EL-15-1970 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-254452 Permit Number: EL-8-15-1970
Scheduled Inspection Date: March 11,2016 Permit Type: Electrical- Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: TURK,JAMES AND JANINE Work Classification: Low Voltage
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
LOW VOLTAGE WIRING Infractlo 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
March 10,2016 For Inspections please call: (305)762-4949 Page 26 of 34
Miami Shores Village
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Building Department BY.
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 201y _.
BUILDING Master Permit No. *Rs
PERMIT A=ON Sub Permit No.n_ls- ICI
❑BUILDING LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:] CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: �? N ctq
City Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: t Flood Zone: BFE: '1 FFE:
OWNER:Name(Fee Simple Titleholder): Phone#: 3 �9
Address: I MI ES U IRK
city: M IA t\ (1 ) S 0 y0 h &(��pp
St to: r" L zip: 3 3 f 3 9
Tenant/Lessee Name: Phone#:
Email: i co u n l Vr�
CONTRACTOR:Company Name: �p��1 e�--� �t�V kkyAL SjC�Phone#: L � irJ
2qb_vq®
Address: 9A M"A( 18W
City: AAAt
yy(( State: -FL zip: 33 1'1
Qualifier Name: 3 C'tiakk&z Phone#:
State Certification or Registration#: 6c J,_s o0 5Q`[2- Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ � Square/Unear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration �New 4�❑_-{RReJpair/Replace ❑ Demolition
Description of Work: Low \I&1 W` o `�- QL " i `� 5 co�Aaws
Ssoyz
Specify color of Color thru tiie .
Submittal Fee$ �:>y 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. I .
"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 in ection fee will be charged.
Signature Signature
ONER or AGENT CONTRACTOR
The foregoin i rume was acknowledged before me this The foregoing instru ent a
s acknowledged before me this
0• day of 20 �s .by days�(of., ' U 20 L5 ,by
�— G ST��Aml ho' r onal to
�lJ�9dJ_��,T��.: ,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:
#V Notary Public Stabs of Florida NANCY FIERIVANpF.Z
Seal: ;f' Joanna M Feliciano Seal: *_ Com#FF 16W11
d° My commission FF 082753 Ft ,2119
pp Expires 01/12/2018
, 11
Y .
i
APPROVED BY ;�W Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
aRV
a a
Miami Shores Village W
10050 N.E.2nd Avenue NE "
Miami Shores,FL 33138-0000
Phone: (305)795-2204 _.
` It Expiration: 02JI012 1
Project Address Parcel Number Applicant
1275 NE 94 Street 1132050100090
JAMES AND JANINE TURK
Miami Shores, FL 33138-2946 Block: Lot:
Owner Information Address Phone Cell
JAMES AND JANINE TURK 2020 N BAYSHORE Drive
MIAMI FL 33137-
2020 N BAYSHORE Drive
MIAMI FL 33137-
Contractor(s) Phone Cell Phone Valuation. $ 200.00
CARLY ELECTRICAL SERVICE 305-970-6345M_ Total Sq Feet: 0
Type of Work:LOW VOLTAGE WIRING 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 Invoice# EL-8-15-56605
DBPR Fee $2.25 08/05/2015 Cash $60.00 $99.10
DCA Fee $2.25
Education Surcharge $0.20 08/14/2015 Credit Card $99.10 $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 there o and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this rmit I assume responsi 'ity for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELE TRICAL,PLUMBI ECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFI IT: I that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an n g. Fu h I orize the above-named contractor to do the work stated.
August 14,2015
Auth riz gna Owner / Applicant / Contractor / Agent ate
Build! epartment Copy
August 14,2015 1