EL-12-1176Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
12�-I I'I S
Inspection Number: INSP- 185801 Permit Number: EL -6 -12 -1176
Scheduled Inspection Date: February 13, 2013
Inspector: Devaney, Michael
Owner: RIVERA, FRANZ AND JASMIN
Job Address: 10255 BISCAYNE Boulevard
Miami Shores, FL 33138-
Project <NONE>
Contractor: ATLANTIS ELECTRICAL CORP
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (786)200 -6605
Parcel Number 1132050190070
Phone: (305) 551 -4043
Building Department Comments
GARAGE ENCLOSURE
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
/ fr-• /
February 12, 2013
For Inspections please call: (305)762 -4949
Page 23 of 30
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
BUILDING
PERMIT APPLICATION
FBC 20
JUN 242012
BY:
Permit No. __ —
Master Permit No. 1' el° 1 1 E
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): 611-1W Z.— • i Phone #: S)1 ° O 3S
Address: 052-5-S- giSC I06 gwb
City: State:,
Tenant/Lessee Name:
Phone #:
Email:
JOB ADDRESS:
City: Miami Shores
Folio/Parcel #: C ( _ S ° CCRO
County:
Miami Dade Zip:
Ls the Building Historically Designated: Yes NO
Flood Zone:
CONTRACTOR: Company Name: ( S - ("-- . tC_ Phone #:
Address: 1a j St-A) 2-0 TVIart
City: C �€.` State: � Zip: _7J?
Qualifier Name: 1 41-'C.1 SCS> ii .2 . Phone #:
State Certification or Registration #: EC-1300 %' I L f Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ L(, b4c7 c'-- Square/Linear Footage of Work: P–S,
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace Demolition
Description of Work: g CLOS r-
* * * * * * *** x* ***:x **** * ** ** ****** * * * * * ** Fees******** ******* ** * * *** * * *** * * * ** ***** **** * **
Submittal Fee ?c Pere. it Fee $ /4-0 x'26' CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
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 an spection fee will be charged.
Signature
0 - or Agent
The foregoing instrument was acknowledged before me this C
day of , 201(,, by CiZeriNV, (ZHr zA.
who is personally known to me or who has produced
Q PI As identification and who did take an oath.
NOTARY PUBLIC:
Sign: 'r, �1',� ,
Commission DD766456
Print:
Expires: MAR.10, 2012
My Comm.Warstrogvertie IIO ttki
FLORIDA
APPROVED BY
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 11_, by RAIN6 i 0 °(r7S2. _,
who is
to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
z. ,,,`
Sign: �� .iy i���e!
.1'-'.1'115 CO�i "('''" • ,2012
Print: yR.10
asp IARA; t12.9tt'IC:
My Comm ti:= c,.. :. fires:
Plans Examiner Zoning
Structural Review
(Revised 07!10 /07)(Revised 06 /I0/2009)(Revised 3/15/09)
Clerk