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EL-16-2372 Inspection Worksheet Miami Shores Village G ' _ 2-) 2 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-271678 Permit Number: EL-8-16-2372 Scheduled Inspection Date: November 23,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: DE BRUIJIN, GERALD&ANABEL Work Classification: Alteration Job Address:812 NE 92 Street Miami Shores, FL 33138- Phone Number (305)299-7252 Parcel Number 1132060050190 Project: <NONE> Contractor: BM POWER PRO ELECTRICAL INC Phone: (786)657-2668 Building Department Comments KTICHEN REMODEL AS SHOWN ON DRAWINGS 3 Infractio Passed Comments OUTLETS 8 LIGHT INSPECTOR COMMENTS False Inspector Comments PassedEf 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 32 of 32 3 23, Miami Shores Village Yiomilia 10050 N.E.2nd Avenue NE Word�9a' �+ Miami Shores,FL 33138-0000 pe PIR h ` Phone: (305)795-2204 Ist }, /7121 Expiration: 03/06/2017 Project Address Parcel Number Applicant 812 NE 92 Street 1132060050190 GERALD 8,ANABEL DE BRUIJN Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell GERALD 8,ANABEL DE BRUIJN 812 NE 92 Street (305)299-7252 MIAMI SHORES FL 33138- 812 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,400.00 BM POWER PRO ELECTRICAL INC (786)657-2668 Total Sq Feet: p 1 Type of Work:KTICHEN REMODEL AS SHOWN ON DRAWING Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# EL-8-16-61092 DBPR Fee $2.25 09/07/2016 Cash $ 112.30 $50.00 DCA Fee $2.25 Education Surcharge $0.60 08/24/2016 Cash $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $162.30 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 zoning. Futhermore,I authorize the above-named contractor to do the work stated. September 07,2016 Authorized Signature:Owner / Ap licant / Contractor / Agent Date Building Department Copy September 07,2016 1 Miami Shores Village , ,�� Building Department AUG 24 2016 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 201'-t U'-t BUILDING Master Permit No. C- '/4 dC�trz PERMIT APPLICATION sub Permit No. 0 � ® ';�-� -7Q-- ❑BUILDING `ice ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP nn 1 CONTRACTOR DRAWINGS �I JOB ADDRESS: rd IU F gol es City: Miami Shores County: Miami Dade Zip: 3313 " Folio/Parcel#: 11 32® ®®50jq 0 Is the Building Historically Designated:Yes NO Occupancy Type: t/r Load: Construction Type: Flood Zone: BFE: FFE: /l OWNER:Name(Fee Simple Titleholder): 6 a ru[d J- jkn d W MUil'in Phone#:_3o'5 01?V-7c, y Address: �12 Ne fd 5ire e f- City: M am: 6 h,)r 5 State: FL Zip: 3.3/3e Tenant/Lessee Name: Phone#: Email: 11� CONTRACTOR:Company Name: s PeC T P Phone#: Wb 7/16- 6/7 .. 7036 Address: -re l City: 10 I, P M P State:�� Zip: 3 3 Qualifier Name: �rr �CC['-�-r-rQ 1 Phone#: State Certification or Registration#: E /3015063 Certificate of Competency#: 3 3 D E S I G ,F, RM W01100 Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition C4 Alteration F-1New F-1 Repair/Replace ❑ Demolition �e Description� (7'�- of Work: [ �" re M.0if� a�? B,rL i 41& e2n d k&zlx&�? e�U Specify color of color thru file: Submittal Fee$ ��9 Permit Fee'$ l '�d CCF$ a r CO/CC$` w _ . Scanning Fee$ - Radon Fee$ DBPR$ Notary$ Technology Fee$ �® Training/Education Fee$ (�5 ' GO Double Fee$ Structural Reviews$ Bond$ LP 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 �- a OWNER AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of uG v 20 Iv by day of x 20 11 by i,)o ,who is personally known toZ ,who is personally known to O me or who has rod me or who ha�roduce as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: (, Cly'.' Sign: Print: Print: k(Z Seal: Se +-7 KEN%M itOQ 0 V 83 MY COMMISSION 0 FF93M EXPIR A-49 y j-M 11 1101)3"-0153 F1-- AF A0111 A Plans Examiner Zoning ZOO Structural Review Clerk (Revised02/24/2014)