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EL-15-2437 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-244188 Permit Number: EL-9-15-2437 Scheduled Inspection Date: October 13, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: DENTICO, GILDA Work Classification: Repair Job Address: 260 NW 112 Terrace Miami Shores, FL 33168-3332 Phone Number Parcel Number 1121360010280 Project: <NONE> Contractor: ELECTRICAL MASTERS INC Phone: 305-265-7996 Building Department Comments SERVICE REPAIR. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments PassedE9 Failed Correction Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 09,2015 For Inspections please call: (305)762-4949 Page 15 of 41 `5N°aEs r, Miami Shores Village p6TTJJf "yjT7e � 10050 N.E.2nd Avenue NW x Miami Shores, FL 33138-0000 i Phone: (305)795-2204a � 'e�itStetuS RP2QV�p fGORtpA. r t '� a rssu . i#12 ')6 Expiration: 3/28/2016 Project Address Parcel Number Applicant L260NW 112 Terrace 1121360010280mi Shores, FL 33168-3332 Block: Lot: GILDA DENTICO Owner Information Address Phone Cell LGILLDADENTICO 260 NW 112 Terrace FL 260 NW 112 Terrace FL Contractor(s) Phone Cell Phone ELECTRICAL MASTERS INC 305-265-7996 Valuation: $ 1,800.00 Total Sq Feet: 0 --j Type of Work:SERVICE REPAIR. Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning: 1 Review Electrical Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# EL-9-15-57202 $2.25 09/30/2015 Credit Card $ 110.70 $50.00 DCA Fee $2.25 Education Surcharge $0.40 09/24/2015 Cash $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 II 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 wo done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANIC DOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foreg ng fo on is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize t ab e d contractor to do the work stated. September 30, 2015 Authorized Signature:Owner / Applict / t ctor / Agent Date Building Department Copy September 30,2015 1 Miami Shores Village Building Department sEP 4 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 �—A INSPECTION LINE PHONE NUMBER:(305)762-4949 ' FBC 20 � BUILDING Master Permit No. El lS- PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS:* -J-60 /V� 11-141t City: , Miami Shores County: Miami Dade Zip: 3J'/6 s, Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: �yConstruction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):j C�� •� � �%1 Phone#: 7&,52-6/ / Address:* City: I`11 AMl Slrtu AC'S State: Zip: 3 3►44 Tenant/Lessee Name: Phone#: 7/ 7 6,/ 57 Email: CONTRACTOR:Company Name: Zecl,--ldl"e4 I kk({ Phone#: Address: City: tate: Zip: Qualifier Name: G ' P Phone#: State Certification or Registration#: ? Certificate of Competency#: DESIGNER:Arch itect/Engineer: Phone#: Address: City: State: Zip: 'Value of Work for this Permit:$ d x +C; Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration r❑ New [ ] Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ � e Permit Fee$ /S'C��!� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 1 (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 b pproved and a reinspection fee will be charged. < v 4f 7 Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instru7t,was�Knowledged before me this 2 "I day of � ATE , 20 05 by -1 day of , 20 by Gl LZ, A VEN J I QJD who is personally known to0 -ZL,-who is personally known to me or who has produced L U� me or who has produced as identification and who did take an oath. identification an h did tak oat . NOTARY PUBLIC NOTARY PUB C: 1 Lz Sign: Sign: Print: Print: lrav Po • ,.4rz� LdIS f E(iNANBEZ Seal: :o�Par�`e�4 Notary Pudic State of Florida Seal: * MY COMMISSION i EE 838180 Sindia Alvarez EXPIRES:November7,2016�l c My Commission FF 156750 'Fov"fe Bonded ThruBudget Notary Sovkes orF�o Expires 09/03/2018 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) VC • • • ••• • • • ��1j . . . . . . . . ��d0 5 w I q 6j ar,A fit- FIA 3314/q SEP . . . . . . . . .. . �c�_ 305-300 X595 000 • . • . . • 00 A AJ si 54Ua U, Yee�C of ur�i��ou ?A C-6 tg�g si 56341 FPfIR AlCG b Gra j (T5 0� p 3® 4a� L 4 P(-'II l� �5d0 0 A-Cl he(z 15o d 15-0 d Le-.cu. 0 • r lvd u1AUa (Zp FtU Com-n-A IJ0DO d b VQ lu 124d DwALRO, 0oUL1��A �daD c�)r r ,41C 1,6AIS -191.yv y /dlyaD pr ass l 0.ADD At av q Q term�- Qf f o d d e+4f�11,� l®d 0/016. 17 5' 0 LolxD �f te0 �4 �f 33,U 5 `ra f4( ( ,�{D AIS{ �' kL- a- 1s42g37 ,. . . . . ... rCc�&i CA� �A�lett. 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