EL-14-2098 (2) Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-234977 Permit Number: EL-9-14-2098
Scheduled Inspection Date: May 20, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: CADILLA,ARTURO Work Classification: Service Change
Job Address:841 NE 95 Street
Miami Shores, FL
Phone Number
Parcel Number 1132060142940
Project: <NONE>
Contractor: MB ELECTRIC SERVICE CORP Phone: (786)325-3383
Building Department Comments
ELECTRICAL UNDERGROUND SERVICE CHANGE FOR Infractio Palsed Comments
POOL INSPECTOR COMMENTS False
Inspector Comments
Passed Ea
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
May 19,2015 For Inspections please call: (305)762-4949 Page 33 of 40
2014-09-23 13:55 88 88 >> 1 800 685 7530 P 2/2
i
JEFF ATWAIM
• t'1
G°lW MMMCIALCWIqMSTATE OF KORIDA
DEPARTMENT OF FINANCIAL SERVICES
OMSWN OF WORKERS'COMPENSATION
"CERTIFICATE OF ELECTION TO BE> MPT FROM FLORIDA WORKERS'COMPENSATION LAW..
CONSTRUCTION INDUSTRY EXEMPTION
This certii�es that the 1+1d MUai tlste0 W W hes elacxatl to be exempt ftM Fbrida Yvorkem'Compensation law.
i EFFECTIVE DATE: 9!70/2014 VJMRATION DATE: 9t9l20f6
i
PERSON: MUNOZ SUSEF p
FEIN: 208555$$8
BUSINESS NAME AND ADDRESS:
M B ELECTRIC SERVICE CORP
5955 NW 195M ST
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' MAM GARDENS KL 35055
SCOPES OF BU&NESS OR TRADE!
LICENSED ELECTRICAL
CONTRACTOR
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Miami Shores Village
Building Department SEP 26 2014
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 BY:
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 I®
BUILDING Master Permit Np,3'RF/5`/_
PERMIT APPLICATION Sub Permit No.i4 %:k— r2
—a—
❑BUILDING KELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Iyf I 67�_ '��
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: I Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 1 W-L' CCL C)l L l G( Phone#:*216- of r�d� 1103
Address: g`I I IP- C1 -5
City: &A. 1 C'/-A S "L B T P S State: ( Zip:
Tenant/Lessee Name: Phone#:
Email: /�
CONTRACTOR:Company Name: 7� l"� 1 L ro l y ` Phone#:�Z to 3 Z5 33�
Address: JCI 54n7/� y
" (a Cj s
City: M w'm I (->a-CL4 nS State: ( Zip: ';�30e,r
Qualifier Name: :ay'SP �F—' flea U Z Phone#: 712 h 3 215 3 3.d_�
State Certification or Registration M Certificate of Competency#: L Z 0 L ® y 0 11
DESIGNER:Architect/Engineer: Phonle#:
Address: City: State: Zip:
Value of Work for this Permit:$ J 0 0: Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
�a
Description of Work: �����L �.• d e-r r fly� �• ���fl\'
Specify color of color thru tile:
Submittal Fee$ a> Permit Fee$ /3 o 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)
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 or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 12J • 20 by _day of 20 J by
r'I✓wrc� (� lam_,who is personally known to who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification an who did take an oath.
NOTARY PUB NOTARY P LI
Sign: ;;,Y".gid; YHOSVANY MARTINEZ Sign: !"Y"' YH0SVANY MARTINEZ
_•
MY COMMISS x
Print: ril 04,2015 Print: ';� ... �°�� EXPIRES April 04,2015
.'• , SONIc@•com FloridallolarySarvice.00m
Seal: (407)399-0153 Flordallotary Seal: (407)398-0153
APPROVED BY 4 zol-, S`pl Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)