ELC-11-2067Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 166406 Permit Number: ELC -11 -11 -2067
Scheduled Inspection Date: December 22, 2011
Inspector: Devaney, Michael
Owner:
Job Address: 9475 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MEGA ELECTRIC INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060133760
Phone: (305) 828 -5205
Building Department Comments
REMOVAL OF EXISTING LIGHT FIXTURES.
INSTALLATION OF NEW 2X4 FLOURESCENT LIGHT
FIXTURES.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
December 21, 2011
For Inspections please call: (305)762 -4949
Page 6 of 25
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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 APPLICATION
FBC 20
Permit No.
Master Permit No.
RECET VE .
NOV 0 7 2011
BY:
efL
fG 11-- oW(ol-
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): Bank of America Phone #:
Address:
City: Charlotte State: North Carolina Zip: 28202
Tenant/Lessee Name: Phone #:
Email:
525 North Tryon
JOB ADDRESS: 9475 NE 2nd Ave (Also referenced as 9499 NE 2nd Ave)
City: Miami Shores County: Miami Dade
Folio/Parcel #: 11 -3206- 013 -3760
Is the Building Historically Designated: Yes NO x Flood Zone:
Zip: 33138
CONTRACTOR: Company Name: Mega Electric, Inc. Phone#:
Address: 16252 Northwest 79th Avenue
City: Hialeah State: 1 FL Zip: 33016 -6132
Qualifier Name: 4 t 1st r y ( — � a i l Phone #: 3 b - 32.-S
State Certification or Registration #: EC - 0 0 01'1'x$ Certificate of Competency #:
Contact Phone #: 30c- $ 2$ > 6'10 Email Address:
DESIGNER: Architect/Engineer: Phone #: 305 sgzg 5205
Value of Work for this Permit: $ 31 30o. ap Square/Linear Footage of Work:
Type of Work: ❑Address DAlteration UNew )4Repair/Replace ❑Demolition
Description of Work:
BREAKROOM: Removal of existing Tight fixtures.
Installation of new 2x4 flourescent Tight fixtures.
* * * * * * * *** * *** ** **** ***********:x******* Fees******** ***+ x***** ***• x:: x •x****************x * **
Submittal Fee $ ��"` Permit Fee $ / ®' G' e) 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 FI F.CTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S Ali k WAVIT: 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 esti
promise in good faith that a copy of the notice of commencement and constructio
whose property is subject to attachment. Also, a certified copy of the recorded no "ce of co
for the first inspection which occurs seven (7) days after the building permit s iss ,'ed.
inspection will not be approved and a rein ection fee will be charged.
ceeding $2500, the applicant must
ill be delivered to the person
must be posted at the job site
e of such posted notice, the
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of Atoka '' 20 ,bey $ie r) 4 d enieri
who is on. y o ,., to me or o as produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires.
Notary Public State of Florida
Nicole Glass
% d My Commission EE032587
1,4,0 Expires 10/05/2014
C
The foregoing instrument was acknowledged before me this a
day of gra 114.46.4r , 20 IL, by Ac ► s i ear -1.04..4
who is personally known to me or who has produced
as id ntification and who did take an oath.
NOTARY PL \C:
Sign:
Print:
My Commission Expires:
KARELVALDES
T. MY COMMISSION # EE 134858
EXPIRES: October 2, 2015
j: Bonded ltuu Netmy Pub&c Ui emi&s
* * * ** *** * * * * ** * *** * *** * **** ** * * * * * * *** * * * * * ** * * * * * * * * * * ** * * ** * * * * * * * * * * * * * * ** :** ** *u« *urea * * * * * * * * * * * * * * * **
r1 '� Plans Examiner
APPROVED BY
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk