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EL-15-526 Inspection Worksheet Miami Shores Village 4 D c®2 10050 N.E.2nd Avenue Miami Shores, FL L Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-258590 Permit Number: EL-3-15-526 Scheduled Inspection Date: May 11,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: ROY,WILLIAM Work Classification: Alteration Job Address:1280 NE 101 Street Miami Shores, FL Phone Number Parcel Number 1132050210010 Project: <NONE> Contractor: POWER BRIGHT ELECTRIC LLC Phone: (305)305-3229 Building Department Comments RE-WIRE BATHROOM, KITCHEN, FIRST FLOOR Infractio Passed comments RENOVATION AND REPAIR REPLACE PANELS INSPECTOR COMMENTS False Inspector Comments Passed 21 Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 10,2016 For Inspections please call: (305)762-4949 Page 26 of 26 s Miami Shores Village r i 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 � � 1 € Phone: (305)795-2204 p low, Ex iration: 01!01/2999 �'. .F . 11� Nota Project Address Parcel Number Applicant 1280 NE 101 Street 1132050210010 WILLIAM ROY Miami Shores, FL Block: Lot: Owner Information Address Phone Cell WILLIAM ROY 1280 NE 101 Street (305)793-5050 MIAMI SHORES FL 33138- 1280 NE 101 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 10,000.00 POWER BRIGHT ELECTRIC LLC (305)305-3229 Total Sq Feet: 0 Type of Work:RE-WIRE BATHROOM,KITCHEN,FIRST FL Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $6.00 Invoice# EL-3-15-54748 DBPR Fee $5.25 03/11/2015 Cash $50.00 $335.50 DCA Fee $5.25 Education Surcharge $2.00 03/12/2015 Check#:4721 $335.50 $0.00 Permit Fee-Additions/Alterations $350.00 Scanning Fee $9.00 Technology Fee $8.00 Total: $385.50 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 zoni horize the above-named contractor to do the work stated. March 12,2015 Authorized Signature:Owner / -Applicant / Contractor / ate Building Department Copy March 12,2016 1 s Miami Shores Village Building Department Mq� � 2095 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 � BUILDING Master Permit No._-4 C/'!4tv d 1z PERMIT APPLICATION Sub Permit No. E:l—I'5— '52-[ ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 44 �'C 41E ` ®/s--,- S T.F'Fr T City: Miami Shores County Miami Dade Zio Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): /� 1& 4 ,5��' &1*: Address /o City: Ol!� .4if 5'`1` 4-is. State: /`'L Zip: Tenant/Lessee Name: Phone#: Email: o 4,, o o-R, Yi&III Q C c r°C L CONTRACTOR:Company Name: Phone#:_� 3 O 5 Address: City: 01` State. Zip: D S --�z Qualifier Name: _ Phone#: State Certification or Registration#: t 9l, _ - L Certificate of Competency#:- DESIGNER:Architect/Engineer: I T t.).2 e2,J c s Za / f9 Phone#: Q 1z e -5—10 Address: --?,7v Al E .^ '." 5ZZ— City: d�9' 6 j,,Q IS State:/�- Zip: ? Value of Work for this Permit:$ ( t)I Q-�D Square/Unear Footage of Work: Type of Work: ❑ Addition JW Alteration ❑ New ,�Repair/Replace 13 Demolition Description of Work: 6jj7W.4 o X41 . A'-/ 7c--#c dJ f=/ a sT ��-� �$,V e-,, r9 7, � Specify color of color thru tile: Submittal Fee$ Permit Fee$� � 0® CCF: CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ u� �✓� (ReW5ed02/24/2014) s. Bonding Company's Name(if applicable)_ JG iZj Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) D C 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. SignatureyJ Signature v OWNER o CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 0 day of MA Qla4 20 15 by t lO day of On 20 1- by WLAAM u Y who is personally known"to who is personally known to me or who has produced T-U-M0G V&Iajg�_as me or who has prod 4 lwid"J.. as ��' ,,ZZ identification and who did take an oath. Identification a1i ,�id,take an�6�th. NOTARY PUBLI NOTARY PUB6�y ,o ' c=* p:r„IV = 1�. , y Sign: Sign. Print: Print Seal: (10 .4f Siroa Alvarez Seal: y yr�ar�uau�aaneae�ea��°�a Ay COMMISSIM F,F 168730 Expires 08/03/2018 ############################################################################################################ APPROVED BY //1660511L,_ Plans Examiner Zoning Structural Review Clerk (ReOW02n4/2018) TQB Construction n Trades Qualifying Board ' BUSINESS CERTIFICATE OF COMPETENCY Y l OE000267 POWER BRIGHT ELECTRIC LLC D.B.A.: CARDOZA WILTER Is certified under the provisions of Chapter 10 of Miami-Dade County VALID FOR CONTRACTING UNTIL 09/30/2015 RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD ER13014472 The ELECTRICAL CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 (INDIVIDUAL MUST MEETALL LOCAL LICENSING REQUIREMENTS PRIOR TO COkTRA.qTING IN ANY AREA) . 4. �^ ^ .• v CARDOZA, WILTER POWER BRIGHT ELECTRIC LLC 4502 NW 185TH STREET >"'`•.'+ ,�..;' , A \�� `1,,, MIAMI FL 33055 7, ., _.-`"'.M1.. - �k,.` '`fi'''b. ^*• 1't, ..� �s ,.� '`, ❑ ISSUED: 08/27/2014 DISPLAYAS REQUIRED BY LAW SEQ# L1408270004412 h *et-pt n n + k S ,- .Tarr x Fbc y r-':3'+ •�w1 NO 4V00e Count . .:,. y, State of Florida -THIS IS NOT A BILL 00 NOT PAY XOS NAM E;LOCA ZION RECEIPT NO BRIGHT ELECTRIC LLC EX PIKE y RENEWAL SEPTEMBER k 't85 ST 8938352 4R a<i usl be displayed al ptaoe O DENS, FL 33055 Pursuant to cou"( , >; . Cha ptef 8A An,9c 1t ow ar -p PQ BRIGHT ELECTRIC LLC PF a+IN I Rtivi:o f� s A'i I A X COILIEVOR i,)!i 4500 09/1I /20/4 ",. 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