EL-15-1323 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236139 Permit Number: EL-6-15-1323
Scheduled Inspection Date: June 05, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: MICHELLE, DANILO DI Work Classification: Low Voltage
Job Address:9145 NE 4 Avenue
Miami Shores, FL 33138 Phone Number
Parcel Number 1132060140080
Project: <NONE>
Contractor: ARTELC CORP Phone: (787)347-5040
Building Department Comments
LOW VOLTAGE Infractio Passed Comments
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.
June 05,2015 For Inspections please call: (305)762-4949 Page 26 of 27
Pernik 323
� � Miami Shores Village Perms Tyke'EI +f a �t tdenHal
4i
10050 N.E.2nd Avenue NE tit lassi fT3ttaae
Miami Shores,FL 33138-0000
Phone: (305)795-2204 Pem*Status:APPROVED
Expiration: 11/30/2015
Project Address Parcel Number Applicant
9145 NE 4 Avenue 1132060140080
DANILO DI MICHELLE
Miami Shores, FL 33138 Block: Lot:
Owner Information Address Phone Cell
L
ANILO DI MICHELLE 9145 NE 4 Avenue
MIAMI SHORES FL 33138-
9145 NE 4 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone $ 1,000.00
ARTELC CORP (787)347-5040 Valuation: I
Total Sq Feet: 0�
Type of Work:LOW VOLTAGE Available Inspections:
Additional Info: Inspection Type:
Classification:Residential
Review Electrical
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
Invoice# EL-6-15-55798
DBPR Fee $2.00 06/03/2015 Credit Card $58.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 06/02/2015 Credit Card $50.00 $0.00
Permit Fee-Additions/Alterations $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $108.60
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS IF IDAVI I c i that all a foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and z an f e horize the above-named contractor to do the work stated.
June 03, 2015
Authorizeignature:Ow r / Applicant / Contractor / Agent Date
Building gepartrnrent Copy
June 03,2015 1
Miami Shores Village _ p
Building Department JUN o 2 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 10
BUILDING Master Permit No.9-C I(A— 1224
PERMIT APPLICATION Sub Permit No. F__L I S--132-3
I-jJILDING �LECTRIC ❑ ROOFING r _j. ISION EXTENSION [:]RENEWAL
❑PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
g CONTRACTOR DRAWINGS
JOB ADDRESS: ` l 4,T �
City:CL Vkh( Miami Shores County: Miami Dade Zin: �tl
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): PAWi W Ot Phone#: 2'�D
Address:
City: 4�U Se"� 'a state: t" �- Zip: �7C8
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: �2T Phone#:
Address: 5 S f2g
City: '01141a" State: /— Zip:
Qualifier Name: D Phone#: .
State Certification or Registration#: 41 l-36106110 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
�
Value of Work for this Permit:$ oSquare/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: l0bj
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 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 C61,11pany'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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of comm ncement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. I the absence of such posted notice, the
inspection will not be approved and a rein ection fee will be charged.
Signature Signature
OWNER r GENT l O TRACTOR
The foregoin instrument was nowledged before me this The foregoing instrument was acknowledged before me this
(P— day of D Iii '20 I S .by I dayof --71:I C ,20 JS ,by
"L*A I W b) M I CU� ,who is personally known to A tr1?t (('y /U t"J)<,7Fc:1 who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
_ 4---IRFS
RYS so
-'; N#EE192059
Sign: Sign: rsa
o5a
Print. Print:
Seal: ��"`°''•� Notary Public State of Florida Seal:
Sindia Alvarez
ca My Commission FF 188750
pfpo'F Expires 09/03/2018
�*M�*Rttt�k�R+ksst/MMs****�k**8*4�Rbi�E�B�F�k�k4M�P*s�%$*�R*+R*iw�Rsatak><+R*�kM*t4**+R&s*4*+ks#irs�R*BSER+R�R�s�t+R�R�kM+R�k�k*�k�ksi*+k*�b*+b�R+ReB
APPROVED BY /L�v /5� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)