ELC-10-92 Miami Shores Village
Building Department FEB 19 2010
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �_ •
Tel: (305) 795.2204 Fax: (305) 756.8972 ��e .....K.......
INSPECTION'S PHONE NUMBER: (305). 762.4949
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. _ �" G C l " - %A
FBC 20
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) ROb!9f�Q as Phone #
Owner's Address / 5,r f fj E l Q5 -10
City M /W 44nek State F� II Zip 33 ( 6
Tenant/Lessee Name �(� U ! 1 Phone #
Email
Job Address (where the work is being done) / V( 1106 1 IMEIM )ewl )
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # I I Z Z � 6 '?®
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name KaOV, c k c' ,C. Phone #
Contractor's Address (� � QL,) J 9c) S .rZ-r-
City �T , State \GC'ieQq Zip
Qualifier Name --ZjsN, . 7T, N,�o LD&c Phone # -'7 S QC
State Certificate or Registration No. * IZ-Q 000 k� 9 C1 Certificate of Competency No.
Contact Phone ` E -mail f i C'C \ tee- �'
Architect/Engineer's Name (if applicable) ) Phone #
Value of Work For this Per Square / Linear Footage Of Work:
Type of Work: DAdditi> n Alteration E]New [] Re air/R lace
p ep El Demolition
Describe Work: v°e 'C
T '
Submitt Permit Fee $ �� ep G CCF $ CO /CC $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Bond, $
Double Fee $ Violation date: nnfl �C�
Structural Review. $ Total Fee Now Due $
See Reverse side
i
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
t
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
p 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.
J Signature
Owner or Agent Contract
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of P , 201®, b; – bbm - �yb lr: day of --�L�p , 20 ib , by — b,n 3 �G
who is personally known to me or who has produced who to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
A )�A Co
Sign: Sign: -A4w
Print: "r P MARY PAT BRIGGS Print: T
,.r •`�. r s Notary Public - State of Florida
M Commission Expires: : • Expires May M Commission E
Y P � p, y Co mmission p' 11, 2010 Y p
,r P °. Commission # DO 531936
Bonded By National Notary Assn, GERT
_•: :+e MY COMMISSION # DO
.100 ` Bonded Thta Notary Public Underwriter;
APPROVED BY G/F t- W 1 flans Examiner Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
MOOD Y EL C /
WAR
www.moodyelectHc.com
669 N.W. 90 Street • Miami, FL 33150 -2166 Ha ' . 1 Vvyas
Tel: (305) 758 -2000 Fax: (305) 754 -1333
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Miami Shores Village
APPROVED BY DATE
Subscriued and sworn before me, this
ZONING DEPT day of 6 � - _ e Do-k , a Notary Public
In and for J\,. County,
BLDG DEPT State of ZK_-( cm &CI
17 MWLE a
SUBJECT "i O t,GMPLIANCE V1ATii ALL FEDERAL [ r 2D u
(Signature)
STATE AND CCUPrtY RULES AND REGULATIONS NOTW PUKK
My Commission expires \
NOTICE OF COMMENCEMENT 1111111 bull 11111 Hill 1111111111 lull 111# 1111
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF RRST INSPECTION f,g 2 ®fit 10 R ®.a 113 3 8
OR Bk 27187 Ps 4777; tips?
PERMIT NO. TAX FOLIO NO. RECORDED 02/1V2010 1
HARVEY RUVINP CLEF.!. OF COURT
MIAMI
GOUNTYr FLORIDA
STATE OF FLORIDA: LAST PAGE
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.
I�ar P e ��� °�qs
Space above reserved for use of recording office
1. Legal description of property and street/address: { 661 k)P, 1 o5 _ST Z - f 6
2. Description of improvement: bW Pr
3.Owner(s).,nam and address: 5 S !►7 E,
Interest in property:
Name and address of fee simple titleholder
4. Contractor's name, address and ph ne umber. Men W 6cm I C_ I L3 C,
5. Surety: (Payment bond required by owner, rr contractor, if any)
Name, address and phone number �-}-
Amount of bond$ r
6. Lender's name and address: 1A
7. Persons within the State of Florida d ighated y Owner upon whom notices or other documents maybe served as provided by
Section 713.13(1)(a)7., Florida Statutes,
Name, address and phone number.
8. In addition to himself, Owners designates th following person(s) to receive a copy of the Lienor's Notice as provided In Section
713.13(1)(b), Florida Statutes: ,r t �y
Name, address and phone number. /(! !�i
9. Expiration date of this Notice of Commencement:
(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS, MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 71313, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST` INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
S'' AT E-7 Or FLORIDA, CUA OF ODE
Signatures) O () or ner(s)' Authorized Officer/ Director /Partner/�i'�' dr�Er'T" , if:atiu� s cagy offhe �,a® c ®uy,
Prepared By Prepared'1 ! ' .J r; ° - ,.,
Print Name 1 s Print N A "�"
Title/Office it . Title/Of n prcJ 4ac< t Kcal. n 11,A
.i. .L P'�';v - comas
�:' y r�oo dry
STATE OF FLORIDA r % � ,
COUNTY OF MIAMI- DADE
The o fo i en as ckno
�Y � dig stru ��rft �� ged before me this day of
Individually, -or U as f
❑ Personally known, or ❑ produced the following type of Went' i
Signature of Notary Public: w rP MAKY 11A GGS
Print Name:
'MM Of Fbft
(SEAL) a ' Expires May 11, 2D10
VERIFICATION PURSUANT TO SECTION 92525, FLORIDA STATUTES ' ; �,p..� DD W1936
Under penalties of perjury, I declare that I have read the foregoing and ftWW By Nafibonal Notaryr Assn,
that the facts stated in it are true, to the best of my knowledge and belief.
Signatu , sp f e ) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above:
By By
123.01-52
ri Miami Shores Village
10050 N.E. 2nd Avenue
S
s _
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Fx
8 Expiration: 0712 10
3
Project Address Parcel Number Applicant
1551 105 Street Number: 2 -10 1122300530690
Miami Shores, FL 33138- Block: Lot: ROBERT THOMAS
Owner Information Address Phone Cell
ROBERT THOMAS 1551 NE 105 ST #2 -10
MIAMI SHORES FL 33138 -2115
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
MOODY ELECTRIC INC (305)758 -2000
_ .... _, Total Sq Feet: 0
Type of Work: ELECTRICAL For Inspections please call:
Additional Info: METER REPAIR (305)762 -4949
Classification: Commercial Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Underground
W. W.
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $0.60 ELC -1 -10 -36855 $ 154.60 $ 50.00
Education Surcharge $0.20
Permit Fee- Additions/Alterations $150.00 ELC -1 -10 -36855 $ 154.60 $ 154.60 $ 0.00
Scanning Fee $3.00 Check #: 18063
Submittal Fee $50.00
Submittal Reversal Fee ($50.00)
Technology Fee $0.80
Total: $154.60
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 a!I 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.
January 26, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
January 26, 2010 1
` v �"
Y Miami Shores Village 5
g u o10
Building Department B I J 2
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 v s 1
�.m.. .r.... - :......
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. —�
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type Electrical
Owner's Name (Fee Simple Titleholder) - k- . c&3C CUo V®«GtS Phone # 9 P,5 - 7,5 - Ao 74
Owner's Address t-SV-_ �C-)S SN
City _`cs:M� '`�¢ State �'Lc� . �� Zip C2
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip a3a3i?'
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name N\oca 1�1c_ �&Nc Phone # 3S>
Contractor's Address k -Sk kl�0 qd �Fz '
City L\i State Zip 3��C�
Qualifier Name ���^ �c��{ Phone # �CSS-
State Certificate or Registration No. �`R Ck Certificate of Competency No.
E -MAIL: «<� \\
Arch itect/Engineer's Name (if applicable) Phone # CV-
Value of Work For this Permit (9 O Square / Linear Footage Of Work: x),4 -
Type of Work: ❑Addition ❑Alteration ew y Repair /Replt*e
El
Describe Work �,,,.. :r n aa a�e.� „�ti .�! 5 ""
xx9roYntxoY oexxdrxY of ec iea x4r 4rx4exae 9cxxxxxx�xxxx9Y atx Fee$�xoYxx4exxxxxxxaY oYiczxxxuxrirxxxx4e9exde�xFzeY 3c a: nY ae otxx
Submittal Fee $' Permit Fee $ /,! ®- ®&1P CCF $ 0 (0 CO /CC
Notary $ Training /Education Fee $ Technology Fee $ OM
Scanning.$ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ dQ�'
See Reverse side ->
i
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
d
Mortgage Lender's Name (if applicable)
Mortgage kend4i's Addtfss_.`',
city State Zi
Application is hereby made to obtain a permit to do the work and installations as indicated. l 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for* the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection w'll no be ap roved and a reinspection fee will be charged----
Signature gn ure
Owner or Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of . qt sA , 201 , by a. 940�2l� S , :a day of � 2060, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: �����` Sig q: l�C.
Print: .`` °` ''% MOREC Y. GOMEZ Print:
My Commission Expires: Rotary Public - State of Florida
My Comm. EXyires Aug 24,2013, My Commis s:
:rg� cS: July 2,2013
a:rx,Y 4:xxx ue'ru xdc4e aYa�9ex xaY x' *tk 4;r x 9e xxxxxxaY dcxxxYx xxic aY' dcx`ae ac 4c�xx:R'SdCit�x''kSY�x9e dr n$x
APPLICATION APPROVED BY: y' 13 Plans Examiner
Engineer
Zoning
(Revised 02 /08/06)
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 133897 Permit Number: ELC- 1 -10 -92
Scheduled Inspection Date: February 16, 2010 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: THOMAS, ROBERT Work Classification: Addition /Alteration
Job Address: 1551 NE 105 Street 2 -10
Miami Shores, FL 33138 -
Phone Number
Parcel Number 1122300530690
Project: <NONE>
Contractor: MOODY ELECTRIC INC Phone: (305)758 -2000
Building Department Comments
service repairs to meter ne lugs
I Al Inspector Comments
Passed �/ �' /� t P AL
6 h- 1`y 10 /
Failed � -- - --
Correction
Needed ❑ ��� /�
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 12, 2010 For Inspections please call: (305)762 -4949 Page 14 of 26
- T Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 136830 Permit Number: ELC-1 -10 -92
Scheduled Inspection Date: March 03, 2010 Permit Type: Electrical -Commercial
Inspector: Devaney, Michael Inspection Type: Final
Owner: THOMAS, ROBERT Work Classification: Addition /Alteration
Job Address: 1551 NE 105 Street 2 -10
Miami Shores, FL 33138- Phone Number
Parcel Number 112230053069
Project: <NONE>
Contractor: MOODY ELECTRIC INC Phone: (305)758 -2000
Building Department Comments
service repairs to meter ne lugs
Inspector Comments
Passed ET
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 02, 2010 For Inspections please call: (305)762 -4949 Page 30 of 31