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EL-15-3015 V . 2:2 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-248739 Permit Number: EL-12-15-3015 Scheduled Inspection Date: December 21,2015 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Solar Job Address:9301 NE 9 Place Miami Shores, FL Phone Number Parcel Number 1132050070060 Project: <NONE> Contractor: CUTLER BAY SOLAR SOLUTIONS Phone: (786)457-5958 Building Department Comments INSTALLATION OF ROOFTOP PHOTOVOLTAIC SYSTEM Infractio Passed Comments INSPECTOR COMMENTS True Inspector Comments Passed *J��4x) -I J Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 18,2015 For Inspections please call: (305)762-4949 Page 15 of 51 i'A� _ AA N(f EL'S -4 S01 Miami Shores VillageEl�actifig , t� 10050 N.E.2nd Avenue NEssf_ o � ... �.. Miami Shores,FL 33138-0000 ;} PPIROVED_ Phone: (305)795-2204 <; Expiration: 06/06/2016 p 1a< F+i Project Address Parcel Number Applicant 9301 NE 9 Place 1132050070060 Miami Shores, FL Block: Lot: JONATHAN S CROSS 8,W&JEN Owner information Address Phone Cell JONATHAN S CROSS 8,W&JENNIFER 9301 NE 9 PL - --- - - MIAMI SHORES FL 33138-2973 Contractor(s) Phone Cell Phone Valuation: $ 8,977.50 CUTLER BAY SOLAR SOLUTIONS (786)457-5958 _...... _ _..• ,..._.. .. • Total Sq Feet: 00 Type of Work: Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $5.40 Invoice# EL-12-15-57930 DBPR Fee $4.71 12/11/2015 Check#:2222 $297.02 $50.00 DCA Fee $4.71 Education Surcharge $1.80 12/03/2015 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $314.20 Scanning Fee $9.00 Technology Fee $7.20 Total: $347.02 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 accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-nam,pd contractor to do the work stated. P-' December 11, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy December 11,2016 1 Miami Shores Village C ��,-E� Building Department DEC ® 32015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY' Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20/l/ jQ� " BUILDING Master Permit No.�O�'--�t�� PERMIT APPLICATION sub Permit No ❑BUILDING FO-1 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9301 NE 9pl City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3205-007-0060 Is the Building Historically Designated:Yes NO Occupancy Type: Owner Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Jonathan S Cross Phone#: Address:9301 NE 9th pl City: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: Phone#: Email: jcrossy@gmail.com CONTRACTOR:Company Name: Cutler Bay Solar Solutions Phone#: 786-457-5958 Address: 8301 SW 184 LANE City: Cutler Bay State: FL Zip: 33157 Qualifier Name: Raul Vergara Phone#: 786-457-5958 State Certification or Registration M CVC 56957 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$8977.50 Square/Linear Footage of Work: Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Installation of rooftop photovoltaic system Specify color of color thru tile: Submittal Fee$ 49 Permit Fee$ 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) Y 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 g Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of l V�e(n 20 15 by I� day of 1yo ile m �x r 20 by 0,1 ci 4u n (rO3� nnwho is personally known to fog upty�` _ who is personally known to me or who has produced (eyi5L, as me or who has produced J0 r,V CU) L:OAas identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: SignSign• • v Print: �t't� tPrint: J + ,��, P ie 'V011 Ul Seal: a°' COMMISSION # FF181160 EXPIRES:Dec Seal: _ COMMISSION # FF181160 t:,,: EXPIRES:December 4,2018 - ;: ember 4,2018 www.AARoNNOTARY.COM n+++ WWAARONNOTARY,COM APPROVED BY % r l� Plans Examiner Zoning 4:40)�� Structural Review Clerk (Revised02/24/2014)