EL-15-1274 fs
Inspection Worksheet
Miami Shores Village V�A'�c `C'_ -z
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-254517 Permit Number: EL-5-15-1274
Scheduled Inspection Date: May 09,2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: TAVARES,TIERES Work Classification: Alteration
Job Address: 10050 NE 12 Avenue
Miami Shores, FL Phone Number (305)244-2356
Parcel Number 1132050190370
Project: <NONE>
Contractor: ALES GROUP ELECTRICAL CONTRACTORS Phone: (305)219-4806
Building Department Comments
bath & kitchen renovation, meter relocation Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-253288. CREATED AS
REINSPECTION FOR INSP-253190. Need arc fault breakers and add one
receptacle.
10 mar. 16
❑Failed Need arc fault breakers . O. K. to issue temp. C. O..
Correction
Needed
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 14 of 45
Permit No. EL-5-15-1`274
y_ Miami Shores Village Permit Type:Electrical-Residential
10050 N.E.2nd Avenue NE � ' Work Classification.Alteration
•'• ""'1° Miami Shores,FL 33138-0000 PerPermit Status:APPROVED
Phone: (305)79-r-2204
o
Issue Date:7/10/2015 Expiration: 010612016
Project Address Parcel Number Applicant
10050 NE 12 Avenue 1132050190370
BEYOND ALL REVOCABLE TRU
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
BEYOND ALL REVOCABLE TRUST 10050 NE 12 Avenue (305)244-2356 (786)709-3909
- --- - --- MIAMI SHORES FL 33138-
10050 NE 12 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone $ 6,500.00
Valuation:
ALES GROUP ELECTRICAL CONTRA( (786)244-0004
Total Sq Feet: 0
Type of Work:bath&kitchen renovation,meter re Available Inspections:
Additional Info:
Inspection Type:
Classification:Residential Review Electrical
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.60 Invoice# EL-5-15-55736
DBPR Fee $3.38
DCA Fee $3.38 07/10/2015 Credit Card $ 194.36 $50.00
Education Surcharge $1.20 05/27/2015 Credit Card $50.00 $0.00
Permit Fee-Additions/Alterations $225.00
Scanning Fee $3.00
Technology Fee $4.80
Total: $244.36
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 pe . ssume nsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for E TRIC P BIN ,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERCAFFIDAVIT: I�utrh
ify hat II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constru oning. eore,I authorize the above-named contractor to do the work stated.
t July 10, 2015
Xuth6rized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 10,2015 1
e
Miami Shores Village aBy'.
�
Building Department MAY15
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTIONLINE PHONE NUMBER:(305)762-4949
FBC 20 (�3
BUILDING Master Permit No.20�5 — 0,\-S
PERMIT APPLICATION Sub Permit No. E: —`5' 12-�
❑BUILDING P<ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL 7PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
�n,' II CONTRACTOR DRAWINGS
JOB ADDRESS: 100 ! �o IZ` kic-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: I S 20 S -o k fl J Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: /`FFE:
OWNER:Name(Fee Simple Titlehold �
er)lo/ja �(. �EUUc•MSIf� Yl J�T Phone#: 3Q•S 2 L( L 3 56
Address:
City,
�t2 �`�tAt�Fr State: �cZip: 3 3
Tenant/LesseeAName: Phone#:
A-,,
Email: `l la)k,(-
CONTRACTOR:Company Name: Ales Group Electrical Contractor Phone#: 305-262-1388
Address: 896 SW 70th Ave
City. Miami State: FL Zip: 33144
Qualifier Name: Ramon Lorente Phone#: 786-223-6096
State Certification or Registration#: EC0001288 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ S'S0f3 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: t, V j-T(-�kC-N IG.FAJG
Specify color of color thru tile:
CO/CC$
J� ,oy F$
Submittal Fee$ Permit Fee$ /ems=✓
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ l '(
(Revised02/24/2014)
a
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 ttachment. certified copy of the recorded notice of commencement must be posted at the job site
for the first inspectio hich occur seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will notge approved a d a reinspection fee will be charged.
r
Signature Signature
OWNER or AGENT CONTRACT R
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of �,20� by day of KLm 2 2®l1r by
9 �6l 5 TO! vr� R�, ,who personally known to 4Q1,koy, X0'4-,�' who Ciersonally k
,�r 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: ��� _� Signe .,
Print: I I-- v24 I I;Z _3>,8 CL-2L) 'Zrg Print: 'q,-4 &-,-a,-4
Seal: ` .,�.a aw Seal: :: Y`r �: ADRIMAGIRARDI
SIIVAiR pq MY COMMISSION#EE 867174
Com
m
is
sionq CVNNA `• 'a? EXPIRES:January 22,2017
FF 170061 PF k°e' Bonded Thru No
My Commission Public Underwriters
i
!8S
'••�iia�`a n Exp
APPROVED BY Y Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)