Loading...
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