EL-16-1066 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-268694 Permit Number: EL-4-16-1066
Scheduled Inspection Date: October 13, 2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: STEAD, MARC GREGORY Work Classification: Alteration
Job Address:93 NW 93 Street
Miami Shores, FL 33150-2232 Phone Number
Parcel Number 1131010340240
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC Phone: (305)758-1211
Building Department Comments
ELECTRICAL WORK FOR NEW BATH. Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-268646.
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 12,2016 For Inspections please call: (305)762-4949 Page 15 of 19
mft ova. �-4-' ��06
Miami Shores VillagePatl11i zo,' rueotdcal_ Resitlential
�� 10050 N.E.2nd Avenue NW 't tcCla tl atic�n:Alteration
"' Miami Shores,FL 33138-0000
yveN ,� Phone: (305)795-2204
FtQRiDA P�
tsst�e Date.41/ t}16 Expiration: 10/24/2016
Project Address Parcel Number Applicant
93 NW 93 Street 1131010340240
MARC GREGORY STEAD
Miami Shores, FL 33150-2232 Block: Lot:
Owner Information Address Phone Cell
MARC GREGORY STEAD 93 NW 93 Street
MIAMI SHORES FL 33150-
93 NW 93 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 500.00
LONGMAN ELECTRIC INC (305)758-1211 Total Sq Feet: 0
Type of Work:ELECTRICAL WORK FOR NEW BATH. 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-4-16-59479
DBPR Fee $2.25 04/20/2016 Credit Card $50.00 $114.10
DCA Fee $2.25
Education Surcharge $0.20 04/27/2016 Credit Card $ 114.10 $0.00
Notary Fee $5.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $164.10
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. F ermore, uthor' the above-named contractor to do the work stated.
April 27, 2016
Authorized Signature:Owner / A plicant / Contractor / Agent Date
Building Department Copy
April 27,2016 1
Miami Shores Village 7` P
g AFS 2® ?oi6
Building Department � o -
40050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 201 `-P
BUILDING Permit No. QL (fo ` d
PERMIT APPLICATION Master Permit No. i I ro - 1 or04
Permit Type: Electrical
JOB ADDRESS: Q� ID IV 9.3 S'f
City: Miami Shores County: Miami Dade Zip: �/So
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): {�`�f � Phone#: 7 i�" 2 W
Address: q3 41&u S
city: M mn,' sh or I State: %L Zip:
Tenant/l.essee Name: P}m ;
Email:
CONTRACTOR:Company Name: LOA LiM 4A r:57)'e.e'7�/� C. Phone#: .3®5-756 —1)L
Address: I5
City:, L1711q'Vt State: �� Zip: ?3 1 (0 0,
Qualifier Name: ^ ?a Phone#:96)?�>>3— MZI
State Certification or Registration#: )5�C ' 3 6 3 7 L3--Certificate of Competency#:
Contact Phone#: 30-5'--7-�e® 1)- L/ Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ Y0 Of Square/Linear Footage of Work:
Type of Work: OAddress 1 DAlteration )dNew ❑Repair/Replace ODemolition
Description of Work:
Submittal Fee$ ' W Permit Fee$ /-4`m'01P CCF$ C)• r0Q CO/CC$
Scanning Fee$ Radon Fee$ - /D1BPR$ Bond$ �9
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
Bonding Company's Name(if applicable)
Rodding'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 ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ,,d2 Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 2C� The foregoing instrument was acknowledged before me this,/SE
day o€ ' t L ,2016 ,by N M day of ��'e�� ,20 14,by_AiP ,4
who is persoto me or who has produced who4s personally known me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY P LIC: NOTARY PUBLIC:
Sign: t� Sign:
Pant. �( r4T>� ��-•OJ l� Print: t
J
My Commission Expires N®tary Public State of Florida
fat puB� Notary pu1,i'c.State of Flcrida My Co chelle Perez
r° `, Sindia Alvarez My Commission FF 000321
PAy commissini FF 156750 6Mpirflb OMOO/801�
� 01P Expires 09103!2018
skFs>Taskaks#dak�hsiaaR�skk:hsk�sRakAsk �:h F sk ' �askIaakxhAb�skikakk83$s$a4a3ahs$aha:kshdskfs�shs�sk�cRa:;adiak�nFikakFsak�sRdaskIakabslasiaxaskaRsIaxa:kue
APPROVED BY ZIP AZA 14 Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)