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EL-16-1855 (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-263113 Permit Number: EL-7-16-1855 Scheduled Inspection Date: July 13,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: WILLIS, BONNIE JEAN Work Classification: Alteration Job Address:45 NW 93 Street Miami Shores, FL 33150- Phone Number Parcel Number 1131010340270 Project: <NONE> Contractor: MOODY ELECTRIC INC Phone: (305)758-2000 Building Department Comments RE WIRE 2 BEDROOMS INSTALL NEW SMOKE Infractio Passed Comments DETECTORS AS PER CODE INSPECTOR COMMENTS False Inspector Comments Passed Failed _-- Cor rection ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 13,2016 For Inspections please call: (305)762-4949 Page 44 of 45 irmit sN°1i,� Miami Shores Village Pelt TWO ttectrical�R �dent€a1 ; 10050 N.E.2nd Avenue NW s311 if855tCfjCft3 �Itt1 � Miami Shores,FL 33138-0000 . e Pfs'ttIjt tBtGS: pI VE© x oRin Phone: (305)795-2204 Issue Ram 7J /2Q1G Expiration: 01102/20101 110 2017 Project Address Parcel Number Applicant 45 NW 93 Street 1131010340270 BONNIE aEAN WILUS Miami Shores, FL 33150- Block: Lot: - __ ,_ _ k:_ �,_ Owner Information Address Phone Ceil BONNIE JEAN WILLIS 45 NW 93 ST MIAMI SHORES FL 33150-2232 Contractor(s) Phone Cell Phone Valuation: $ 5,400.00 MOODY ELECTRIC INC (305)758-2000 __._ ... . Total Sq Feet: 00 Type of Work:RE WIRE 2 BEDROOMS INSTALL NEW SMOK Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 I Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 Invoice# EL-7-16-60439 DBPR Fee $2'25 07/06/2016 Credit Card $ 123.10 $50.00 DCA Fee $2.25 Education Surcharge $1.20 07/05/2016 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $4.80 Total: $173.10 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 or 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 wor OWNERS AFFIDAVIT: Iify that a the foregoing information is accurate and that all work will be done in corn)liance with all applicable laws regulating construction and zo ' Fu rmor authoriz4te above-named contractor to do the work stated. y JuEy 06, 2016 Authorized Signature:Owner / Appli r nt / Contractor / Agent )ate Building Department Copy July 06,2016 1 Miami Shores Village i- Building Department JUL ® 5 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 LP-_: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201` `2� BUILDING Master Permit N L ! (6 "�/ es--r PERMIT APPLICATION Sub Permit No. ❑BUILDING NJ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTEN ION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Sim le Titleholder): /' Phone#: Address: s 9 City: -5-A CIZJZ4 State: Zip: 73 Tenant/Lessee Name: Phone#: 946 Email: CONTRACTOR:Company Name: // �` ��/C' Pho a#: Address: �� City: State: Zip: Qualifier Name: Al � � o Phone#: ��,�7sff 00, State Certification or Registration#: ,�/® Certificate of Competency#: DESIGNER:Architect/Engineer: A)�j'T• Phone#: s Address: City: State: Zip: Value of'Work for this 00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ NewRepair/Replace) ❑ Demolition Description of Work: /. -" 1 Specify colo%of color thru tile: - L Submittal Fee$ �® L'1®�Permit Fee$ /��(��Gf U 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 A 1A 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signat OW#R or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �l t�day of TL) I W 120 LoJ by ��-1day of Ju y)t .20 1 U by 66n(11f- iaf i S,who is personally known to_ khl1 J- - MOCA (.9 __,who is personally known to me or who has produced as me-or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: 41 A ,s F►arida d ti c 8x8344 Sign: Sign: �� u Y Print: ry Pu> Print: Rebeca Munoz Seal: M Seal: My Commission FF 818344 Seal: M r` "� u� • Y mr�isstan FF�1834� app Exphm609/o8r1018 qo,, FacDISIQij ��;,,;ee =kik=k+kik#kkk�**=kkkkkkkkekkkkkkk=kakokkk$kkkkk=k&okyekffitkkkakK=k&k=N=N9tWk&=kkkkkkkk8,kik=kkkkkkekk&ekek#k=k=k�eA=$�etk,kk4Rk=k+kkkkk,k=kffi*&*,k 9e APPROVED BY �- ��Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)