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EL-05-1037Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 (?)ott Inspection Number: INSP- 171580 Permit Number: EL -12 -05 -1037 Scheduled Inspection Date: March 29, 2012 Inspector: Devaney, Michael Owner: SMART, DARIK & MARLENIS Job Address: 540 GRAND CONCOURSE Miami Shores, FL 33138- Project: <NONE> Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number (305)751 -8127 Parcel Number 1132060171411 Phone: 305/556 -5759 Building Department Comments POOL BONDING Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOIE INSP -208. ALARMS TOO 94_ / 4e,-/-z- March 28, 2012 For Inspections please call: (305)762 -4949 Page 18 of 22 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 12/28/2005 Inspector: Devaney, Michael Owner: SMART, DARIK & MARLENIS Job Address: 540 GRAND CONC Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Permit Type: Electrical - Residential Inspection Type: Bonding Work Classification: Pool - Private Phone Number Parcel Number 1132060171411 Lot: Phone: 305/556 -5759 Building Department Comments Tuesday, December 27, 2005 Page 1 of 2 Passed Inspector C . mments rj %i 7 4 � v���� /1 -1 ,---, ' e , z e, J- 7 e "-� P ---f �4-- `°�, 11-, . ,off t/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, December 27, 2005 Page 1 of 2 Miami Shores Village J 2 3 `L, Building Department BY: 10050 N.E.2nd Avenue, Miami Shore's, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit No.64-' /".°7 ` '0-5 -/ 7 Master Permit No. Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): CV(`t d��Y Phone#: ?-7 Address: stto GYZA,M8- Lao ao to State: PC_ City: i%11''°tAh.2 S kat S Tenant/Lessee Name: Email: zip: 33 l3 $ Phone#: JOB ADDRESS: City: Folio/Parcel #: Sy 0 &rmuJa Caocax -Se Miami Shores County: Miami Dade Zip: 33138 I► -3) h-- OI?-iyl Is the Building Historically Designated: Yes NO X Flood Zone: !JO CONTRACTOR: Company Name: /5 %-re,, -7, Phone#: Address: 4741©/ . FE City: i4ti e9i" a" ,„6tE s State: Zip: Qualifier Name: Phone#: State Certification or Registration #: /.3O 7 7 Certificate of Competency #: Contact Phone #: Email Address: ' 5 ,f9 Aca_SepGi7 ® DESIGNER: Architect/Engineer!Ke�8���ci�c� Phone#: ° " V3S Value of Work for this Permit: $ / 5i:7o Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace Description of Work: c)0O T ❑Demolition *********** ***** *********> K******+ x*>z.****Fees*********** * ** **+ >N *+ x+ x* *** *** * *******+x****** Submittal Fee $ Permit Fee $ 92 5B C) CCF $ CO /CC $ Scanning Fee $ 3. 00 Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 2. ZZ, 00 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 ET.RCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 Owner or Agent The foregoing instrument was acknowledged before me this day of, 2017., by .®4,eiee. who is personally known to me As identification and who did take an oath. NOTARY PUBLIC: Sign:_ ■" Print: i•4�`:��� My Commission Expires' GLORIA P. ALFONSO ?•: ; ; *c MY COMMISSION # EE046674 .q,%. :.. EXPIRES December 06, 2014 (407) 398-0153 F oridallotarySeMee.com %i- APPROVED BY / ,' �/L. /z- / f/= /Z- Plans Examiner Signature Contractor The foregoing instrument was acknowledged before me this /® day of °-775.7 , 20 d , by i.�CiS e..g9 who is personally known to me o'-wi d as identification and who did take an oath. NOTARY PUBLIC: Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Sign: Print: My Commission Expi `;" GLORIA P. ALFONSO c MY COMMISSION # EE046674 EXPIRES December 06, 2014 Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami S BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) orida 33138 .8972 Permit No.- g-1-0 - 1037 ster Permit No. P umbing Mechanical Roofing PikelA Phone # /271 ‘70' 03 27 Owner's Address 9/O &i .1/J dee-O/%U - City .Lt. State FL.. Tenant/Lessee Name Zip ;i✓7 Phone # Job Address (where the work is being done) cV0 e eotti D &01/&2/e-'' -p City Miami Shores Village County Miami -Dade Zip �..�Q Is Building Historically Designated YES NO Contractor's Company Namef OWE.-I' 1 fic N" CL2A/1-7 Phone # 77 C7 Contractor's Addressj-Pt0,1 ‘d. City 0144 State PI- . Zip Qualifier ficecPG /hG- 7 State Certificate or Registration No, f %jt 7 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit J-1 Qc7 • Type of Work: [(Addition [(Alteration [(New Describe Work: Po &G. Square Footage Of Work: [( Repair/Replace [( Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ .•••.3ri -r CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ Z� ) 0 • (Continued on opposite side) 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 Owner or Agent The foregoing instrument was acknowledged before me thi day of , V. , 20i, by p.4,114 /(1.4/21" �•4/21" A who hois e_onally known to me or who has produced NOTARY PUBLIC: Sign: Print: As identifi • n and who did take an oath. Arfig 7 M%1 'a My Commission Expire fW +' * * * * * * * * * * * * * * * * * ** pf*,** Oscar 00357890 Signature �G� Contractor The foregoing instrument was acknowledged before me this.27 day of a/fat , 20 Vc by t�i1 j6Gl% 0;a4, ,, x, whoLper ownvro me or who has produced NOTARY PUBLIC: 25.E Sign: Print: as ident catio% , who did take an oath. -_ K4 My Commis ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** APPLICATION APPROVED BY: 7z"__ �_ _, chc 05/13/03 26.E * * ** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Issue Date: 12/21/2005 Expires: 12/01/2006 Owner's Name: DARIK & MARLENIS SMART Permit Type: Electrical - Residential Work Classification: Pool - Private Job Address: 540 GRAND CONC Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor F JIMENEZ ELECTRICAL CONTRAC 305/556 -5759 Yes Comments: POOL BONDING Additional Information Type of Work: ELECTRICAL FOR POOL Additional Info: 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. Fees Due Amount CCF $1.20 Education Surcharge $0.40 Inspection Fee $75.00 Miscellaneous Fee $50.00 Permit Fee - New Construction $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $232.10 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL -12 -05 -1037 Phone: 1132060171411 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,500.00 Required Inspections Light Niche Bonding Alarms Final Invoice Number EL -12 -05 -23201 Total: DEC 21 PAID Amt Due $232.10 Amt Paid , z..iD O NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Date: 03/16/2006 Inspector: Devaney, Michael Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: SMART, DARIK & MARLENIS Job Address: 540 GRAND CONC Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number (305)751 -8127 Parcel Number 1132060171411 Lot: Phone: 305/556 -5759 Building Department Comments PARTIAL ROUGH FOR POOL Inspector Comments Passed V ag /--- --11 g-,,, 1 /' #,T fr iere-/ Failed Correction /671/4-(', 6 - — Needed ,1� ',,'� Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, March 15, 2006 Page 2 of 2 a Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/13/2006 Inspector: Devaney, Michael Owner: SMART, DARIK & MARLENIS Job Address: 540 GRAND CONC Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC V.GM- Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number Parcel Number 1132060171411 Lot: Phone: 305/556 -5759 Building Department Comments PARTIAL ROUGH POOL Passed Inspector Comments 0,1-/C ?OZ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, March 10, 2006 Page 1 of 2 Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 EL -12 -05 -1037 Project: <NONE> Owner: DARIK & MARLENIS SMART Phone: Job Address: 540 GRAND CONC Miami Shores Village, FL 33138- Scheduled Ins • # Ins • ection T • e Ins ± ection Status A Electrical - Residential Parcel: 1132060171411 Block: Lot: 01/01/2999 INSP -211 Final Default Inspector Not Complete 01/01/2999 INSP -208 Light Niche Default Inspector Not Complete None None Ins • ector Date Com • feted 01/01/2999 INSP -210 Alarms None Default Inspector Not Complete 12/28/2005 INSP -209 Bonding APPROVED telephone & electric service will need to be relocated before final Michael Devaney 12/29/2005 03/13/2006 INSP -11832 Rough Pending Inspection Michael Devaney Not Complete PARTIAL ROUGH POOL Friday, March 10, 2006 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/13/2006 Inspector: Devaney, Michael Owner: SMART, DARIK & MARLENIS Job Address: 540 GRAND CONC Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number Parcel Number 1132060171411 Lot: Phone: 305/556 -5759 Building Department Comments PARTIAL ROUGH POOL Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, March 10, 2006 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 4 .::: '• .::M' :•. ;:;• ::: S:t :S:•:•::. � � : }:;::;:...:::ti �.'::::: ' ':::•::: ::0:•:4 :•:•Y: }: is is is i::i }i: is i:::•: i::.::•:•: +.p }: :i::ti::•,in: }:•i:• }: is is is is is is ' t....a:rn�..l�� ..... ...:::::::::.::<:::.:::...::................................................ .............:::.::::.::.:::::: :.tar: :.�»...'.�> ...:... Inspection Date: 06/29/2006 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Work Classification: Pool - Private Owner: SMART, DARIK & MARLENIS Job Address: 540 GRAND CONC Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Phone Number (305)751 -8127 Parcel Number 1132060171411 Lot: Phone: 305/556 -5759 Building Department Comments Wednesday, June 28, 2006 Page 2 of 2 Vollit,%Al-- Passed Inspector Comments G, : " ~a, eiee"e AA IAA- 9 lets / A. ca, 1,--0 Pe-x-9-"' tr.1 e9/7 7,‘„,,,,,.. e ef,„‘" '5°, P / '7/A7 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, June 28, 2006 Page 2 of 2 .47 .rjo r tegi.- . • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -208 JUL 19RECD Zd's-13b4 Permit Number. EL -12 -05- 1037 Inspection Date: 07/1712006 Inspector: Devaney, Michael Owner: SMART, DARIK & MARLENIS Job Address: 540 GRAND CONC Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number (305)751 -8127 Parcel Number 1132060171411 Lot: Phone: 305/556 -5759 Building Department Comments ALARMS TOO Passed Inspector Comments 40 °' Failed el--- 6_ 'P1 V A j ,A °'0 a/% Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, July 14, 2006 Page 2 of 2