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ELC-11-1882I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 to-tgr Inspection Number: INSP- 165429 Permit Number: ELC -10 -11 -1882 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 CONNECTION ELECTRIC Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments rfr / 2_ January 10, 2012 For Inspections please call: (305)762 -4949 Page 15 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 Permit No. 1`L-C) 1 --1882 Master Permit No." 111 (�" BUILDING PERMIT APPLICATION FBC 20 RECEIVED OCT 12 2011 BY: Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): , 7"" i2 ' f (yi!//h�l� /ftitf i` 7% GAL Phone#: Address: 20 -0 17 /If lo 3ao City: /'t /A/►91 State: % Zip: °71 /ff Tenant/Lessee Name: 1-D 0t." Phone#: q v -"' f 41 Email: JOB ADDRESS: tiGa6 ! 1, CAV''r (LVI) City: Mi *mi Shores County: Foiio/Parcel #: 1 -3,20(0- ©1 f OO CQ'O Is the Building Historically Designated: Yes Miami Dade Zip: 3�1Y�' NO ✓ Flood Zone: Phone#: SG /- CONTRACTOR: Company Name: //7 /A-f f f a/v Address: 1077 4677 f3LGtL" WOW' City: WTI ' P anti/ state: Qualifier Name: J E FFrn V 1-19M at F State Certification or Registration #: Ef oobo 20 y Contact Phone#: .01- 8`62 - arI Email Address: cJCN/✓d it 0 /47t4f J74/ lid m /[Y. UI 8tva Fi Zip: 72Ya7 Phone#: Si / - d6)° 10' Certificate of Competency #: DESIGNER: Architect/Engineer. 7-/P'0 Don E " /INLIJ Phone#: mil, 7i2" ddJ1 Value of Work for this Permit: $ l 1 '`-)7, Square/Linear Footage of Work: Type of Work: ❑Addy Alteration New URepair/Replace ❑Demolition Description of Work: 1 t M C C`' I J ********** ** *** * * ********* * **** ** ** * ** :peg �xx��x******** �a�a�n *�a�x** ** * * *** * * ***�x�x** **** ** � Submittal Fee $ Sa - Permit Fee $ I� -�../' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education 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 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 PT.RCTRICAL 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. C The for e t as a kn Y be ��. �thi "� The foregoin:- instrument was acknowledged before me this day �� { 20/ L, by .r�� day of c 1% 20 I, l , by ,1 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: My Commission Expires: DUSTY R. SMITH NO AM( PU c i ORIDA My Commission Expires: * * *** * * * ** ********* *** * * * *e * * * *** * * * *** * * **** * **** ewe * * * * * * * *ee**ee *** * * *e ** ***ire *m * * *e * * * * * * * * * ** *axe * *** * ** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09)