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EL-15-3156 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL ('1 Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-249808 PermitNumber: EL-12-15-3156 Scheduled Inspection Date:January 28,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MSM REALTY ASSETS LLC, MSM Work Classification: Pool - Private c=Ai -ry Acc=ra I I r Job Address:131 NE 93 Street Miami Shores, FL 33138- Phone Number (305)335-3515 Parcel Number 1132060133020 Project: <NONE> Contractor: SHINE ELECTRICAL ENGINEERING Phone: (305)688-2000 Building Department Comments RENEWAL Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed 1z o Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. January 27,2016 For Inspections please call: (305)762-4949 Page 8 of 23 Awm>t pro.:EL-12-1 -3 55 .8'NPI Vs y Miami shores Villagealt Type:El ct cat Re$Idq ti �. a 10050 N.E.2nd Avenue NEP ; �1cClasSi �t? � C)�Ce ` Miami Shores,FL 33138-0000Far � � �. VE Peft ON _°' PRO Q Phone: (305)795-2204 lsst bate •� Expiration: 07/17/2016 Project Address Parcel Number Applicant 131 NE 93 Street 1132060133020 MSM REALTY ASSETS LLC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Ceti MSM REALTY ASSETS LLC 131 NE 93 Street (305)335-3515 MIAMI SHORES FL 33138- 10155 COLLINS AVE BAL HARBOUR FL 33154- Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 SHINE ELECTRICAL ENGINEERING (305)688-2000 Total Sq Feet: 00 Type of Work: Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Light Niche Bonding Review Electrical Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-12-15-58130 DBPR Fee $4.50 01/19/2016 Credit Card $321.20 $0.00 DCA Fee $4.50 Education Surcharge $0.40 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 AFFIDAV ifyrthat�IF-tla oing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio zoning. Futhermore,I authorize the ave named contractor to do the work stated. January 19, 2016 Autho ure: ner / Applicant / Contractor / Agent Date Building Department Copy January 19,2016 1 Miami Shores Village c-F Li DEC 2'2 2015 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 20 BUILDING Master Permit No.. k PERMIT APPLICATION Sub Permit No. 751 %J--31 ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION t RENEWAL ❑PLUMBING 7 MECHANICAL 7PUBLIC WORKS ❑ CHANGE OF CANCELLATION [:] SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I 1 N 3 ST City: Miami Shores County: Miami Dade Zip: �J E3 13 Folio/Parcel#: f l" 32C)Co - 0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: _ I Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): MSM �� 1-I [ ��5 Phone#:3Z�5-33�1 3S"75 Address: I CD ! S 1J C-C::) 1 I ' 'S ��/-G ',4+-- 1 �::) 9- City: �1 I �-� / L n u✓ State: �- Zip: J3 I ALJ 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 SANTO S . Phone#: 305-688-2000 State Certification or Registration#: EC0001514 Certificate of Competency#: DESIGNER:Architect/Egjpeer:� r�- Phone#: 9� � Lei 3X4'6Address:Z1 --. State: ;FL- Zip: � Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ 'Alteration El New ❑ Repair/Replace ❑ Demolition Description of Work: I�e^ e��q kL I 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$ (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. Signa a Signature J OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this lczpl day of - 0,20 L- > , by � day of cY► /20 ,by who is personally known to FRANCISCO SANTOS ,who is personally known to me or who has produced as me or who has produced t chiv.1a as identification and who did take an oath. identification and who did, e • 1�M/SS•. �p NIRTA Y PUBLI NOT Y PUBLIC: 0 Si . r eG% LE M.HERNANDQ • ,.: S510N t;rr 022108 ° s P int: - PIRE .September 27,2017 Print: ��'` AT••� �fu ru 1volary PERU unceivaers �' !+ Seal: S' ak APPROVED BY iO �� G/S Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)