EL-16-948 Inspection Worksheet
Miami Shores Village nn (�46
10050 N.E.2nd Avenue Miami Shores, FL Y
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-266148 Permit Number: EL-4-16-948
Scheduled Inspection Date: September 15,2016 Permit Type: Electrical- Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: PARRA, MIGUEL AND CRISTY Work Classification: Alteration
Job Address:1163 NE 92 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132050270350
Project: <NONE>
Contractor: SHINE ELECTRICAL ENGINEERING Phone: (305)688-2000
Building Department Comments
BONDING FOR PAVER DECK, NEW LIGHT FIXTURES Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-266034. As per plan pool pump
lei protected by a 20 amp. G. F. I. breaker.
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 14,2016 For Inspections please call: (305)762-4949 Page 10 of 23
Permit Ivy? EL.-4-16'848
NoaaSM::
.�,,, i Miami Shores Village eft 'i
��f7f1#t 7j+�'Elul-�estl�fltlt�l
10050 N.E.2nd Avenue NE Wb*Class fcaf on.Alteration
Miami Shores,FL 33138-0000 Parmit Status APPROVED
Phone: (305)795-2204
Expiration:iration: 1 /111201
Issue Oate:41'1412016 p
Project Address Parcel Number Applicant
1163 NE 92 Street 1132050270350
MIGUEL AND CRISTY PARRA
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
MIGUEL AND CRISTY PARRA 1163 NE 92 Street
MIAMI SHORES FL 33138-
1163 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,500.00
SHINE ELECTRICAL ENGINEERING (305)688-2000
Total Sq Feet: 0
Type of Work:BONDING FOR PAVER DECK,NEW LIGHT F Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Review Electrical
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
DBPR Fee Invoice# EL-4-16-59349
$3.38 04/14/2016 Check#:300512 $ 187.96 $50.00
DCA Fee $3.38
Education Surcharge $0.40 04/08/2016 Check#:300504 $50.00 $0.00
Permit Fee-Additions/Alterations $225.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $237.96
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in complianbe 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.
---- _ April 14, 2016
ri n ner / Applicant / Contractor / Agent Date
Building Department Copy
April 14,2016 1
Miami Shores Village
4
Building Department APR e8 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 .57��
1=RC 20tL
BUILDING Master Permit No. &PP t� -- ) `9 4
_ -•�
PERMIT APPLICATION sub Permit No. �—c-1 Co —G`-i t)
❑BUILDING ® ELECTRIC ❑ ROOFING ❑ REVISION Ej EXTENSION ❑RENEWAL
❑PLUMBING F-1 MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I I (.03 NJ-E— 9 2-
S'T
City Miami Shores County Miami Dade Zip: _:K�I 3S .
Folio/Parcel#: I I 3Z.() S c)Z7 o�S,50 Is the Building Historically Designated:Yes NG
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 1 V� �� r Phone#:
Address:
City: M -1 t' S ki 0125 State: 'F c- Zip:
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#: EC0001514 Certificate of Competency#:
DESIGNER:Architect/Engineer: PFG'I-'I-- FCY El l K-) L''I'tPhone#:-74S& 5
Address! -7!-5+ SW Z p (P L,'' Ci CSI� �`�State FL Zip: )
Value of Work for this Permit:$ 1 , 5-�Dc=:'. Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: I/� f�Y t7�t Vz= Y �t�— , {�-r=✓� ( i l�T
Specify color of color thru tile:
r
Submittal Fee$ c� Permit Fee$ �� �� CCF$ CO/CC$
Scanning Fee$ Radon Fee$� s� DBPR$S`3V Notary$
Technology Fee$ 1 .G® Training/Education Fee$ ®' �16Double Fele$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 9C�
(Rev1sed02/24/2014)
F
Bonoinb 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.
Signature Signature-
OWNER
ignatureOWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was Tnowledged before me this
�T day of �' 20 L <-P by day of Y 1 by
FRANCISCO SAN OS
w (of who is personally known to wl= m' oto
eQ der
me or w o has produced as me or who has produced
identification and who did take an oath. identification and who did take an a #FF0 a� . '`"
NOT Y UBLIC• ��' d
Sign: ;Pn° Sign
0
Print: ? Print:
Seal: 0(�.ie:nde�;v Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)