EL-15-760 LC I - - - -
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246709 Permit Number: EL-4-15-760
Scheduled Inspection Date: October 28, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: STEAD, MARC GREGORY Work Classification: Service Change
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
install 200 amp, change service, Onl Infractio Passed CommentsINSPECTOR 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 46 of 53
Miami Shores Village
Building Department
1 IUI g p ��� � zot�
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305)795-2204 Fax: (305)756-8972 l �`.
INSPECTION LINE PHONE NUMBER:(305)762-4949 " —`--- _
FBC 20�O
BUILDING Master Permit No. tZ 7G
PERMIT APPLICATION Sub Permit No. L-"
❑BUILDING 7&ISLECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
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: C�
OWNER: Name(Fee Simple Titleholder): Phone#: =18 G_�_ R 1_
Address:
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email: 1
CONTRACTOR:Company Name: F L/O G V 7-10 e) �?r c ra C Coilr j. 6 R ou� Phone#: 39-5-971$•8 s 37
Address:
{ M S1 3 t l[40 l! G T.
City: PCJ Q 0 )r_ nn
E 1'l N£ S State: Zip: 3 3 Q Z /
Qualifier Name: CAO, l o S 12 . G o N 2/ L 6 L Phone#: Eos• cubc. 8?_T3
State Certification or Registration#: 1 30 0 5 c? 8 - Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ /()o T Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New EaB_epair/Replace ❑ Demolition
Description of Work: `i G ✓�7-t. G" f'-�/�
Specify `$� i .lkil�:4
Submittal Per' e rd'U CCF$ CO/CC$.
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$1 O //�
. !(J
(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.
41
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
l day of it ('—' I�', - 20 t C by day of 21 20 by
rvi A-'��_. 5 {7-A� who is personally known to who i personally known to
me or who has producedi
�-� - t_hEJ-Es me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Si
Print: Print:
Seal ' Seal: " DAMIiM"KII.0
Notary Public State of Florida s NotaryPalik-SUN of Fleft
• My Co Alvarez •_.
�` My Commission FF 156750 My Comm.Expkea Avg 12.1"010,0. Expires 0910312018 COIIImisW R I FF 44M
oil************* ******************* ********
A`
APPROVED BY ,� /tel' Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village �"it
�
10050 N.E.2nd Avenue NW `
,III
Miami Shores, FL 33138-0000
Phone: (305)795-2204 ,
z
Expiration: 10/03/2015
I 8 p
Project Address Parcel Number Applicant
93 NW 93 Street � 1131010340240
Miami Shores F - BI MARC GREGORY STEAD
i L 331502232 Block: Lot:
Owner Information Address _ Phone Cell
d
MARC GREGORY STEAD 93 NW 93 Street
i MIAMI SHORES FL 33150-
93 NW 93 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
EVOLUTION ELECTRICAL CONTRACT (305)986-8537 I Total Sq Feet: p
I
Type of Work: install 200 amp,change service,on Available Inspections:
Additional Info:
Classification:Residential Inspection Type:
Scanning: 1 Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# EL-4-15-55043
DBPR Fee $2.25
DCA Fee $2.25 04/02/2015 Credit Card $50.00 $ 109.10
Education Surcharge $0.20 04/06/2015 Credit Card $ 109.10 $0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
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. Fut ermore ,at�h+0'if ze the above-named contractor to do the work stated.
April 06, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 06, 2015 1