EL-15-1851 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-239761 Permit Number: EL-7-15-1851
Scheduled Inspection Date: January 20, 2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: PALMISANO, INGRID & ERIC Work Classification: Pool - Private
Job Address: 1035 NE 96 Street
Miami Shores, FL
Phone Number
Parcel Number 1132060143730
Project: <NONE>
Contractor: SHINE ELECTRICAL ENGINEERING Phone: (305)688-2000
Building Department Comments
ELECTRIC FOR NEW POOL AND SPA Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed ;,
Failed
"►o J-,D-�
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
January 19, 2016 For Inspections please call: (305)762-4949 Page 8 of 56
Oer
Permit No. EL-7-15-185'1
`yeUREs Miami Shores Village Permit Type:Electrical -Residential
10050 N.E.2nd Avenue NE ' Work Classification:Pool - Private
Miami Shores,FL 33138-0000
Phone: (305)795-2204 ` Permit Status:APPROVED
4FCOR1DAy P v\ k to _ ..
Expiration: 02110/2016
, 3ate..811412015 p
Project Address Parcel Number Applicant
1035 NE 96 Street 1132060143730
Miami Shores, FL Block: Lot: INGRID& ERIC PALMISANO
Owner Information Address Phone Cell
INGRI D& ERIC PALMISANO 1035 NE 96 Street
MIAMI SHORES FL 33138-2551
.
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
SHINE ELECTRICAL ENGINEERING (305)688-2000 Total Sq Feet: 0
Type of Work: ELECTRIC FOR NEW POOL AND SPA 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-7-15-56447
DBPR Fee $4.50 07/23/2015 Check#:99706 $ 50.00 $265.20
DCA Fee $4.50
Education Surcharge $0.40 08/14/2015 Check#:99776 $265.20 $ 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 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 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. Futhermore, I authorize the above-named contractor to do the work stated.
-- _- August 14, 2015
Authorized ature: / Ap licant / Contractor / Agent Date PV7
Building Depa py
August 14, 2015 1
Miami Shores Village
Building Department JUL 23 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 c �
F BC201
el: 1
BUILDING Master Permit No {��
PERMIT APPLICATION Sub Permit No.El l c—, I s
BUILDING ❑E ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: C--
City: Miami Shores County: Miami Dade Zip: a
1 I o
Folio/Parcel#: Is the Building Historicaiiy Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name(Fee Simple Titleholder): n ✓ cel �d+l�'I ` ��' Phone#: S
Address: sz'� NF--
. o) �T
City:'es�'` �S State: f:1 Zip: 33 1
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: SHINE ELECTRICAL ENGINEERING Phone#: 305-688-2000
Address: 3876 NW 125 ST
City: OPA-LOCKA State: FL Zip: 33025
Qualifier Name: FRANCISCO SANTOS Phone#: 305-688-2000
State Certification or Registration# ^^ECO001514 Certificate of Competency#:
DESIGNER:Arch itect/Enginee r: 7:1-'��1� � /�� ���� �'� Phone#:�oI�23S Z�
s���
Address: 7—.dCD(0 Ci p��-'
c I /P.:�'�-Mate: TZ- Zip: -5 3 18 1
Value of Work for this Permit:$ �� (=-g::) Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ AlterationNew ❑ Repair/Replace Demolition
Description of Work: G"f'► ' 1-�y rr— c..`�
Specify color of color thru tile:
Submittal Fee$ i� CJ) Permit Fee$-3"0e,P1 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ F
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 wiStruction 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 instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 c S , by `�� day of JJ'� 20 L , by
d P-=-q I <�who is personally known to FRANCISCO SANTOS 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: NOT Y PUBLIC:
Sig • Si
Print: Print:
Y LENY M.HERy
Se I: '�� io N = YORLENY M. ERNANUEZ
:<: Y MMiSSION#FF 02 108 Seal: Y COMMIS510N#FF 022108
'a EXPIRES September 27,2017 '•" XPIRES:September 27,2017
Bona...!Thru Notary Public Undcna; e ' I�
_ I "•..,or��,•"� Bonded Thru Notary Public Underwri,er5 )
APPROVED BY �� <� l�.�Y�s Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)