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EL-16-1691 d Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-89721 Inspection Number: INSP-268115 Permit Number: EL-6-16-1691 Scheduled Inspection Date: October 19, 2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: GRIMBERT, DAVID AND MEGHAN Work Classification: Alteration Job Address:824 NE 100 Street Miami Shores, FL Phone Number (305)323-7700 Parcel Number 1132060340050 Project: <NONE> Contractor: METRO ELECTRIC SERVICE, INC Phone: (305)945-1991 Building Department Comments REPLACE PANEL 200 AMPS, 1 COMBO KITCHEN Infractio Passed Comments UPDATE INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-268041. Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 18,2016 For Inspections please call: (305)762-4949 Page 13 of 26 �s ° i,� Miami Shores Village tft�! ?e Ef � Reside ak '. 10050 N.E.2nd Avenue NE Work�IssSf�l>»stit .A e 1�� Miami Shores,FL 33138-0000 " Pent 5tatr�s:> PRRVED h � Phone: (305)795-2204 SS66 p 712612016 Expiration: 01/22/2017 Project Address Parcel Number Applicant 824 NE 100 Street 1132060340050 DAVID AND MEGHAN GRIMBER' Miami Shores, FL Block: Lot: Owner Information Address Phone Cell DAVID AND MEGHAN GRIMBERT 253 NE 92 Street (305)323-7700 (305)505-7750 MIAMI SHORES FL 33138- 253 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 9,800.00 METRO ELECTRIC SERVICE, INC (305)945-1991 (305)945-1991 _. ... .. _........_.. _,,.,,,,... .. Total Sq Feet: 295 Type of Work:REPLACE PANEL 200 AMPS,1 COMBO KIT Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $6.00 Invoice# EL-6-16-60237 DBPR Fee $5.15 07/26/2016 Credit Card $377.30 $0.00 DCA Fee $5.15 Education Surcharge $2.00 Notary Fee $5.00 Permit Fee-Additions/Alterations $343.00 Scanning Fee $3.00 Technology Fee $8.00 Total: $377.30 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 AFFIDAV T: I c at`all gregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo i . u re,I authorize the above-named contractor to do the work stated. July 26, 2016 Authorize S gn ure:O ner / Applicant / Contractor / Agent Date Building Department Copy July 26,2016 1 Miami Shores Village Building Department 7BY: 45!9� 10050 N.E.2nd Avenue, Miami Shores,Florida 33138Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 H ' BUILDING Master Permit No. ?—`'( (P — 16 PERMIT APPLICATION Sub Permit No. CL�k (0 -1 0, ❑BUILDING t&ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: RZ�j N C, 100 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: r OWNER: Name(Fee Simple Titleholder): s`/ / 'e Phone#: ®S 3 2 3 :7-700 Address: e ilo5�– ®® 377T City:— All ®•��5 State = 1�[o Zip: Tenant/Lessee Name: Phone#: Email: al"ez, -e"' Co "--L CONTRACTOR:Company Name: �® ` r�C U�c� Phone#:.] �2Jr ON Address:15-0 el City: . • State: Zip: 331 Z Qualifier Nam Phone#: Stf?**,74 "�' r State Certification or Registration#:j Ci 0040 t;39/' Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ �goy Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Des5ription:of,worlii L )_oo AIVS, Specify color of color,thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ 9 Radon Fee$ DBPR$ Notary$ 60 Scanning Fee$ CA03 ' 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 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. A Signature Signature 0WNER or AGENT CONTRACTOR ©�J�� '/ �� The foregoing instrument was acknowledged before me this The foregoing instrument was acknowfed'ged b ore mmeett is 1�70 day of CA-t- 6,-e ,20 ,by �day of 20 l6 .by m 31 who is personally known to who is personally known to me or who has produced Vi�V92—i as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: \`��IN",O�1d1S ��i/ NOTARY PUBLIC: SignSign: A I ^+ s Print: n��>� �a��o a' � Print: � Seal: .?,,y^,�?!s �a��\ Seal: APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)