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EL-13-1248 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-192894 Permit Number: EL-6-13-1248 Scheduled Inspection Date: December 17,2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: GONZALEZ, FEDERICO Work Classification: Addition/Alteration Job Address:21 NW 101 Street Miami Shores, FL 33138- Phone Number Parcel Number 1131010180220 Project: <NONE> Contractor: EAB EGINEERING SERVICES Phone: (786)239-1808 Building Department Comments ELECTRICAL WORK FOR NEW POOL AND SPA Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed �a Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 16,2013 For Inspections please call: (305)762-4949 Page 2 of 30 a Miami Shores Village Building Department 'ung 0 Z01 � 1 w 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. ,,//��,�� = PERMIT APPLICATION Master Permit No. IiJ Permit T e: Electrical JOB ADDRESS: 2 ISI W 101 E rr e e-t City: Miami Shores County: Miami Dade Zip: 2,3 1 S C Folio/Parcel#: I I " 3 i 0 IS - 0 Z 10 Is the Building Historically Designated:Yes NO Flood Zone: Koo OWNER:Name(Fee Simple Titleholder): ( -Laaan2w-6-41 e--z-phone#: (-1 5ko K Z-3 2 7 Address: Z 1 N W 109 S f 9-(-)- t; City: `Nl�Cc,r1n l S n 0A�Q,o State: 1= I Zip: 3 a 1 S t7 Tenant/Lessee Name: til A Phone#: Email: N 0 A CONTRACTOR:Company Name: C A e P�I n G SEX y 4 Cc/) Phone#:(-o5 co)239- i riy S Address: 13 S S S Y4 SLI 11L, M ICvM ► State: P I Zip: 3 3 16 (1, Qualifier Name: Fd UCL r,_jQ RC31(rE_t-o Phone#: -1 S t©) -2-39- tSO1:S State Certification or Registration#: FC, (30C) S 1 13 Certificate of Competency#: Contact Phone#: Email Address: P-Oa b 5 eK V I Lk/J 6 DESIGNER:Architect/Engineer: C d U C%X Ct 0 BCA-( r ej-0 Phone#: (l t5 cv>2301- 1 g Value of Work for this Permit:$ 12 U O Square/Linear Footage of Work: 2-51& SF 19 (- Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: nC v4 poo I %- Spol O-A ec (i co-A e@aaskAa cH ap A6:k$aH:�+ekaa3+sk�sH saikek>k>9aatkeH A�aa:h�sRaa'asNiga AO�sHsH'kFeeSDN$a kaMtk��aask�&��.+sasNM$+>#$+skMNitk ek aa$+ov eN oh sa$e asHe a;¢aaag+k sk aaWip ck u>:ax� Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ • Bonding Company's Name(if applicable) p A Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) 1 R 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 commepced prior-to the issuancelof a permit and that all work will be performed to meet the standards of all laws regulating constructibnin-this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of cununencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permitis issued. In the a, ence of such posted notice, the inspection will not b roved and a reinspection fee will be charged. -._ 1 Signature Signature Owner or Agent ,,�� Contractor 1 The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ► t day of MIN 201 ,by FeAeM U) Elf rVA t-1Z , day of M_ N 120-!!by F-Ceiffm co C:7,1UnM who is ersonally 1 own to m6 who has produced who is sonally knoor who has produced i entification nd who did t e an oath. as identification and who did take an ath. NOTARY PUBLIC: ,,.��.,, NOTARY PU C� ,o.Pa`P�o11 G B IEL UARDIA 2 ip O C. PaP • = P St to of Flori .�,R° y �� °• o p °_" `_ a Pub c-State o FI a Sign: Sign:D 90 a Is °• •_ 3 Print: C�1 G� �N F F Print tr Z� n#DD 903043 My Commission Expires: My Commission it aaxg,NkxKasp da sN NaH+sp ah nNH�a+$a ap skAaaskak$asia as ap ak sIa>AMNs sk NaMsk&da Ksffia��7,¢XeNa d+$a 8aaask sk paa�aa,'1$a sk Hasia Ea Rtsk�A4S,asH�ik'F#+k+Na N sAMds ga daHaN+ds�Kffia as da Ns$aslaaa Nssh da aaaa qts sla aa#s�x[a aaa;¢Na ik Hai 2 m/�' APPROVED BY % T��1iL� Plans Examiner Zoning Structural Review Clerk (Revised 3/12M]2)(Revised 07110/07)(Revised O6/10/2009)(Revised 3/15/09)