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EL-14-2804 13 -237� )_ Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-225801 Permit Number: EL-12-14-2804 Scheduled Inspection Date: February 23,2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MATEO, RAYMOND AND DAMARIS Work Classification: Temp for Construction 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 Infractio Passed Comments TEMP TO CONSTRUCTION INSPECTOR COMMENTS False Inspector Comments Passed Failed i Correction ❑ Needed Re-Inspection ❑ Fee . No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 February 20,2015 Page 10 of 28 M f2– • ('\/lt ® 14 Miami Shores VillageRT7a }: Building Department ©E 2 - 2014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 20((,:) BUILDING Master Permit No. ,Q 43-2_ PERMIT APPLICATION Sub Permit No. L- �' .�90�j ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: q co / )e � CIL) City: Miami Shores County: Miami Dade Zip: 1i 3 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple T'itlehold_er): t �1 ®, (�/ U Phone#: Address: 900 lI M� �� City:) I(,i;. i S')n r]�ZS Stater Zip: r— Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: C.� � Chi l Phone#: ��i�(�(J ✓ % / Address: City: I —State: ✓✓ Zip: 63 l �% / h� Qualifier Name: � N 1 Phone#: State Certification or Registration#: ®� QCJ �, Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ �� ® Square/Linear Footage of Work: Type of Work: ❑ A n ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: s✓v �`�� Specify color of color thru tile: Submittal Fee$ (on ' Permit Fee$ /40P °® CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ / TOTAL FEE NOW DUE$ 13B, G® (Revisedo2/24/2014) `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 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of .20 14 .by c� ay of CQS'//Y1 �� .20 JW .by t'AO,N-D wh is ersonally known to ➢ - � 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: - Seal: No�ry P+�She of Florida E renda Lea Tyler Shia Alvarez Seal: ry Public Notary Seal mycomm FF 156750 ssouri County of Jefferson e, Expires 09/0812018 ission Expires 04129/2017 mission#13476905 4�Fsk�kMQ�W�kW�h+kMisY�k�U N��B�kit�b#R�k�B�Rb�b&�Itok�Bi�kM8�6AaRW�Ntk+ItW�F�kieaFAak+k takb�btlak�lRBd�k&�k�AB $�FM�h&M�F WtB&BeeYb�Y�E�R$N�N�R Nt&�k�RWdeNM�k No ice 4R;0,� APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department d 9 10050 N.E.2nd Avenue Miami Shores, Florida 33138 was Tel: 305 795.2204 R Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY-ELECTRIC SERVICE NOTE: ELECTRIC SERVICE ILL BE DISCONNECTED WITHOUT NOTICE"E" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary-electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: Building Permit N: /2 e /3 / Electrical Permit N: At Address: 0 iy16 /00 --1*)— Miami Shores, FL For Owners: and is being given only for construction purpose or for testing the following equipment in said structure:/7,g;� a-.A The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and w ncellation and electric power can be cut off at the discretion of the building official and will be disconcerted of e building concerned is occupied before final inspections are approved and/or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result In your being unable to obtain future Temporary for Test permits. 1 /��yrnoauD f2�,4>�o , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and/or obtained a Certificate of Occupancy of Completion. Note: Failure to comply with the provisions of this affidavit will result In your bean able to obtain futu!9 Tempor f r �o&01 Apo, Notary Public State of Florida ignature of Owner . Joanna M Feliciano nature of Nota 0 c- a4 My commission FF 0 g rY �`-' 9j1�o� Expires 01118 I, � C t( , bei hat I am the Electrical Contractor for the above-described property and thaE� e w existing will not create a safety hazard if Mrary serV ce is connected. Public State of Florida a M Feliciano Signature of Electrical Contractor s 01/12/2018 5018 ion FF 082753ignature of Notary I, /! avnaAW , being first duly sworn, depose and say that I am the Building Contractor of the above described property and that I will not permit occupancy of this building until final inspections have been called for by the contractors and sub-contractors concerned and final approval by the inspection division obtained and that I have the authority 1 o rty is concerned to prohibit occupancy until such final inspections are obtaine a i/s��a 1#Wate otiQwwp cy or Completion is issued. Joanna M Feliciano v ® My Commission FF 082753 Expires 01/12/2018 nat a of Building Contractor ignature of Notary Signature of Inspector Signature of Notary