EL-14-2443 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: IN$P-233481 Permit Number: EL-11-14-2443
Scheduled Inspection Date: April 29, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: MATEO, RAYMOND AND DAMARIS Work Classification: Low Voltage
Job Address:900 NE 100 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060340220
Project: <NONE>
Contractor: BATES ELECTRIC SERVICE&TECHNOLOGY INC Phone: (786)602-3939
Building Department Comments
COMMUNICATIONS ; 28 STRUCTURED MEDIA PANEL Infractio Passed Comments
WITH FLUSH MOUNT COVER, PHONE STUB OUT TO INSPECTOR COMMENTS False
EXTERIOR PHONE BOX DMARK BRIDGE TELEHONE
PLUCH DOWN BOARD FOR 9 PHONES, WHOLE HOME
AUDIO.
Inspector Comments
Passed ET_ 40
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional inspections can be scheduled until
re-inspection fee is paid
April 28,2015 For Inspections please call: (305)762-4949 Page 16 of 33
Miami Shores Village N 0 V I C 2014
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
FBC 20t®
BUILDING Master Permit N01K � I
PERMIT APPLICATION Sub Permit No.' Q—, k�-4 -��
❑BUILDING A ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
r L CONTRACTOR DRAWINGS
JOB ADDRESS: Ai)D A_)� f 0D �L /
City Miami Shores County Miami Dade Zip: t��
Folio/Parcel#: l ' -3-266- b 3q, 6��LO Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: A ,, L,,Flood Zone: BFE: FIFE:
OWNER:Name(Fee Simple Titleholder).. q LI dUQ& AQ.-�.C) Phone#:
Address: 100 T I
City: ) j2 M 1 l
`>�d�� State: Zip:
Tenant/Lessee Name: Phone#:
Email: �{�I _
CONTRACTOR:Company Name: /
5 � �� Phone#: /15 l0'
Address: 'Mo
City: ( S State: l Zip: //3 0 1 (-p
Qualifier Name: I A) k. Phone#: _7Z-60g , .8a:5'3
!J'f
State Certification or Registration#: _ Certificate of Competency#:
DESIGNER:Architect/Engineer: < < L , (A IVU
Phone#: ,y�o� `Y �Z I
Address _— TjT"'T / City: I t,�A M I State:ACIL Zip:-4
Value of Work for this Permit:$ 3 J�`I Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ,�°1 ( +New ElRepair/Replace I ❑ Demolition �j
Description of Work: 6 c !ti3 o /1-/1-6" �UYO m d(00._ 1..' 't" ILt&6
�Ao l C'.ov PEO r by- jQhQA)e boy j b mAtf_.
Specify color of color thru tile: c
Submittal Fee$ ``xl Permit Fee$ e,elm CCF$ s k'4 0 CO/CC$ �
Scanning Fee$ a ^(!p Radon Fee$ DBPR$ 2-LIAJ Notary$
Technology Fee$ Training/Education Fee$ d90 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$6a 4
(Revised02/24/2014)
• w e
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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�o day of (° .20 .by day of .20 .by
.who is personally known to N , (1t�, �� .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:
Print: Print:
Sindia Alvarez Brenda Lea Tyler
Seal: NIX./
My Commission FF 158750 Seal: Notary Public Notary Seal
a . Expires 09/0312018 State of Missouri County of Jefferson
My Commission Expires 04/29/2017
commission#13478905
APPROVED BY A,VjV Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)