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EL-16-956 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL -210 1 Col. Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-271665 Permit Number: EL-4-16-956 Scheduled Inspection Date: November 30,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner. GODOY, OCTAVIO Work Classification: Alteration Job Address:123 NW 102 Street Miami Shores, FL 33150- Phone Number (786)493-7296 Parcel Number 1131010220070 Project: <NONE> Contractor: MESA BROTHERS INC Phone: (305)345-1974 Building Department Comments PARTIAL ELECTRICITY BATHROOM, LAUNDRY In Passed Comments OUTLETS AND LIGHT INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-271453. No one home at 2:15 p. m.. Failed Correction ///el" Needed ❑ Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid November 29,2016 For Inspections please call: (305)762-4949 Page 21 of 40 a, 1141 Miami Shores Village �c fifon t 10050 N.E.2nd Avenue NW ; "" Miami Shores,FL 33138 0000E Phone: (305)795-2204 Expiration: 10/23/2016 Project Address Parcel Number Applicant 123 NW 102 Street 1131010220070 OCTAVIO GODOY Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell OCTAVIO GODOY 123 NW 102 Street (786)493-7296 MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 3,900.00 MESA BROTHERS INC (305)345-1974 Total Sq Feet: 336 Type of Work:PARTIAL ELECTRICITY BATHROOM,LAUND Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# EL-4-16-59357 DBPR Fee $3.38 04/26/2016 Credit Card $ 191.16 $50.00 DCA Fee $3.38 Education Surcharge $0.80 04/08/2016 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $241.16 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 AFFI AVIT Ice ' that II t foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction 0 ' g. thermore, thorize the above-named contractor to do the work stated. 100� April 26,2016 Authorized ' ture:Owner / Applicant / Contractor / Agent Date Building Department Copy April 26,2016 1 Miami Shores Village Building Department ;�'`�P--- A" 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 %APR 8 2 16Tel:(305)795-2204 Fax:(305)756-8972INSPECTION LINE PHONE NUMBER:(305)762-4949 -- � FBC 201 -1 BUILDING Master Permit No. -9G 15 — I �3 S PERMIT APPLICATION Sub Permit No. E_LI6 -- G'S�n ❑BUILDING )(ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �/ CONTRACTOR DRAWINGS JOB ADDRESS: 1�3 4 �wy /®g a�77 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: -{ Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): a Arl� © Phone#: 7010 4y3 7294- Address: gjy� City: el i State: / Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: r ' E? Phone#: 3-25- d�0—, 9 Address: City: State: Zip: 33/C Qualifier ame: -P/'v Phone#: State Certification or Registration#: ZW300ldl (2 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: OO Value of Work for this Permit:$ 0/9e® '-' Square/Linear Footage of Work: Type of Work: ❑ Addition [ ] Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 4 ele.c.Z')TCd2' � b�tAtV0PV1- A /a u�t�1rY ®uf/GS Specify color of coW tht't� Submittal Fee'$ ;,r -B CCF$ 2' 40 CO/CC$ 1� Scanning Fee$ ' f� Radon Fee$ '- DBPR$ Notary$ Technology Fee$ 3' Training/Education Fee$ Double Fee$ a Structural Reviews$ Bond$ 7777�� TOTAL FEE NOW DUE$ " Q (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 issue ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signatur - O ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument as acknow edged before me this day of /om .20 14, by j7 da of 20 by who is personally known to 44ESA 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 UBLIC: NOTARY PUBLIC: Sign: 9 -4` Sign: v' D Print: dna- n� � Print: lLEA Q.G0N AIFZ Seal: ` a '• Notary Pubilc-State of Florida Seal: MYCOMMISSION@FF903433 My Comm.Expires 0ec 14,2017 EXPIRES:July K 2019 ' ,��, Commission#FF 048774 Boaft a, BON Notary Assn. APPROVED Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)