EL-14-354 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-207793 Permit Number: EL-2-14-354
Scheduled Inspection Date: December 08, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: RODIER,ALEXANDRE& EMILIE Work Classification: Pool - Private
Job Address: 1009 NE 104 Street
Miami Shores, FL 33138-2655 Phone Number
Parcel Number 1122320290140
Project: <NONE>
Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Phone: 3051556-5759
Building Department Comments
NEW SWIMMING POOL AND SPA Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed 12f
Failed
Correction � 21d
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 05,2014 For Inspections please call: (305)762-4949 Page 2 of 29
1
- Miami Shores Village CEIV-EID
Building Department F5@ ?014
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 x ;
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 10
BUILDING Permit No. EC,
PERMIT APPLICATION Master Permit No.S FP 19 3-5 2
Permit Type: Electrical
JOB ADDRESS: 1009 m 10LI 6Tfi del
City: Miami Shores County: Miami Dade Zip: I
Folio/Parcel#: 112 w ' d I Ll
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Aley n Nl)g8 Row ep, Phone#:
Address: 100 I o E 10 W s-rp i�
City: Y RAi 6h oR e 5 State: R Zip: 3) 3
TenandUssee Name: Phone#:
Email:
CONTRACTOR:Company Name: F. cIwewez rIe6iplcAI 61AACT, 09 Phone#:
Address: 1.2gol W, okahob6e 6b JrAl 1
City: ;AI Pin 6 0 me m.; State: f� Zip:
_;30W
Qualifier Name: rR� c i ro co T;H u e z ,p Phone#: pft9-c2 q S-219 0
State Certification or Registration#: Lc 1 30 dz 't � Certificate of Competency#: t-
Contact Phone#: Email Address:y11� N Lz ���0.pq(�e11600T b. 1J 6-I
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ Z-d Square/Linear Footage of Work:/ J
Type of Work: ❑Address ❑Alteration ONew ❑Repair/Replace ❑Demolition
Description of Work: j ,?", fvs"#1%r 1 a 12, `�J�(i a 4`7le G
x����� xx�mxxxx�xxx���x�xx�xx�x��xxxxxxFees�x��x�x�xxxx�x�x�x�x�xa�x�xxxx�xx�xxx���xx�x
Submittal Fee Permit Fee$� ® ® CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$ n
TOTAL FEE NOW DUE
1Bo n&og 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 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 he absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signa
Owner or Agent ontractor
The foregoing instrument was acknowledged before me this The foregoin strument was acknowledged before me this�
day of �,20 4,by AW jeft!�/mak/144;' day of �— ,20) ,by
who is rs'onally me or who has produced who is per nallyme or who has produced f
As identification and who did take an oath. as identification and who did take an oath.
N TARY P LIC: MMOM
NOTARY LIC:
N MARIA ERESA PING
�,i�. .•""' ,, MARIA THERESA PINO
otary Public-Stab of Florida ��, •`�y+""r ' Notary public-State of Florida
�/g : Uw ram 00"May I Sol
s• y omm.Expires a 7
Print: •r Gt6386 Print: '. Commission#FF 018368
• ° Wiled Tbroulib National Notary Aapl.
My Commission Expires: My Commission E
APPROVED BY `� Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06110/2009)(Revised 3/15/09)