EL-16-1086 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FIL S Z53
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-257354 Permit Number: EL-4-16-1086
Scheduled Inspection Date: April 29,2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: , Work Classification: Temp for Test
Job Address: 1460 NE 101 Street
Miami Shores, FL Phone Number (305)898-7882
Parcel Number 1132050240050
Project: <NONE>
Contractor: METRO ELECTRIC SERVICE, INC Phone: (305)945-1991
Building Department Comments
TEMPORARY TEST Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
PassedE?I
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
April 28,2016 For Inspections please call: (305)762-4949 Page 14 of 29
3
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Miami Shores Village p8ICriCl* Identi�
�r 10050 N.E.2nd Avenue NE tCtftIfT I#IEiI
Miami Shores,FL 33138-0000 -��
"YP Phone: (305)795-2204
�ttts: 1/It3
Expiration: 10/25/2 1
toR
Project Address Parcel Number Applicant
1460 NE 101 Street 1132050240050
Miami Shores, FL Block: Lot: BAY CONSTRUCTION 8:DEVEL(
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
METRO ELECTRIC SERVICE,INC 305 945-1991 Valuation: $ 100.00
( ) (305)9451991
_., Total Sq Feet: 0
Type of Work:TEMPORARY TEST Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final
Scanning:1 Review Electrical
Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# EL-4-16-59501
$2.00 04/28/2016 Credit Card $58.60
DCA Fee $2.00
$50.00
Education Surcharge $0.20 04/21/2016 Credit Card $50.00 $0.00
Permit Fee-Additions/Alterations $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $108.60
In consideration of the issuance toe of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conform y with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBCHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT• certify that all'.the foregoi g ' fo ation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and z mg. Futhe t ie abov - med contractor to do the work stated.
April 28, 2016
Authorized 'gnature:Owner / Applicant lContractor / Agent Date
Building Dep nt Copy
April 28,2016 1
Miami Shores Village F7VED
L2PIBuilding Departmentj
`A 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 B
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2010
BUILDING Master Permit No. �� )6-9 1-0
PERMIT APPLICATION Sub Permit No. � 1()i3
❑BUILDING 5KLECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
l CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): ��`�� C��� � f o e#:
& �✓
Address:_ �S �/Ly�
City:��,ayw r State: i Zv- Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Ce Phone#:
Address: / 10 AJEr
City: e 42W State: Zip:
Qualifier Name: 6"Aw, Phone#:
State Certification or Registration#: 6e,- Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ ��,��� Square/Linear Footage of Work:
Type of Work: ❑ Addition i!Q Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ E Permit Fee$ �l d®1d�9 D CCF$ 'J (�O CO/CC$
Scanning Fee$ -a Radon Fee$ �?-- CC) DBPR$ 2 CQ 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 on 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 ab nce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
NCR or AGENT ONTRACTOR
The foregoing' stru�ud
was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ` 20by s� K,' & day of yra L ----,20 10 .by
t�� who ispersonally known�to OA(- "f 1Rwho isi ersonally known to
me 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 PUBLIC: NOTARY PUBLIC: /
Sign: Sign: '
OS LNVARES ''•w MARCOS LINARES
Print: '= Print:
Seal: �`&9 EXPIRES February 07,2017 Seal: EXPIRES February 07,2017
3884
(407 133 F .� 140 �g,pt8:1 �1aweNotslv3�vwe.ean
APPROVED BY ZY cif Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Building
MIAMaOIADE 11805 SW 26th Street
Miami, Florida 33175-2474
786-315-2100
miamidade.gov
AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE
ELECTRICAL CATEGORY 26
ELECTRIC SERVICE WILL BE DISCONNECTED"WITHOUT NOTICE" UPON 30 DAY TERMINATION
UNLESS APPLICATION IS RENEWED OR CERTIFICATE OF OCCUPANCY OBTAINED.
It is understood thatthe temporary electrical approval bythe Miami-Dade Buildin�epartmen ' given in connection
It
with the buildincr -;^a r9pstru d un the Building Permit �-I - and Electrical
Permit# 'G ��'� p � tb at address S
for owner: & �1SW-A 4 and is being given only for construction purposes or for
testing the following equipment in said structure: `- Wb�J-3>E
The owner does hereby 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
purposes of use and occupancy, and no occupancy shall be granted or permitted until final 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 cancellation
and electric power can be cut off at the discretion of the Building Official and will be disconnected if the building
concerned is occupied before final inspections are approved and/or a Certificate of Occupancy or Completion
is obtained.
I, ?J-N'J, C-e s CCL-)4 e N �J being first duly sworn, depose and say that I am the owner of the above
described property, and that I agree that the structure covered in this agreement shall not be occupied until the
building contractor has obtained approval of final inspections and/or obtained a Certificate of Occupancy or
Completign. te:Failure to comply with the provisions of this affidavit will result in your being unable to obtain
future T� for T ermits.
Signat of O Signature of No Mvrc)MMISSION#EE872882
MyCommissio
{, O being duly sworn, depose and say tha �j.�l �,Elect�j� -for
thea ove-describ. perty and that the electrical installations as now existing willno crea e a sae a
temporary service is co nected.
Signature of E cal Contractor Signature of N
My Commissio '. MY COMMISSION 0 EE872882
being first duly sworn, depose and sa �'�tieinn r`a cto
of the above described prope and that I will not permit occupancy of this b113 1
been called for by th c ntra ors and sub-contractors concerned and final approval by the inspection division
obtained and that I h e pity insofar as the owner of said property is concerned to prohibit occupancy until
such find insple long ar obt ined and/or a Certificate of Occupancy or Co letion is issued.
Signature of B ' ding C ntra or Signature of N
My Commissi nRES
, ,es:
MY COMMISSION 0 F'E872W2
Date: Er 4
Signature of Electrical Inspector
•� +onaanu,tary5ervias,aa►
Date released to
123201-124 6/06