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EL-14-2760 7.,c 14 -Z75�? Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-248463 Permit Number: EL-12-14-2760 Scheduled Inspection Date: November 30,2015 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner. JONES,WILLIAM Work Classification: Addition Job Address:379 NE 94 Street Miami Shores,FL 33138- Phone Number Parcel Number 1132060136130 Project <NONE> Contractor. ATLANTIS ELECTRICAL CORP Phone: (305)551.4043 Building Department Comments 6 OUTLETS,2 SWITCHED 1 FAN FOR NEW MASTER Infractlo Passed Comments BEDROOM EXTENSION. INSPECTOR COMMENTS False Inspector Comments Passed Failed %i Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 25,2016 For Inspections please call: (305)762-4949 Page 26 of 36 Miami Shores Village 10050 N.E.2nd Avenue NE , Miami Shores,FL 33138-0000 ' ` Phone: (305)795-2204 Expiration:0110 2Q16 Project Address Parcel Number Applicant 379 NE 94 Street 1132060136130 Miami Shores, FL 33138- Block: Lot: WILLIAM JONES Owner Information Address Phone Cell WILLIAM JONES 379 NE 94 Street MIAMI SHORES FL 33138-2842 Contractor(s) Phone Cell Phone Valuation: $ 2,800.00 ATLANTIS ELECTRICAL CORP (305)551-4043 Total Sq Feet: 244 Type of Work:6 OUTLETS,2 SWITCHED 1 FAN FOR NEW Available Inspections: Additional Info: Inspection Type: Classification:Residential Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1'80 Invoice# EL-12-14-53948 DBPR Fee $3'38 12/17/2014 Credit Card $50.00 $189.56 DCA Fee $3.38 Education Surcharge $0.60 07/06/2015 Credit Card $189.56 $0.00 Permit Fee-Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $239.56 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 AFF AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an oning. Futhermore,I authorize the above-named contractor to do the work stated. kv July 06,2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 06,2015 1 Miami Shores Village _� } Building Department of 17 2014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 — INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 (6 BUILDING Master Permit No. #�� ' (y _— � � 9 PERMIT APPLICATION sub Permit No. l (4- D_31 G0 ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP p ,J� CONTRACTOR DRAWINGS JOB ADDRESS: 1y��/'sr r City: Miami Shores P County: Miami Dade Zip: 3335� Folio/Parcel#:11` , . W6.0 ;c) Is the Building Historically Designated:Yes NO ✓ OccupancyType: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple TTitlehol er): Phone#: Address: h p City: �. 41AA �1 State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: S - .�-� 1� Phone#: 3C? Cy 1 ►j Address: AZ f�0 56) 70 Ibiza— City: biz2City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#6�_,SU®,9 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: ip: Value of Work for this Permit:$ 2 c Square/Linear Footage of Work: Type of Work: Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: N IvE�+ 10 gwµ& �cT�'fNst tSJ�-, Specify color of color thru tile: Submittal Fee$C;C)'(D3 Permit Fee$Z 2, -Oe CCF$ d • Cs CO/CC$ � Scanning Fee S 3 -00 Radon Fee$ 3, 3Y DBPR$ 3 ' 3 Notary$ Technology Fee$ Z- 4 0 Training/Education Fee$ C::�(4P Double Fee$ Structural Reviews$ Bond$ <;i2�_1 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. le? ao� Signature Signature OWNER or A CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of '20 / V .by — I�& day of b Pry► ear'" •20 l H by 1A1Z&dA4u 7_, 7ZAOeS,who' sonally known to T-COAM&an a cc 2 ,who is personally known to me or who has produced as me or who has produced DL_-* on V1 le as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: Print: rlRebeaa- Vul Seal: ,�° DORIS NEYRA Seal: MY COMMISSION i EE19"Mm ' fib 56 MY 0016 SS PASTRA M EXPM-.J*02.2016 MY COMMISSION i Q7,20124 '�� EXPIRES4:Fdxaaty O7,2017 **************************************************************** ******************* APPROVED BY Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014)