EL-15-2494 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246148 Permit Number: EL-9-15-2494
Scheduled Inspection Date: October 21, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: VERA, EDUARDO Work Classification: Alteration
Job Address:950 NE 95 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132050070120
Project: <NONE>
Contractor: ATLANTIS ELECTRICAL CORP Phone: (305) 551-4043
Building Department Comments
CONVERT OVERHEAD FPL SERVICE TO IINNSPECSPEC Passed Comments
UNDERGROUND TOR COMMENTS False
Inspector Comments
Passed
Failed /
Correction
G �
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 20,2015 For Inspections please call: (305)762-4949 page 41 of 50
Miami Shores Village
Building Department SEP 3&001
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(4
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: '7561 11r �frH ST�CrB/'
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: //- 32aS- 6,V?- a/20 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): YO414,epa i t Phone#: C3ot-2d'a303e1
Address: e.Tr Xle- �7TrH s-;ron-r.
City: �i.M�" �HdgCS State: TL Zip: 33/ 3-i'
Tenant/Lessee Name: Phone#: "—
Email: ea//l�ecydG124I/e9V roti
CONTRACTOR:Company Name: T-'fi �"��� �-�-1� �- � Phone#. V' �1's
Address: �2�J Su
City: vel*r- k State: ' Zip: ��C
Qualifier Name: t'Ccl A L -_-� -�' Phone#: )'�'4 3S S- ��S O
State Certification or Registration#: CC " 12, Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ ��� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: cam,,�-,-T 0,;z' r
v n�eroj
Specify color of color thru tile:
a $
Submittal Fee$ �Permit Fee$ /4-TP1� CCF CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ r r
TOTAL FEE NOW DUE$ ! J
(Revised02/24/2014)
f
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 Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
30 day of v43U,20 1'SJ by q�o day of (.S by
)09-- o is personally known to IZQ n!G i--PQ-12 o is personally known to
me or who has produced t l��(�t Vc (J�Q_Ci sW,3�fne or who has produced �L-D(24�l;c�— 1� f as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
es � Notary Public State of Flor a
Seal: ; Sindia Alvarez Seal:
�P`r My Commission FF 156750 �cr ay Notary Public State of Florida
Of, Expires 09103/2018 =° Sindla Alvarez
c My Commission FF 156750
orf�o° Expires0910312018
************************************************************ * ***************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
For Inspections please call: (305)762-4949
Return to:
Miami Shores Village Permit Number: EL-9-15-2494
10050 N.E. 2nd Avenue Invoice Date: September 30, 2015
Miami Shores, FL 33138-0000 Invoice Number: EL-9-15-57266
Bond Number:
Bill To Comments:
EDUARDO VERA
950 NE 95 Street
MIAMI SHORES, FL 33138-
ri
ass
s:
Date Fee Name Fee Type Fee Amount
09/30/2015 Technology Fee Calculated $1.60
09/30/2015 Scanning Fee Calculated $9.00
09/30/2015 Permit Fee-Additions/Alterations Percentage $100.00
09/30/2015 Education Surcharge Calculated $0.40
09/30/2015 DCA Fee Calculated $2.00
09/30/2015 CCF Calculated $1.20
09/30/2015 DBPR Fee Calculated $2.00
Total Fees Due: $116.20
Payments
Date Pay Type Check Number Amount Paid Change
09/30/2015 Credit Card $116.20 $0.00
Total Paid: $116.20
Total Due: $0.00
Wedn� day, September 30, 2015
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