EL-14-2469 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-227914 Permit Number: EL-11-14-2469
Scheduled Inspection Date: February 10, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: PATINO, BIBIANA Work Classification: Pool - Private
Job Address:95 NW 95 Street
Miami Shores, FL 33150- Phone Number (786)252-1343
Parcel Number 1131010330540
Project: <NONE>
Contractor: ROSMEL POOL INC Phone: (305)592-7900
Building Department Comments
ELECTRICAL ROUGH POOL Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
IL151Needed
/
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
February 09,2015 Page 36 of 38
Miami Shores Village REcEiVED
Building Department NO 0 2014
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 '
I
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION
-
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 t�
BUILDING Master Permit N.Wp 1s1-'-2'3 7-3
PERMIT APPLICATION Sub Permit No. 114'2q I
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
r-]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: C1 SNJW 0j S7 H S'S'j.�'T
City: Miami Shores County: Miami Dade Zip: 331 SD
Folio/Parcel#: 1 '1 -3 10 1 e ® a QGk4[) Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: 22
OWNER:Name(Fee Simple Titleholder): t 161 A.4 A Vl T i rel o Phone#: TS .u-1 I b43
Address: 'M W IJJ 'I S-TH SFU� tC T'
City: MIAMI S I State: F11 Zip: 3-�>I
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Phone#:-79L, -3S192_9
Address: 53 LAO n1LA f�>t -
City: " i mai State: JC Zip: S3
Qualifier Name: . r u ® Phone#:
State Certification or Registration#: Ct`lCertificate of Competency#:
DESIGNER:Architect/Engineer: 1CeA1 e- cav)CO Phone#:
Address: 1 0:3 1 l Nu'-) %A Lk%� City: ¢eC�_"� .State:R-, Zip: , 1 .
Value of Work for this Permit:$ 12 ,( c; Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: � �
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 3'�P&r.P4A' CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ p
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 /TN- Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 �� by (,, day of e-+e,n ,r 020 t4 , by
)e�"A-�2« r"��Gwho is personally known tos,,a)AO ,-)A &r:QeZ,,who is personally known to
me or who has produced 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:
Sign: Sign: Z` ex)
Print: �/� Print:—tet •' ,a a� Gl a Ara �a �y Cl
Seal: MYCONBAISSIONt Seal: E.. .ACMMISS;0,0FF019058
i+n % e'EXPIRES. MAY 19 2017
DtPIRES:June 18,2018 � � ,
q=W TMu NdW PUft Unft-kM ...®,.o WIMN.AARONNOTARYcom
APPROVED BY `' ��s�e'� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)