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EL-16-2451 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-266646 Permit Number: EL-9-16-2451 Scheduled Inspection Date: September 12,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Temp for Test Job Address:88 NW 111 Street Miami Shores, FL 33138- Phone Number (954)465-3753 Parcel Number 1121360030400 Project: <NONE> Contractor: SKY ELECTRIC, INC. Phone: 305-542-0060 Building Department Comments TEMP FOR TEST ELECTRIC. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comfnents _ Passed Failed Correction L Needed f 2 Re-Inspection ! 9"A Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 09,2016 For Inspections please call: (305)762-4949 Page 15 of 40 R' f ► � -� " Miami Shores Village l of 10050 N.E.2nd Avenue NW l S008fion TOMP 1311 t. Miami Shores,FL 33138-0000 .�`tI�I�t1S: cl >�� Phone: (305)795-2204 issue Expiration: 03/07/2017 r_ Project Address Parcel Number Applicant 88 NW 111 Street 1121360030400 Miami Shores, FL 33138- Block: Lot: TRIFECTA CAPITAL LLC Owner Information Address Phone Cell TRIFECTA CAPITAL LLC 1504 BAY Road (954)465-3753 MIAMI BEACH FL 33139- 1504 BAY Road MIAMI BEACH FL 33139- Contractor(s) Phone Cell Phone $ 100.00 H Valuation: SKY ELECTRIC, INC. 305-542-0060 _,.. Total Sq Feet: 0 Type of Work:TEMP FOR TEST ELECTRIC. Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning: 1 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# EL-9-16-61205 $2.00 09/08/2016 Check#: 1090 $58.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 09/02/2016 Check*1120 $50.00 $0.00 Permit Fee-Additions/Alterations $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 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,P ING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERAuthorized-grg—nature: VIT: certify t at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructonin . Futhe ore,I ove-name c ctor to do the work stated. September 08, 2016 Owner / Applicant / Contractor / Agent Date Building Department Copy September 08,2016 1 Miami Shores Village � �� - �' l Building Department C 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 B�(' �� N Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. eC — — 15 ' e7E PERMIT APPLICATION sub Permit No. 24 e�1 ❑BUILDING M ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: it $I- City: Miami Shores County Miami Dade Zip: Folio/Parcel#: x116— O`1oa Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): I:Lc Phone#:qo —WE-3753 Address: 10 ,/ City: State: - r� Zip:� d Tenant/Lessee Nppame':,1 Phone#: Email: oKSal�1'-3up—oI&..A.c�, CONTRACTOR:Company Name: sP�c� ��� r�JC� C. Phone#: Sia-SW-00 ro Address: g Petr' ".S7-& � City: !j ' , State: Zip: S737/(Of Qualifier Name: /L_,441,0 .��° Phone#: State Certification or Registration#: 40F6/jGk'.-7C, L Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: A dress: "' Ctya State _Zip: V It4b of Work for this Permit:$ ! Squarejl bar Footage of Wbrk: T of Work: ❑ Addition ❑ A eration ❑ Newt ❑ Repair/Replaci'`" Demolition Description of Work: Specify color of colorrt\hru tile: Submittal Fee$ , Permit Fee$ 14P CCF$ ® d CO/CC$ Scanning Fee$ C-�3 Radon Fee$ 2�, DBPR,`$ ` W Notary$ Technology Fee$ Training/Education Fee$ LlV Double Fee$ Structural Reviews$ Bond$ _ TOTAL FEE NOW DUE$ - rOO (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 whic s seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b proved and pection fee will be charged. Sign ure Signatu e OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this J—day of / Al�t 120 16 ,byQ�_day of ---120 16 ,by /kt l •� (�}�n ,who is personally known to jw� k,a.., who is personally known to me or who has produce -,me or who has produce un,('�$4�l3 � ••v�'N '''•,` identification and who d' ••, ' 4A``'�t F;is ' M;oaGLIA identification and who dJ Uolssiwwo0 = otary ' i nate of Florida NOTARY PUBLIC • iS-ollQnd/i�elop ; ?�;; NOTARY PUBLIC• paQ� Cumoasa x FF 132491 Iflll9M03W UNYI13 °•.'e„ ;;o •'?;oaa�q.' C"r Y;,,es Jun 15,2018 Sign: Sign: Print: Print: Seal: Seal: APPROVED BY ��/� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) yA�� Miami Shores Village Building Department ■■■ pn■"' 10050 N.E.2nd Avenue a e Miami Shores, Florida 33138 fiRu ' Fax: (305) 756.8902 AFFIDAVIT FOR 30 DAY TEMPORARY-ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary-electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: Building Permit N: eC - 3' �� - �,�'� Electrical Permit N: E L - (3 Z 3 At Address: qR Wit► r Miami Shores, FL For Owners: T.a" Lc<_ , and is being given only for construction purpose or for testing the following equipment in said structure: C&Y ,ivw ((I X4- The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and Wancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of e building concerned is occupied before final inspections are approved and/or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Test permits. I, , , being first duly sworn, depose and say that I am the owner of the above described proper , and that I agree that the structure covered in this agreement shall not be occupied until the bu' ' ractor has obtained approval of final inspec 'o s nd/or obtained a Certificate of Occ ncy of Compl do . ote: Fa a provisi, ns of his affi will result in your b ng unable to ture Tem orary for Test permits. i• s truw�y �n FF 132491Gomm i Sig ure of Owner shromm.sowJo is.201 ignature of Notary lot I, G , e duly sworn, de ose say that I am the Electrical Contractor for the above-described prop rty a ,iia® ions now existing t create a safety hazard ,,ff-JmporarV,serv,jWis c�o ,,4�Y� ■w, EUANA MEDAGUA Notary PUMIC.Slate of Florida Ai nature of Electrical ntractor =., ,• Comassion#FF 132491 g sy COM.Envlres Jun 15,2015 Signature of Notary I, ��iij t duly sworn, depose and say that I am the Building Contractor of the above described property and that I will not permit occupancy of this building until final inspections have been called for by the contractors and sub-contractors concerned and final approval by the inspection division obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy until such final inspections are obtained n ncy or Compl is issued. ;�"N'"'''•,, ELIANA MEDAGLIA Notary Public-State of Florida nature of Building Contractor COMMeelon#FF 132491 Signature of Notary . My Carus.Expires Jun 15.2018 Signature of Inspector Signature of Notary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 WAY, RICHARD JR SKY ELECTRIC INC 90 NW 156 ST MIAMI GARDENS FL 33169 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range ` STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque DEPARTMENT OF BUSINESS AND restaurants,and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order EC13002762 UED:. 08/21/2016 to serve you better. For information about our services, please to ontowww myfloridalicense.com. There you can find more CERTIFIED ELECTRICAL CONTRACTOR information about our divisions and the regulations that impact WAY,RICHARD JR you,subscribe to department newsletters and learn more about SKY ELECTRIC INC the Department's initiatives. �r Our mission at the Department is:License Efficiently, Regulate y Fairly.We constantly strive to serve you better so that you can the provisions of Ch.489 FS. under serve your customers. Thank you for doing business in Florida, and congratulations on your new license! gyp ,date IS CERTIFIED AUG3 der L160t321t10FS. DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EC13002762 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. we Expiration date: AUG 31, 2018 WAY, RICHARD JR SKY ELECTRIC INC 90 NW 156 STk MIAMI GARDENS Ft 33169 7y; ISSUED: 08/21/2016 y _ DISPLAYAS REQUIRED B'�LASEQ# L1608210004125