EL-10-595Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
I u\
Inspection Number: INSP - 161742 Permit Number: EL -4 -10 -595
Scheduled Inspection Date: November 15, 2011
Inspector: Devaney, Michael
Owner: MAJOROS, PAUL & MILDRED
Job Address: 601 GRAND CONCOURSE
Miami Shores, FL
Project: <NONE>
Contractor: 3 WAVES ELECTRIC CORP
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060172140
Phone: (305)221 -3780
Building Department Comments
replace all electric installations except electric serive of 200
amps existing and 2 a/c compresors
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 140186. Add arc fault breakers.
G. F. I. protection on garage and master bath recepticles.
November 14, 2011
For Inspections please call: (305)762 -4949
Page 3 of 34
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. El - 515
Master Permit No. R. El a cff
BUILDING
PERMIT APPLICATION
FBC 20
BY:......................
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) NI l i (Jr-t_ J 0,J YES Phone # 3 Oc S 1' 6 b q
Owner's Address (9U( (5-m.rd (uov -- c.._..
City 11 AO141 State
Tenant/Lessee Name
Email
mil m �1i�s e C. Q
Job Address (where the work is being done) 601 6-or- fjWG '"
City Miami Shores Village County Miami -Dade Zip
Zip 3i/3g
Phone #
FOLIO / PARCEL # I I — 31,43(, - 01-3- —1I'f 0
Is Building Historically Designated YES NO t/J
Contractor's Company Name 49G''ES ,i�LCG7,e/c A'A Phone #
Contractor's Address /' CJ.3 -' 7 c/-1 f'e_„
City /71C?•09-2/ State 7-"/ Zip
Qualifier Name Y /Q'7 /1 �1. c u/l Phone #
Flood Zone
/ -a 760o
a3/09.
State Certificate or Registration No. Certificate of Competency No. 9( , On p d'de9,.
Contact Phone C' ) ^ 3 ? (fb , E -mail
Architect /Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 2 <, QCC) - Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration fNew
j Repair/Replace
Demolition
Describe Work: / 6C.E G�.2/C f '/ L , z / //p
r Q-4.-477/ e /e C' / L
(5P/''IV /ee a/ 7) / . € Kf.017 . ?'7d /O /c �o raf
Submittal Fee $
* * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $
CCF $ 1 ON(3
Notary $ Trainin /Edition Fee $
Scanning $ Radon $ ti r DPBR $
Double Fee $ Violation date:
Structural Review. $
CO /CC $
Technology Fee $,1-(00
Bond $
Total Fee Now Due $
S52-2--(9
See Reverse 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 re- inspection fee will be charged.
Signature , � � '' L Signature
Owner or Agent
The foregoing instrument was ackno d b:. ore me
day o°' rO�( , 2010, by \ (J ed ri
who is personally known to me or who has produced
As identification and who did take an oath.
NOTAR ' UBLIC:
Sign:
Print:
My Commission Expires:
t\
Contractor
The foregoing instrument was acknowledged before me this e
day of -K1� -A L-- , 2010, by\[ t L ?02 CO V kt.LarilE)
who is personally known to me or who has produced '4L —
as identification and who did take an oath.
/ OA Tq } co;G Sign: ��\ l�� /.011/1 ���
'y�c� ��� XP $ � ���
�l��o Print: 03/06/201 • ;
2 s
-:` My Commission Expires:
�� y:0 IARY PUBIIC : _
•
• Q,a��,Commi65 ion 9.,DDI 901.•' P
mil/ /�„/ tiF1Fn �r�``��\ N.
/, // Plans Examiner Zoning
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
Clerk checked