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EL-15-1666 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL I 1� Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-238335 Permit Number: EL-7-15-1666 Scheduled Inspection Date: April 21,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: TAVARES,TIERES Work Classification: Pool - Private Job Address:10050 NE 12 Avenue Miami Shores, FL Phone Number (305)244-2356 Parcel Number 1132050190370 Project: <NONE> Contractor: YORK ELECTRICAL CONTRACTOR CORP. Phone: (305)962-0759 Building Department Comments ELECTRICAL FOR NEW POOL 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 April 20,2016 For Inspections please call: (305)762-4949 Page 4 of 29 3-M z te$°Rs g� Miami Shores Village Ptthe$id@t1ti� 10050 N.E.2nd Avenue NE 4 'ark ;rr�.sr` Cat�art 33 Miami Shores,FL 33138-0000 St� �APP }U� Phone: (305)795-2204 ' 5lJ2t1t Expiration: 2/03/2016 Project Address Parcel Number Applicant 10050 NE 12 Avenue 1132050190370 Miami Shores, FL Block: Lot: BEYOND ALL REVOCABLE TRU Owner Information Address Phone Cell BEYOND ALL REVOCABLE TRUST 10050 NE 12 Avenue (305)244-2356 (786)709-3909 - --- - --- MIAMI SHORES FL 33138- 10050 NE 12 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 YORK ELECTRICAL CONTRACTOR C (305)962-0759 Total Sq Feet: 00 Type of Work:ELECTRICAL FOR NEW POOL Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Light Niche Bonding Review Electrical Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-7-16-56214 DBPR Fee $4.50 07/06/2015 Check#:12874 $50.00 $271.20 DCA Fee $4.50 Education Surcharge $0.40 08/07/2015 Check#:12936 $271.20 $0.00 Permit Fee-Additions/Alterations $300.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $321.20 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 informatioR is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-na a contra do the worktated. ugust 07, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 07,2015 1 Miami Shores Village7BY: VED ° 0 2015 Building Department 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 ZO®'� BUILDING Master Permit No. — 1,66 / PERMIT APPLICATION Sub Permit No. m° ❑BUILDING %ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1 oosn t-3 Ve. City: Miami Shores County Miami Dade Zip �3 3� Folio Parcel#: I I • '6�05. O 1 ci . ® O / `�� C� Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): `TiC�,Ftylp., Phone#: Address:__ 1 nC)50 City: V-A i coM 1 n)k,' ,re- State: Zip: Tenant/Lessee Name: Ij) & Phone#: Email: I ( r CONTRACTOR:Company Name: qo'f 1'. Y t� _ 6CC�.\ �`t-CCtC-4 C Phone#: 305-9�g 2-- 0-4 Address:_1 $ S Lt) a &-I h•%1 2-43 City: State: (� d i. �i Zip: 3 t 5'-V Qualifier '-V Qualifer Name: L O f e_ tA :a p -rod ire- S Phone#:-305 r 0 S2-+$(Q State Certification or Registration#: FC 13 00$(4 Sk Certificate of Competency#: DESIGNER:Architect/Engineer: minYiC- -14f-,-�y�P-� l -11lz)t3 Phone# Address: 1 J �1� as 1 'Y Ci 1-J1 G rY� k State: Zip: 3t 1S 'i ty:_ Value of Work for this Permit: ot) Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Re lace p El Demolition Description of Work: P I& ly i C G-1 Ir 0%-a O h Specify color of color thru tile: Submittal Fee$__ �r�o Permit Fee$ _map®"®® CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ � (Revised02/24/2014) R Bonding Company's Name(if applicable) QJ Bonding Company's Address City State_� yy Zip Mortgage Lender's Name(if applicable) N Mortgage Lender's Address I A 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$2500, the applicant must promise in good faith that copy of the notice of commencement and construction lien law brochure will be delivered to the person b' c whose property is sut to attach o,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspec on whichoc rs seven 7) days after the building permit is issued. In the absence of such posted notice, the inspection will n be approve and a r inspection fee will be charged. Signature Signature OWNER or AGENT CATRACTOR. The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this d'ay of20 IS by day of 20 IS .by 1 , 1 Gt�/(�✓6,wh is pe sonally know to ,w ispersonally known i me or who has produced as me or who has produced TW H2O 5h 325 O as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign' Sign' - Print: �— z- H-e-(e�� 'r. Print: 1.,..f Seal: +e•4PR Lp.. .Oz Helm.A Qln Seal: uz HelerA iom s :xo' ^bJ PRI^vit l'rF=01905^_ �a4° aCOMM1SS!ON,#FF01905^_ -.,�� •;P'' SPIRES: MAY 1 4,2017 ��'T ?$EXPIRES: 'k 1y,2017 ',Ydd1Y.A1RONWTARY.con ��is, ,;;�� www.AARONNOTARY.ccv APPROVED BY / L/6 Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014)