EL-15-1088 Miami Shores Village Permit T� ) lid l. �tesldentlal
��s• 10050 N.E.2nd Avenue NE
120011Miami Shores,FL 33138-0000 � tfUlt �1 .
Phone: (305)795-2204
Expiration: 112812016
Project Address Parcel Number Applicant
290 NE 98 Street 1132060134150
Miami Shores, FL 33138- Block: Lot: Giselle Kovac
Owner Information Address Phone Cell
Giselle Kovac 290 NE 98 street 828 230-5395
Miami Shores FL 33138
Contractor(s) Phone Cell Phone
Valuation: $ 1,200.00
MESA BROTHERS INC (305)345-1974
Total Sq Feet: 0
Type of Work:ROUGH ELECTRICAL,BONDING,HOOK UP Available Inspections:
Additional Info:
Inspection Type:
Classification:Residential
Final
Scanning:1 Light Niche
Bonding
Review Electrical
Alarms
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# EL-5-15-55465
DBPR Fee $4.50 05/07/2015 Credit Card $50.00 $265.20
DCA Fee $4.50
Education Surcharge $0.40 06/01/2015 Check#:12796 $265.20 $0.00
Permit Fee-Additions/Alterations $300.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $315.20
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 AFFIDAVI : 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 zonin . Futhe authorize the above-named contractor to do the work stated.
June 01, 2015
Authorized S gnature:Owner / pplicant / nt actor / Agent Date
Building Department Copy
June 01,2015 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-234239 Permit Number: EL-5-15-1088
Scheduled Inspection Date: October 09,2015 Permit Type: Electrical- Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: Kovac, Giselle Work Classification: Pool - Private
Job Address:290 NE 98 Street
Miami Shores, FL 33138- Phone Number 828 230-5395
Parcel Number 1132060134150
Project: <NONE>
Contractor: MESA BROTHERS INC Phone: (305)345-1974
Building Department Comments
ROUGH ELECTRICAL, BONDING, HOOK UP Infractio Passed Comments
ELECTRICAL EQUIPMENT INSPECTOR COMMENTS False
Inspector Comments
PassedLU
Failed
Correction
Needed ❑
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 08,2015 For Inspections please call: (305)762-4949 Page 4 of 27
Miami Shores Village -RECIryx
Building Department MAY 7 2015 {
90050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972 BY: _J
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 2010
BUILDING Permit No. �— 15
PERMIT APPLICATION Master Permit No. �...15 -�—F
Permit Type:Electrical
JOB ADDRESS:—_ 112 Ci(7) n -k
City: Miami Shored County:_ Miami Dade 7,p:
Folio/Parcel#: C) 1 5 . Lj 1,5
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): (::a1Sc 1 t-1 Le,:5vccPhone#:
Address: aGi® 1J5 qS
City: 1'-ll :r� -0 - '�' State: f7 Zip 33i3
Tenant/l,essee Name: Phone#:
Email:
CONTRACTOR:Company Name: ���
Address: f '�;-
City:—�(�`91PAOV
1 State:
Zip:-.3: e-d6 '4'
Qualifier Name: 'tee Phone#• 3 4;
State Certification or Registration#: , /2 7C' Certificate of Competency#.-
Contact Phone#: Email Address: mac.Ece'
DESIGNER:Architect/Engineer: r 't cuak- 6r-®xr t� a �L phone#
Value of Work for this Permit:
Square/Linear Footage of Work:
Type of Work: ❑Address OAlteration ONew DRepair/Replace ODemolition
Description of Work. 1?
2
ca{-
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$_�2
Bonding Company's Name(if applicable)
Bonding Company's Address 413 LA
City State Zip
Mortgage Lender's Name(if applicable) 13 JP�y
Mortgage Lender's Address ti
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~absen6e.of such posted notice, the
inspection will not be app d a einspection fee will be charged.
,� (�1
signature /`� signatrnvc�___
Owtier 6r Agent Contractor
The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged bef re ipe this
day of ,20 1S,by _(:i1_S,-_1 V-dkOctc-� day of ,20 ,by ,
who i ersonally—kno o me or who has produced who is rso ly know 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:
Sign: ' mmu Sign:
Print: "` , Print:
My Commission r Baled Tin Notm Pobir,umiembrs My Commission Ex ° MY COM � 1 B
°► 04
Bonded through let State Insurance
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/(Y7)(Revised 06/10/2009)(Revised 3/15/09)