EL-14-1973 (2) t C 51 ,
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-252389 Permit Number: EL-9-14-1973
Scheduled Inspection Date: March 11,2016 Permit Type: Electrical- Residential
Inspector: Devaney,Michael
Inspection Type: Final
Owner: TURK,JAMES AND JANINE Work Classification: New
Job Address:1275 NE 94 Street
Miami Shores,FL 33138-2946 Phone Number
Parcel Number 1132050100090
Project: <NONE>
Contractor: CARLY ELECTRICAL SERVICE Phone: 305-970-6345
Building Department Comments
WIRING FOR NEW RESIDENCE. Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-219324. Pending low voltage
final.
Failed
Correction
Needed
Re-Inspection ` ypo �l
Fee
No Additional Inspections can be scheduled until
re-Inspection fee is paid
March 10,2016 For Inspections please call: (305)762-4949 Page 10 of 34
z Miami Shores Village Cv :�
Building Department SE 0 2014
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 :
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 2010
BUILDING Master Permit No.Q C149 S
PERMIT APPLICATION Sub Permit No. ll4 � 3
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ,Z--) 4:� K/ r, q q �4-
City: Miami Shores Coun ; UQ� Miami Dade Zi
Folio/Parcel#: is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 1 Phone#:
Address: q 1
r
City: State• Zip:.��_�
Tenant/Lessee Name: Phone#:
Email: l I(
CONTRACTOR:Company Name: GAS�r -�)P-1y 1.CF Phone#: - 3 I�
Address f GAG I LSLV
City: State•. Zip:
Qualifier Name: n Phone#:
Vh
State Certification or Registration#:�C 13 51�C�[C- Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address 0 ity: State: Zip:
I
8
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ A ter tion FiNe ❑ Repair/Replace ❑ Demolition
Description of Work: G
Specify color of color thru tile:
Submittal Fee$ —Permit Fee$'-7 Z >�C�$ ' ' - 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)
f
t
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 I Signature
OWNJR or AGENT CONTRACTOR
The foreg ' instr ment was acknowledged before me this The foregoing instrument as acknowledged befor m this
day of 20 by da of 20 by
who is personally known to 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• Sign
Print: on Z&Ej— Print:
Seal: Seal:
ON&0-ZEWSIQ d0ft', JOANN ZLOCZEWSIQ
Y OOMNIISSi0ti#EE 012661 ; MY COMMONEE 012661
*' M u ust24,2014 e = r< EXPIRES:Au ust24,2014
a� *e**• s.xa s+ss ''iew +ee KSi6R +��
'�. � '• gpndedThtu a
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395
was1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
HERNANDEZ, CARLOS ALBERTO
CARLY ELECTRICAL SERVICE, INC.
680 FLAGAMI BOULEVARD
MIAMI FL 33144
Congratulationsl With this license you become-one of the nearly - - --one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND
and they keep Florida's economy strong. `^ � PROFESSIONAL REGULATION
Every day we work to improve the way we do business in order to EC13005942 ISSUED: 08/03/2014
serve you better. For information about our services,please log onto
www.myforidalleense.com. There you can find more information CERTIFIED ELECTRICAL CONTRACTOR
about our divisions and the regulations that impact you,subscribe HERNANDEZ,CARLOS ALBERTO
to department newsletters and learn more about the Departments
P INC.
initiatives. CARLY ELECTRICAL SERVICE, N
Our mission at the Department is:License Efficiently,Regulate Fairly.
We constantly strive to serve you better so that you can serve our
Y Y Y
Customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS.
and congratulations on our new license! E> da*:AUG 31,2016 0 4267
9 Y
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
EC13005942
The ELECTRICAL CONTRACTOR °
Named below IS CERTIFIED13 �
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31,2016
HERNANDEZ, CARLOS ALBERTO
CARLY ELECTRICAL SERVICE, INC.
680 FLAGAMI BOULEVARDIL
;
MIAMI FL 33144 •
LII. •
ISSUED: 08/03/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408030004267
626 - y22a
Luca! Business Tux Receipt
Miami—Dade County,State of Florida
_THIS IS NOT A BILL-00 NOT PAY L 93T
5040781
BUSINESS NAMEMOCATION RECEIPT NO. EXPIRES
CARLY ELECTRICAL SERVICE RENEWAL SEPTEMBER 30, 2015
INC 4366795 Must be displayed at place of business
680 FLAGAAMI BLVD Pursuant to County Code
MIAMI,FL 33144 Chapter SA-Art.9&10
OWNER SEC.TYPE OF BUSINESS PAYMENT RECEMEQ
CARLY ELECTRICAL.SERVICE INC 196 ELECTRICAL BY TAX COLLECTOR
CONTRACTOR g5.00 08/08/2014
Worker(s) 2 EC13005942 0230-14-006240
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