ELC-12-1087Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 1.
Phone: (305)795-2204 Fax: (305)756 -8972
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Inspection Number: INSP- 174801 Permit Number: ELC -6 -12 -1087
Scheduled Inspection Date: November 26, 2012
Inspector: Devaney, Michael
Owner: , LEOCAVA LLC
Job Address: 9540 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: L. VAZQUEZ SERVICES CORP
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Sign
Phone Number
Parcel Number 1132060132630
Phone: (305)308 -9706
Building Department Comments
FLAT SIGN CHANNEL LETTERS NEON MOUNTED ON
RAILWAY
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Co
November 26, 2012
For Inspections please call: (305)762 -4949
Page 3 of 11
Miami Shores Village ; t k_ = EIVED
Building Department JUN 13 ?012
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. t 2- - 10Y1
Master Permit No. N) 1 =
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): -0 ism Phone #:
Address: Bice / /%e- 2 ,c /a' e /etc / e �G/ e slit r J G /G: L L G '5' ei ,(J e- .2 /-41./e
City: 11% fe �' // j/ v i,- e J State: �C.. Zip: 33 /..,,r----
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS:
City:
Folio/Parcel #:
76" 4® / Z ,9'e frt /4` / ,54A625/
Miami Shores
County:
Miami Dade Zip:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: C'.171 1 fele Z U8,9 L / T C ° Phone #: 30y 549 ?- 97 94;
Address: /77 "/ /' %G' _Ft
City: /1/x='/4/ State: r``" Zip: �� / t 7
Qualifier Name: V 6,
Phone#: 36 5 7 AY- 4/7 e C
State Certification or Registration #: O(Vt.) Certificate of Competency #: � -4).oci� Pz7
Contact Phone #: 5P,(1 — 3Pi °'i9L) Email Address: \717-514 A/ r4Jgo6( -; Cc -J7
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ v 0 ° ' c� 0 ��,,,��NS "
❑ Square/Linear Footage of Work: ° .0
Type of Work: Address ❑Alteration ,rew ❑Repair/Re lace UD olition
Description of Work: /2. , �` / �✓ � 1 t� // ° fr iv)
/7/6' m O /) • 4""/ /11 /L' --rte;/ '! i,//4 i ' c,',4'/ =a
* ********** ***** *+ x************* ******** Fees****. x**+ x***** ******* *** *a: ***•x*+x********** ***
Submittal Fee $ Permit Fee $ /00 100 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ l tae
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 AI k I.I)AVIT: 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 appr4pved and a reinspection fee will be charged.
Signature
ni/A
Owner or Agent
The foregoing instrument was acknowledged before me this
day of le b(41,20 0 I L by d 0 r
who i personally know me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
1J0 revel
My Commission Expires:
********* **********•<„
APPROVED BY
Signature
Contractor IO_ E ,,Alc.'i'b
The foregoing instrument was acknowledged before me thisd9
day of Fi , 20 [Z-, by 1,\_127StT 6 1
who is personally known to me or who has produced
as identification and who did take an oath.
NOT UBLIC:
Sign:
Print:
My Commission
MAYRA E. PAREDES
MY COMMISSION # DD 990637
EXPIRES: June 30, 2014
pf viS Bonded Thru Notary Public Underwriters
A Ai
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ZCov L
Ti""t°Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk