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EL-15-1851 (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-239761 Permit Number: EL-7-15-1851 Scheduled Inspection Date: January 20, 2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: PALMISANO, INGRID & ERIC Work Classification: Pool - Private Job Address: 1035 NE 96 Street Miami Shores, FL Phone Number Parcel Number 1132060143730 Project: <NONE> Contractor: SHINE ELECTRICAL ENGINEERING Phone: (305)688-2000 Building Department Comments ELECTRIC FOR NEW POOL AND SPA Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed ;, Failed "►o J-,D-� Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. January 19, 2016 For Inspections please call: (305)762-4949 Page 8 of 56 Oer Permit No. EL-7-15-185'1 `yeUREs Miami Shores Village Permit Type:Electrical -Residential 10050 N.E.2nd Avenue NE ' Work Classification:Pool - Private Miami Shores,FL 33138-0000 Phone: (305)795-2204 ` Permit Status:APPROVED 4FCOR1DAy P v\ k to _ .. Expiration: 02110/2016 , 3ate..811412015 p Project Address Parcel Number Applicant 1035 NE 96 Street 1132060143730 Miami Shores, FL Block: Lot: INGRID& ERIC PALMISANO Owner Information Address Phone Cell INGRI D& ERIC PALMISANO 1035 NE 96 Street MIAMI SHORES FL 33138-2551 . Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 SHINE ELECTRICAL ENGINEERING (305)688-2000 Total Sq Feet: 0 Type of Work: ELECTRIC FOR NEW POOL AND SPA Available Inspections: Additional Info: Inspection Type: Classification: Residential Final Scanning: 1 Light Niche Bonding Review Electrical Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-7-15-56447 DBPR Fee $4.50 07/23/2015 Check#:99706 $ 50.00 $265.20 DCA Fee $4.50 Education Surcharge $0.40 08/14/2015 Check#:99776 $265.20 $ 0.00 Permit Fee-Additions/Alterations $300.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $315.20 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 and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. -- _- August 14, 2015 Authorized ature: / Ap licant / Contractor / Agent Date PV7 Building Depa py August 14, 2015 1 Miami Shores Village Building Department JUL 23 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 c � F BC201 el: 1 BUILDING Master Permit No {�� PERMIT APPLICATION Sub Permit No.El l c—, I s BUILDING ❑E ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: C-- City: Miami Shores County: Miami Dade Zip: a 1 I o Folio/Parcel#: Is the Building Historicaiiy Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name(Fee Simple Titleholder): n ✓ cel �d+l�'I ` ��' Phone#: S Address: sz'� NF-- . o) �T City:'es�'` �S State: f:1 Zip: 33 1 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: SHINE ELECTRICAL ENGINEERING Phone#: 305-688-2000 Address: 3876 NW 125 ST City: OPA-LOCKA State: FL Zip: 33025 Qualifier Name: FRANCISCO SANTOS Phone#: 305-688-2000 State Certification or Registration# ^^ECO001514 Certificate of Competency#: DESIGNER:Arch itect/Enginee r: 7:1-'��1� � /�� '� Phone#:�oI�23S Z� s�� Address: 7—.dCD(0 Ci p��-' c I /P.:�'�-Mate: TZ- Zip: -5 3 18 1 Value of Work for this Permit:$ �� (=-g::) Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ AlterationNew ❑ Repair/Replace Demolition Description of Work: G"f'► ' 1-�y rr— c..`� Specify color of color thru tile: Submittal Fee$ i� CJ) Permit Fee$-3"0e,P1 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ F 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 wiStruction 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 20 c S , by `�� day of JJ'� 20 L , by d P-=-q I <�who is personally known to FRANCISCO SANTOS 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 and who did take an oath. NOTARY PUBLIC: NOT Y PUBLIC: Sig • Si Print: Print: Y LENY M.HERy Se I: '�� io N = YORLENY M. ERNANUEZ :<: Y MMiSSION#FF 02 108 Seal: Y COMMIS510N#FF 022108 'a EXPIRES September 27,2017 '•" XPIRES:September 27,2017 Bona...!Thru Notary Public Undcna; e ' I� _ I "•..,or��,•"� Bonded Thru Notary Public Underwri,er5 ) APPROVED BY �� <� l�.�Y�s Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)