EL-15-789 Inspection Worksheet �
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-231866 Permit Number: EL-4-15-789
Scheduled Inspection Date: August 07, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: MARINO,STEPHEN Work Classification: Addition/Alteration
Job Address:1066 NE 94 Street
Miami Shores, FL 33138- Phone Number 305-812-0629
Parcel Number 1132050120120
Project: <NONE>
Contractor: MIKES CUSTOM ELECTRIC SERVICE INC Phone: (305)969-5460
Building Department Comments
INSTALL ELECTRICAL AS PER PLANS Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
!V /i.
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 07,2015 For Inspections please call: (305)762-4949 Page 10 of 42
Miami Shores Villagec�T�r ;
Building Department APR 07 2015
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 BY:
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No. "l�"���
PERMIT APPLICATION Sub Permit No. `s 5 �
❑BUILDING X ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10&Ca N F- cf 4 C-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder) I'1 �^1,1 /" mtl 1 d 5 P Phone#:
Address:
City: /I4 J GeM" State: Zip: t 7 f
Tenant/Lessee Name: Phone#:
Email: i I
CONTRACTOR:Company Name: �VA'- Cy S�G;/✓) E( e-(A I , C> Phone#: ���� /_ n4
Address: l 6 ��_-Sc,-),) ! s-:t I -� L 9
City: (�] ���, State: ' 1 Zip: 3
Qualifier Name: V v 1 .�GGIe4 IM 9 5 Phone#: So 9
State Certification or Registration#: 5�'IZ,C'} Q/4-) Y S Certificate of Competency#: AYE _7,S�
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ e ( Square/Linear Footage of Work: l c'o-c°i <'."4A
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: y1 S q C�d �'� r� r �La dc_S
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 the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signatur4/1s--�
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
1 101
I LP day of IM l/&s_` ,20 1C� , by day of20 IS by
(YVA/01ho is personally known to � I J who is personally known to
(�Yr
�
me or who has produced F7� as me or who has produced V UOQSL-
identification and who did take an oath. identification and who did take n oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Pri _ Print:
Y P :
z dESStCAMARIAVAIiCA Sherline Clark
Seal: MYC0MMW0NdEE848717 Seal: o��„r��e,,
g EXPIRES March 2,2017 �: <-=COMMISSION#EE852193
Baided Thru Notary Pubfk Undenvrlters 'g a EXPIRES:NOV.18,2016
o„W wwW.AARONNOTARY.com
APPROVED BY 4056W Plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)