ELC-08-782 Inspection Worksheet
Miami Shores Village
uu 1Ha
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 11/21/2008 Permit Type: Electrical - Commercial
Inspector. Devaney, Michael Inspection Type: Rough
Owner: CHURCH, MIAMI SHORES BAPTIST Work Classification: Addition /Alteration
W"O"N
Job Address: 602 96 Street NE
Miami Shores Village, FL Phone Number (305)75449541
Parcel Number 1132060141410
Project: <NONE>
Block: Lot:
Contractor KLEAN POWER ELECTRIC INC
Bullding Department Comments
Low voltage. Installing airphone intercom system to allow
access to the building from 3 doors
2�
A
inspector Comments
Passed Cr r !/
7
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Thursday, November 20, 2008 Page 2 of 2
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 (305)756 -8972
Bill To
MIAMI SHORES BAPTIST CHURCH Invoice Number: ELC- 11 -08- 33255
MIAMI SHORES PRESBYTERIAN Cl Invoice Date: November 13, 2008
602 NE 96 ST
MIAMI, FL 33138 -2742 Permit Number: ELC -4 -08 -782
Return to:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Date Fee Name Fee Type Fee Amount
11/13/2008 Revision Fee Calculated $35.00
11/13/2008 Scanning Fee Calculated $9.00
Total Fees Due: $44.00
Payments
Date Pay Type Check Number Amount Paid Change
11/18/2008 Check 690 $44.00 $0.00
Total Paid: $44.00
Total Due: $0.00
Tuesday, November 18, 2008
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Miami Shores Presbyterian Chte'ch School
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Miami h re
S o s Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
I
BUILDING
RECE Permit No. ,��-- ���•��
PERMIT APPLICATION Master Permit No.
FBC 2004 NOY 1 age
Permit Type Electrical 3 2 3 ��
Owner's Name (Fee Simple Titleholder) 'J/ . �@ #e A6 6
Owner's Add ess lD'.2 4�,Q
City State _ - Zip �3 /s
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
I
Contractor's Company Name 1 Phone #
Contractor's Addre s 246 ,. R zj R& A - kr �syt
City / State ®�� Zip
Qualifier Name 0, ( k Phone #
State Certificateor-Registration No. X{lpg� Certificate of Competency No.
c�Lr II
�4�',eittecEngineer's Name (if applicable) Phone #
V ie ork For this Permit ,�46- Square J Linear Footage Of Work: ^ "
` C
Tyke o ,ork: ❑Addition �Altp ion New ❑ . Re air /Re lace , �" 0
p p ❑ Demolitio , C ,
Describe or k:
�xaYxx4cxu4exYxszxx4exY x * x � �� � 9cx x9cxot oYxx�exxxxxaYYxYxxxeYxoYeY��YxeYx4e � ',
Submittal Fee $ P e �'`aCCF $ CO /CC -' -
Notary $ Training /Ei e / Technology Fee $
Scanning $ 3. Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
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 commenceipent 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 Signature
O er or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 2040, by day of 20bj by
who is personally known to me or who has roduced who is personally known to me or who has produced
4 As identification and who did take an oath, as identification and who did to
Y"PUBLIC: NOTARY PUBLIC: •�
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�. TION APPROVED BY: /,?- ,���'' 'lads E
''° ,;„„•`' Engineer
Zoning
(Revised 02/08/06)
.,.: Miami Shores Village
Building Department
10050 .NE 2 Ave, Miami Shores, A 33138
Tel: (305)795 -2204 - Fax; (305)756 -8972
RECEIPT
PERMIT #; �(. Vd,4 7J2 DATE:
❑ Contractor _
❑ Owner ❑ Architect P OM 7 0h w/
Picked up 2 sets of plans and (other) 4
Address:
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Dep a to continue permitting process.
Acknowledged by:
PERMIT CLEARK INITIAL:
RESUBMITTED DATE:
t
PERMIT CLEARK INITIAL:
" RE Ea ED
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Aiphone S stern S i ations:
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nom, S • • • • • • • • •
I < 8V D Supplied by RS -a$243 ::•• •
M 0►. -1/2' erect- view TFYcoforlCD
Calling Chime, image and audio approx. 45 sec.
CommunicationAUTOMATiC (hands -free) - to activate, momentarily press the TALK button.
MANUAL ( press- to- talk/release -to- listen) - to activate, press the TALK button for 1 sec. or until talk LED
turns on.
Scanning Line 525 lines
Min. Illumination 5 Lux at 1' distance
Night Viewing Up to 1' from camera, with white LED projected, background beyond Y cannot be seen
Door Release Contact rating:
N/O 24V AC /DC, 500mA
Wiring Door to master: 2- conductor
Master to sub (Enhanced): 4- conductor
All mid cap, solid, non - shielded
Distance Door to master:
165'(22 AWG); 330'(18 AWG)
Master to farthest sub:
165122 AWG); 330118 AWG)
Wire Type Master to door:
Aiphone #871802
Between master /subs daisy chained:
Aiphone #871804
Dimensions (H X WXD) JF- 2MED /2HD: 7" x 5- 5/16" "
J F -2SD: 6 -5/16" x 3- 9/16„ x 1 ..
JF-DA: 5 -1/8" x 3 -7/8" x 1 -9/16"
JF-DV: 6- 13/16" x 3 -7/8" x 1" ti` ami Shores Villa a
J APPROVED
F -DVF:
BY BATE
Faceplate: $ -1/4" x 5- 1/16" x 15/16" ZONING C)EP-r
BackBox: 7- 3/32" x 4 -3/8" x 125/32"
JF -DVF -HID /HID -I: Y
Faceplate: 11 -5/8" x 5 -3/4" x 15/16" gV& ,ToCt?AAPt.IgNCE VWTH a r
' �' FEDOW
STATE
AND COUNTY RULES AND REG
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Miami Shores Presbyterian Church School
Matj 09 08 09:54a Denise Cate 305- 759 -2549 p.1
Y ., Pre- School Elementary School
1 9405 Park Drive 602 NE 9e Street
=o Miami Shores, FL 33138 Miami Shores, FL 33138
t (v) 305 -761 -5417 (f) 305- 756 -7165 (v) 305- 759 -2548 (f) 305- 759 -2549
www.mspcs.net
VfA FACS1MILE
Attention: Vllage of Marni Shores MAY
Building and Zoning
May 9, 2008
Dear Mr. Claudia Grande:
Please accept this letter as authorization for Wilda Wolmer to sign off on permits
at this time for Miami. Shores Presbyterian Church School.
We will send you an updated list of authorized signers at a later date.
gl,C you,
Denise Cate
Miami Shores Village F [ y y{ y
10050 N.E. 2nd Avenue 4.
Miami Shores, FL 33138 -0000 �� f
Phone: (305)795 -2204
Expiration: 1012782
Project Address Parcel Number Applicant
602 NE 96 Street 1132060141410
Miami Shores Village, FL Block: Lot MIAMI SHORES
Owner Information Address Phone cell
MIAMI SHORES PRESBYTERIAN 602 NE 96 ST (305)754 -9541
MIAMI FL 33138 -2742
Contractor(s) Phone Cell Phone Valuation: $ 6,000
KL PO WER ELECTRIC INC
Total Sq Feet 0
Type of Work: low voltage intercom Available Inspections:
Additional Info: Inspection Typ e:
Classification: Commercial Fire Mean
Relocation
Final
Alteration
Underground Rough
Meter BOX
Service Change
W. W.
Fees Due Amount Total Amt Paid Amt Due
CCF $3.80
Education Surcharge $1.20 $ 0.00 $ 0.00 $ 0.00
Permit Fee - Additions/Alterations $185.00
Scanning Fee $3.00 Payment Type:
Technology Fee $4,g2
Total: $197.42
MAY���
CK
MIAMI SHORES VILLAGE
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 taws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
April 30, 2008
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Wednesday, April 30, 2008 1
412312008 4:52 PM FROM; Fax Klean Power Electric Inc. TO: 19549252128
C- F N 21130 IBR11 e3�Ck 0 13
NOTICE OF COMMENCEMENT OR Bk 26368 Ps 3022; Qps)
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OFFIRST INSPECTION RECORDED 0 `'/ 08 / 20 � 8 15:13:31
HARVEY RUVINY CLERK OF COURT
PER mrrNo. C� -`ice. TAX FOLIO NO. I1 LAST GE rlauNTYP FLORIDA
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal desori pti n of property and street I address:
s s one b 1
601 ur- n6 k
!►1i—me shstf& F p:da. -3 �
2. Description of improvement
l Ina n•her ig t a+ D, rS,
3. Own s) name and address ® aY it
i
!r�tcro A in proporty.
Name and address of fee simple titleholder.
>`
i
4. r°.nnt to.r's name nd address:
5. Surety: (Payment bond required by owner from contractor, if any)
Name and Address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom jtjqpsQr , ether documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes.
Name and Address:
8. in addition to himself, Owners designatesthe following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and Address:
N /A
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differera date is specified)
Sign are of ner 'S !'1D
Print Owne s Name ,/��' dh:0 /0ls�/� Prepared by f_ _ s
Sworn to and subscribed before me this a4 day of A 20 _
Address: 11. 5 E l o V Cr.
Notary Public:•.. /!?,ryW� Shared FL 33/,3_
Print Notary 'sName: ,5 1V _ JIV 4J Fk0 `
My commission expires dune p a 01
STATE OF
HEREEV CERTIFY P, ®t th is a
NOTARYPUBLIGSTATE OF FLORIDA
b `f the ° ` a " ...4 . Sylvia halter
rrgrna/ file n "'is office on
day f f
> CommWon #EDWSW
A 20 F q °� �, '; �...p...•`° Expires: J= 08, 2011
VITNESS my (sand C'fYlClal Seal. 4 $ONDEDT$RIIAI7.ANTiCBONDAVf4t , t1
1413VEY RUVI 1 , i OC, ofCv2vi1 nd u� COUffS
D.C.
'4�IbAvl kv w, Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
elvc
Permit No.
PERMIT APPLICATION AP 2008 aster Permit No.
FBC 2004
Permit Type Electrical
' ( p ) �16YL5lk6ay(UK Ch)d Phone #
Owner's Name Fee Simple Titleholder) �U�� ��
Owner's Address IoyZ �.)E l(7 S
City 91UU1I p State F7 Zip 33138
Tenant /Lessee Name Phone #
E -MAIL: (AR Q
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # 132-0() 014141
Is Building Historically Designated YES I NO
Contractor's Company Name KWK qff r_1aTfIC_ Phone # _ 30- 60 — 7 15 4
Contractor's Address 660( SW TO S
City ko`ul State —R — Zip 3 Z
Qualifier Name C Ud1YWJ A &)D Phone #
State Certificate or Registration No. EC 1 M Gy Certificate of Competency No.
E -MAIL: V1LD 461 uP, % fttL . ffVA.
Architect /Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 5,215, Square / Linear Footage Of Work:
Type of Work: tAdd.ition ❑Alteration ❑New ❑ Repair /Replace ❑ Demolition
Describe Work: :11M\� CO 'Nwo IKTV - aYS VA T O u800 ac= tb le dkig adm
cI06a S Lt V8 1Ti�a
Submittal Fee $ Permit Fee $ CCF $ CO /CC
Notary $ Training /Education Fee $ Technology Fee $
Scanning $ Radon $ R $ Zoning $
Bond $ Code Enfor rr) ble Fee $
Structural Review. 1 r otal Fee Now Due $
I MAY 4s 9 2008 See Reverse side �
MIAMI 4"
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 t e4 .1 //2
Signature Z
i
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 200 d , by day of _ - -. , ,20, by
o is personally known to"'n3'e� who has produced w�049`personally kno
As identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUS
01�1wIMal1 � � MN�
t
' NOTARY PUBLIC-STATE OF FLORIDA
Sign: .1 t S lvia Halter Sign:
omtnlsston D665957
Print: ► V t .l ', O8, 2011Print: r v
$ONDRn THRU ATLANTIC BONDING CQ,
My Commission Expires: - M y Commission Expires:
rvry evmtntsstrnrznOrVa. - _ _ _ rwryzvmtntssturrc�ptres.
APPLICATION APPROVED BY: ` 9'dZ��a'' Plans Examiner
Engineer
Zoning
(Revised 02 /08/06)