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EL-15-2359 Inspection Work heet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-245244 Permit Number: EL-9-15-2359 Scheduled Inspection Date: October 13, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Alteration Job Address: 119 NW 110 Street Miami Shores, FL 33168-4320 Phone Number Parcel Number 1121360030550 Project: <NONE> Contractor: UNITED ELECTRICAL SERVICES INC Phone: (786)797-2188 Building Department Comments REMODEL KITCHEN Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments PassedEECREATED AS REINSPECTION FOR INSP-244601. Disch washer, refrig. and micro wave to have 20 amp.receptacles. Add smoke detector. Label panel. Failed Correction Needed ❑ �� Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid October 09,2015 For Inspections please call: (305)762-4949 Page 20 of 41 Miami Shores Village j SEP 1 '6 2015 Building Department ,_. 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 _-- Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 5' FBC 20 iq (, BUILDING Master Permit No. 1�C (S— 2 z V�5 PERMIT APPLICATION Sub Permit No. ]�:t IS— Z3517 ❑BUILDING .i,; ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION PMRENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP M? p CONTRACTOR DRAWINGS JOB ADDRESS: f�/ � � 11r City: Miami Shores County: Miami Dade zip: _V /,39 Folio/Parcel#:_1`1/,11 "6 0,50 Is the Building Historically Designated:Yes NO X Occupancy Type: V4CA n�Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Tiitleholder): '�'6 xcy"S.' / �i Phone#: ,gc 5 Address: /�6 2& 6(t/ .2V AV67 !°� City: 14✓v/ State /l'01 cam. Zip: ®'� Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name:/ C_CV AC�1 �e l°a BC�'�S ��k°�Phone#: M6� — Ye Address: �•��J�, �� ,� / City: U�/�'S e Q / State: 1-1f7,k 4 ZIP: .-303 Qualifier Name: 4�.dM1 / 6'4 I-C-1 1 r Phone#: 79 7 5 I State Certification or Registration#: 1 c�'�A 6C q Certificate of Competency#: aE boo /9z DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition_EDAlterati Alteration New Repair/Replace ID Demolition Description of Work: )QE'40 cle'l 1� t L-ll/ e)l Specify color of color thru tile: Submittal Fee$ Permit Fee$ a� �®� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ t9 (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$2500, the applicant must promise in good faith that a co o the notice o commencement and construction lien law brochure will be delivered to the person p 9 f PY f f whose property is subject to ttac ent. Also,a certified c py of the recorded notice of commencement must be posted at the job site for the first inspection w r h o c rs seven (7) da s a r the building permit is issued. In the absence of such posted notice, the inspection will not be a pr v a d a reinspect" fee ill be charged. Signature Signature O NER o AGENT CONTRACTOR The foregoing in rument was acknowledged before me this The foregoing instrument was acknowledged before me this day o 20 Aa, by /0—day of 20 /- .by VP who is personally known to who is personally known to me or who has produced as me or who has pro uced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Z/,w4 P ri nt: '1(1 i Prin - YAMILKA E GUZMAN - MY COMMISSION#EES77112 Seal: •$ �, EXPIRES February 21,2017 Seal: �y,�lr N��n_r:,t-.i�t®ot Florida Tania Diblin 407)39"153 Flortdallolary3ervicex" My Commission EE 861635 �p Expires 02/27/2017 APPROVED BY �/ S''��/ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) �F r- .- -'l 236 l$a Miami Shores Village ` ' : tit laal On] 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 Pemtit_St&Itus �l ' Phone: (305)795-2204 Expiration: 011012999 Project Address Parcel Number Applicant 119 NW 110 Street 1121360030550 2620 ACQUISITIONS LLC Miami Shores, FL 33168-4320 Block: Lot: Owner Information Address Phone Celt 2620 ACQUISITIONS LLC 600 BRICKELL Avenue MIAMI FL 33131- 600 BRICKELL Avenue MIAMI FL 33131- Contractor(s) Phone Cell Phone UNITED ELECTRICAL SERVICES INC (786)797-2188 Valuation: 1,500.00 , ....._ �_. ,; .:... Total Sq Feet: 0 Type of Work:REMODEL KITCHEN Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-9-15-57108 DBPR Fee $2.25 09/24/2015 Credit Card $ 166.70 $0.00 DCA Fee $2.25 Education Surcharge $0.40 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $166.70 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 trict conformity w' the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I sume r sponsibil' for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELE TRI PLUM ING,ME HANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFI VI certify t tit the regoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an ni g. Futhe e I a tho ize the above-n contractor to do the work stated. September 24, 2015 Authoriz d Signature / Applicant / Contractor / Agent Date Buildin artment Copy September 24,2015 1