EL-15-2772 C r
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-247342 PermitNumber: EL-10-15-2772
Scheduled Inspection Date: November 24,2015 Permit Type: Electrical- Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: , Work Classification: Temp for Construction
Job Address:1460 NE 101 Street
Miami Shores, FL Phone Number (305)898-7882
Parcel Number 1132050240050
Project: <NONE>
Contractor: AMENGUAL ELECTRIC INC Phone: (954)410-6364
Building Department Comments
TEMPORARY POLE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-246935. Need temp pole.
Conduit from meter enclosure to panel is not supported properley and will
need to be removed.
Failed
Correction ❑
Needed q
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
November 23,2016 For Inspections please call: (305)762-4949 Page 13 of 25
Miami Shores Village PaTIT#11 T} �" 140
10050 N.E.2nd Avenue NE � � « � foronirri �rt
l
Miami Shores,FL 33138-0000 -APPPe� �� °
Phone: (305)795-2204
OR
s,` aate:lll4/ (� Expiration: 06/02/2016
�F..
Project Address Parcel Number Applicant
1460 NE 101 Street 1132050240050 BAY CONSTRUCTION&DEVEL(
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
BAY CONSTRUCTION& 201 S BISCAYNE Boulevard (305)898-7882
-- - ----- - - MIAMI FL 33131-
201 S BISCAYNE Boulevard
MIAMI FL 33131-
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
AMENGUAL ELECTRIC INC `
Total Sq Feet: 0
Type of Work:TEMPORARY POLE Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final
Scanning:3 Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
DBPR Fee Invoice# EL-10-15-57610
$2.00 11/04/2015 Credit Card $66.20 $50.00
DCA Fee $2.00
Education Surcharge $0.40 10/30/2015 Check#:2072 $50.00 $0.00
Permit Fee-Additions/Alterations $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $116.20
In consideration of the issuance to me of this permit, I ag ee to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,dra ngs,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work do by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WIND WS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foreg ' g informatio i accur to n that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authoriz the above-name co o e ork stated.
November 04, 2015
Authorized Signature:Owner / App licant / Co ractor / Agent ate
Building Department Cop
November 04,2015 1
tv11d1111 .311Ureb viiidge �°r-TF 7 Vk- - ®
�'LA Building Department artment OCT 3 0 2015
l�C! 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 2016
BUILDING Master Permit No. g,=- 'ts"f�` ��-��•
PERMIT APPLICATION Sub Permit No. L ~ IS- .
❑BUILDING rVf ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
l A J CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): C /�'v cme f.?�V � Phone#: - °�7 a '
Address: ;?_01 A7 -'e 4:-Vb • �� '
City: V/'AQ-�v State: /11�—: Zi
P�
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ��`�- �� _ Phone#: �
Address: ,fin T1s✓ Z .
City: /tState:
n �Z— Zip: �y��
Qualifier Name: `�� ►� �� / vY° = -- Phone#: -?d67bz
State Certification or Registration#: 1� ® Certificate of Competency#:
DESIGNER:Architect/Engineer: =a Phone#:
Address: City: State Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition Alterationpp❑ New ElRepair/Replace ❑ Demolition
Description of Work: � 'r't ®`�4&-eqY C-
Specify color of color thru tile:
Submittal Fee$ 6 Permit Fee$ /®fes, CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE S 6
B riding 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 a absence o' h posted notice, the
inspection will not be ap roved and a reinspection fee will be charged.
Signatur 4( V65 Signature
OWNER or AGENT CONT CTO
The for oing instrument was acknowledged before me this The foregoing instrument was acknowledged be a me this
2(, day of OL-A- 4A — 20 by @L) —day of ( C M6Q?— 20 by
�� �w ►Ct- '� .who i sonally kno to �OI�` o is personally known to
me or who has produced as me or who has produced k-k tjUJSt'as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Print: Print:
Notary Public State of Florida $o Not P,Iwic S',ate of Moride
Seal:
L14%
Mictael RobertJaarSeal: Sindia Alvarez
My Commission EE 831941 wrlyCommiasnn FF 159750
Exprces 09/03/2016 0K Ftovr Fxpvos 09%O3r20+A
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APPROVED BY �� ������S)lans Examiner Zoning
Structural Review Clerk