EL-16-109Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
c2, C 15 -3040
nspection Number: INSP-271372
Permit Number: EL -1-16-109
Inspection Date: November 18, 2016
Inspector: Devaney, Michael
Owner: GUERRA, JUAN AND BERTA
Job Address: 518 NE 94 Street
Miami Shores, FL
Project: <NONE>
Contractor: ATLANTIS ELECTRICAL CORP
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)757-3111
Parcel Number 1132060140960
Phone: (305) 551-4043
Building Deaartment Comments
2 BATHROOM & KITCHEN
Infractio Passed Comments
INSPECTOR COMMENTS False
PassedM/
Inspector Commen
- ciii__
/ t SCP/
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled
re -inspection fee is paid.
until
For Inspections please call: (305)762-4949
November 18, 2016
Page 1 of 1
1
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Parcel Number
Permit NO. EL -1-16-109
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 2/3/2016
Expiration: 08/01/2016
Applicant
518 NE 94 Street
Miami Shores, FL
1110111.
1132060140960
Block: Lot:
JUAN AND BERTA GUERRA
Owner Information
Address
Phone
Cell
JUAN AND BERTA GUERRA
1045 10 ST #907
MIAMI BEACH FL 33139-5362
(305)757-3111
Contractor(s)
ATLANTIS ELECTRICAL CORP
Phone CeII Phone
(305) 551-4043
Valuation:
Total Sq Feet:
$ 2,500.00
320
Type of Work: 2 BATHROOM & KITCHEN
Additional Info:
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$3.38
$3.38
$0.60
$5.00
$225.00
$3.00
$2.40
$244.56
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL -1-16-58337
02/03/2016 Credit Card $ 244.56 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
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 forego'- information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authoriz �' above-named contractor to do the work stated.
February 03, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
February 03, 2016 1
Miami Shores Village
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
k' iY_)
JAN 13 2015
FBC20k
BUILDING Master Permit No. -C- LS 3040
PERMIT APPLICATION Sub Permit NoJE C) -- (CFA
❑ BUILDING I ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: U N � L L4 S 7-Yl4
City:
Miami Shores County:
Miami Dade
Zip: 7'3t 1 i5
Folio/Parcel#: l ( — 3'7,0io •-6'(-1 0 9 b 0 Is the Building Historically Designated: Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 5(/Avt17-5 406.0 I2.A.--Phone#: 16' 52-s - 13 c 0
Address: 0 // °1 '4 S ft t.�T
City: VI ! ArvIn r! S 1-1r&l.5 State: r .-- Zip:l3 13 6
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: •ArkAAkeVki5 Li, ✓Q. Phone#:
Address:
City: State: Zip:
Qualifier Name: e1/anc.,l 5 c o Phone#:
State Certification or Registration #: EG %ROO let 14 Certificate of Competency #:
DESIGN Engineer: Pt/IX/VL CAp' Phone#: '3 aS 7 • Z? t s
Address: 51 ro �" Gl "( S 7 "t� -r
Value of Work for this Permit: $ d S ° o
City:Vt'1/# .M 1 t i fr.NQ-( State: f'L- Zip: 3 C3 6
Square/Linear Footage of Work: 3 to S�
Type of Work: ❑ Addition(Alteration ❑ New ❑ Repair/Replace
Description of Work: �-) � ��^ f t 7c4)-1,?,)
❑ Demolition
Specify color of c ort ru tile: l' :." c.
�
to_ L , , 1,0_ .,,:1.10 : _;..„?./..‹.--,
Submittal Fee$1::.. :in +.'J" t •' Permit. Fee $ Z7 , O 0 CCF $ (- b CO/CC $T.
Scanning Fee $ 3 . CK3 Radon Fee $ 3 t.3' 3 0 DBPR $ 3` �Notary $ S .(X)
Technology Fee $ 0 • L/ 0 Training/Education Fee $
Cj• 0
Double Fee $
Structural Reviews $ 2 Bond $ 0 t
TOTAL FEE NOW DUE $ 2_4 q J �
(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 reinspectjon fee will be charged.
Signat
or AC NT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
08 day ofy ,M E - , 20 (5 , by
•
Signature
CONTRACTOR
&P',0 SUUW , who is personally known to
me or who has produced t1 UCS�u�T-- as
identification and who did take an oath.
NOTARY P
Sign:
Print: s
Seal:
LIC:
12
roto° DLit, Notary Public State of Florida
•
Sindia Alvarez
c c My Commission FF 156750
'dor t#' Expires 09,'03/2018
lS day of Jan % ar„l , 20 lb , by
"(ZA.rcS i W 2_ , who is personally known to
me or who has produced DL as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: —7—
rint:f ,SutvJG�p�j 1. V Stiue-Z.,
ea I: ,4091.10- Suyapa T. Vasquez
1•47•, Commission # FF942611
:+g •= Expires: December 9, 2019
*********************************************************************:fir t***4401,114411114114,00111**********
APPROVED BY
(Revised02/24/2014)
/// ►�%9X'/' Plans Examiner
Zoning
Structural Review Clerk