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,.
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��°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:
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APPROVED BY ��L /�?��,co- Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)