The URL can be used to link to this page

ELC-11-1876Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 165423 Permit Number: ELC -10 -11 -1876 Scheduled Inspection Date: January 11, 2012 Permit Type: Electrical - Commercial Inspection Type: Final Owner: , SHORES SQUARE INVESTMENTS Work Classification: Sign Job Address: 9005 BISCAYNE Boulevard Miami Shores, FL 33138- Inspector: Devaney, Michael Project: <NONE> Contractor: ATLAS SIGNS OF LAKE WORTH INC Phone Number Parcel Number 1132060110060 Phone: (561)863 -6659 Building Department Comments ELECTRIC FINAL CONNECTION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments - January 10, 2012 For Inspections please call: (305)762 -4949 Page 12 of 37 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 No. ELC, 1 t —1 B--1� PERMIT APPLICATION Master Permit No. 9AINS < 1--1 5 FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): ,r Hit ,f &V,W /Mj, 7 €Yff LU. Phone#: Address: 30-0 ? 1? 1120 /2 {2 s7? 3a& City: /!'/ M/4/ State: %L Zip: .13 /7G Tenant/Lessee Name: % D :5A0,C..1 #1.1. 1 Phone#: 95V- 535 -Sly f Email: JOB ADDRESS: 8005- R 1I C AO' 8LUi' City: Miami Shores County: Miami Dade Zip: 1.? / Yf Folio/Parcel #: 11- 3a DCo - D l 1- © °COO Is the Building Historically Designated: Yes NO ✓ Flood Zone: „_---A-.: CONTRACTOR: Company Name: /4 -71 k( f f &t' 1 r ` Phone #: SG /- T(i' 6' ' Address: 1077 k' a 7 a but wow, /DCVO City: fin/t77 PlALA tl'C1' State: Ft Zip: 72Yd7 Qualifier Name: t) Erin i67 V Al 9 Mat F State Certification or Registration #: I- Jaw ZO y Certificate of Competency #: Phone#: 3'6/ - /G.?- Contact Phone #: Sri I- r67- 66Sy Email Address: UCM/✓, it 0 ,4714f .T/Gn/ (HDt/1 %f1 /tf.. //I DESIGNER: Architect/Engineer: TWO 001E f /vi c ANL i f Phone#: Ws 712- /1-11 Value of Work for this Permit: $ / ``-v Square/Linear Footage of Work: Type of Work: DAddr °Alteration i New °Rep ' /Repldce °Demolition Description of Work: 1/4 otic Submittal Fee $ ' r lo.ty 1p Permit Fee $ /42,e e,‘-* CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Educatlon 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 hag 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 Fi FC1'RICAL 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. Si The fore day o who is :MO Owner or A ackno ' • ledged rsonally known to or who has produced As identification and who did take an oath. Y PUBL C: The foregoing instnunent was acknowledged before me this Z day of 1i'; , 20 L , by who is personally kno' , >>�� - 'r 1fir `1\ NOTARY P� an oath. Cornm# EE083019 fires 15 Sign:s� v Print y Commission Expires: My Commission Expires: �u�� a� x�e � � �� * * * ** ********** e************* e*********** * * * * *** * * *e * * *e * * * *m * * *** * *** ** APPROVED BY /i� /3 6,'c7 Plans Examiner Zoning Structural Review Clerk (Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09)