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EL-16-332 f Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-253011 Permit Number: EL-2-16-332 Scheduled Inspection Date: February 18,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: LANSER, CHRISTIAN Work Classification: Alteration Job Address: 175 NW 100 Street Miami Shores, FL 33138- Phone Number (305)772-4313 Parcel Number 1131010230320 Project: <NONE> Contractor: APA ELECTRIC INC Phone: (305)225-8964 Building Department Comments REPLACE OVER HEAD SERVICE CONDUIT&WIRE AND Infractio Passed Comments BRING IT 4'ABOVE THE ROOF INSPECTOR COMMENTS False Inspector Comments Passed EZ f Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 17,2016 For Inspections please call: (305)762-4949 Page 42 of 52 Permit N ?. L -�1 "�►- Miami Shores Village Amit Tpe.-Ei tf (-F B tie ltl s`n 10050 N.E.2nd Avenue NW r.,. WorkClassiricftn,Aitecation Miami Shores,FL 3313&0000 Pe -)' - � Phone: (305)795-2204 Permit Status.-APPR PROVED.- Oate.' %10/2016 Expiration: 08108/2016 Project Address Parcel Number Applicant 175 NW 100 Street 1131010230320 CHRISTIAN LANSER Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell CHRISTIAN LANSER 175 NW 100 Street (305)772-4313 MIAMI SHORES FL 33150- 175 NW 100 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 920.00 APA ELECTRIC INC (305)225-8964 (786)256-9093 ..... Total Sq Feet: 00 Type of Work:REPLACE OVER HEAD SERVICE CONDUIT& Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# EL-2-16-58601 $2.25 02/05/2016 Credit Card $50.00 $109.10 DCA Fee $2,25 Education Surcharge $0.20 02/10/2016 Credit Card $ 109.10 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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 zoning. Futhermore,I authorize the above-named c trac o the work stated. February 10, 2016 Authorized Signature:Owner / Applicant o ctor / Agent Date Building Department Copy February 10, 2016 1 Miami Shores Village X177-T FEB 0 5 2016 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. ---� PERMIT APPLICATION Sub Permit No. ❑BUILDING EZ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL []PLUMBING ❑ MECHANICAL []PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: / 7-' /V lit/ /0 Q S 7- City: Miami Shores County: Miami Dade Zio: 301-5'0 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): <�2' 4f�l till A-tJ LA-tJ-U-5 � Phone#: Address: City: 'j State: r;,-.- Zip: J l Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 'qJok? Phone#: 305'-3,97- ',5 74 9 Address: 161,31 SW ,5'2 1lY City: M I_j M t State: Zip: .7319'r Qualifier Name: '7D&:j e Q!Z a Phone#: 30S-.3;VZ-S 76 q State Certification or Registration#: Lr' J3 G Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address City: State Zip: Value of Work for this Permit:$ 1?2 O. 0 0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 91 Repair/Replace ❑ Demolition Description of Work: 12e r,,L4i e e. Q// .!Layi c e- C®,,,da i `' A wz/ P `t v el Above 77ze rz,04 i Specify color of color thru tile: Submittal Fee$ Jam!®��/�/'� Permit Fee$ J�•�®�'�® CCF$ ® CO/CC$ Scanning Fee$ 5 ° W Radon Fee$ c7 a DBPR$ � Notary$ Technology Fee$ ' nj V Training/Education Fee$ 0 •2 0 Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) tl . 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 Signature OWNER or AGENT -"�( O CTOR The foregoing instrument was acknowledged before me this The foregoing instrument/was acknowledged before me this day of i-» 2—o -1 by y�� day of I-ep��}�.20 G .by -C.AfL. 1t&ti.\ Lfy- 4 S . o is personally known to W �T AqW ,who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: rV lSign: d' Print: Print: c' ' nip" RICO Seal: ° 4' ME KELLY � '- MYCOMMISSION#EE827896. EXPIM ::. �_ Seal: MY COMMISSION#FF064567 '�,\ „. sAugust 19.2016 'ForFlo,,. EXPIRES October 25.2017 (407)398-0153 Floridallota Service.com APPROVED BY �.�5��'t3/6 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) �� 33' FPL C�`T :- sEavicF FEB 0 5 2016 Y:- � 7' 701 3#z�o Awl Tf►'NIV iN f mom o 200A METER Cq N c IFY 1PH .3w2sav �4yGaeem AWCw Cur T G2od.�oil✓G T�/�aTER RIPE (o'HrN�MrrIM $' DEEP GROe/MDiNG Rog ��z" D►a�F7"ER �SER'V/C E .ELEC�''i�ZICAL 2/5'E"!a ELECTRICAL REVIEW PROVEQjjjjjp,,,Q, ®ATE �e PROYECT BY: APS,.. .. 9 00 ELECTRIC INC. 0.00• 0110 •••. /-1O1WE CL,'C'TRleAL SERLIICI- '0000• 175 /VIN /00 ST M►/d M! SHORES FL • • • • •••••• QURL IFG�d [�ASIe�(�Ye •.•••• •••• . . imm ItOQU5 JAR Ramw go •••• -DATE: SEE Tc 214120AC 1 OF I