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EL-15-1132 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-246756 Permit Number: EL-5-15-1132 Scheduled Inspection Date: October 28,2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: ALVAREZ,JUAN A Work Classification: Alteration Job Address:735 NE 91 Street 1-E Miami Shores, FL Phone Number (305)632-3928 Parcel Number 1132060440130 Project: <NONE> Contractor: LONGMAN ELECTRIC INC Phone: (305)758-1211 Building Department Comments ELECTRICAL WORK FOR KITCHEN REMODEL Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed 59��f� Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 28,2015 For Inspections please call: (305)762-4949 Page 51 of 53 it, VQ Miami Shores Village �� tte� dIi )C>1 ( 10050 N.E.2nd Avenue NE 'mt on Miami Shores,FL 33138-0000 Pel e"tt'Statu :APPFEI Phone: (305)795-2204 _. � �„ 1-4 Expiration: 12/28/2015 Project Address Parcel Number Applicant 735 NE 91 Street Number: 1-E 1132060440130 Miami Shores, FL Block: Lot: JUAN A ALVAREZ 1.1 Owner Information Address Phone Cell JUAN A ALVAREZ 735 NE 91 Street (305)632-3928 (305)331-0812 MIAMI SHORES FL 33138- 830 NE 212 Terrace MIAMI FL 33179- Contractor(s) Phone Cell Phone Valuation: $ 500.00 LONGMAN ELECTRIC INC (305)758-1211 .. .:. ., Total Sq Feet: 0 Type of Work:ELECTRICAL WORK FOR KITCHEN REMODEL 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-5-15-55536 DBPR Fee $2.25 05/13/2015 Credit Card $50.00 $109.10 DCA Fee $2.25 Education Surcharge $0.20 07/01/2015 Credit Card $ 109.10 $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 ftfemaoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore iz a above-named contractor to do the work stated. July 01, 2015 Authorized Signatur .O pp scant / Contractor / Agent ate Building Department Copy July 01,2016 1 Miami Shores Village 1,F,C' '��lD Building Department MAy is 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 2016 e� BUILDING Master Permit No. IlLe-`4— 1151- D ` PERMIT APPLICATION Sub Permit No. E�-�S 1 l 3Z ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION ❑ SHOP 1� CONTRACTOR DRAWINGS JOB ADDRESS: ?' 3 S i APr� I-e- City: Miami Shores County: Miami Dade Zia: :53 1 Y8 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): AJ/4►-J A L js41Gr Z Phone#: Address: 636 93 re- Z( 2 r4 —1 "4 Ai- q City: VAL�rn.� I State: -Fc.,ou,tt>d Zip: 3 3 t7 q Tenant/Lessee Name: Phone#: Email: A t--y*O-rZ 2-5-8 C(F 67",H 1 L. C 01., CONTRACTOR:Company Name: ®e1/AM�sA/ g/ �!L Phone#: Address: City: State: � Zip: Qualifier Name: � zb-ce- �n/S,�yr�.�/ Phone#: State Certification or Registration#: �� 1 3 c;,c:)3 7/3 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ o' Square/Linear Footage of Work: Type of Work: ❑ Addition 4 Alteration Q ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ Permit Fee$ /!W? 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) a 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 SignatureLOWXER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this l3 day of MAY ,20 `� ,by _day of � o.�/ ,20 l by ,USN A P LVIP�f2�-? ,who is personally known to r%,who is personally known to me or who has produced FlDCAM 0Mr AS%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: 4pW°ry` Notary Public State of Florida Seal: ' Sindia Alvarez Sal' �pre Notary Public State of Florida +� M Commission FF 156750 �^ Michelle Perez Expires 09/03/2018 r mot My Commission FF 000321 r sq�` Expires 04/08/2017 /S APPROVED BY /C' ZE Jo,,- Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)