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EL-15-869 Inspection Worksheet t-11 Miami Shores Village kc 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-232434 Permit Number: EL-4-15-869 Scheduled Inspection Date: May 09,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: OLASO, M CLAUDIA Work Classification: Addition/Alteration Job Address:55 NE 99 Street Miami Shores,FL Phone Number Parcel Number 1132060131290 Project: <NONE> Contractor: ATLANTIS ELECTRICAL CORP Phone: (305)551-4043 Building Department Comments ELECTRICAL WORK FOR RELOCATED KITCHEN AND Infractio Passed Comments LAUNDRY AND NEW BATH AS PER PLANS. INSPECTOR COMMENTS False Inspector Comments Passed E�/ Failed 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 3 of 45 Miami Shores Village �rr `r 10050 N.E.2nd Avenue NE : Miami Shores,FL 33138-0000 ` Phone: (305)795-2204 Project Address Parcel Number Applicant 55 NE 99 Street 1132060131290 M CLAUDIA OLASO Miami Shores, FL Block: Lot: Owner Information Address Phone Cell M CLAUDIA OLASO 55 NE 99 ST MIAMI SHORES FL 33138-2338 Contractor(s) Phone Cell Phone Valuation: $ 3,100.00 ATLANTIS ELECTRICAL CORP (305)551-4043 Total Sq Feet: 300 Type of Work:ELECTRICAL WORK FOR RELOCATED KITCH Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W.W. Fees Due AmountPay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# EL-4-15-55191 DBPR Fee $3.38 08/28/2015 Credit Card $191.16 $50.00 DCA Fee $3.38 Education Surcharge $0.80 04/14/2015 Credit Card $50.00 $0.00 Permit Fee-Additions/Aiterations $225.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $241.16 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 rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin uthermore,I authorize the above-named contractor to do the work stated. August 28,2015 Autho gnature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 28,2015 1 Miami Shores Village �C --- D Building Department IP 1 0015 " 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Bim_ Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2016 BUILDING Master Permit Noll I S" PERMIT APPLICATION Sub Permit Na�L ❑BUILDING FA ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: SS E 5Ly ee- City: Miami Shores County: Miami Dade Zip: 33 Folio/Parcel#: tj c >aOL2 613_2 17-90 Is the Building Historically Designated:Yes NO_ Q Occupancy Type: Load: Construction Type: Flood Zone: f BFE: FFE: OWNER:Name(Fee Simple Titleholder):M• Q t(�o ( ]�a_Sa Phone#:_�W(0`2'00' �R � Address: S5 �E S-Qq eek City:Micwni sy\ck&s State: I=' Zip: Tenant/Lessee Name: Phone#: Email: n �, CONTRACTOR:Company Name: Phone#: Address: 12 n3 —W) 2-n k rr- City: 4.. "e?Mi t State: -�� Zip: 331 5 Qualifier Name: ro►�1(�_iSPn �te2 _T Phone#: 4 V State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: �(�� � City: State: Zi Value of Work for this Permit:$3,�o .-- Square/Linear Footage of Work: ?06 Type of Work: 0 Addition r❑ Alteration ❑ New / EJRepair/Replace F-1Demolition �� Description of Work: 0t19%C-*L- cusa`_ 116 It �Cai'lcMXA_) 4 fZ -f jq+,o njMW &#'i+ i� 0452 p6�S Specify color of color thru tile: Submittal Fee$ Permit Fee$ s' �id6 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 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 CONTRACTOR The foregoing instrum nt wa�acknowledged before me this The foregoing instrument as a knowledged before me this day of i 1 201!5 by 114 ,day of_ '201S ,by [_IGIX�i�A D(Cts1/�� ,who is personally known toa(1�iS� Z ,who is personally,known to me or who has produced D C, � do '7:::r'*14e as me or who has produced111 Q/1'�'( as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sig Sign: Print: Print: Seal: Seal: `"" REBECA M.PASTRMA �REBECA M.PASTRANA My COMOSSION&EEM24 MY COIMIWIISSION#EEVM24 EXPIRES:Fy07,2017 'AW MAPS:Fy07,2017 *********** ************************************ *** ********* APPROVED BY � r� Aerld Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)