ELC-12-945Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 174063 Permit Number: ELC -5 -12 -945
Scheduled Inspection Date: June 04, 2012
Inspector: Devaney, Michael
Owner:
Job Address: 9031 -9069 BISCAYNE Boulevard 9069
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MESA BROTHERS INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)779 -8040
Parcel Number 1132060110051 -31
Phone: (305)345 -1974
Building Department Comments
LOW VOLTAGE
Passed
1
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
June 01, 2012
For Inspections please call: (305)762 -4949
Patin 11 of 99
BUILDING
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
MAI 2 3 2012
Permit No. ^ / 2 6:1'i
FBC 20,
Master Permit No. CC ® / /
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): aa/;e4 4. /1,27 Phone #:
Address: y 0 7 l 43.° .0- eQ� � � �
%
City: • f ' f ate State: 7;6a2";
N I Zip:
•
Phone#:
Tenant/Lessee Name:
Email: `
JOB ADDRESS: 70 7 ( 4 of
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO I.-°- Flood Zone:
CONTRACTOR: Company Name: Afg 40fe) � $ e - Phone# 30 4 2 4 icy
Address: 6"`7-- elb c /0 as a #091e9e,
City: /---fl .e fag, e State: / Zip: /11`
Qualifier Name: ® Phone#: 30,r- 6 0 —zfiziF
State Certification or R gistration #: f,® (27° Certificate of Competency #: / /2 76
Contact Phone #:,9f�‘.3 ®- 7-rell Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ DC® .a Square/Linear Footage of Work:
Type of Work: °Address °Alteration ONew Repair/Replace °Demolition
Description of Work: Zv i .® (7V a �
****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * ** * * **** ***+ +s****** ******** * *********
Submittal Fee $ Permit Fee $ ��0,, G () 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 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 properly 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 i ccurs seven (7) days after the building permit is issued. - the ' _ ence of such posted notice, the
inspection will not be appro1 d and a reinspection fee will be charged.
Signature
Agent
The foregoing instrumen knowledged before me this' 3
day of U" 4r , 20
who is personall known to me or wlib has produced
Signature
Contractor
The foregoing instrument was acknowledged before me this
AAA day of , 20 L by b./WeiSa
who is personall known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
as identification and who did take an oath.
NOTARY P
Sign:
t: k ei t g�
My Commission Expires:
APPROVED BY
A .� NG4Y26,l� Plans Examiner
`►.gY PVel 3
i LUIS rERIAND
Commission ExaS: •, MY COMMISSION # DD 832441
EXPIRES: November 7, 2012
gko, c5'' Bonded Tin Budget Notary Servkas
Zoning
Structural Review Clerk
(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/13/09)