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RC-08-1591Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 124438 Permit Number: RC -8 -08 -1591 Scheduled Inspection Date: September 14, 2009 Inspector: Bruhn, Norman Owner: SELZER, ALEXANDRA Job Address: 271 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: STANLEY SUMMER LLC Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Phone Number 305/446 -0500 Parcel Number 1132060134810 Phone: (305)776 -2443 Building Department Comments REMOVE OLD CABINETS AND INSTALL NEW ONES Passed Qg9-)(9/19' Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments eec Ra mnrnhnr 11 9nnQ For Inspections please call: (305)762 -4949 pane. 17 of 10 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Horida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle). Roofing Owner's Name (Fee Simple Titleholder) ,/l%,(' M ?*-& 47.2 -x`-7C Phone # 70 j6L - yf f 3 Owner's Address ,41, %- City &41, ;Ave/ State /.C- Zip 731 Tenant/Lessee Name 71/t. Phone # L: ,, AUG 2 2768 B Permit No. O6 15'91 Master Permit No. Job Address (where the work is being done) 27Z ye- 76/ YT City Miami Shores Village County Miami -Dade FOLIO / PARCEL # i //'5406 —e)/.3 _5 /D Is Building Historically Designated YES NO X Contractor's Company Name �1.,/ 44(41185.7t/ C CC. Phone # Contractor's Address r::= i 6d4-di �G,,delQ/idL< City 41/14i/ f4 e'i State ,ZC Qualifier Name 4 • �• (�4folse7i State Certificate or Regiy�tration No. <<7C /S /D® 5-2. Architect/Engineer's Name (if applicable) Zip ii /1f _705 7‘,_ Zt'% Zip 73/1/ Phone # 7 'iT- 776 Certificate of Competency No. Phone # Value of Work For this Permit $ d/1% Square / Linear Footage Of Work: Type of Work: DAddition Describe Work: °- Lr 21G2,,6- w4 ['Alteration lS� ❑New 1'l Repair/Replace 0 Demolition Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ COICC - -- Technology Fee $ Zoning $ Structural Review. $ j 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 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 reinspec n fee will be charged. Signature"/(L2?'- Owner or Agent The foregoing instrument was acknowledged before me this 4 -1111 day of , 205? , by A(eX,? 7rYaf Cr /z .e1a , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: # O( rr'( a/Nd zC ee2 Print: Contractor The foregoing in ment was acknowledged before me this a7ri'l day of 0) , 20 0K , by (317211 l& vj+ S UYYI Y) e d who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: ,,%4 I# Davin My Commission Expires: 2o�, vnue`c. Commi7ii:i:onetrittert D345711 My Commission Exp�t $IV' Dawn An O = *= , �=0, 2008 4 `c- commission#DD345711 Co., In •OP „ . Bonded Tluu Atlantic Bondu►g Fit`' Atlantic Bonding Co., Inc. ' Plans Examiner Sign: DO(Lan/L 001 ,5 1- Print: APPLICATION APPROVED BY: (Revised 07/10/07) Engineer Zoning j �� Inspection Worksheet tit rew MC _ oiixh l 1 ` 10050 N.E. 2nd Avenue Miami Shores, F Miami Shores Village CIrri1'- °:-1 / Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: March 16, 2009 Inspector: Devaney, Michael Owner: SELZER, ALEXANDRA Job Address: 271 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: LIGHTGATE INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number 305/446 -0500 el Number 1132060134810 Phone: 305 - 554 -4820 Building Department Comments 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- 101004. NOT READY MD 02/26/09 March 13, 2009 Page 7of17 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 R CEO vIti NOV 215 2000 M Permit No. LLD 1D1 t ster Permit No. Q kS°1 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) 4%:71eiX 9r–t/C6Z Phone # Owner's Address 07/ ALE lot City -/i( 1 j jp 4 State FZ- Zip ' / v Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 0 7 f lie lot /14(14-1-1 S e (2,7 + L City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # is Building Historically Designated YES NO Contractor's Company Name 6',.../(,61.d. '/ ' /(, 61 /WC. . Contractor's Address c4 z, sc..) 10-1 lo( Phone # .3or City /t ( Ct VI.- c State Zip 1. 4- , Qualifier Name %' it tel Gl S Cd ? ft NAM ra , Phone # ° cs Z 5 g7 State Certificate or Registration No. C.. /SO 0 ' `34 Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Phone # Work For this Permit Value of ° ‹.4\oo.oa Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New • [ , Repair /Replace ❑ Demolition Describe Work: C "S Goorckf Submittal Fee $ Notary $ Scanning $ Bond $ KX is X X X Y. Y.x Y.Y. X W WW W WY. WWWW W W%Fees Y.Y. Y.Y.Wit Y.:: WXY. fWW%: Permit Fee $ / ®o CCF $ CO /CC Training /Education Fee $ Technology Fee $ Radon $ DPBR $ Zoning $ 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'4 Mdress 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. l 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' COM MENCEMENT." 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 ,� i/d/'ki Owner or Agent The foregoing instrument was acknowledged before me this 2s The foregoing instrument was acknowledged before me this � © day of J , 200 � , by (- kt y Set Ce ( , day of .90•U , 200r, by,--,se/1Co Signatu Cont' . ctor who is personally known to ml or who has produced who is personail7known o 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: Print. NOTARY PUBLICSTATE OF FLORIDA ''•L Anastasia L. Espinosa Commission #DD712174 S Expires: SEP. 06 2011 •ur My Commission Expire °xnEDlHxuATLX7IesoYDL�c�O � C r. X X r.XX Xr. r.r. X XX Xr. Xr.X XY.Y.XXX Y. X'. jCX •Y.XY.Y.XXY.XXY.Y.XXWWWWWY.XX XWWWWWY.XXY.XXXXY.Y.XW XY. XX X X X X X X Y. Y. X X X XXX XX XXr. Xi:r.XX APPLICATION APPROVED BY. (Revised 02/08/06) ��t� /_/may' % ✓-� i *r s�yC "Ae Plans Examiner Engineer Zoning LIGHTGATE, INC. ELECTRICAL CONTRACTORS 1421 SW 107 AVENUE No.101 MIAMI, FLORIDA 33174 - 2509 TEL: 305 264 9300 FX: 305 559 2183 e -mail: inlo(4ightgateinc.eom ELECTRICAL INSPECTION REPORT DATE OF THE INSPECTION: `/-% 6 PROPERTY INSPECTED: 8 / hi f (4 7 ��� / /ems OWNER: -f $ ; ;) c'7� Z7( /d/ SUBJECTS: This report represents LIGHTGATE, INC. professional opinion on the conditions of inspected element of electrical installation at the above - mentioned property. FLORIDA STATE LICENSE EC - 13003130 While do care was exercised in the performance of this inspection, the company neither makes representations nor guarantees with respect to latent deficiencies or future conditions as part of the inspection or this report. This report should be reviewed in its entirely. Any questions about the inspection should adduced to Lightgate Inc. Electrical Contractors. 57% G lrc l,Jj /e9 W r7 2 7r LJE I 1 of 4 LIGHTGATE, INC. ELECTRICAL CONTRACTORS 1421 SW 107 AVENUE No.101 MIAMI, FLORIDA 33174 - 2509 TEL: 305 264 9300 FX: 305 559 2183 e -mail: Inford lightgatehic.com TERMS AND CONDITIONS FLORIDA STATE LICENSE EC - 13003130 1. - INSPECTION LIMITATIONS. The Company can only inspect and report on certain visible and accessible elements of the property. The inspection is not intended to detect latent conditions or concealed defects. A copy of the inspection report is available upon request. The inspection will not involve destructive testing and will not include codes compliance, engineering design/diagnosis, adequacy evaluation. 2. - LIABILITY: An electrical inspection should not be consider an insurance policy against future repair. The client agrees that the performance of the inspection does not transfer that risk or any portion they're of to the company. No legal action may be commenced against the Company after six months the inspection date. 3. - VERBAL REPRESENTATION: No verbal statement made by the inspector or any other company representative shall expand the scope of nor change the terms of this agreement of the inspection report. Furthermore, The written report shall be considered the inspection result and no verbal representation by anyone shall be relied upon the client. 4. - CLIENT RESPONSIBILITY: Should a concern or dispute arise over the conditions of an inspected element, the client agrees to notify the company in writing and provide it with the opportunity of assessing the element's repair/ replacement or the initiation. Failure to provide such written notification and access will release the company of any and all liability concerning this inspection and electrical work. Should the client initiate legal action against the company and such action is terminated in a manner not adverse to the company and/or the company is subsequently relieve of liability, the client will be responsibility for the company's defense cost, including attorney fees and expert witness fees. G �- 2 of 4 LIGHTGATE, INC. ELECTRICAL CONTRACTORS 1421 SW 107 AVENUE No.101 IV11AM1, FLORIDA 33174 - 2509 TEL: 305 264 9300 FS: 305 559 2133 e -mail: inloglightnateinc.com UNSATISFACTORY (NOT TO CODES) ITEM DESCRIPTIONS: f ,e'/ 44 et .e/Cc 2c <<tii o�z ( C(.' de-t.'11 A ; /2r ll�-� )' 3 of 4 FLORIDA STATE LICENSE EC - 13003130 '1 Ze, le, 3/4-1147 ti, LIGHTGATE, INC. ELECTRICAL CONTRACTORS 1421 SW 107 AVENUE No.101 MIAMI, FLORIDA 33174 - 2509 TEL: 305 264 9300 F%: 305 559 2183 e -mail: info(¢llilhtgateinc.com FLORIDA STATE LICENSE EC - 13003130 INSPECTION ACNOKWLEDGMENT Client or authorized representative acknowledges that this Electrical Inspections was read and its terms and conditions are understood. Client Name: 52 /J1, k ( ( C . Date: Client or Authorized Signature: Lightgate Inc. Represen ve : ism awriFy Cons r ` Ari Presiden 4 of 4 SUBJECT TO COMPUANCE WITH ALL FEDERAL STATE AND COUNTY RULES D REGULATIONS LM- 1111 Lt4J CEP 0 2 2?08 B 10 Rote: This drawing is an artistic interpretation of the general appearance of the design. It is not meant to be an exact rendition. Alexandra Scicer 20 -P--• n0010100 ES 1 Alexandra Selcer Drawing 0: I rcaipn Cuan 305-207-8537 p.11 Note: Tin; drawing is an artistre I interpretation of the general appearance of the design. It is not meant to be an exact rendition. .01 HEIna#1./grarat Alexandra Selcer Alexandra Selca Drawing it: 1 dAilla,kA e;l;y LL+'ks ® 3 ?c. \ot 5��� <<Ov • (e- s Svv.41. A �c515 3- 9 50m A iwi as '9,4i,yktvAsz, v b- libVnuk LaA ba 5 SjA VC M (t5 Ntt.� a @ 40 t„,0 tyLk• • • • • • •••• • • • •... .. • .•• .• • • • •• • •• • • ...... •• •• • .... 000000 •• • • .• 00000 •..• • • • • • .••• • .....; ...... • .... ;. ...... • • • • • •• • •• • ...... • • •... • • .• • • 000000 • • ...... • "ep49i CITY OF MIAMI — BUILDING DEPARTMENT NOTICE OF COMMENCEMENT Please file at 22 N.W. 1sT Street, Miami PERMIT NUMBER: FOLIO NUMBER: State of Florida County of Miami-Dade 11111111111111111111111111111111111111111111 CFN 2008R0700844 OR Ek 26541 F's 3973; tips) RECORDED 08f27/2008 14 :39:47 HARVEY RUVINF CLERK OF COURT MIAMI -DADE COUNTY FLORIDA LAST PAGE The undersigned hereby gives notice that improvements will made to certain real property, and in accordance with Chapter 713.23, Florida Statutes, the following in provided in this Notice of Commencement. "'AM � t?J - feel ' 7I) 1 J /O- 7o ioT /y� ti �� Crr Za Street address 27/.4,,e- /o/ sr , and Legal description of property ,11/44.7i shwry - Jec' % ,ha ')3 /t-7o LaT r cve 4 Description of improvement: i &, sforieb ETC / •- �'irl�r ZT 4o4?.7/ .//f o% /life /,/. - AzAtikrD Owner(s) name d/e,r. e.04 --4 f t -'p x and address: Z77 sr/el E'- C6/ S7-. ...4f ri Lys, Interest in property: 6 "dZ Name of fee simple titleholder (if other than owner): and address Contractor's name 571 5:/$14./eX and address 1/4S 64‘1,0/ 4f4241C Phone number: ff /1 '/ s.,4evej ,cl s i /1, Amount of Surety bond: $ i7:i Surety Name ( and address Phone number: Lender's name (/l �jf and address Phone number: // (Payment bond required by owner from contractor, if any) Persons within the state of Florida designated by Owner, upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statues, Name and address: and address In addition to himself, Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in Section 713.13(1)(b), Florida Statues, Name and address Phone number: Expiration date of this Notice of Commencement: (the expiration date is one [1] yea . . the d f recording u ess a different date is specified) Sworn to and subscribed before me on this 9.1 By /-j- I CICG vtt �r� 1 Ze v Print Owner's Name: "La A-01 O a2 Ee. Day of A14 S , 200 8 . Personally Known, or Produced ID Notary Public vv\ ('1'U\ '.r.,Cd Print Notary's Name: Oath taken Oath not taken 1/ Commission Expiration: Rev: 5/2004 Dawn Angulo 29`•441.,..,,,,,,„ — . - Commission#DD345711 `- Expires: Oct 2008 •9'" I . , Atlantic Bonding Co., Inc. r� �n�N�� Prepared by: l 5;41/!/ Address: .62/ LI74,v4 / ?Pi/ STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is a ,py of the Miami Shores Village Building Department . 10050 N.E2ad Avenue Miami Shores, Florida 33138 Tel:1305) 795.2204 Fax: (305) 756.8972 Permit No: -637 J ' • 'Job Name • 7 -, : BUILDING CRITIQUE SHEET � / //, i 4 c, • Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Re®' v / ?C Jab Name /44 p)Z .4 ELECTRICAL CRITIQUE SHEET 2 /, i7 rl3� 7-Grp 'P, ,ij' ‘e 'Y-,012:2 psi S's /fje_ wf /✓u,tr /? 114-A 'dax ki /')`4 A•/'e ,z e_ 9 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PERMIT #: � 6621 l RECEIPT 5.73//e7 X.444/g21 DATE: /\\/ • .Contractor ❑ Owner ❑ Architect (� Picked up 2 sets of plans and (other) 1 �, Q1 J t ed 1 erkS - Address: air l0LS-F 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 Department to continue permitting process. Acknowledged bye; PERMIT CLEARK INITIAL: RESUBMITTED DATE: CLEARK INITIAL: