DEMO-15-917 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-232855 Permit Number: DEMO-4-15-917
Scheduled Inspection Date: June 04,2015 Permit Type: Demolition
Inspector: Devaney, Michael Inspection Type: Final
Owner: UKAZIM, UCHENNA Work Classification: Electric
Job Address:960 NE 97 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060143160
Project: <NONE>
Contractor: UNITED ELECTRICAL SERVICES INC Phone: (786)797-2188
Building Department Comments
REMOVE OUTLETS AT WALLS TO BE REMOVED AS Infractio Passed Comments
PER PLANS INSPECTOR COMMENTS False
Inspector Comments
Passed EJ _.
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
June 03,2016 For Inspections please call: (305)762-4949 Page 4 of 28
#Na DISMO-4- 5-91' '
ORES
'rip, Miami Shores Village I�XXXt1f 8 �Bltl�if?�
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10050 N.E.2nd Avenue NE r
�ilt�i"k 07as ��'�E��ctr'i+ €�
•• "' Miami Shores,FL 33138-0000 `
Pe rs # PROVED
` cam Phone: (305)795-2204OR
tir .
Expiration: 11/02/2015
Issue late:�#f:�2tl�,
Project Address Parcel Number Applicant
960 NE 97 Street 1132060143160
UCHENNA UKAZIM
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
UCHENNA UKAZIM 960 NE 97 Street
MIAMI SHORES FL 33138-
960 NE 97 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 280.00
UNITED ELECTRICAL SERVICES INC (786)797-2188 Total Sq Feet: 15
Type of Demo:Electric Available Inspections:
Additional Info:REMOVE OUTLETS AT WALLS TO BE REMOV Inspection Type:
Classification:Residential Final
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# DEMO-4-15-55245
DBPR Fee $2.00 05/06/2015 Check#:1791 $58.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 04/20/2015 Credit Card $50.00 $0.00
Permit Fee $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $108.60
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, ind
S,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing inis accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the abo contr for to do the work stated.
May 06, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 06,2015 1
Miami Shores Village _ °F`
Building Department APR 24 291
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
BUILDING Master Permit No.'Pk,, 7 IS
PERMIT APPLICATION Sub Permit No. rno ( S — 91
❑BUILDING 0 ELECTRIC E] ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING r-1 MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
qCONTRACTOR DRAWINGS
JOB ADDRESS: 1(0 0 isle- Cl-4 'S(.
City: Miami Shores County: Miami Dade Zip: �3 8
Folio/Parcel#: �) -� 31 b C7 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): kkC-1•�TI f4 ft U 1L O�h t"X Phone#: _�6 I - '7 0 - ';q-+1
Address: '*16 0 �E C�
City: M l AMA.t SJ+;;�Y);F3 State: iV4- Zip: '5,3 (3 Y-5
Tenant/Lessee Name: Phone#:
Email: Ilk kJ.j< 0\A-,N M 0- 5D(nCl 1
CONTRACTOR:Company Name: UNITED ELECTRICAL SERVICES INC Phone#: 786-797-2188
Address: 26453 SW 135 CT
City: HOMESTEAD State: FL Zip: 33032
Qualifier Name: MANUEL. O. GARCIA Phone#: 786 797 2188
State Certification or Registration#: ER 13014669 Certificate of Competency#: 12E000192
DESIGNER:Architect/Engineer: T A 0 � ��(� CAD r4 S J U-(i(tWT S Phone#: 30 S"' 40
LA,
Address: 0 0 Co l 1,4 � � 2-0l7 City-3 114 1-4j' State':�L Zip: 3
p 00 �
Value of Work for this Permit:$ 2_p 0 ^ Square/Linear Footage of Work: y6- 0'
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace []Demolition
Description of Work: ISM o'J'E Uva l �S S -TO � lltolll J'e p
" ?CA-S-S
Specify color of color thru tile:
Submittal Fee$ �� c_F 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)
r
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 r� Signature - �.
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
B day of Ptw 120 by day of 72 c 20 i by
V(;�e�1Q �• V�2_�M who is personally known too /1/7/-1,4)U, � U ��C r.'Oho is personally known ta-
me or who has produced T)12;,!jf t- U C•f me or who has produced as
identification and who did t ke identification and who did take an oath.
NOTARY PUBLIC NOTARY PUBLIC:
Sign: Sign: r i
4 bS.i
11
Print: y0 Print /
Seal: %'�,f �;F° My Comm.Expires Jul 27,2010 Seal: � s MY 5 MIS 10N#EE877112
' Commission 0 FF 145201 'N �;,, E IBES Fetxuary 21,2417
407 328-0153 FWiaaNal yservim corn
zmis—
APPROVED BY 21� j'jL Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)