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EL-16-15 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-250418 Permit Number: EL-1-16-15 Scheduled Inspection Date: May 16,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: KERR, DANIEL Work Classification: Pool - Private Job Address:759 NE 94 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060142020 Project: <NONE> Contractor: YORK ELECTRICAL CONTRACTOR CORP. Phone: (305)962-0759 Building Department Comments ELECTRICAL FOR PERMIT Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 13,2016 For Inspections please call: (305)762-4949 Page 4 of 34 ... - 3. F M Miami Shores Village q rutff Type Elect)"4] C 81tt i�il" 10050 N.E.2nd Avenue NE 3 �catiCt Poo i ;1 NOW, " Miami Shores,FL 33138-0000 E �T" ff Phone: (305)795-2204 � . CORREA 12 Expiration: 08/01/2016 M. Project Address Parcel Number Applicant 759 NE 94 Street 1132060142020 Miami Shores, FL 33138- Block: Lot: DANIEL KERR Owner Information Address Phone Cell DANIEL KERR 759 NE 94 Street MIAMI SHORES FL 33138- 759 NE 94 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 YORK ELECTRICAL CONTRACTOR C (305)962-0759 Total Sq Feet: 0 Type of Work:ELECTRICAL FOR PERMIT Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:1 Light Niche Bonding Review Electrical Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-1-16-58232 DBPR Fee $4.50 02/03/2016 Check#:13261 $265.20 $50.00 DCA Fee $4.50 Education Surcharge $0.40 01/06/2016 Check#: 13241 $50.00 $0.00 Permit Fee-Additions/Alterations $300.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $315.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compli= with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing info tion is accurate and that all work will be done in compliance with all applicable laws regulating v n construction and zoning. Futhermore,I authorize the abo !me c or to do the work stated. Z February 03, 2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy February 03,2016 1 Miami Shores Village Building Department SAN o s �0�6 - 10050 Nf-.2nd Avenin Miami Shores,Florida 33138 � Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC GQ BUILDING baster Permit No. -�$�i ( rn - 13- PERMIT APPATION Sub Permit No. ❑BUILDING TRIC ❑ ROOFING [] REVISION ❑ EXTENSION MRENEWAL [PLUMBING ❑ MECHANICAL [PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS i JOB ADDRESS: -�5�1 '1Jf: P'1 City: Miami Shores County: Miami Dade ZiDi Folio/Parcel#: " 3�;?©10 -Q i g "-?_M-AC_� —is the Building Historically Designated:Y s NO OccupancyType: Load: Construction Type: Flood Zone: BFE:.. FFE:. OWNER:Name(Fee Simple Titleholder): ��e s r 1 ��'V Phone#: Address: City: I Cg n✓li 4:466�L State: L Zip: X313'5 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Phone#: -qcq; 0-1sog Address: Z7 4u"l i [ 40 •=14- R- city: State: �'l _Zip: 3 1 � Qualifier Name:j ® Z 0 -1�-jC r Phorie#: State Certification or Registration#: ECl S®o 5 Le 5 �-a Certificate of Competency#: DESIGNER:Architect/Engineer: r1r� 1'�c�,•-�� ,i-j-,Z.C-0�Pt— CoA l Phone#: Address: '511 ��ti3 ii �1� ��- City: �� State: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace P Demolition I Description of Work: Specify color of color thru tile: --- Submittal Fee$ . ®v Permit Fee fi d0&-_®r' _ CCF$ 2-0 CO/CC Scanning Fee$ -3d OZ) Radon Fee$ L ---�� DPP $ J Notary$ Technology Fee$ /' (�)() Training/Education Fee$ `- Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$)r'�'s (Revised02/24/2014) Bonding Company's Name(if applicable) _ Bonding Company's Address City State q 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 J Signature OWNER or AGENT CONTRA OR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 30 day of � _C'1►-� � 1 by day of �C3� 20 1 S by 1t V-Qfy w o s personally know Lora---.'bo `to f c e-.5- who is personally known to me or who has produced as me or who has produced 7 keLo SLS SO 37—S O as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign. tA Sign: d_ Print: Print: Seal: : MYCOMUSSiON r` CC89s9 Seal i .•�.,. p k '' FXPIRPS:.e aj 2ut7 Bondad Tnru Notary Public Underwriters 1' APPROVED BY �� '��/� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)