ELC-11-1880•
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
1 I -IYl°I
Inspection Number: INSP- 165427 Permit Number: ELC -10 -11 -1880
Scheduled Inspection Date: January 11, 2012
Inspector: Devaney, Michael
Owner: , SHORES SQUARE INVESTMENTS
Job Address: 9005 BISCAYNE Boulevard
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ATLAS SIGNS OF LAKE WORTH INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Sign
Phone Number
Parcel Number 1132060110060
Phone: (561)863 -6659
Building Department Comments
FINAL ELECTRIC 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 14 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
RECEIVED
OCT 122011
BY:
BUILDING Permit No. t. LG I 1 I M
PERMIT APPLICATION Master Permit No. 5(.5)`.1 1 f e
FBC 20
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): S71/1 ' f &VH( 11VEf7/ 017f 1-L6 Phone#:
Address: .J o-o )71Plo ve 3a6
City: /!'l /Atli State: FL zip: J,
Tenant/LesseeName: `'D• ZLit.rl k-) 1). A . Phone#: `b`S. - 1
Email:
JOB ADDRESS: ?Of R If CAYfc °LW)
City: Miami Shores County: Miami Dade Zip: 3., / Y8
Folio/Parcel #: I t — 3a OCP — 0( 1 — Ob (p0
Is the Building Historically Designated: Yes NO ✓ Flood Zone:
b,c1���o r1�
CONTRACTOR: Company Name: All A-1 f /6./v /D4'f`r -N Phone #: S/r /- Ms i/J7
Address: 107? x677 13 Gi/ Htno✓l L? Ive
City: ,ET7 PAtm 13r, i/ State: Ft zip: 72Ya7
Qualifier Name: J C F(l n ' /I 1) Ma /' (' Phone#: 4 / - Al ° /0'
State Certification or Registration #: Ef OOGG ZOV Certificate of Competency #:
Contact Phone #: .5 i$ I - t62 - 6 6r 9 Email Address: tie/V/4 it 0 A71 4-f J761/ 00141712/Er. of
DESIGNER: Architect/Engineer. Net Oo n r 41 half Phone#: n l- IV- afr
Value of Work for this Permit: $ t T 1`--'' '" Square/Linear Footage of Work:
Type of Work: ❑Address Alteration ONew °Repair/Replace ODemolition
Description of Work: 1t/'JA ( t.. 1 (\-e 04-c eY\
Submittal Fee $ 53- 9 Permit Fee $ ,�,�`9 oc'c' CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ k(') ' \
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 FT.FCTRICAL 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
Signature
Owner or
The fore
it yeas ac
(/ , by
who is personally
to me or who has produced
M identification and who did take an oath.
C:
1
a �Ni
,n` ! Contr.etor
The foregoing instrument was acknowledged before me this i L
day of 11 , 20 111 , byA
who is personally known to me �,y,� uced� �'
. e Dl��'T`�.Il
thl9did take an oath.
STATE OF FLORIDA
rum# EE083019
212,Ei2i1
Sign: a %„,,_. L L., \. \
Print:. - o‘ A.. 4—Al .
My Commission Expires:
or
** ** *********** e*e *******************e* ee******* * * *e *e * * * * ** * * * * * * * * * * *** * * * * **
Plans Examiner
APPROVED BY /l
Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)