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EL-15-71 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-246708 Permit Number: EL-1-15-71 Scheduled Inspection Date: October 28, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: STEAD, MARC GREGORY Work Classification: Alteration 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 ELECTRICAL WORK FOR KITCHEN REMODEL Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed 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 45 of 53 our, u, Miami Shores Village 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 Phone: (305)795-2204 �� �k,�� �'\ \ �� � '���' � �x\� � r a .a ,� ,,., 3, •.,.y,E, .,.,,.,�E:,. .3 Ex Iration:W09/08/2016 Project Address Parcel Number Applicant 93 NW 93 Street 1131010340240 MARC GREGORY STEAD Miami Shores, FL 33150-2232 Block: Lot: Owner Information Address Phone Cell MARC GREGORY STEAD 93 NW 93 Street MIAMI SHORES FL 33150- 93 NW 93 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone $ 1,500.00 Valuation: EVOLUTION ELECTRICAL CONTRAC (305)986-8537 Total Sq Feet: p Type of Work:ELECTRICAL WORK FOR KITCHEN REMODEL Available Inspections: Additional Info: Inspection Type: Classification:Residential Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-1-15-54131 DBPR Fee $2.25 01/13/2015 Credit Card $50.00 $110.70 DCA Fee $2.25 Education Surcharge $0.40 03/12/2015 Credit Card $ 110.70 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 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 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fu ermor 1 authorize the above-named contractor to do the work stated. March 12, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy March 12,2015 1 I Miami Shores Village Building Department SAN 015 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 20l, BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. (�D- ❑BUILDING '150 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Q ! CONTRACTOR DRAWINGS JOB ADDRESS: ` N V\J b) City: Miami Shores County: Miami Dade Zip: j �— Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): tom` S 7Z�p Phone#: '76 (1 —29 6 Address: C,3 4141 93 54- City: 4City: Vlna Vtykt r S ityr State: 7-L Zip: 3 � Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name:aj2-,, �cyA)�--L c,5&,L4-t_ CoOaCT ceod-Phone#: Address: 8-23 [ A)UJ OCT( U City: PtmbkolcE 9WE 5 State: f L Zip: 3_S02 f Qualifier Name: ClIR4.0-5 e- Phone#: 305- q86° 92 State Certification or Registration#: Certificate of Competency#: 5:C. / .3 c�eSi89- DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: o� Value of Work for this Permit:$ O r Square/Linear Footage of Work: Tun fAAM � Alteration ❑ New ❑ Repair/Replace ❑ Demolition DegF) m'dtWork: <' � �ME?c(�� Specify color of color thru tile: Submittal Fee$ Permit Fee$ fJ` ��®� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ ` TOTAL FEE NOW DUE$ I 1 0 . _-_40 (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 y day of dt-±A)Ps ` 20 ( by day of Jew a9 20 -, by N4 f f who is personally known to p��-��v t- &0-41-k64'L,who i ersonally known�b me or who has produced " 1 ?h,'. '� _ l;,aC 1,�� 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: DAVID M Rif W Sign: Sign: = 1d, Print: Print: 6 -"� my Cann.Expires Aug 12,2017 52 Sindia Alvarez ao Seal: Seal: My Commission FF 156750 0► Expires 09!03/2018 ************************************************************************************************************ APPROVED BY y� /3 cI!fti Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)