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EL-16-2574Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)7954204 Fax: (305)756-8972 Inspection Number INSP-270274 Scheduled Inspection Date: November 02, 2016 Inspector: Devaney, Michael Owner: COBAS, SEBASTIAN & BARBARA Job Address: 821 NE 99 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: APR ELECTRIC CORP g. c q -1G-Z4-44 Permit Number: EL -9-16-2574 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)814-8808 Parcel Number 1132060340110 Phond: (305)318-3692 Building Department Comments REPLACE GFCI AND RECEPTICLES ADD NEW 6 RECESED LIGHT TWO PENDANT Infractio INSPECTOR COMMENTS Passed Comments False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comm n 2ND member 01, 2016 For Inspections please call: (305)762-4949 Page 49 of 51 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. EL -9-16-2574 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: APPROVED Issue Date: 10/17/2016 Expiration: 04/15/2017 Parcel Number Applicant 821 NE 99 Street Miami Shores, FL 33138- 1132060340110 Block: Lot: SEBASTIAN & BARBARA COBA Owner Information Address Phone Cell SEBASTIAN & BARBARA COBAS 821 NE 99 Street MIAMI SHORES FL 33138-2566 (305)814-8808 821 NE 99 Street MIAMI SHORES FL 33138-2566 Contractor(s) APR ELECTRIC CORP Phone CeII Phone (305)318-3692 Valuation: Total Sq Feet: $ 1,000.00 0 Type of Work: REPLACE GFCI AND RECEPTICLES ADD NE Additional Info: REPLACE GFCI AND RECEPTICLES ADD NE Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $2.25 $2.25 $0.20 $150.00 $9.00 $0.80 $165.10 Pay Date Pay Type Invoice # EL -9-16-61381 09/19/2016 Credit Card 10/17/2016 Credit Card Amt Paid Amt Due $ 50.00 $ 115.10 $ 115.10 $ 0.00 Available Inspections: Inspection Type: Review Electrical 1 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, WIN • DOORS, ' • •FING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoi•• mformatior = •nd that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authoriz a above-na �� to do the work stated. October 17, 2016 Authorized Signature: Owner / Applicant / ' C n actor / Agent Building Department Cop ate October 17, 2016 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 BUILDING PERMIT APPLICATION BUILDING ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 821 NE 99TH STREET City: Master Permit No. BY: FBC 20 l4 at(1U Sub Permit No. EI -1C9- a 5 -R- q CEr` ... SEP 19 2016 ❑ REVISION ❑ EXTENSION ❑ CHANGE OF CONTRACTOR ❑ CANCELLATION ❑ RENEWAL ❑ SHOP DRAWINGS Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO X Occupancy Type: RES Load: Construction Type: Flood Zone: NO BFE: FFE: OWNER: Name (Fee Simple Titleholder): BARBARA & SEBASTIAN COBAS Address:821 NE 99TH STREET Phone#:7864691003 City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: N/A Email: BARBARACOBASI@GMAIL.COM Phone#: N/A CONTRACTOR: Company Name: 1P4 Glecin G Address: g/ 3 /V u.) 8s7 G l City: / i/@)71 / State: Z��- Qualifier Name: Re4C �fC� Pa. C, Phone#: State Certification or Registration #: E V 13 0 /40 q 3 Certificate of Competency #: a8 E 000 9 / , DESIGNER: Architect/Engineer: Phone#: 3 5i S -3C / q ? Address: City: Stat : Zip: Value of Work for this Permit: $ \ 000 Square/Linear Footage of Work: Phone#: 3/ 3/8 ? a Zip: 33 2 Type of Work: ❑ Additionitn1 ❑ Alteration ❑ New ElRepair/Replace Description of Work: (2.e C 44c p C(F CT OtA cep Gvt.J ceec1 I --A cN L4- -`Vivo�&-t— ❑ Demolition Specify color of color thru tile: Submittal Fee $ 50 Permit Fee $ M 'e(PO CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ 1 S. ( O (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) QUICKEN LOANS Mortgage Lender's Address 1050 WOODWARD AVE City DETROIT State MI zip48226 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 The foregoing instru 3 Uday of r OWNER or AGENT Signature CONTRACTOR ent was acknowledged before me this The foregoing instrument was acknowledged before me this ) Li day of StL f-1--emVl 6R( , 20 I k , by A - I eX de la, PCI 2—who is personally known to me or who has produced • L. 64 la ow67•2 sQs identification and who did take an oath. ,20 110 wh s personally known by me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: • Seal: turd #11117MWS. • ***** **ate `, A•PPROV'ED BY at , (Revised02/24/2014) AMINO NJNO Notary Public • Stats of Florida Commission 0 FF 9115188 My Comm. Expires Aug 5, 2020 1r'. !h..:.:.1 NOTARY PUBLIC: Sign: Print: Seal: kik Notary,Public - State of Florida a !�' Commission FF 958005 ;�--� d44My Comm. -Expires May 17. 202C �'' 9' Bonded through National Notary a.• • ********************** L� 9 ?,/ W Plans Examiner Structural Review ANC- ***************************************** Zoning Clerk