EL-14-1729 d
TE
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-230654 Permit Number: EL-8-14-1729
Scheduled Inspection Date: March 20,2015 Permit Type: Electrical- Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: JAAR,MIKE Work Classification: Alteration
Job Address:360 NE 103 Street
Miami Shores, FL
Phone Number (786)252-6374
Parcel Number 1132060135000
Project: <NONE>
Contractor: MV ELECTRICAL SERVICES Phone: (305)216-0677
Building Department Comments
NEW POWER LIGHTING FOR BATH AND KITCHEN Infractio Passed Comments
REMODEL INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
March 19,2016 For Inspections please call:(305)762-4949 Page 37 of 40
Miami Shores Village 7AU
ETVF!.,
Building Department 6 00 1414
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)752.4949
FBC 20 11-N
BUILDING Master Permit No. Q-L t I ze
PERMIT APPLICATION Sub Permit No. �--1`�-'�� 2I
❑BUILDING ®ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[]PLUMBING ❑MECHANICAL []PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION [] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: — ,63 ~•
C Miami Shores County: Miami Dade Zip: S-?—>t3�
Follo/Parcel#: 1 I — 19ZO� 61 9 5.60.0 .1s;the Building HistoricWly Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: / FFE: z
OWNER:Name(Fee Simple Titleholder):
Address: 9 160 N- —
City: V1q ►Ate"•I - State: L Zip:
Tenant/Lessee Name: Phone#:
Email: —T
CONTRACTOR:Company Name: �'� V k- eC {r(C a SP 0,0 loos 17< 0G Phone#��US)
Address: /13 /// A)w 2 t
city:. State: L up: d l
Qualifier Name: Q fl o 61a Ide,4 Phone#: • a —06 V
State Certification or Registration#: 3 �P Certificate of Competency#:
DESIGNER:Architect/Engineer: ��1�- .N/►�c, i..l-O Phone#:
Address: 9 S .)i ST City:&t-A' WState: — Zip:
Value of Work for this Permit:$ Z-j Spuare/Unear Footage of Work:
Type of Work: ❑ Addition A Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:_ 1P61AJ1—( �0�K-t'1 Y-oc-- pb 4+K •- 1Liru-41-t-j
Specify color of color thru We:
Submittal Fee$ �_Permit Fee$ ?Sid6 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
r Z
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. 1 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: 1 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$250, the applicant must
promise In goad 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 felil be charged.
Signature Signature
OV for AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instri ent was acknowledged before me this
day of Jhu(a L) i l .20 N .by day of A40-� _ ,20, /� ,by
1 � ZAAfZ-- ,who ersonal n to who i personally know 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: ���� gi��iNOTARY PUBLIC:
Sign 3 0 = Sign:
0
Print: �'i '" �'a _ = Print: *P=&- 16.2016
�.. Q;ya;' � 9 �* ea�ed7kuetNo�sarw�s
Seal: '%� `9 G'; Seal:
************************************************************************************************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(RevisWOZ/24/2014)