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EL-16-2183 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL � � l�u - Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-265278 Permit Number: EL-8-16-2183 Scheduled Inspection Date: August 12,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: DIAZ, CARLOS AND ASHLEY Work Classification: Pool - Private Job Address:9230 NE 2 Avenue Miami Shores, FL 33138-2805 Phone Number Parcel Number 1132060133050 Project: <NONE> Contractor: ELECTRICAL MASTERS INC Phone: 305-265-7996 Building Department Comments CHECK POOL EQUIPMENT FOR CODE COMPLIANCE Infractio Passed Comments INSPECTOR COMMENTS False Inspector C n—mahts Passed El ' Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 11,2016 For Inspections please call: (305)762-4949 Page 24 of 32 3 s °R hs t Miami Shores Village ! 10050 N.E.2nd Avenue NE " ration s Miami Shores,FL 33138-0000 h � Phone: (305)795 2204 eft 81�I [t2t Expiration: 02107/2017 9n' Project Address Parcel Number Applicant 9230 NE 2 Avenue 1132060133050 CARLOS AND ASHLEY DIAZ Miami Shores, FL 33138-2805 Block: Lot: Owner Information Address Phone Cell CARLOS AND ASHLEY DIAZ 9230 NE 2 Avenue MIAMI SHORES FL 33138- 9230 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone :Valuation: $ 1,000.00 ELECTRICAL MASTERS INC 305-265-7996 _......... ... ......... ....... . ... W Total Sq Feet: 0 Type of Work:CHECK POOL EQUIPMENT FOR CODE COMP Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-8-16-60854 DBPR Fee $2'25 08/03/2016 Check#:13380 $50.00 $109.10 DCA Fee $2.25 Education Surcharge $0.20 08/11/2016 Credit Card $ 109.10 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 In consera'o of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining-ther and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this p it I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELEC RICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS IDA IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a ning. Futhermore,I authorize the above-named contractor to do the work stated. August 11,2016 tho Ignat re:Owner / Applicant ! Contractor / Agent Date Building partment Copy August 11,2016 1 `t ( Miami Shores Village Building Department AUG 3 2016 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 2014 BUILDING Master Permit No. bpp 1'b— PERMIT APPLICATION Sub Permit No. E L I(b , 21 �3 ❑BUILDING DY(LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 2 30 T_j_T:: 2 A\W— City: Miami Shores County: Miami Dade Zip: 2z!A Folio/Parcel#: 6 i ` 2c)(c � 016 Is the Building Historically Designated:Yes NO V Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): QCL @�c� 0 7 Phone#: ) _`)Ca Address: F City: 1 n r'v i State: Zip: 32)1 f�a Tenant/Lessee Name: / Phone#: Email: a ) CONTRACTOR:Company Name:�� �� `41(� ` WI51 Phone#: Address: d Y�U Sy/ /' � yam' City: i/7 State: Zip: Qualifier Name:_0 4/a A � r Phone#I State Certification or Registration#: Elf G e7 �7 a Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: �'�Q G Oar _qIAAIey"f 66te a W4 icI I'z&��i Specify color of color thru tile: Submittal Fee$ D() Permit Fee$ 1,S—e UeW�' CCF$® GO C9/CC$ Scanning Fee$ "3- CO Radon Fee$o ';L(�; DBPR$ Notary$ Technology Fee$ ® Training/Education Fee$ ® Double Fee$ Structural Reviews$ Bond$ 1(� TOTAL FEE NOW DUE$ ' a 0 (Revised02/24/2014) i Bonding Company's Name(if applicable) t,,J ! (6a- Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) a, Mortgage Lender's Address O h 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 Signature OWNE r AGENT CONTRACTOR The foregoing instrument was a edged before me this The foregoing instrument was acknowledged before me this day of ,U k/ 20 1 lr by `Z-1 day of J Ohl 020 1 Cin by n d cL b I a 2-.- ,who ersonally known who' personally known t 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 PUBLIC: Sign:. �nSign: Print: Print: Seal: .r , MARCpS 1 ,'Nf t Seal: <° €t ti9AacosA MaR71N[z P✓IY CO1v1!o E �_ MY COMMISSION#FF 008989 ;1P�59 EXPIRES:h a r APlS�S fv� y 15,2077 ° [ rltru tdota n9 15,2017 l �„ Doodad ihru Notary Public Undo writers °moo YPi, li Ue y re s -- _ F �kekffirk�k+k+k+krk+kokekrkrk�kak�krk& rk�k�k�k&�k�k�k�k�k�k_>`k�'"�Y�rkrk*�k�k�k�k�k�k�k�k*�k*�krkrk�k�k�krk�k�k�k*rkrkNeBe�k#�k�k#�k�k�k�k�krk�k�k�k�k�k �k�Ni ffi�k�k�k�krk�k�krk�k�k�k�k APPROVED B Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)