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EL-13-825 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-189747 Permit Number: EL-4-13-825 Scheduled Inspection Date: October 20, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: CENOZ, EFREN Work Classification: Temp for Construction Job Address:51 NW 110 Street Miami Shores, FL 33168-4318 Phone Number 305/751-5274 Parcel Number 1121360030600 Project: <NONE> Contractor: CAPER ELECTRIC &MAINTENANCE INC Phone: (305)216-2327 Building Department Comments TEMP OF POWER FOR CONSTRUCTION AS PER STOP Infractio Passed Comments WORK ORDER ISSUED INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 19,2015 For Inspections please call: (305)762-4949 Pagel of 42 _e 6; Miami Shores Village - a. BuildingDepartment p artment �ooavoo ®'-o 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 o� Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS:— d� Z Zi Ll City: Miami Shores County: Miami Dade Zip: 3 316 F Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): kken &fit Phone#: A4� Z✓?� �3 Address:_- 5/ I w 0 _1;;Y n � City: /n�L�/I7i C7�1 yeS State: Zip: 9 316 9- Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: �� �� ��/�/�i� �i �/l/d one#:/�� Z�G-z3 2 J Address: l D�1�/ T,_ City: State: 4:�7 e!�' Zip: Qualifier Name: (,f 06,Z (L4-1, jL It 7 Phone#: / U6 2 State Certification or Registration#: R (��` '� ®� Certificate of Competency#: Jif E7(�C� Contact Phone#: Email Address: n,,9 DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$I Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Rep4ir/Replace ❑Demolition Descrjtion.of Work: 1� r Jc✓ �J�r �/e ci Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ ail TOTAL FEE NOW DUE$ 111-W 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 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 st a chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first ins ctiai�i oc rs seven (7) days afier the building permit is issued. In the absence of such posted notice, the inspection wi of roved an ion fee will be charged. Signature Signature O er or Agent tractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before m this ' day of 20 1-6,by e kg%n Ee-o D Z day of A 0 r ,20]a,by S 7n Z-A 1 e r-.e 7— who is personally known to me or who has produced ;Et, lbt who is personally known to me or who has produced_-rJ-12 1- I I D As identification and who did take an oath. 'fl as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: JA I 4 Sign: Print: Print: WERANDRADE My Commission Exp' . t�v IS,s4s '4 My Commission Ex + �N•,,,, �gyLL�pppE EXPIRES: NAY 15U 20 = � MY COMMISSION t EE 843924 EXPIRES:October 15,2016 tiered TtuU N0Wy Ptft UndeWiteis APPROVED BY �xa Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) SHORES G INC.1932it Miami Shores Village t Building Department sale .11111M 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 OR, Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY-ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary-electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: Building Permit N: Z - (0 Electrical Permit N: 4f— At Address: 51 NL&3 I Sj Miami Shores, FL For Owners: ; b- — , and is being given only for construction purpose or for testing the following equipment in said structure: The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called.for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cutoff at the discretion of the building official and will be disconcerted of the building concerned is occupied before final inspections are approved and/or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Test permits. I, 4 re , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this a reeme t I upied until the s obtained approval of final inspectio taingglMoectitkWe of Occupan o C le ' No . Failure to comply with the provi i Yhifilm�fjfltitSti�NP,r ` �t n your being le a Temporary for Test permits. ;. = y Comm.Ex es Sep 2 . 98 C miss n EE 2051 al Notary Assn. Sig u of Owner " 'ng duly sworn, depose and I ontra for for Y �.,,,,,,,, .-9N%A i pI�ierse 5afep hazard the above-d r t and at the electrical installations as o if tempora ry ed. :; YC mm. p as Sep 27.2016 #EE 205198 Signature MMILIctr c Contractor I, Or ni being first duly sworn, depose and say that I am the Building Contractor of the above described property and that I will not permit occupancy of this building until final inspections have been called for by the contractors and sub-contractors concerned and final a proval by the ins ection division obtained and that I have the authority insofar as the owner of said prop rTy.1►�� , ,Accu ncy until such final inspections are obtained and/or a Certificate of Occupa -_pWJjgrPdelA.%WAf Florida _•. y Comm.Ex a Sep 27,2016 '-;,��� ` EE 205198 Signa uI Ing Contractor Signature of Inspector Signature.of Notary 8.60' ASPHALT PAVEMENT _ — 15'ALLEY --� ^ �Y F.I.P.1 2 NORTH I—.�—.�—.�—.._..—�—�� I.P.1/2 NO ID 4 } xNO ID. ASPH. I o A C 'O 4d 1.85' a 5'I x SCALE:1"=20' 10y�50' 11.00 v c 3.7 26.95' i n o ICd c oj 3.0 30.40' I" 6.00Ln ' x Z c4 1'�7 I V t7 M x STEP I 8:10 8.35' `I' " N U 21.85' 15.65' I N x p N p''aq !2 ONE-STORY RESIDENCE c x -+ No.51 Iw N (N18.22T'0.070' 70' U I N f- .-I N 26.60' N71 � 15.61' 13.15'SEPS GO)d 00 89�p, yah 329.32. (R&M) NO ID. 75.00)(R&M) 5.00' CONC. F.I.P.1/2 —F 75.001 SIDEWALK NO ID. NO1/ 20.00' L�q- 24 CONC. .00' PARKWAY w M ri M 27.00' N.W. 110th STREET - - CE - - - :E 15.00' ASPHALT PAVEMENT 75' (TOTAL)AL) PropertyAddress: Notes: 51 N.W. 110 STREET FENCES ENCROACH ALONG EAST LOT LINE. MIAMI, FL 33168 SURVEYOR'S CERTIFICATION;I HEREBY CERTIFY THAT THIS'BOUNDARY SURVEY'13 A TRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION.THIS COMPLIES VATH THE IfNWUMTECHNICALSTANDARDS ASSET FORTH BYTHESTATEOFFLORIDA SOARDOF PROFESSIONAL LAND SU 64G174 FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027,FLORIDA ST ,., E S P eti• qT t f 1 c5 is f MIGUEL ESPINOSA LAND SURVEYING, INC. 10665 SW 190TH STREET SUITE 3110 SIGNED r Ar FOR THE FIRM MIAMI, FL 33157 MIGUELES41NO +pwt PHONE: (305)740-3319 STATE OF FLORID P.S.M.NO. 5104 FAX: (305)669-3190 WTYALm UMTHCUTAN AUTHENTIC ELECTIDNIC SURATLRE AND AUTHOMECATED.0 SEAL AAQ'OR LB#: 6463 THl9 MAP IS 140 T VALID VrftHMH THE SICNATUR£AND THE ORIWM RASED SEAL OF A LICOXIED QMVEYDR - - AhDMAPPERAccepted By: Survey: A-25879 Page 1 of 2 Not valid without all pages. Surveyor's Legend PROPERTY LINE STRUCTURE FND FOUND IRON PIPE B.R. BEARING REFERENCE TEL TELEPHONE FACILITIES / ® CONC. BLOCK WALL PIN AS NOTED ON PLAT A CENTRAL ANGLE OR DELTA U.P. UTILITY POLE —X—X— CHAIN-LINK FENCE OR WIRE FENCE LB# LICENSE # - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX WOOD FENCE LS# LICENSE # - SURVEYOR RAD, RADIAL TIE SEP. SEPTIC TANK --0---�- IRON FENCE CALC CALCULATED POINT N.R. NON RADIAL D.F. GRAINFIELD ———— EASEMENT SET SET PIN TYP. TYPICAL A/C AIR CONDITIONER —-— CENTER UNE ♦ CONTROL POINT I.R. IRON ROD s/w SIDEWALK ® WOOD DECK CONCRETE MONUMENT I.P. IRON PIPE DWY DRIVEWAY BENCHMARK N&D NAIL& DISK SCR. SCREEN O CONCRETE ELEV ELEVATION PK NAIL PARKER-KALON NAIL OAR GARAGE ® ASPHALT P.T. POINT OF TANGENCY D.H. DRILL HOLE ENCL ENCLOSURE P.C. POINT OF CURVATURE ® WELL N.T.S. NOT TO SCALE BRICK/TILE P.R.M. PERMANENT REFERENCE MONUMENT ® FIRE HYDRANT F.F. FINNISHED FLOOR P.C.C. POINT OF COMPOUND CURVATURE ® M.H. MANHOLE T.O.B. TOP OF BANK WATER P.R.C. POINT OF REVERSE CURVATUREEDGE OF WATER O.H.L OVERHEAD LINES E.D.W. APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER E,O,p EDGE OF PAVEMENT ® COVERED AREA P.O.C. POINT OF COMMENCEMENT CATV CABLE TV RISER C.V.G. CONCRETE VALLEY GUTTER P.C.P. PERMANENT CONTROL POINT W.M. WATER METER B.S.L BUILDING SETBACK LINE TREE M FIELD MEASURED p/E POOL EQUIPMENT S,T,L, SURVEY TIE LINE POWER POLE P PLATTED MEASUREMENT CONC. CONCRETE SLAB CENTER LINE ® CATCH BASIN D DEED ESMT EASEMENT R/w RIGHT-OF-WAY C.U.E. COUNTY UTILITY EASEMENT C CALCULATED D.E. DRAINAGE EASEMENTP.U.E. PUBLIC UTILITY EASEMENT I.E./E.E. INGRESS / EGRESS EASEMENT LM.E. LAKE OR LANDSCAPE MAINT. ESMT. LB.E. LANDSCAPE BUFFER EASEMENTC.M.E. CANAL MAINTENANCE EASEMENT U.E. UTILITY EASEMENT R.O.E. ROOF OVERHANG EASEMENT LA.E. LIMITED ACCESS EASEMENTA.E. ANCHOR EASEMENT 51 N.W. 110 STREET MIAMI, FL 33168 General Notes: L IL L lC- _]F7[;�� — -i 1. The Legal Description used to perform this survey was supplied by r �� [ �- �I^� others. This survey does not determine or is not to imply ownership. C - � �� Lw-I_�1 T Y P Y P• � (� 1 �I 2. This survey only shows above ground improvements. Underground A "�" r �_ ""' utilities,footings,or encroachments are not located on this survey map. -AlI Li=� " " 1�1!"° �- - 3. If there is aseptic tank,well,or drain field on this survey,the location � _ O of such items was shown to us by others and the information was not IIS u - - verified. - � 4. Examination of the abstract of title will have to be made to determine N „ [_ --._ �- f� �� `� 1 s recorded instruments,if an effect this roe The lands shown herein a�� vl1wlIN Ig i Y, property.rtY• a=,>JIQJ�y C were not abstracted for easement or other recorded encumbrances not �!.� A I� - M It]C � � L�� -�C �� _ ��I n�� A shown on the plat. I�� �^s°p^ _I -- 5. Wall ties are done to the face of the wall. J'$ — A l� � I `���,��-1 �L�L _ „_�„aC_ � �I L 6. Fence ownership is not determined. ;L._..r�^,« E 7. Bearings referenced to line noted B.R. ��",,, 8. Dimensions shown are platted and measured unless otherwise shown. 9. No identification found on property comers unless noted. Community Number: MIAMI SHORES/120652 10. Not valid unless sealed with the signing surveyors embossed seal. Panel Number: 12086CO139L 11. Boundary survey means a drawing and/or graphic representation of the survey work performed in the field,could be drawn at a shown scale Suffix: L and/or not to scale. Date of Firm Index: 9/11/2009 12. Elevations if shown are based upon NGVD 1929 unless otherwise noted. Flood Zone: X 13. This is a BOUNDARY SURVEY unless otherwise noted. Base Flood Elevation: N/A 14. This survey is exclusive for the use of the parties to whom it is Date of Field Work: 10/14/2011 certified.The certifications do not extend to any unnamed parties. Date of Completion: 10/17/2011 Certified To: E REN P. UrNOZ RODRIGUEZ XR3 ORIAN WEATHE LY, MAN—A—G-TNUMUEMBER, FLORIDA TITLE GUARANTEE, FIRST AMERICAN TITLE INSURANCE COMPANY, , . Its'successors and/or assigns as their interest may appear. Legal Description: LOT 28, BLOCK 220, OF-SU IVSIGN RAPI RAPSHORES EXTENSION,ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 43, PAGE 40, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA PRINTING INSTRUCTIONS: MIGUEL ESPINOSA LAND SURVEYING, INC. While viewing the survey in any Acrobat Reader, select the 10665 SW 190TH STREET File Drop-down and select"Print" Select a color printer, if available, or at least one with 8.5"x SUITE 3110 low 14"paper. MIAMI, FL 33157 Select ALL for Print Range, and the#of copies you would like PHONE: (305) 740-3319 to print out. FAX: (305) 669-3190 Under the"Page Scaling"please make sure you have LB#: 6463 selected"None." Do not check the"AutoRotate and Center" button. Check the"Choose Paper size by PDF"checkbox. Click OK to Print. 11(w Survey: A-25879 Page 2 of 2 Not valid without all pages.