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EL-15-495 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-229607 Permit Number: EL-3-15-495 Scheduled Inspection Date: August 08,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MICHELLE, DANILO DI Work Classification: Pool - Private Job Address:9145 NE 4 Avenue Miami Shores, FL 33138 Phone Number Parcel Number 1132060140080 Project: <NONE> Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Phone: 3051656-5759 Building Department Comments ELECTRICAL WORK FOR SWIMMING 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. August 05,2016 For Inspections please call: (305)762-4949 Page 2 of 32 3 L� Miami Shores Village y PB �%'T3 � � 10050 N.E.2nd Avenue NE P",4, Miami Shores,FL 33138-0000 h�+cmc Phone: (305)795-2204 a .. _ AP . Ex P iration: 1114/ 015 _ .. ... Issue X17 Project Address Parcel Number Applicant 9145 NE 4 Avenue 1132060140080 Miami Shores, FL 33138 Block: Lot: DANILO DI MICHELLE Owner Information Address Phone Cell DANILO DI MICHELLE 9145 NE 4 Avenue MIAMI SHORES FL 33138- 9145 NE 4 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,800.00 F JIMENEZ ELECTRICAL CONTRACT( 305/556-5759 Total Sq Feet: 0 Type of Work:ELECTRICAL WORK FOR SWIMMING POOL. 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 DBPR Fee Invoice# EL-3-15-54712 $4.50 04/17/2015 Check#: 1101 $265.20 $50.00 DCA Fee $4.50 Education Surcharge $0.40 03/06/2015 Cash $50.00 $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 rtify all the forego' information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin . the o e,I autho' he above-named contractor to do the work stated. April 17, 2015 Authoriz n :Owner / Applicant / Contractor / Agent Date Building epartment Copy April 17,2015 1 ` � • Miami Shores Village cEr�� Building Department MAR 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 10 BUILDING Master Permit No " �S;— 4- 1s PERMIT APPLICATION Sub Permit No. �'L 1(5—(495 ❑BUILDING WIELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP (� CONTRACTOR DRAWINGS JOB ADDRESS: 4f, W IF ke,,e City: Miami Shores County: Miami Dade Zip: 33135 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type:i Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): XDa 1 A isl�Phone#:405) Q 96-9-76976 Address: 1.m s Q G 4,11 .Q City: (Wctm State: Zip: 113 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: V • J.NN-No_y-%P? E1d.Ckle`i t-c t an--VhG.W0hone#: 6 Q'6)2C(S- 21460 Address: 12 4Z 1 City: (c tl► �®t�� State: Zip: ?X` Qualifier Name: t'mom r Z Phone#:U1gG ncis-Zi 10 State Certification or Registration#: &C. \ 613(3 7Q 4- Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ t t 810c) Square/Linear Footage of Work: Type of Work: ❑ Addition `❑ Alteration New ❑ Repair/Replace ❑cDemolition Description of Work: �yP-CSz-rR%CXA f�®�t1 f- � ° 4 #-v l VA 'n Specify color of color thru 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$ (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 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ('0" Signature t OWNER or AGENT CONTRAC OR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of l-e %nri c r 20 ix— ,by day of V S"tvd fit ,20 t S ,by Dav,Ab 1b,�lodAIe- who is personally known to 1r4'6.re:r,e,p A vnne-e►e2 ,who is personally known to me or who has produced �f��w_c� ey. n as me or who has produced gift u N as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: PL, Print: Print: Seal: JAVIER ORTIZ Seal: ;; "� "�:: JAVIER ORTIZ ,;��!""•'ti►;;. MY COMMISSION*cC+?Q?53 MY COMMISSION h FFt32253 '!� •:,ni EXPIRES September 21,2015 EXPIRES Septembe. 21,2015 407)30801b3 FWdallotx ryServkA. ***k+k* L.cy/S APPROVED BY GfOA Plans Examiner Zoning k;W3 Structural Review Clerk (Revised02/24/2014) 03/04/2015 12:54PM 2396749514 F JIMENEZ ELECT CONT PAGE 01/02 CERTIFICATE OF LIABILITY INSURANCE 9/3/2014.OAM TW CERTWICATE 0 No=AS A HATTER OF BEOBRiA710l!!1 ONM.Y AND CONFM NOS MOM UpCN TME CWlTWC/118 MIOI.DW TM CFRIWAIM OM NOT AFFWMT A LY OR N90ATM8rY AIIEs'N% 9XTM OR ALTER TMME CObWUW ASD BY yM POI ,$ 88-OW TM CERTWICATE OF OMMM OCOS WT CONBWTVM A COlI MACT BEM M THE MS8BIN0 Dom, AUTHOMM REPRESBI WIVE OR PROGtXXK AND TnE CERTwmTB HOLM , MwWor M#m A w m m 1L p p w rm OellgM. v suaamIm tbs oer�ats rll!row oIFIOs Oi011Cl/.aaefrb poNeM�r►o�qr�� A en•s�aMWleab loos aat ooniar ba!!�s ONS#601dir IR Y/It of 6urslu PRODUOM 'o Dopmo, & Assooiat m 13W)470-OW c ear-yoga 8755 IV 18th Tarr $to s00BdAmi al+eNi .aa. 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Shorey 10050 NE 2nrd Avenue �uesxopo9Bsl rr► Mi.=, Shores, FL 33130 ACORD�C�19� s�110eR�9Ql0 AQDI�CQAPORATIOIi.AB ►mod. R qn m TU.•171I1iss w+►M.�u1 irrrn.�.WANIOMM1 WAW&S ai AMMM