EL-16-2183 (2) Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL � � l�u -
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-265278 Permit Number: EL-8-16-2183
Scheduled Inspection Date: August 12,2016 Permit Type: Electrical- Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: DIAZ, CARLOS AND ASHLEY Work Classification: Pool - Private
Job Address:9230 NE 2 Avenue
Miami Shores, FL 33138-2805 Phone Number
Parcel Number 1132060133050
Project: <NONE>
Contractor: ELECTRICAL MASTERS INC Phone: 305-265-7996
Building Department Comments
CHECK POOL EQUIPMENT FOR CODE COMPLIANCE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector C n—mahts
Passed El '
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 11,2016 For Inspections please call: (305)762-4949 Page 24 of 32
3
s °R hs t Miami Shores Village
!
10050 N.E.2nd Avenue NE "
ration s
Miami Shores,FL 33138-0000
h � Phone: (305)795 2204
eft
81�I [t2t Expiration: 02107/2017
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Project Address Parcel Number Applicant
9230 NE 2 Avenue 1132060133050
CARLOS AND ASHLEY DIAZ
Miami Shores, FL 33138-2805 Block: Lot:
Owner Information Address Phone Cell
CARLOS AND ASHLEY DIAZ 9230 NE 2 Avenue
MIAMI SHORES FL 33138-
9230 NE 2 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone :Valuation: $ 1,000.00
ELECTRICAL MASTERS INC 305-265-7996
_......... ... ......... ....... . ... W Total Sq Feet: 0
Type of Work:CHECK POOL EQUIPMENT FOR CODE COMP Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final
Scanning:1 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W.W.
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# EL-8-16-60854
DBPR Fee $2'25 08/03/2016 Check#:13380 $50.00 $109.10
DCA Fee $2.25
Education Surcharge $0.20 08/11/2016 Credit Card $ 109.10 $0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
In consera'o of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining-ther and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this p it I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELEC RICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS IDA IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction a ning. Futhermore,I authorize the above-named contractor to do the work stated.
August 11,2016
tho Ignat re:Owner / Applicant ! Contractor / Agent Date
Building partment Copy
August 11,2016 1
`t ( Miami Shores Village
Building Department AUG 3 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
FBC 2014
BUILDING Master Permit No. bpp 1'b—
PERMIT APPLICATION Sub Permit No. E L I(b , 21 �3
❑BUILDING DY(LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 2 30 T_j_T:: 2 A\W—
City: Miami Shores County: Miami Dade Zip: 2z!A
Folio/Parcel#: 6 i ` 2c)(c � 016 Is the Building Historically Designated:Yes NO V
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): QCL @�c� 0 7 Phone#: ) _`)Ca
Address: F
City: 1 n r'v i State: Zip: 32)1 f�a
Tenant/Lessee Name: / Phone#:
Email: a )
CONTRACTOR:Company Name:�� �� `41(� ` WI51 Phone#:
Address: d Y�U Sy/ /' � yam'
City: i/7 State: Zip:
Qualifier Name:_0 4/a A � r Phone#I
State Certification or Registration#: Elf G e7 �7 a Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: �'�Q G Oar _qIAAIey"f 66te a W4 icI I'z&��i
Specify color of color thru tile:
Submittal Fee$ D() Permit Fee$ 1,S—e UeW�' CCF$® GO C9/CC$
Scanning Fee$ "3- CO Radon Fee$o ';L(�; DBPR$ Notary$
Technology Fee$ ® Training/Education Fee$ ® Double Fee$
Structural Reviews$ Bond$ 1(�
TOTAL FEE NOW DUE$ ' a 0
(Revised02/24/2014) i
Bonding Company's Name(if applicable) t,,J ! (6a-
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) a,
Mortgage Lender's Address O h
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
OWNE r AGENT CONTRACTOR
The foregoing instrument was a edged before me this The foregoing instrument was acknowledged before me this
day of ,U k/ 20 1 lr by `Z-1 day of J Ohl 020 1 Cin by
n d cL b I a 2-.- ,who ersonally known who' personally known t
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:
Sign:. �nSign:
Print: Print:
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APPROVED B Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)