The URL can be used to link to this page

EL-16-2933 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-271652 PermitNumber: EL-10-16-2933 Scheduled Inspection Date: November 23,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MUELLER,ADAM&ALAYNA Work Classification: Service Change Job Address:9190 NW 1 Avenue Miami Shores, FL Phone Number (786)402-0330 Parcel Number 1131010160030 Project: <NONE> Contractor: FISK ELECTRIC COMPANY Phone: 305-498-1905 Building Department Comments UPGRADE SERVICE FROM OVERHEAD TO Infractio Passed comments UNDERGROUND INSPECTOR COMMENTS False Inspector Comments C. Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 22,2016 For Inspections please call: (305)762-4949 Page 26 of 32 s b t '•, 3 � 3 y Miami Shores Village 10050 N.E.2nd Avenue NW We�f�Xr Serctart e Miami Shores,FL 33138-0000 ( 3 f 7A `•� � Phone: (305)795-2204 fiiox�` > Expiration: 0 /30/2017 Project Address Parcel Number Applicant 9190 NW 1 Avenue 1131010160030 Miami Shores, FL Block: Lot: ADAM&ALAYNA MUELLER Owner information Address Phone Cell ADAM&ALAYNA MUELLER 9190 NW 1 Avenue (786)402-0330 MIAMI SHORES FL 33150- 9190 NW 1 Avenue MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 FISK ELECTRIC COMPANY 305-498-1905 Total Sq Feet: Type of Work:UPGRADE SERVICE FROM OVERHEAD TO UN Available Inspections: Additional Info:UPGRADE SERVICE FROM OVERHEAD TO UN Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# EL-10-16-61812 DBPR Fee $2.25 11/01/2016 Cash $ 118.30 $50.00 DCA Fee $2.25 Education Surcharge $0.60 10/27/2016 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $168.30 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 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 zo ' Futhermore,I authorize the above-named contractor to do the work stated. November 01,2016 Authprked Signature:Owner / Applicant / actor / Agent Date Building Department Copy November 01,2016 1 %\��0 d Miami Shores Village C �� fl\t ' �� T '1 2 6 J `� BuildingDepartment G� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 5 FBC 20I 22 BUILDING Master Permit No.(f & '20► J PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL DPLIBLICWORKS ❑ CHANGE OF ❑ CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: gl°1y A�c City: Miami Shores County: Miami Dade Zip: 23�Sc� Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: .fir Load: Construction Type: �4 I0 Flood Zone: N�-6 BFE: FFE: OWNER: Name(Fee Simple Titleholder): &AO MA k,0E ,LEk Phone#: 79(v-44 Le-033 Address:_91`10 N�J I AJIE City: �A(NAL State: Zip: 33\S-0 Tenant/Lessee Name: Phone#: _7&(0-LA01-0'3'30 Email: CONTRACTOR:Company Name: \S�° LEC-u-(L Phone#: Address: 1011f /U_w. 4�4 c'14y --/y City: State: ��`�� Zip: -33178 Qualifier Name: nddy Phone#: State Certification or Registration#: EC_000 z(70 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 36Uo Square/Linear Footage of Work: Type of Work: EJLl�Addition Alteration / ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: tb Specify color of color thru tile: Submittal Fee$ 50p Ip` D. Permit Fee$ CCF$ I • CO/CC$ Scanning Fee$ 5? Radon Fee$ ? DBPR$ 2.—s Notary$ J Technology Fee$ Z• Training/Education Fee$ 0 (00 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. Signature Signature QWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The fore •n nstrument was acknowledged before me this day of DU6U5-T ,20 ,by day of 20 fo .by Qc;lam ►'IVQ,((�f ,who is pPrconally k, n wn to O y r t f �. ,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: Sign: Z �/ n_ Sign: Pr• X,m2Y�ca bgUIQQ:E Print: l'LE 9UFiI[S Seal: Seal: Em *= my OQa`•'w11SS10f4#FF 044085 ,�4�a'r'o�a., X9MEP3A a�GLJIIF;RE ,� ° EXPIRES:Au., 11,2017 4h Bonded Thru t\bt ry Public Unde1%%,dterS �Q MY COMMISSION#FF132545 wpV o3 c EXPIRES June 15,2018 APPROVED BY Z?d'erl� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)