ELC-10-1110Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 146393
Permit Number: ELC -6 -10 -1110
Scheduled Inspection Date: April 13, 2011
Inspector: Devaney, Michael
Owner: SYLVAIN, FRED
Job Address: 9100 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: RYAC ELECTRIC COMPANY CORP
Permit Type: Electrical - Commercial'
Inspection Type: Final
Work Classification: Temp for Construction
Phone Number (305)759 -6235
Parcel Number 1132060133200
Phone: (305)308 -5061
Building Department Comments
ELECTRICAL SERVICE FOR TEMP FOR
CONSTRUCTION
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
/ ? "7771-
April 12, 2011
For Inspections please call: (305)762 -4949
Page 4 of 21
Miami Shores Village paZEWZD
Building Department B JUN 1 6 2010 gli
BY:
Master Permit No.
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 No. E r ..
PERMIT APPLICATION
FBC 20
Permit Type: Electrical
pp Jeh oval() s
OWNER: Name (Fee Simple Titleholder): M I U►m 1 Shores C r 33 req ah a (l O i Phone #:
Address: 9100 NE 2 Ade gnu e J ��lJ
City: M i C..m i Shores state: FL
Altnesses Inc.
Tenant/Lessee Name: Phone#:
Zip: 3313 8
Email:
JOB ADDRESS: a 100 NI E 2 Avenue.
City: Miami Shores
Folio/Parcel #: i 13 20 (DO 131 2.00
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address: 2--55 el 3 sW
City: T.6 i, 7—
Qualifier Name:
County: Miami Dade
Zip: 33138
NO Flood Zone:
Phone#: (7 Y 6) 2-5/ 371 V
,WycaprzcT,eia
Co. Co/t
3g4 NY'
fate: - i
Zip: 3313 -5
Phone#:
State Certification or Registration #: 1r 3 1 5 � Certificate of Competency #: o
Contact Phone#: (7 02;5.7 — 37/ Email Address: R g 1 e e S r
DESIGNER: Architect/Engineer:
Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration
Description of Work:
UNew ❑Repair/Replace
❑Demolition
***** **************** ***** *** ** x ******* pees**** ****** * *** ***** ************** **** * ******
Submittal Fee $ Permit Fee $ ,,,e.'4' ez
'4' o ‘ � CCF $ .1 �
Scanning Fee $ e 'l' _:� ) Radon Fee $ L
Notary $ Training/Education Fee $ ( °
Double Fee $ Structural Review $
CO /CC $
DBPR $ Bond $
Technology Fee $ ,f)
TOTAL FEE NOW DUE $ 1f.in•(1 (
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 , - , . sted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of posted notice, the
inspection will not be approved a a r pection fee will be charged.
Signature
tis"1i('or Agent
The foregoing instrumen , as acknowledged before me this / i
day of 71i,/71,- , 20 /0 , by /`/2F /9 5-
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commissi
*0*************0*0****
APPROVED BY
Signature
Contractor
The foregoing instrument was acknowledged before me this/
day of ..3i/Ave; , 20/ Q , by A'1 MA Po AIDS / ,
who is personally known to me or who has produced 1/
as identification and who did take an oath.
NOTARY PUBLIC:
2/ /U /e? Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Sign:
Print:
My Co
_ PEREZ
ag'... r Y comm
# DD590708
. /.gxp1 10
OF 0 st d it es: Florida NoteiY �cacom
Zoning
Clerk
06/17/2010 11:29 3056332120
UNITED IRON WORKS
aUILDIN[, AND ZONfNG DEPARTMENT
!OOSC N.E. GECONO AVENUE
MIAMI SHORES. FLORIOA 33138.2382
TELL*PNONE I3o5t 795.220a •
PAX 43051 78.89=2
DAVIT FOR 30 DAY TEMPORARY-ELECTRIC SERVICE
(To be emoted by Owner »aul/or Teem, %Meg & Elul Cootr tctor)
NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE"
UPON 30 DAY ThRMINAllON UNLESS ,APPLICATION 3S B D
PAGE 01
It is understood that the temporary-electrical approval by the Miami Shores Village, Build ig & Zoning Department
given, in connection with the building being constructed under
Binding Permit No. C C -1- 10 -113 Electrical Permit No E L C - 5 -10 - l q q
at address: _ g1 O NE Z Ave , Miami shores. FL 33130
for owners:
is being given only for construction purposes or for testing the fa/lowing installations being made in said structure:
Sub-paragraph 45013 (d) (3) of the South Thiida Building Code provides for a 30 day u =Mum approval only in an
URGENT NECESSI'I Y for electric current exists. Necessity shall include the use of await for iaigation, secarity,
humidity control, emergency power and lighting, such as for testing or won purpza s, provided the Electrical
Contractor and owner do hereby agree to assume the responsibility of maintaining the i str iWion in such a manner that
there is no hazard to life and property.
Such approval is in no event to be considered a release of said structure for purposes dun and occupancy, and no
occupancy shall be granted or permitted until final inspections have been called fbr and ap Moved by the inspection
divisions concerned, and an occupancy permit obtained.
The undersigned also understand that the temporary -eIectric approval is subject to resamic n and canon, and
electric power can be cut off at the discretion of the Buda% and Zoning Department and s rill be disconnected if the
building concerned is occupied before final inspections are approved and occupancy permit obtained.
depose and sty that I am a owner of the above described property, and that I agree
agreement shell not be occupied until the bru'idmg contractor has obtained
Sworn end subscribed before me this 17
day of ,/
Notary
MyC
.rte
tiurtpiressuzRAIN -_REZ
MY COMMISSION # DD590708
14.0110 EXPIRES: Aug. 30.2010
(407) 398.0153 Florida Notary §ervicaaom
v
Page 1 of 2
being first duly sworn,
structure covered in this
nos_
IONA
SIGNA.i OF NO '1 MY PUBLIC
06/17/2010 11:29 3056332120
30 DAY TEMPORARY-ELECTRIC SERVICE (continue"
UNITED IRON WORKS
f-CA) 0S-14. yo'e
, first duly ,rq
depose and say that I am the Electrical Contractor for the above described property and i .t , , . 'G ! ations as
now existing will not create a safety hazard if iernporury- service is connected.
PAGE 02
Sworn and subscribed before me this / 7
ofFi a
• f.),4IZRAIN PEREZ
MY COMMISSION # DD590708
s4'OFF10 EXPIRES: Aug. 30,2010
(407) 398-0163 Florida Notary So+Wcacom
SIGNATt1!€E OF N A.R PUBLIC
(//(L , kit g lust duly sworn,
depose and said that I am the Building Contractor ofthe above described property and that I wi 11 not permit occupancy
ofthis building until final division obtained and that I have the authority iosolk as the owiner of said property is
concerned to prohibit occupancy until such final inspections are obtained.
Sworn and subscribed before me this 1 /-
day of l)al€ itC
Notary Public, State of Florida at Large
My Cotutaission Ems:
4., DAYNIEL DEL LLANO
MY COMMISSION # DD763946
of. EXPIRES March 02, 2012
( 407) 398 -0151 7-:- rid,NotarySorvice.com
SIGNATURE OF ELECTRICAL INSPECTOR
,Dane:
Page 2 of
Release to FLORIDA POWER & Lit MT CO.
by: (name)
Date:
To: (name)