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EL-15-2116 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-255487 Permit Number: EL-8-15-2116 Scheduled Inspection Date: March 25,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Addition/Alteration Job Address:149 NE 105 Street Miami Shores, FL Phone Number (786)231-5339 Project: <NONE> Parcel Number 1121360050130 Contractor: ADAN ELECTRICAL SERVICES LLC Phone: (786)285-3847 Building Department Comments INTERIOR REMODELING. LIGHTS RECEPTACLES Infractio Passed Comments ELECTRICAL WORK AS PER APPROVED PLANS. INSPECTOR COMMENTS False Inspector Comments4 C Passed / � �� G� Failed `Z Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. March 24,2016 For Inspections please call: (305)762-4949 Page 24 of 28 Miami Shores Village t 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 y 3 h u `tea° Phone: (305)795-2204 Expiration: 02/23/2016 Project Address Parcel Number Applicant 149 NE 105 Street 1121360050130 ZURDDO CORPORATION Miami Shores, FL Block: Lot: Owner Information Address Phone Cell ZURDDO CORPORATION 12921 S CALUSA Drive (786)231-5339 MIAMI FL 33186- 12921 S CALUSA Drive MIAMI FL 33186- Contractor(s) Phone Cell Phone Valuation: $ 4,000.00 ADAN ELECTRICAL SERVICES LLC (786)285-3847 Total Sq Feet: 0 Type of Work:INTERIOR REMODELING.LIGHTS RECEPTA Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W.W. Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# EL-8-15-56781 DBPR Fee $3.38 08/20/2015 Credit Card $50.00 $191.16 DCA Fee $3.38 Education Surcharge $0.80 08/27/2015 Credit Card $ 191.16 $0.00 Permit Fee-Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $241.16 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. F thermore,I authorize the above-named contractor to do the work stated. August 27, 2015 Authaj Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 27,2015 1 N ►c��)S Miami Shores VillageITf 11 -,i Building Department E o X015 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 20 t\-I BUILDING Master Permit No. 'QC- 44- PERMIT APPLICATION sub Permit No�l—' ❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 149 NE 105 ST City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1 1"2.124-M-C -8430 Is the Building Historically Designated:Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: / - BFE: FFE: OWNER:Name(Fee Simpl/e..Tit(leholder)::�ZU-IZ:Mn 60 TZD Phone#: IRCO'M-CQ 9 IS Address: l t S• CO�wSQ. l Wy-s 19.. City: t�: V\& State: Zip: 1313P Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Adan Electrical Services Llc. Phone#: 7862853847 Address: 3001 sw 37 ave City: Hollywood state: Florida Zip: 33023 Qualifier Name: Rolando Adan Phone#: 7862853847 State Certification or Registration#: EC13004453 Certificate of Competency#: o DESIGNER:Architect/Enn�,gin//ew�er. t Phone#: Address: x,00 Q4� 0g:)A/, "� ICKDW: I State: f-L Zip:3-�02n Value of Work for this Permit:$ '7i0�� coo Square/Linear Footage of Work: Type of Work: ill Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: d Specify colorof °color thm tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ N �O (Revised02/24/2014) < r 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. 1 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 su posted notice, the inspection will not be approved and a reinspection fee will be charged. i Signature Signature 7 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ?_day of 20 1 9 by day of l.R .20 L S by oz S V who is personally known to who is personally known to Vme 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 PUBLI NOTARY PUBLIC: Sign: Sign: Print: Print• ' "' R61 Sealy"vei Notary Public State of Florida ;<g�.` ', Notary Public-State of Florida Seal: •. ; •: My Comm.Expires Jul 20,2018 r° ^ Sindia Alvarez ^» ., -C My Commission FF 156750 Commission #FF 143251 "p Expires 09103!2018 %%��n�� B=M TIvao National Notary Assn. or ***************** * ** ****************************************************************************** i Zdig APPROVED BY �� r/ � Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)