EL-14-2508 (2)0 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-223428 Permit Number: EL-11-14-2508
Scheduled Inspection Date: March 17,2016 Permit Type: Electrical- Residential
Inspector. Devaney,Michael
Inspection Type: Final
Owner. CAMILLE HARRIS,ABDUL S MUKHTAR Work Classification: Temp for Construction
Job Address:15 NE 104 Street
Miami Shores,FL 33138-2026 Phone Number
Parcel Number 1121360120090
Project <NONE>
Contractor. RAYS ELECTRICAL SUPPLY INC Phone: (786)236-2777
Building Department Comments
TEMPORARY OF CONSTRUCTION Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed El
r
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
March 16,2016 For Inspections please call: (305)762-4949 Page 1 of 41
Miami Shores Village
NOV 142014 I
Building Department BY,
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 —
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FFnBC 20
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No._ f
F-1 BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION E] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I,� C 1 q
City: Miami Shores County: Miami Dade Zip: -72julff
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type-X<ARoa Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):
Address: is `% � � ���
City: #714 State: Zip: 1
3 F
Tenant/Lessee Name: Phone#:
Email: e ✓VI
CONTRACTOR:Company Name: �t i Phone#: o.9" 3 3
Address:
City: C4 State:i_ Zip:
Qualifier Name: t6i Phone#: 3 - -
State Certification or Registration#• L Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 3 �L Q-0 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 1400 &vA CCF$ �- rs� CO/CC$ Q9
Scanning Fee$ Radon Fee$ a,n ��DiiBPR$ `W 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.
Signatur Signature
Vtl i;R 4r At�EIV CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 1 ,by day of 49�� - .20 ,by
Dg}j1.• trlk-/I-f' ql S who is personally known to ,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: ���ii�i��e�� ., NOTARY PUBLIC: a\
Sign: = Sign: jo
i /� • . *►: a
Print: _ :F��� �.o�� D' :a' _ Print: /�►/+r /�A� ��� •� S*�
Seal: ,O ,J��s° l�C Seal: VA'•. ato
04
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APPROVED BY /L / �✓�'d Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)