PW-14-1469 r
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-226289 Permit Number: PW-7-14-1469
Scheduled Inspection Date: January 12,2015 Permit Type: Public Works
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: BECERRA, EDUARDO Work Classification: Public Works
Job Address:839 NE 97 Street
Miami Shores, FL 33138-
Phone Number (786)390-3312
Parcel Number 1132060142610
Project: <NONE>
Contractor: ELECTRICAL MASTERS INC Phone: 305-265-7996
Building Department Comments
CONVERSION FROM OVERHEAD TO UNDERGROUND Infractio Passed Comments
SERVICE INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-225920. -Provide compaction
test for the sub-base and base.
-The asphalt should be replace to 1.5'on each side of the trench.
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
January 09,2015 For Inspections please call: (305)762-4949 Page 21 of 26
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 JUL 6 2014
INSPECTION LINE PHONE NUMBER:(305)762-4949 ';
FBC 20 jCD
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. Li(oq
❑BUILDING P ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL N71PLIBLICWORKS [:] CHANGE ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: /
Folio/Parcel#: _z rp n ILS r' �' Is the Building Historically Designated:Yes NO
Occupancy Type: Load: --��Construction Type:: g Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): /=r�e� y- ® L/ r G . Phone#:
Address:
City: ' 44State: zip: 3 3 / 3
Tenant/Lessee Name: Phone#:
Email: �"�C�
CONTRACTOR:Company Name: �Ic /1AC Phone#: 70,- 'Z 97—
Address: 15_�_4'pn
r
City: allQ / State: / zip: 3
Qualifier Name: 0 ( ® c
Phone#:
State Certification or Registration#: an 1Certificate of Competency#: 7 t� 7-E—to eD en& n 3
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ eq
Square/Linear Footage of Work:
Type of Work: ❑Addition ❑ Alteration ❑New ❑ Repair/Replace ❑Demolition
Description ofWork: gzl Xeaj o
e
Specify color of color Mm tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ `
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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
d.--.4Z
wrier or Agent Contractor
The foregoing instrument was acknowledged before me this '10 The forego'n instrument was acknowledged before methip
day of 2014 by - day of 20 11Lbytau 6 km;ez,
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
M
Sign:. a Sign I ragon
x:
00 16N#FF0190 �,��' Gn 1 FF019
Print: `� Print:
My Commission Expir�'OO."'°a,�s �ONNOTARY.ecm My Commission Expires °°�0aowww ONNOTARY.com
APPROVED BY f c�Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
BOUNDARY SURVEY
A
LEGEND ABBREVIATIONS: y
FOUND X CUT A/C -AIR CONDITIONER SLAB 1''I p`'® 204•
-FOUND 5%8"IRON ROD q-CENTER LINE JUL
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-FOUND 1:G"IRON PIPE CB -CONCRETE BLOCK
EM-ELECTRIC METER T-
VIA TER METER FIP •FOUND IRON ROD
FIR -FOUND IRON ROD 30 0 15 30
CONC •CONCRETE _
P -PLAT
M -MEASURED
NO 10 -NO IDENTIFICATION (IN FEET) f
OHW -OVERHEAD WIRES !INCHES=30 FT.
RNV-RIGHT-OF-WAY
rrUE UTILITY EASEMENT
lVALLEYWNI9" 'HALTPAL'EPAENn
S89°59'4 125'(P&M)
r LOT rT for rs 5'(P r 2sY>�
BLOCK 73 ROCK 73
WEST20F EAS71l2 OF
CHAIN LWK I LOT 18 LOT 19
FENCE BLOCK 73 BLOCK 73 ,
'v NOT INCLUDED
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4801 HOLLYWOOD BLVD.,SUITE C
HOLLYWOOD,FLORIDA 33020 67ATF',NPELV, 6T+17�yR1? 'IfLDSCOA
PHONE:954.924-7808 FAX: iaawrle ��c NTEDRAWI` 'w U,'hCi 1() CCMPLIANCE WITH ALL FEDERPAL,
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