EL-15-1143 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-249147 PermitNumber: EL-5-15-1143
Scheduled Inspection Date: December 14, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: SCORNAVACCA, MICHAEL Work Classification: Pool - Private
Job Address:999 NE 94 Street
Miami Shores, FL
Phone Number
Parcel Number 1132060350010
Project: <NONE>
Contractor: CARIBE ELECTRICAL CONTRACTOR INC Phone: 786-412-0067
Building Department Comments
ELECTRICAL FOR POOL Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed 1Z CREATED A INSPECTION FOR INSP-234711. No one home.
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 11,2015 For Inspections please call: (305)762-4949
Page 35 of 45
33
mit
Miami Shores Village Perm/tt 7`yjae I�rei� l deltttll
10050 N.E.2nd Avenue NE � � � � y �1r
Miami Shores,FL 33138-0000
h � Phone: (305)795-2204 �',, APIx ��E' . .
W
k 3
„ •'�� , Isstx� �� �12p1 Expiration: 1 17f 1
f ,3s
Project Address Parcel Number Applicant
999 NE 94 Street 1132060350010
Miami Shores, FL Block: Lot: MICHAEL SCORNAVACCA
4..._
Owner Information Address Phone Cell
MICHAEL SCORNAVACCA
999 NE 94 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 1,000.00
CARIBE ELECTRICAL CONTRACTOR 786-412-0067
._ .....tt _ .,,,.. . ...w... Total Sq Feet: 0
Type of Work:ELECTRICAL FOR POOL 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 $0.60
Invoice# EL-5-15-55554
DBPR Fee $4.50
DCA Fee $4.50 05/14/2015 Credit Card $50.00 $263.60
Education Surcharge $0.20 05/21/2015 Check#:008359 $263.60 $0.00
Permit Fee-Additions/Alterations $300.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $313.60
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.
OWNERZA9
a the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructr authorize the above-named contractor to do the work stated.
May 21,2015
er / Applicant / Contractor / Agent Date
Building Department Copy
May 21,2015 1
I _
Miami Shores Village
MAY;A zo1�
Building Department BY:
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 20 C(I)
BUILDING Master Permit No. 6 f P 3
PERMIT APPLICATION Sub Permit No-GL 15-11 �3
❑BUILDING °ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
QCONTRACTOR DRAWINGS
JOB ADDRESS: C1 1 N E 1q,Lf
43r-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): M I U f Goo MAJ A tA• Phone#:
Address: 9 1 q A) *'z"C
City: LAS 0k"_ Y^o-R1S State:!i-1_ Zip:
Tenant/Lessee Name: Phone#:
Email: /� �, A
CONTRACTOR:Company Name: vI/f '�,a cF��CfL 94V�/- ' Phone#: OJ? UGC
Address: /��//� �7� � �1;7.
City: ��/� ` -4 P' Zip:-
Qualifier Name:.- e�/C} ®� �' n7 Phone#:
State Certification or Registration#: ZFE-_- ®� Certificate of Competency#: � O®
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ 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$r 3 ° 0
(Revised02/24/2014)
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,2�r4 Signature 111 d
' 0"
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
/9 day of ,¢c h ,20 it , by dayof20 LS by
.(c"UA✓AeA who is personally**own to �11W V ' � ° who rson II'
me r who has produced l �� .
me or who has produced as o p � � as
Y
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
f`
Sign: Sign:
Print: v ' S Cie Print:
W►DIMIR L0
Seal: -' WIG GARCIA Seal: MY COMMISSION Y FF 016767
MY COMMISSION EE 155795 ° '*. EXPIRES:Au ust 17,2D17
EXPIRES:December 26,2015 app wP- Bonded Thru Notary Pu�c Undemr�era
Bonded Tterr Not�y Public underwriters
Zlv/.s
APPROVED BY A6 Aeu-V Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)