EL-16-174 Inspection Worksheet
Miami Shores Village 6PP ( 1 T3
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-258386 Permit Number: EL-1-16-174
Scheduled Inspection Date: May 09,2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: DEVINE, MICHAEL&CLAUDIA Work Classification: Pool- Private
Job Address:54 NE 102 Street
Miami Shores,FL 33138- Phone Number 305-759-4883
Parcel Number 1132060131470
Project: <NONE>
Contractor: SHINE ELECTRICAL ENGINEERING Phone: (305)688-2000
Building Department Comments
ELECTRICAL FOR NEW POOL Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed ❑ `7 //
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
May 06,2016 For Inspections please call: (305)762-4949 Page 44 of 45
Miami Shores Village
• JAN 212016
Building Department artment
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 NoRIP2 /6 — /73
PERMIT APPLICATION Sub Permit No. 467-1146 + l 7
❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
r-1 PLUMBING ❑ MECHANICAL r-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: N CD 2— �� 2
City- Miami Shores County Miami Dade Zip:
1 D(C7-O 13 i-.Qi the Building Historical Designated:Yes NO `l
Folio/Parcel#: �J Z g ly
Occupancy Type: � Load: Construction Type: Flood Zone: X BFE: FFE:
OWNER:Name(Fee Simple Titleholder):
M PhoneO— �.�I
Address: 5�- N
City: IUB i -1 State: -EL— Zip:
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 SANTOS , Phone#: 305-688-2000
State Certification or Registration#: EC0001514 1 Certificate of Competency#:
DESIGNER:Architect/Engineer:Y\1.�. !�L I�`y k `'Y� Phone#: �---4 51�
Address•2us S. �' "�`'l City: and--rF1',=- ate•Fes- Zip: 3344- I
C--h-
Value of Work for this Permit:$ ) �� rSquare/Unear Footage of Work:
Type of Work: ❑ Addition Ely Alteration LJ view ❑ Repair/Replace ❑ Demolition
Description of Work: 1= Z:
:IC 1 C_ �� Y y--3 -�
Specify color of color tPPh-�r�u tile: `
Submittal Fee$ . V 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 Jaw 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 notbe app ved a a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing Inst m nt was acknowledged before me this The foregoing Instrument was acknowledged before me this
day ofGs� ,,20 1�5 .by ,day ofC 20 1 J ,by
who is personally known to FRANCISCO SANTOS 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.
NOTA Y PUBLIC: NOT Y UBLIC:
ign' Sig
Print Print•
MH
Seal: ; MY IOM It FF 022108 Sea
EXPIR :September 27,2017 P' ORLEMI'M.H
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MYC�'• ' IXPIRES�.• ISSION�X022108
elf• September 27,2017
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APPROVED BY .X/v A,-xG Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)