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EL-15-2205 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-248570 Permit Number: EL-8-15-2205 Scheduled Inspection Date: December 02,2015 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MARINO,STEPHEN Work Classification: 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 RELOCATE TWO SWITCHES AND INSTALL IC RATED Infractio Passed Comments LIGHT FIXTURE INSPECTOR COMMENTS False Inspector Comments PassedEE , Failed Correction ❑ Needed Re-Inspection D Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 01,2015 For Inspections please call: (305)762-4949 Page 31 of 40 14 4NFS �gn tt Miami Shores Village 10050 N.E.2nd Avenue NEOU +w�`x 68 io?Ti Alterat([ ., 14, Miami Shores,FL 33138-0000 •` � Phone: (305)795-2204 a oRts e� y 915, Expiration: 02129/201 Project Address Parcel Number Applicant 1066 NE 94 Street 1132050120120 Miami Shores, FL 33138- Block: Lot: STEPHEN MARINO Owner Information Address Phone Cell STEPHEN MARINO 1249 NE 97 ST 305-812-0629 Miami Shores FL 33138 Contractor(s) Phone Cell Phone Valuation: $ 500.00 MIKES CUSTOM ELECTRIC SERVICE (305)969-5460 (305)297-7269 Total Sq Feet: 0 Type of Work: Available Inspections: Additional Info:RELOCATE TWO SWITCHES AND INSTALL I Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-8-15-56887 DBPR Fee $2.25 DCA Fee $2.25 09/02/2015 Credit Card $ 165.10 $0.00 Education Surcharge $0.20 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $165.10 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 t all e done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-name ntr r It e rk d. September 02, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy September 02,2015 1 r � Miami Shores Village Building Department �� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 AUG �+� 20)5 Tel:(305)795-2204 Fax:(305)756-8972 BY INSPECTION LINE PHONE NUMBER:(305)762-4949 20 BUILDING Master Permit No.2C— 15- PERMIT APPLICATION Sub Permit No.E L' 2 2®S ❑BUILDING ELECTRIC ❑ 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: OWNER:Name(Fee Simple Titleholder): < fto-bin -e 11 A _ /V QB's o.5rPhone#: Address:10 to ce AZ F, !R7 �/- City: M d mi, 416'r{C State: FL Zip: � �5 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: M,h f�S CJ[/C/L�M 4�1?11F/1'C Phone#: Address: /o ((-It 5 W I City: GLk I-C.- +70 it —State: �� Zip: 3:3- I S —7 Qualifier Name: mielliiii't./ 711o4."C,-c Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: / City: State: Zip: Value of Work for this Permit:$ 7 on Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration 1:1New ElRepair/Replace ElDemolition Description of Work: Rif IU(r2h Y In U S wJ/eAsS 1-0/ 41d r'// Specify color of color thru tile: Submittal Fee$ Permit Fee$ leL�A&,9 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature /-INI+NER or AGENT CONTRACTOR The foregoinL' str mneA was acknowledged before me this The foregoing instrument was acknowledged before me this day of�n AVQO� .20 IS' by f _d"ay of �' 20 Ir by Alinp l0l1f1�0At�� who is personally known toChcAXoL �/i, G►S'I who is personally known to me or who has produced �OLL Fi. OIf1W �Z1�W. as me or who has produced "AJ A, 0AWf IAW4e—as identification and who di a an ath. identification and who did to an oa NOTARY PUBLIC: NOTARY PUBLIC: 9 Sign Sign: Print: 6W6\r . QmL Print.• S l✓1��go °oeuurr -ShMine Clark Seal: °0....., SherlinB Clark Seal: o°°c� r��`e�• •$ n�CMIMISSiWEE852193 �$: �rCQk)MIS8ION#EE852193 0 EXPIRES:NOV..18,2016 e -*19.'EXPIRES:NOV 18,2016 'Nwtf Voe°o ®or io�O° www AARONNOTARY.com ®rrenxa°° w�.AARON�TARY.COF� S � APPROVED B Plans Examiner Zoning 011 Structural Review Clerk (RevisedO2/24/2014)