EL-16-785 Inspection Worksheet
Miami Shores Village 1�
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-255455 Permit Number: EL-3-16-785
Scheduled Inspection Date: March 28, 2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: NUNZIATA, MICHAEL JOSPEH Work Classification: Temp for Test
Job Address:1201 NE 101 Street
Miami Shores, FL 33138-2608
Phone Number (352)682-8303
Project: <NONE> Parcel Number 1132060171470
Contractor: METRO ELECTRIC SERVICE,INC Phone: (305)945-1991
Building Department Comments
REPLACE ELECTRICAL PANELS/TEMP FOR TEST Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed E
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
March 25,2016 For Inspections please call: (305)762-4949 Page 19 of 31
,giaos Miami Shores Village � 19)f@t1lt
10050 N.E.2nd Avenue NE
' n ® � IV �
....
Miami Shores,FL 33138 0000s
` Phone: (305)795-2204 , ,
''Expiration: 09/21/2016
Project Address Parcel Number Applicant
1201 NE 101 Street 1132060171470
Miami Shores, FL 33138-2608 Block: Lot: MICHAEL JOSPEH NUNZIATA
Owner Information Address Phone Cell
MICHAEL JOSPEH NUNZIATA 1201 NE 101 Street (352)682-8303
MIAMI SHORES FL 33138-
1201 NE 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
METRO ELECTRIC SERVICE,INC (305)945-1991 (305)945-1991
Total Sq Feet: 0
Type of Work:REPLACE ELECTRICAL PANELS/TEMP FO 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 $1.20
DBPR Fee $2 0o Invoice# EL-3-16-59139
DCA Fee $2.00 03/24/2016 Check*8237 $50.00 $60.20
Education Surcharge $0.40 03/25/2016 Check#:8256 $60.20 $0.00
Permit Fee-Additions/Alterations $100.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $110.20
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 certify that all the foregoing information is accurate d t t all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named contracto d e work stated.
March 25, 2016
Authorized Signature:Owner / Applicant / Contractornt Date
Building Department Copy
March 25,2016 1
Miami Shores Village 'p
-
�j��
Building Department MAR 2 4 2016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 � =
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 4
FBC 20 0
BUILDING Master Permit No. RC, a
PERMIT APPLICATION Sub Permit No. ICO-- 481-!�—
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
AA,, CONTRACTOR DRAWINGS
JOB ADDRESS: I Oy L' r'®r 3r r
City: Miami Shores County: Miami Dade Zip: 3 3 1 3 h
Folio/Parcel#: Is the Building Historically Designated:Yes NO /
Occupancy Type:bS\W A Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): � �c-W %U AX Itii0\ Phone#:
Address: ++AA,flI Z D d A16 (D I S`�
City: 0\taw\I Z VPS State: L Zip:
N 3
Tenant/Lessee Name: A Phone#:
Email: IM U,V,a tCkrc,
CONTRACTOR:Company Name:,M/4D F k&gv gI j/u Cc �c Phone#: 'q'q
r--
Address C X
City: A(CwkpI State: Zip:��✓
Qualifier Name: `�` /� Z Phone#: l
State Certification or Registration#: ��46 Certificate of Competency#:
DESIGNER:Architect/Engineer: 00 )Cr v% Phone#:
Address: Loy $( � t b ill I I< City: l D(I "v+ (n r 0-'V( State: I'"L Zip: o
Value of Work for this Permit:$ I,Loo Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alterations F-1New [Repair/Replace ❑ Demolition
Description of Work:_�T�UC?_ 11&c Y1 ltd+
Specify color of colorrth�ru tile:
Submittal Fee$ ' -W Permit Fee$ /®Z'®0 CCF$ CO/CC$
Scanning Fee$ ---2;, Radon Fee$ DBPR$ Notary$
Technology Fee$ 1 �J Training/Education Fee$ _HCl Double Fee$ 9
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ Go• 20
(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. 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 Signature
OWNER o AGENT CONTRACTOR�
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
��S�'�L day of �M' i��)`' ,20 i ,by day of
I YQbe � tjC*1UJQJZt ,who is personally known to y who's personally kn:n�
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 P
Sign: Sign: UuseRi REFIRE
4'otafy"uj _Pato of Florida
Print: r�l�l� � � Print:
r c
y rr
Seal: ERIKAETCHISON c nir�o Lt 1940,^,6
�d nye, Seal: "; R UocG Th tion I Cao ars A n
;* ,_ MY COMMISSION fi FF 074271
EXPIRES:March 17,2018
V.' Bonded Thru Notary Pobrx undenvraers
######### ##############################################################################################
APPROVED BY A � �� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
• y t
Miami Shores Village
Building Department
u�a
10050 N.E.2nd Avenue
aan
'—_ Miami Shores, Florida 33138
RSA 0
Fax: (305) 756.8972
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: PC - 5 l 1 j �O Electrical Permit N:
At Address: 4201 PC o Miami Shores, FL .3 313
For Owners: M k c- AU v%2 t_0 c, , and is being given only for
construction purpose or for testing the following equipment in said
structure:
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
0.ncellation and electric power can be cut off at the discretion of the building official and will be disconcerted of
ie building concerned is occupied before final inspections are approved and/or obtained a Certificate of
Occupancy or le ' n. Note: Failure to comply with the provisions of this affidavit will result in your
being unable i fut porary for Test permits.
I, 0 �s -c/-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 of Completion. Note: Failure to coI with the rovisions of this affidavit will result in your
being unable t6 oblain futur porary for = rml SERIKAErCHIsoN
,.. ;. MY COMMISSION#FF 07 _71
a ch h 0)*J
EXPIRES:March 17,
Signature o wner F BondedThmu b
Rn taryPublcUn nA re of Notary
being duly,sworn,,de ose an sat I am the Electrical Contractor for
the above-describe and p s no dxisting will no c ate a safety hazard
if tern Ice ' onn "°pU�
��� cta P , �5;c4 Florida t'
f
d mrt; mt�,(ar 30 201 l _ 1
Sign f� �, �!��r� _ c -,�I� ��� ., r� �,�osc ...c
, C�i U iThr� y�f Uana�f�otarss
rwature of NotaVy
I, ���wec f"te ,`being first duly sworn, depos nd say that I am the Building Contractor
of the above described property an *-oc P6hi5ybM19building 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 's concerned to prohibit occupancy
until such final 'nspections are tained and/ I Ica e�l�a Wy ompletion is issued.
.yQ a Ln.
MY COMMISSION#F 07427 /I �• l
EXP ES:March1712018
(a-
Bonded Thm Notary Public Underydenvrfters
''eft►t:+`
gnature of uiiding Contractorignature of Notary
Signature of Inspector Signature of Notary
LIMITED POWER OF ATTORNEY
Date:
I hereby name and appoint Robert Schweitzer of Sloan Consulting Inc. to be my lawful attorney
in fact to act for me, and apply to Miami Shores for permits for work to be performed at a
location described as:
Project Address: 1201 NE 101't street
City/Municipality: Miami Shores
Zip Code: 33138
Subdivision Name: Bay Breeze SEC Miami Shores
Owner of Property: Michael Nunziata
and to sign my name and do all things necessary to this appointment in connection with
construction of the residence for a period of one year from the date hereof and automatically
terminating at the end this term.
i
Contractor Signature Owner Signature
Contractor Name: Robert Schweitzer Owner Name: Michael Nunziata
Contractor License#: CGC1515529
STATE OF FLORIDA
BROWARD COUNTY
The foregoing instrument was acknowledged before me this day 23 of H& 1,20k by Robert
Schweitzer and Michael Nunziata who are personally known to me or who produced as identification
and who did not take an oath.
ERIKA EiCHISON
MY COMMISSION#FF 074271
' EXPIRES:March 17,2018
Notary Public(Signature) NOVgBonded ThruNOW Public Underwiters
Print Name: Erika Etchison