EL-15-13 f F
e
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246812 Permit Number: EL-1-15-13
Scheduled Inspection Date: November 03, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: STEAD, MARC GREGORY Work Classification: New
Job Address:93 NW 93 Street
Miami Shores, FL 33150-2232 Phone Number
Parcel Number 1131010340240
Project: <NONE>
Contractor: EVOLUTION ELECTRICAL CONTRACTOR GROUP LLC Phone: (305)986-8537
Building Department Comments
ADD GFI IN BATHROOM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed 1Z
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
November 02,2015 For Inspections please call: (305)762-4949 Page 31 of 50
Miami Shores Villagez - ~ `
Building Department
10050 N.E.2nd Avenue, Miami Shores,Florida 33138 -71 `:_ —
- ----—
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2010 �)']
BUILDING Master Permit No. ` 14' �— l
PERMIT APPLICATION Sub Permit No. SL7 � (5 -f-ED
❑BUILDING KELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-IPLUMBING F-1 MECHANICAL 0PUBLIC WORKS CHANGE OF 7 CANCELLATION E] SHOP
1 CONTRACTOR DRAWINGS
JOB ADDRESS: 3 -t-L- �3 ai
City: Miami Shores County: Miami Dade Zip: 33/5--v
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address: Q3 'V:." C(3
City: 5l V'r LE� State: /Z Zip: 7� ?I S _
Tenant/Lessee Name: Phone#:
Email:
f ��,v7TA� �.. GaoLi (ALC
CONTRACTOR:/Company Name: tv�[ /n�, �� �' ��d L ' � PhO-Ne#:
Address: i d Al&k) I( C;—1 "
City: Pt?G�i t�1.Q l�e%D i ,tie , State: Zip: j
Qualifier Name: c wc' L-® (66)A/-=z A C Phone#: S0� ° .9-75
State Certification or Registration#: Certificate of Competency#: C°
DESIGNER:Architect/Engineer: Phone#:
Address: q City: State: Zip:
Value of Work for this Permit:$ ���%"� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration N New epair/Replace ❑ Demolition
"
Descri �#. /r /l� r' G� I
Spec >.
Submittal Fee$ �� ' Permit Fee$ ���r�� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ pp
TOTAL FEE NOW DUE$ 0
(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 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
r'
day of CL c— 20 by day of t 20 by
r � ,who is personally known to / l2. yf2/i��Dwhho is personally known to
me or who has produced �� l as me or who has produced r -/eV as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: ��+���3��I��Uii� NOTARY PUBLIC:
Sign ® �6 c4 . Sign:
DAVID N RABELD
�1p,P 4e y
Print: _ � Print: ,,n '
17
Seal: = a' f1W publin
Corton Aq It.107
��` N Seal: �A oe
��®�•••...`� Q � W,►� toga` comm"" R�+186Z
APPROVED BY > 9fL Ct' V®'� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)