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EL-15-66 it Inspection Worksheet Miami Shores Village k 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-226424 Permit Number: EL-1-15-66 Scheduled Inspection Date: December 16,2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: WALLACE,JOHN Work Classification: Pool - Private Job Address:518 NE 106 Street Miami Shores, FL 33138-2046 Phone Number Parcel Number 1122310140211 Project: <NONE> Contractor: SHINE ELECTRICAL ENGINEERING Phone: (305)688-2000 Building Department Comments ELECTRICAL SUB-PERMIT FOR NEW POOL Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 15,2015 For Inspections please call: (305)762-4949 Page 5 of 51 it EL "I Miami Shores Village e" ■ Perr»rt1 + sicientiat' 10050 N.E.2nd Avenue NE ` IWrk Gtassfficadon:Eitel Prive Miami Shores,FL 33138-0000 PeiWt Status �PR011'EO► hie ° Phone: (305)7952204 fi�ORtD� Expiration: 10/10/2015 Project Address Parcel Number Applicant 518 NE 106 Street 1122310140211 JOHN WALLACE Miami Shores, FL 33138-2046 Block: Lot: Owner Information Address Phone Cell JOHN WALLACE 518 NE 106 Street MIAMI SHORES FL 33138-2046 Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 SHINE ELECTRICAL ENGINEERING (305)688-2000 .......... .._,,. _ Total Sq Feet: 00 Type of Work:ELECTRICAL SUB-PERMIT FOR NEW POOL Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Light Niche Bonding Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-1-15-54126 DBPR Fee $4.50 04/13/2015 Check*99482 $271.20 $50.00 DCA Fee $4.50 Education Surcharge $0.40 01/13/2015 Check#:99271 $50.00 $0.00 Permit Fee-Additions/Alterations $300.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $321.20 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 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 zo Futherrr*e,I uthori a above-named contractor to do the work stated. April 13, 2015 Authorized Signature:Owner / Applicant / Contractor Agent Date Building Department Copy April 13,2015 1 Miami Shores Village �. s 2014 Building Department 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 200 BUILDING Master Permit PERMIT APPLICATION Sub Permit No. ❑BUILDING 0 ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL F-IPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City Miami Shores County Miami Dade Zip: 331 Folio/Parcel#: -ZZ� -O - O Z /1 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type:n I Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):)®�� ��6 Phone#.?� Address: NC� I,, Sfi City: l�r,�t Jy��✓i'�S State: T7- I-C:�if i c Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: SHINE ELECTRICAL ENGINEERING Phone#: 305-688-2000 Address: 3876 NW 125 ST City: OPA-LOCKA State: FL Zip: 33025 Qualifier Name: FRANCISCO SANTOS Phone#: State Certification or Registration#: EC0001514 Certificate of Competency#: DESIGNER:Architect/Engineer: T���_ '/�' Phone#: Address:e -> �J -z-� L� iCty: •� j State: ��—Zip: Value of Work for this Permit:_$ f i S�`� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 91 New ❑ Repair/Replace ❑ Demolition Description of Work. E I CG"h'fe - pk=✓ Specify color of color thru tile: Submittal Fee$ 'n,�S Permit Fee$ 1`���`�� CCF$ CO/CC$ Scanning Fee$C d 0-0 Radon Fee$ "l 5 DBPR$ L1• Notary$ - Technology Fee$ Training/Education Fee$ Double Fee$ �- Structural Reviews$ Bond$ "- TOTAL FEE NOW DUE$ 2-7 ` (Rev1sed02/24/2014) s 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. Signatur A) V V Signature IN or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregojng instrument was acknowledged before me this Z day of C::: --T-o.l-=�-- ✓.20 ` 4--, by day of 20 `4-- ,by (-CX- who is personally known to FRANCISCO SANTOS who is personally known to me or who has produced 14.1as me or who has produced as identification and who did take an oath. identification and who did take an oath. 4,. eQQQQQ9QdIgI� ��°p°®pRLENY � y� - NOTAItY PUBLIC: ®� `� SLI. °`a� m4 �q ® . ,y ® NOTARY PUBUC: ,e Fj y Septi a` Sign ®o alga i e leaT ®� vo.ez Print °oma 0�2� ��' >" Print: S al: �� � eal: i9QQ6Q`� Pd;d� c:6QepQ•' APPROVED BY ��L /�?��,co- Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)