EL-16-988 0
e
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL --r-
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-268068 Permit Number: EL-4-16-988
Scheduled Inspection Date: September 28,2016 Permit Type: Electrical- Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: SAKZ, ROBERT Work Classification: Alteration
Job Address:5 NE 102 Street
Miami Shores, FL Phone Number
Parcel Number 1132060131640
Project: <NONE>
Contractor: VOLT ELECTRIC CORP Phone: (305)200-7967
Building Department Comments
RUN NEW GFI, LIGHTS, POWER FOR FANS. Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction o�
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 27,2016 For Inspections please call: (305)762-4949 Page 36 of 39
,. fie: I
e°, y Miami Shores Village I??! 7 1= t � a,
ry r` g
�. 10050 N.E.2nd Avenue NE
�eratl�n
Miami Shores,FL 33138-0000
5 �
Phone: (305)795-2204 � � � � pefrwtExpiration: 10123/2016
Project Address Parcel Number Applicant
5 NE 102 Street 1132060131640
Miami Shores, FL Block: Lot: ROBERT SAKZ
Owner Information Address Phone Cell
ROBERT SAKZ 5 NE 102 ST
MIAMI SHORES FL 33138-2322
Contractor(s) Phone Cell Phone Valuation: $ 900.00
VOLT ELECTRIC CORP (305)200-7967
Total Sq Feet: 0
Type of Work:RUN NEW GFI,LIGHTS,POWER FOR FANS Available Inspections:
Additional Info:
Inspection Type:
Classification:Residential
Review Electrical
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# EL-4-16-59392
DBPR Fee $2.25 04/12/2016 Credit Card $50.00 $109.10
DCA Fee $2.25
Education Surcharge $0.20 04/26/2016 Credit Card $ 109.10 $0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
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 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 accurat and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-n ed co a r to do the work stated.
April 26, 2016
Authorized Signature:Owner / Applicant / "InionbW 6
Agent Date
Building Department Copy
April 26,2016 1
Miami Shores Village
Building Department R 12 20116
10050 N.E.2nd Avenue, Miami Shores,Florida 33138 13`)o --
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949[
FBC//2'�01 �(
BUILDING Master Permit No. -cTqG
PERMIT APPLICATION Sub Permit No1��PJC9
❑BUILDING [O/ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
// / ® � CONTRACTOR DRAWINGS
JOB ADDRESS: �/`r��e_J io;
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: C struction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Z Gu Phone#: d -I�y-k�0
Address: ,,�
City:/.i ef? . State: �6 Zip:
Tenant/Lessee Name: ms�,, Phone#:
Email:&i/® 6r;y,1, CO)n
�ll
CONTRACTOR:Company Name: V.)1—T �Cr���%>��E SPS!'.—� Phone#: ®5— Z®o /
Address: t?,2i
City: 14,44 :-,1State: t-� Zip:
Qualifier Name: ®!1661 f5 A odd Lo_*_4 Phone#: �r2<7 Zc-* 796 7
State Certification or Registration#:: U yCf 3.6 Certificate of Competency#:_/ 3'C !!Nom .S n
DESIGNER:Architect/Engineer: &,-)1 1/1"" e,lM-e— Phone#: _i'OC U6 5 76-3'!D
Address: /`y D Af Ae'3`e t L t E 0 (Z City:I "VI: �p= C iiState: >�Zip:'' / y/
Value of Work for this Permit:$ C74)6 Square/Linear Footage of Work:
Type of Work: ❑ Addition [Alteration~ ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 42AI AJ I U �,!' 4'1'3_a75 PPS E*4 s
Specify color of color thru tile:
Submittal Fee$.� _
� Permit Fee$ ��®°�� CCF$ 0 � CO/CC$
Scanning Fee$ - Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ C) Double Fee$ 0
Structural Reviews$ Bond$ p
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 a proved and a reinspection fee will be charged.
44
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrumentw s acknowledged before me this The foregoing instrument was acknowledged before me this
day of � � 20 by ! 1 Vi day of20 % , by
?� who is personally known to �Yl 1 — _,who is personally known to
me or who has produced as me or who has produced A01 P-VL U as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: ' �� Sign:
Print: t cl Print:
".{s� '"•. CARMEN WANDA FlGUE
Seal: . :+ WCOMMISSION#FF138 Seal: r`f �
. EXPIRES:September 7,2018 ss�ave Note
ry Public Stets of Florida
Boy dad Thru Notary Public Underwriters s° ` C Rodriguez
At; •
y� v My Commission EE 881704
'gyp o� Expires 12/30/2018
l d'
APPROVED BY , �/� �S Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)