EL-13-1523I
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
-1 512_Z
Inspection Number: INSP- 205672 Permit Number: EL -7 -13 -1523
Scheduled Inspection Date: January 24, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: PUYANIC, DAVID
Job Address: 9259 N BAYSHORE Drive
Miami Shores, FL
Project <NONE>
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050270580
Contractor: CONNECTIVE ELECTRIC INC Phone: (954)782 -7879
comments
ELECTRIC FOR DOCK PEDESTAL, BOAT LIFT AND False
LIGTHING INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP- 194838. Boat lift O. K..
Need #6 conductors to pedestal.
Expose junction box in grass area and conduit under dock.
Add light fixtures on posts as per plans.
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 23, 2014 For Inspections please call: (305)762 -4949 Page 8 of 20
i'°_ %
Miami Shores Village
Building Department JUL 0 9 2013
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 L�O_
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20 I
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
Permit No. Fj-, 13 6 9�
Master Permit No. 13-Asa--k
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: _ 33 % 3 k
Folio/Parcel #:
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple Tffitleholde /r :_b
Address_ gAsc1 Al 'J-Y51'�ole 4//1\rc
NO x Flood Zone:
v►d Puyt, A ►C
79-6 aq s -a59 �
City: • M1 UM) Sho /@ 5 State: /`L Zip: 33) 3 k
Tenant/Lessee Name: Phone #:
Email:
0
CONTRACTOR: Company Name: Phone#: � jY - 7-02-2175
Address:.EOI N - Few( - fl" z Z'6
nn o
City: P6sw✓.a u --Vile �e� �.L, State: L Zip:
Qualifier Name: I / ?%L`I tc8.d Phone#• �L�' -7 1
State Certification or Registration #: E6 1300 3 U1 Certificate of Competency #:
Contact Phone#: �51'i' Z,yS - X56 1 Email Address: (!T9& vZ ' eLevf-r ,_
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 3, 000.0() Square/iinear Footage of Work:
Type -of Work: UAddress OIAlteration ll UNew URepair/Replace UDemolition
Description of Work:– 0/ doe/ 1)edeS l bo-.
Submittal Fee $ 573, 001 Permit Fee $ 2 Z5,,0® 71 A!�CCF $ CO /CC $
tf-
Scanning Fee $
Radon Fee $
Notary $ Trammg/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ ��'
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) / V /
Mortgage Lender's Address
City
State
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 CONDMONERS, 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 copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subje t attachme ' Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspectio w ich occu even (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not ap roved rebWection fee will be charged.
Signature Signature
wner or Agent �� C ctor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 , by �/d� �ill��/�y�' day of �"� , 20 c, , by
who i ktersonally known o me or who has produced A/0/
4A0604 ld ! 16 As identification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires: ow : 111 ttE%PiH� k March 17,2015
E,
' t'P,• -,'" 9arale<! TMu Public Undo wMn
who is personally known to me or who has produced
as identification and who did take an oath.
+ k+ kHsHs�kdsNsH�nkH��A�k +k�R�k�k�k�k�R�N�k �k�iSL�& aNN�s k�hN�# �Ba��sRN�w+ A�kN�N��HHeskskH��N�H��FN�H��k�
APPROVED BY � Plans Examiner
,V I
7 3 Structural Review
(Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09)
NOTARY PUBLIC:
Sign:
Print:
«�
,./o
Zoning
Clerk