The URL can be used to link to this page

ELC-12-1459Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 176752 Permit Number: ELC -8 -12 -1459 Scheduled Inspection Date: September 05, 2012 Inspector: Devaney, Michael Owner: CHURCH, ST ROSE OF LIMA CATHOLIC Job Address: 418 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: MOODY ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Repair Phone Number (305)758 -0539 Parcel Number 1122310150060 Phone: (305)758 -2000 Building Department Comments 400 AMP SERVICE REPAIR Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 04, 2012 For Inspections please call: (305)762 -4949 Page 16 of 33 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 FBC20to AUG 0 2 2012 Permit No. 2 - 14 561 Master Permit No. Permit Type: Electrical �^ %�,,� p OWNER: Name (Fee Sim 1e Titleholder): fl 1 G I fLtt��t� of Man ! Phone#: Address: q �(� I ILA /$ - &W D Ai f City: ill) M 11 � Y(C�R ROSE Ft- Zip: 3/‘0 /�J Tenant/Lessee Name: ( - ROSS OF b/1114 RECrngy Phone #: Email: JOB ADDRESS: I ItO G /0 6 gela (a City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Como van Name: dh01D eLEC e.l C 1,kris, Phone #: s'�g�''Z c Address: WO q AY W lo .S City: ll v f( I State: PL Zip: 37/c0 Qualifier Name: 1-01-63 (WO Phone #: State Certification or Registration #: t .- ODO8 q 9 Certificate of Competency #: fl n c. Contact Phone #: Email Address: DESIGNER: Architect/Engineer: JU /A. Phone#: Value of Work for this Permit: $ f ! I ?g6 oO Square/Linear Footage of Work: Type of Work: DAddress ❑Alteration ❑New kRepair/Replace ODemolition Description of Work: r 6 /?7)' P S id /6 . paw ** ** *x:+n**a * ** ***** ******* ** *+ x********* Fees**** ****m**** ******* *x: ****+x**+a*****+x******** Submittal Fee $ so' O 0 Permit Fee $ 7 v/10 3 -- CCF $ CO /CC $ Scanning Fee $ by 10 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, BOTI.RRS, 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. Signature Owner or Arent The foregoing instrument was acknowledged before me this 31 day of S (A.11 , 2012—, by JIsker. tino)O64% r te.9 , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: 1 Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * ** APPROVED B Sara Eluna Lau .1 COMMISSION # DD943764 igEXPIRES: DEC, 01, 2013 �"� WY .AARONNOTARRoom 67/2.- �2 Plans Examiner Signature v V Contracto The foregoing instrument was acknowledged before me thiss3/ day of `� , 20 i by TOII,(1 T by , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) My Commission Exp el',m P . MARY PAT BRIGGS *:. .. A MY COMMISSION # DD 979267 EXPIRES: May 11, 2014 Y�VP' Bonded 'Nu Notary Public Underwriters •'• Zoning Clerk NOTICE OF COMMENCEMENT 1 1111111111111111 111111111111111 111111111 1111 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA COUNTY OF MIAMI -DADE: STATE OF FL I HEREBY CER THE UNDERSIGNED hereby gives notice that improvements will be made toe 606 real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. This Notice of Commencement should be recorded at The Clerk of Courts Miami-Dade County Recorder Courthouse East, 22 NW First Street, 1st Floor, Miami, FL 33128 //�/ 1. Legal description of property and street/address: .1-(15?' 1-C'1 e /06- gV fin sioes rt., CFN 2012R0538977 OR Bk 28210 F'g 3788; (i139 :_ RECORDED 08:01/2012 09:12:03 HARVEY RUVINr C :LERK. OF COURT 111Al`1I- C'AG'E CCU14T t r FLORIDA LAST F'AGE RIO.A, COUNTY OF DADE rY` Ord Phi is a i 9 y cf the I3 af !NI HARVEY BY osta CILER mommommr -ar r D� /2 Clean I.C. er� xa 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: Theo Et roc /,,t)& & t n9W 12 Si' m /Its l FL 35/50 5. Surety: (Payment bond required /by owner from contractor, if any) Name and address: Amount of bond $ k A, 6. Lender's name and address: 10 / 7. Persons with the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commenpement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature -O�j mer Print Owner's Name �is�c( t�Itzc e' h tr,)©cley Swom to and subs; ed bef• e me this 5 day of JbI.�V1 Notary Public Print Notary's Name My commission expires: - t t 2O Prepared by 6 ?kr8 k s ,2012 . r Sara Elena Lau s COMMISSION # 0D943764 (Seal) = EXPIRES: DEC.01, 2013 toak WWW.AARONiOTAR