Phone Cell CAROLINE GOLD JTRS 803 NE 99 Street FL 803 NE 99 Street FL Contractor(s) Phone Cell Phone Valuation: $ 385.00 HI-TECH ELECTRIC&FIRE CORP (786)326-0931 _. Total Sq Feet: 0 Type of Work:INSTALL NEW SWITCHES 1 GFI AND CEIL Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-5-15-55735 DBPR Fee $2.25 DCA Fee $2.25 08/05/2015 Credit Card $ 109.10 $50.00 Education Surcharge $0.20 05/27/2015 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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 certify that all the foregoing information is ac ate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named c actor to do the work stated. August 05, 2015 Authorized Signature:Owner / Applicant / r Wor / Agent Date Building Department Copy August 05, 2015 1 - • i Miami Shores Village ., May 21 �D�S 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 20 BUILDING Master Permit No. t2-r-1 S — I-Z-�`1`� PERMIT APPLICATION Sub Permit No. i *7-- 12-77"-S ❑BUILDING ERELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION E]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 803 NE 99 Street City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 1132060340090 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): Caroline Gold Phone#: Address: 803 NE 99 Street City: Miami Shores State: FL Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Hi-Tech Electric & Fire Phone#: 786-543-5216 Address: 1500 SW 101 Avenue City: Miami State: FL zip: pp 33174 n/1� Qualifier Name: Edmundo I Jarquin Phone#: State Certification or Registration#: EC13002608 Certificate of Competency#: DESIGNER:Architect/Engineer: Nva Phone#: Address: 4 City: State: Zip: Value of Work for this Permit:$ ., Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Q Repair/Replace ❑ Demolition DescriptionofWork: In order to solve case #1\0-14-13230 / [� Specify color of color thru tile: Submittal Fee$ Permit Fee$ l✓��'�O CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ _ Bond$ [� TOTAL FEE NOW DUE$ 1 C-/ • I J (Revised02/24/2014) HI TECH ELECTRIC & FIRE 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. 1 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature _ Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of UQ , 20 by _ day of 20 b LAY&ane OQU _ who isersonafykw toGaII y-ao ;TkV 1I 10 who is personally known to me or who has produced as me or who has produced �Lc/flZS`��j►_-(��/� identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: ��,ct Sign: Print: W(... MtY1 _ Print: AE'"28 LEVANA MARKHOFF Seal: 3Al.YN MONTENEGROSeal: � Notary Public•State of Florida COMMI$glpN � � My Comm.Expires Apr 3,201796800 <6 February p1.2010 Commission#r EE 856637 APPROVED BY ?'?L/ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)