EL-14-2778 r
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-231934 Permit Number: EL-12-14-2778
Scheduled Inspection Date: April 10, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: GONZALEZ, MARIO Work Classification: Low Voltage
Job Address:9811 NW 1 Avenue
Miami Shores, FL 33150- Phone Number (786)236-0135
Parcel Number 1131010330080
Project: <NONE>
Contractor: MESA BROTHERS INC Phone: (305)345-1974
Building Department Comments
LOW VOLTAGE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed EJ CREATED AS REINSPECTION FOR INSP-231773. Not ready open boxes.
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
April 09,2015 For Inspections please call: (305)762-4949 Page 26 of 41
Miami Shores Village f
Building Department DEC 19 2014
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION UNE PHONE NUMBER:(305)762-4949
FRC 20 _
BUILDING Master Permit No. 13c— a i(�I
PERMIT APPLICATION Sub Permit No. " "
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION F-1 RENEWAL
❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: g-ja& taj- o/ (115
City: Miami Shores County: Miami Dade Zip: 5—z;)
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): .tG�G ��/t?wi 7 LCL_ Phone#: �[��r
Address: e"• r
City: �r ow-r:S m�f t�l State: N zip:3 3/6-D
Tenant/Lessee Name: Phone#:
Email: T
CONTRACTOR:Company Name:�f�.'fCt1�K�✓ �Cp'�' �`� C, Phone#:�'�s
Address: SZ"f *.C--> _/O✓.3
City: �!a w! State: earz-Ap" Zip: ✓ I G S G
Qualifier Name: u e'( f CL Phone#: rT li 3o—7-
State Certification or Registration#: —4� 1-07V 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: ❑ Additionry WIN
Alteration ❑ New ❑ Repair/Replace ElDemolition
r
Description of Work: �d� ���
Specify color of color thru tile:
Submittal Fee$ 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 t such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWN or AGENT CONTRACTOR
The foregoing in ent was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 O ,by /a, day of 120 by
Y.A— ��- +wh ersonally know who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print: ' L.ALONSO
Seal: ®spRv p6�a Notary public state of Florida +`� ��+% N01ary Public-State o}FIorIOa
+' !Donna M Feliciano Seal: . Ny Comm.Expires Dec 1 7 2017
rigor' Expires 01My com '!1212013 FF p32�53 g'� Commission M FF 048774
Pirwo Nattnal Notary Assrt
eeasaeaaaaeasaeeassae+say+rxtas+�a�ax+rr#*sam*+�xaxesss*�ern�*+x+�aa*xsra*m�*a*»ssx*a.+►s��**x�*��*+r+rx�tss*x+xws#a�+ra��
vd/!�
APPROVED BY � Plans Examiner Zoning
Structural Review Clerk
r
(Revised02/24/2014)