EL-16-1705 Inspection Worksheet r
Miami Shores Village Q c O l� 1-5
10050 N.E.2nd Avenue Miami Shores, FL "' l
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-270766 Permit Number: EL-6-16-1705
Scheduled Inspection Date: November 09,2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: PEARSON, RONALD AND CARLY Work Classification: Alteration
cu vin
Job Address:249 GRAND CONCOURSE
Miami Shores, FL Phone Number
Parcel Number 1132060133610
Project: <NONE>
Contractor: METRO ELECTRIC SERVICE, INC Phone: (305)945-1991
Building Department Comments
ENSURE KITCHEN OUTLETS FUNCTION AFTER RENO& Infractio Passed Comments
MEET CODE. INSTALL SMOKE DETECTORS IN EACH INSPECTOR COMMENTS False
BEDROOM(3)SMOKE CARBON MONOXIDE DETECTOR
IN HALLWAY& HARD WIRE
Inspector Com el
Passed
ll
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 08,2016 For Inspections please call: (305)762-4949 Page 11 of 23
• f 4 £ � E'. � 3
Miami Shores Villages �1dcl�
10050 N.E.2nd Avenue `
• Miami Shores,FL 33138-0000
1-52LanPhone: (305)795-2204 �� s
`QR �� Expiration: 12/21/2016
Project Address Parcel Number Applicant
249 GRAND CONCOURSE 1132060133610
RONALD AND CARLY SILVER P
Miami Shores, FL Block: Lot:
Owner Information Address Phone Celt
RONALD AND CARLY SILVER 249 GRAND Concourse
-- --- MIAMI SHORES FL 33138-
249 GRAND Concourse
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 400.00
METRO ELECTRIC SERVICE,INC (305)945-1991 (305)945-1991
_._._ ....... _ Total Sq Feet: 00
Type of Work:ENSURE KITCHEN OUTLETS FUNCTION AFT Available Inspections:
Additional Info: Inspection Type:
Classification:Residential
Review Electrical
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# EL-6-16-60257
DBPR Fee $2.25 06/20/2016 Credit Card $50.00 $115.10
DCA Fee $2.25
Education Surcharge $0.20 06/24/2016 Credit Card $ 115.10 $0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $165.10
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 pess a responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for EL RICAL,
Z"'-.'Ss ' MECH WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS FFIDAVIT* I certify that a e f F going information is accurate and that all work will be done in compliance with all applicable laws regulating
constru . n and zo ' Futhe rmo ,I au rhe the above-named contractor to do the work stated.
June 24, 2016
orized Signatowner / Applicant / Contractor / nt ffate
Building D artment Copy
June 24,2016 1
Miami Shores Village JUN 2® 2016
Building Department ���
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.z2 C -- 161j-
PERMIT
f 6 1j-
PERMIT APPLICATION Sub Permit No.r/ A�--/?Or
❑BUILDING r ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
q� / CONTRACTOR DRAWINGS
JOB ADDRESS: 2.4-9
City: Miami Shores County: Miami Dade Zip: 3 13,�/
Folio/Parcel#: 11 -32nQ6- 013 — 3(61 Q Is the Building Historically Designated:Yes NO V
Occupancy Type:�;i�& Load: Construction Type:Vi*1 Q Flood Zone: BFE: FFE:
ROW&D Ft?tRC=t,1
OWNER:Name(Fee Simple Titleholder):C/iRe 51WE9—0� ISMA Phone#:q 2
g62,63Address: '2-4-q ( ttt-4t> -CNC-0QSE
City: MlWi �*' V
State: FZip: 73I3�
Tenant/Lessee Name: Phone#:
Email: R(;*� Mrti, coO
CONTRACTOR:Company Name M,6-Afo e lf-a4 E e0d, g v rC Phone#'v
Address: b-01-0 A06- /I &yq-
City: 101"0 PJ 5' 11 �A/ v C State: i Zip:
Qualifier Name: 0MkK fl ei erll��i D e Q Phone#: J3 �r�"�►l
State Certification or Registration G
#: C a o � ����Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 0 Square/Linear Footage of Work:
Type of Work:"a.. Wition ❑ Alteration 1 ❑ New ❑ Repair/Replace ❑ Demolition
Description of°V(/ork."' S�IRrC' k Mor\ N OuCuem Ft�*4mf:)N A erm QFV'40jPC( OKI
+ Wer Gam, IIJST-NL.L smowsa 17ET o :It-4, �A CA-A 00 7C3I-cDRUOIr/1
sMOK I CAR�rJ NoNoxic� t tz_ �. 11.4 �uW�Y -k- i4 ' ) vJtp-E�.
Specify color of color thru tile:
Submittal Fee$ �' Permit Fee$ f✓' '®e60 CCF$ r) CO/CC$
Scanning Fee$ Radon Fee$ 5), ` ?✓; DBPR$ Notary$
�� Training/Education 0/-�
Technology Fee$ ®� gf Education Fee$ �.J 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 qmf encement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issu . I the absence of such posted notice, the
inspection will not be appro d and a reinspection fee will be charged.
Y
Signature Signature
O NER or AGENT CONTRACTOR
The for�egoing instrument was acknowledged before me this The fo�re�going instrument was acknowledged before me this
t 7/ day of V 20 lt, .by ,,,,,,II / clay
oof' zrd X14.. ,20 1 G by
Sr is personally known to 04 A 141 A r LG4who is personally known to
me or who produced as me or who has producedas
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
.tom
• Iii1ION/fR1tY0�S
Sign: Sign:
EW"ES May 4 '2018
Print: • W= amI Print:
EXPft8M""4 2018
Seal: samsa ++ Seal:
APPROVED BY f,go! Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
. . ... . . . ...
.. .. . . . .. .. .
. . . . . . . . . .
NO POINT ALONG COUNTER TO BE MORE THAN
2 FEET FROM G.Fi PROTECTED RECEPTACLE ADD SMOKE/CARBON MONOXIDE DETECTORS.
PUT DNV RECEPTACLE UNDER SINK. ANY AND ALL CLOTH AND RUBBER
. . oes 00• • • • •• .
ALL FIXED APPLIANCES ON DEDICATED CKTS. INSULATED CONDUCTORS TC BE REPLACED.
.. • • • . • • . .. PLA�►J
0 0 0 0 . . .. . . . �PL 'E sac copy{ of Rc a8-1411 Pt�AcS� SC-� a-c�ro�+�"� �.doR
0000 . . . . . .
• •• ••• Fm 4,oKC/CAlZ(500 t MdNO� DG
fre�2. K trcHenl ottr�trT t-oCArt'loNs, mTEc�ro2 t�oDccto�lS ,
.. . . . •• •00 ••
. 0000 . . . .
• ••• •• NEW MARBLE TOP
•
.. .. SCOPE OF WORK:
. . . 0000
I. REMOVE AND INSTALL NEW MARBLE
COINTERTOP.
2. INSTALL NEW TILE BACKSPLASH TO
REMOVE AND REPLACE UNDERSIDE OF UPPER CABINET.
� THE SINK.
_ NEW MARBLE TOP 3.REMOVE AND REPLACE NEW SINK
4.NO NEW ELECTRICAL WORK TO TAKE
RANGE PLACE.
5.NO NEW PLUMBIW_% WORK EXCEPT FOR
REPLACEMENT OF SINK
NEW MARBLE TOP
Ws
s a �
PEARSON RESI ENC.E W
249 GRAND
MIAMI F J
o
6AA N
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OF El
JUN 0 9 2016
Com,
co
z "'� _ fm ~
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NEW MARBLE TOP SCOPE OF WORK:
1.REMOVE AND INSTALL NEW MARBLE
COUNTERTOP.
' 2. INSTALL NEW TILE BACKSPLASH TO
REMOVE AND REPLACE UNDERSIDE OF UPPER CABINET.
o Y� THE SINK
• _ NEW MARBLE TOP 3.REMOVE AND REPLACE NEW SINK
•a 4.NO NEW ELECTRICAL WORK TO TAKE
PLACE.
RANGE
S.NO NEW PLUMBINCx WORK EXCEPT FOR
REPLACEMENT OF SINK
NEW MARBLE TOP
PEARSON RESIDENCE
•• •••
2415ZIFLAV CONCOURSE
.; ;MIAR11S FL
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INSTALLER:SEE DRAWING FOR SPECIFICATIONS
1314
634. f 294. 384'
�}
.� 494"
_________ -
21'--�- 18" 504 18' 'I 24'
254---r21' 33'—f— 254"-7f--26"
CUSTOMER:COINAV
STnPE#6322
rcN W184W784 WEZR24
Kt: '.FT'JIAID CAB:VETS 404^ ro CUSTOMER IS AWARE AND UNDERSTANDS
DOOR STYLE PRI:DA_E M,%PLE & $ THE FOLLOWING:
FIN.SH:CANVAS B21L 24.DISHW
mm 1)HOME DEPOT IS NOT RESPONSIBLE FOR
CABINETS NOT FITTING IN DUE TO-
3 MODIFICATIONS TO WALLS CEILINGS
ro OR FLOORS IMPLEMENTED AFTER
m ro ' • PLAN CHECK HAS BEEN COMPLETED
m
N 3 ro N_ y 2)CUSTOMER IS RESPONSIBLE TO
HAVE HANDLES ON DAY OF ND TRIP CHAR
IN ORDER TO AVOID A SECOND TRIP CHARGE
1( m
NUMBER OF HANDLES REQUIRED-46-62
3)CUSTOMER IS AWARE THAT THE NKB
( STANDARD DICTATES-THAT THERE SHOULD
BE A MINIMUMN CLEARANCE OF 42"-48"
g, FOR WAL WAYS-AT THE CUSTOMER'S
y, v REQUEST THAT DISTANCE( ISLAND)IS LESS
IkA i4 4)THE 220 OUTLET IS IN THE LEFT SIDE PANEL
OF THE B36 CABINET-NEEDS TO BE RELOCATED
6)NEED TO RUN A 110 OUTLET FOR:
3 m - A)DISHWASHER
.y, B)REFRIGERATOR
n FI m C)MICROWAVE
6)TO MOUNT 24"DEEP CABINETS OVER
I� REFRIGERATOR WILL RE
C== SUPPORT WHICHTOP TH
C ` REFR OERATOR-S ELDR N HO DEP
ASSUMES NO RESPONSI OR D GES
TO THIS APPLIANCE FRO T
MUST REST ON TOP OFR R
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All dimensions_size designations given are This is an original design and 2008
subject to verification on job site and released or copied unless applicable fee Printed: 7/29/2008
adjustment tb fit job cpn:liJofj.P has been paid or job order placed..
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All dimensions_size designations given are This is an original design and must not be Designed: 7/28/2008
subject to verification on job site and released or copied unless applicable fee Printed: 7/29/2008
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adjustment to fit job conditions. has been paid or job order placed.
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