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EL-16-873 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-258786 Permit Number: EL-3-16-873 Scheduled Inspection Date: May 23,2016 Permit Type: Electrical- Residential Inspector. Devaney,Michael Inspection Type: Final Owner: GABRIELA SABATE,GUILLERMO Work Classification: Alteration Al s.wnw Job Address:89 NW 106 Street Miami Shores,FL 33150- Phone Number Project: <NONE> Parcel Number 1121360060170 Contractor: DAW ELECTRIC, INC Phone: (786)877-3500 Building Department Comments REPLACE OUTLET AND SWITCH AC CONNECTION Infractio Passed Comments TO REPLACE EL14-758 INSPECTOR COMMENTS False Inspector Comments Passed © CREATED AS REINSPECTION FOR INSP-258659. Label panel. dryer receptacle to be 4 wire. Disch, clothes washers and refrig. receptacles to be 20 amp.. Water heaters need disconnects. Failed Add 2 receptacles to kitchen counter and 1 under windows. All receptacles to be tamper proof. Bond electric service to cold water line. Smoke detectors!020- feet from A/C vent. Correction Needed qw&er '-� Re-Inspection 77 PSK l J�', Fee No Additional Inspections can be scheduled until re-Inspection fee is paid May 20,2016 For Inspections please call: (305)762-4949 Page 19 of 36 Miami Shores Village ' 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 a " Phone: (305)795-2204 � zi Exp !ration: 1 1 2016 0"M tea.- F•,, v�_ Project Address Parcel Number Applicant 89 NW 106 Street 1121360060170 Miami Shores, FL 33150- Block: Lot: GUILLERMO ALMADA GABRIEL Owner Information Address Phone Cell GUILLERMO ALMADA GABRIELA 3966 PARK Avenue - -- MIAMI FL 33133- 3966 PARK Avenue MIAMI FL 33133- Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 DAW ELECTRIC, INC (786)877-3500 Total Sq Feet: 0 Type of Work:REPLACE OUTLET AND SWITCH AC CONNEC Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-3-16-59243 DBPR Fee $3.38 03/31/2016 Check#:1888 $50.00 $187.96 DCA Fee $3.38 Education Surcharge $0.40 04/15/2016 Check#:1297006E $187.96 $0.00 Permit Fee-Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $237.96 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 b ither myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WIN DO OORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing inform 1 is rat a at all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-n r he work stated. April 15,2016 Authorized Signature:Owner / Applicant ntractor Date Building Department Copy April 15,2016 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 BY, FBC 20 P-1 BUILDING Master Permit No. �e-' jta PERMIT APPLICATION Sub Permit No. IG -�5� ❑BUILDING &LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �{� i p CONTRACTOR DRAWINGS JOB ADDRESS: ) 1 e City: Miami Shores County: Miami Dade Zip: :51i so Folio/Parcel#: I I A Wofy)wilo Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simpl Titleholde0-1, Kai ►/r): I Q4A 1 I � A ) "" Q Phone#: `-C`�b Address: rar 1� City: I ` 1( State: t'l, Zip: 5�3n Tenant/Lessee Name: Phone#: Email: �, / p,,j,,, p r CONTRACTOR:Company Name: -1) V V t(a ( ( V Phone#. °JC o U0 Address: 1 City: Win bnAMS v�/�State• FL Zip: Qualifier Name: D'r� '__L WI 1111 5 Phone#: State Certification or Registration#: 15ceu Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:.$ 111W Square/Linear Footage of Work: Type of Work: ❑ AlIcCition ❑ Alteration ❑__ r51U+C_Q w Repair/Replace 1:1 Demolition Description of Work: Mg I a m l/t IA w1 Ale, Specify color of color thru tile: s� Submittal Fee$ c� Permit Fee$ ZZ�,O ._f��CCF$ ` �—CJ CO/CC$ T Scanning Fee$ Radon Fee$ 3'.D DBPR$ ' ✓� Notary$ Technology Fee$ 1 '6C) Training/Education Fee$ b - Double Fee$ Structural Reviews$ Bond$ 7' 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 I, Signature ' e--- 041ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was pj knowledged befor me this d� day of MO(""� 20 by � day of who is personally known to rn who is per Wally kno 0 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 PU C: Sign: Si n: n,A Print: Print G (1k—. Seal: COMMISRuned #my-caldera Seal: a� N90264 `- C a ., p,� EXPIRES:January 15 2019 a a►_ COhAMISSCdN �fyMr wWW.AAR ' �.� EXPIRES: ONNOTARY.COIiA '� � JanaazY 15 2019 ` * IIQl1AAJiOpp�lt�Y". Ow***** ***x�******x� APPROVED BY /L 3/�,� G' Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)