EL-15-1612 Inspection Worksheet ) � J
Miami Shores Village `
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-237902 Permit Number: EL-6-15-1612
Scheduled Inspection Date: November 06, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: KESSLER, NOAH &AUBREY Work Classification: Addition/Alteration
Job Address: 1002 NE 105 Street
Miami Shores, FL 33138- Phone Number (917)579-8541
Parcel Number 1122320280010
Project: <NONE>
Contractor: AMERICAN POWER ELECTRIC CORP Phone: (305)216-7491
Building Department Comments
ELECTRICAL WORK FOR INTERIOR RENOVATION Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed12�
l�
Failed
Correction
C
Needed
Re-Inspection a
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 05,2015 For Inspections please call: (305)762-4949 Page 3 of 26
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Miami Shores Village / it'll
10050 N.E.2nd Avenue NE
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Miami Shores,FL 33138-0000 ` ` �\ � `
Phone: (305)795-2204
` Ex iration: 12127/2015
Project Address Parcel Number Applicant
1002 NE 105 Street 1122320280010 NOAH&AUBREY KESSLER
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
NOAH&AUBREY KESSLER 1002 NE 105 Street (917)579-8541
MIAMI SHORES FL 33138-
1002 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 13,900.00
AMERICAN POWER ELECTRIC CORP (305)216-7491
._.. . .,,,, Total Sq Feet: 0
Type of Work: ELECTRICAL WORK FOR INTERIOR RENOVA Available Inspections:
Additional Info:
Inspection Type:
Classification: Residential
Final
Scanning: 1 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W.W.
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $8.40
Invoice# EL-6-15-56147
DBPR Fee $7.31 06/30/2015 Credit Card $477.02 $50.00
DCA Fee $7.31
Education Surcharge $2.80 06/29/2015 Credit Card $50.00 $0.00
Permit Fee-Additions/Alterations $487.00
Scanning Fee $3.00
Technology Fee $11.20
Total: $527.02
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements orspecifications submitted to the properarauthoritiesof Miami h res
Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify,-thardff t foreooin i rmation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoni :-;Fnwth$r or ve-named contractor to do the work stated.
June 30, 2015
Authoriied Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 30,2015 1
Miami Shores Village .T .,D
Building Department
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 (0
BUILDING Master Permit No. '?C-V-16--130
PERMIT APPLICATION Sub Permit No. t— IS — 1612,
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1002 NE 105th Street
City: Miami Shores County: Miami Dade Zip:
11-2232-028-0010 X
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Aubrey& Noah Kessler Phone#:(917) 579-8541
Address: 1002 NE 105th Street
Miami Shores FL 33138
City: State: Zip:
Tenant/Lessee Name: NONE Phone#: NIA
Email: Aubrey.Kessler@gmail.com
CONTRACTOR:Company Name: .�� fl t Z ?'a+ '� fit. i ' L Phone#: 3e�� -216 °-7%,�
Address: 1541& !- tea y t -7 e--7
City:Ag' � a State: cl Zip: 71 s e-'IZ'
Qualifier Name: Phone#-
State Certification or Registration#: &14 /00 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ ( 9ov'- ®c Square/LinearrFootage of Work:
Type of Work: ❑ Addition Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: L 1dAV a4! 51l !—
Specify color of color thru tile: yf
Submittal Fee$M "03 Permit Fee$ `Z �l a'd CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ �f v
Bonding Company's Name(if applicable) None
N/A
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 beforemethis The foregoing instrument was acknowledged before me this
�L
day of 20 �:J by 17 day of tl�P/a 20 Z-- by
who is personally known to f ,v >i "i5yho is<ETsona o
me or who has produced SC as me or who has produced as
identification and who did take an oath. identification an 31.. —+h—
iPar'�'�e,, OSCAR PEREZ
NOTARY PUBLIC: NOTARY PUBLIC: ;z°+ .*� Notary Public-State of Florida
+ My Comm. Expires Oct 4,2017
Commiesion # FF 052809
F Fl%
1111" Bonded Through National Notary Assn.
Sign: Sign:
Print• �� Print:
Seal• Seal:DAILANYS CAVEDA
Public
S
tate of Florida
Notary
Pub
-2
- N Y
My Comm.Expires Nov 15,2015
Commission#EE 146568
1�
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)