ELC-13-652Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 188453
Permit Number: ELC -4 -13 -652
Scheduled Inspection Date: May 15, 2013
Inspector: Devaney, Michael
Owner: WEST CONDOMINIUM, SHORES PLAZA
Job Address: 629 NE 92 Street
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: LYNCO FIRE & ALARM CORP
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060430100 -2
Phone: (305)335 -7824
Building Department Comments
INSTALL HARDWIRED SMOKE DETECTORS IN
APARTMENTS
04/10/2013 - PENDING 1 NOC FOR ALL PERMITS. As
Infractio
Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
t5d__y /5
May 14, 2013
For Inspections please call: (305)762 -4949
Page 12 of 45
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OFfIRST INSPECTION
PERMIT NO. 11'"' 45-41 TAX FOLIO NO, 1/3 420 6-0 V..3 Otp
STATE OF FLORIDA'.
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED hereby gives riatice-thatitripibireenerits will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following infirmation
is provided in this Notice of Commencement.
1111111 11111 11111 11111 11111 11111 11111 1111 1111
CFN 2013R0287378
OR Bk 28579 Ps 3921; (1ps)
RECORDED 04/12/2013 1401:21
HARVEY MIN, CLERK OF COURT
MIAMI-DADE COUNTY FLORIDA
LAST PAGE
Space above reserved for use of recording office
1. Legal descriptioneefgperty and street/address: 5140cIASS tie 74 t,.) Cu
Cf_2_,AN s-r mulim cAnerS.1 rt, 331S
2. Description of improvement 1:1•
cg."/ kYrci
3. Owner(s) name and address: -3-6‘1,3 kAL?4-TIZ.1 a CS/treAs—r sal mu. (4.2v-
Interest in property: p170-94prrril cuzAssret _ _
Name and address of /ee simple tMeHolder:
4. pontractor's name, address and phone number: 1.43C15 f AAA4149% Co 138qct LCOri.Je v
s.)vrt. s Au fila., icon% cc. czi )
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
Amount of bond $
6. Lender's name and address:
7. Persons within 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, address and phone number Y11.6&0TIZi e...t4 62 t MINA, SikfieS
Vi SA SS1S
So Cr Cpq r-ct_oSV
S. In addition to hhiiself, 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, address and phone number:
9. Expiration date of this Notice of Commencement
(the cocptration date is 1 year from the date of recording unless a different date Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NO110E OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1, SECTION 713.13. FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE _FOR
IMPROVEMENTS TO YOUR PROPER1Y. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE OB SITE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOPN IN
OR RECORDIN YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA, COU
At.
Si. !I - Cr
C?"
0 4 - - - e p , • , ' r ,
1 0 ed officer/Director/panne ., .. CERTIFY tiMI '
...eit■ ),,
Print Name .1" i'Aigia,..._. 411111111111r?:
"z ti 11C(Ci) 'TtIc c Print N:
Titte/Oce 14 e s
STATE OF FLORIDA Title/Offitii q. 4:71111iir71.111r11-Pili G".6271,
HARVEY RUT' 01 ' 1.1W, —___----
COUNTY OF MIAMI7DADE SY g.
The foregoing ins'kument was aoknowl ged before me this il day of
By NI 0 EA/0 1 r ec-1C
13 Indhiclually, orI2Pas evt 1 for
ma 4r
3
(.1M4usonally known, or la produced the following type of IdentMcation:
Signature Of Notify Public:
Print Name:
(SEAL)
VERIFICATION PURSUANtTO SECTION 92.525. FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
Sig
By
129.
)".1rok.1tSk.Z
„t4r.rits.t Hans J. Wroblesid
flICOMMISSION#EE859947
..0:7EXPIRES: DEC. 16,2016
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of Own., s) .r Owner(s)4- irized Officer/Director/Partner/Nianager who signed above:
'*1 OPrir
1
3 MO
By
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: (395) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit No.
i6) 0):EICVIE
AFR032013
BY: oomov4m4e9099019S7D^.f9M9
Master Permit No.
Permit Type: Electrical
OWNER: Name (Fee Simple Titieholder):S V OQrS c=1,141. A VO Cl1+ bPhone#:
Address: 62\ N , t�. C71� S i RCC' i ' A-Q—r 9 A
City: Mt A M� S i L State: 'EL Zip: n.l 3 q
Tenant/Lessee Name: Phone#: �c 692 q oS t%
Email: SK4F( @ L.tVc . coAA
JOB ADDRESS: G 29 NC 4 2 s-rg E
City: Miami Shores County: Miami Dade Zip: . 3' S
FoliolParcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR Company Nana:
13%G ik‘SCAy %L AI n
Main t3macto State: irL
Address:
City: Alt)
L. �jn�Ct1 +F'i Q
AAA coal) Phone#: _go< 33c g-2V
Svc -rx 3 3.
Qualifier Name: � 4z /'J 1■44P)
State Certification or Registration #: s 3 b�
Contact Phone#: - 33 'r`1 fs-2'y Email Address:
DESIGNER: Architect/Engineer:
SI 1
Phone#: 3GS• ''a3! = `"l is'L.
L i t �t) 'r) Certificate of Competency #:
ELEC.—MU- �' !� t; G-/V144$
Phone#:
Value of Work for this Permit: $ 1// SS 7 4") Square/Linear Footage of Work:
Type of Work: °Address CCAlteration °New GURepair /Replace °Demolition
Description of Work I. N%-ttu L i- 1A t'A'J 0-eni r4V (R ApAr'i i v► .C•3?S
****** **4 ass *+ *e *e*sc****s** a ew **s * *** ** 4*** s****ae*e ****** 4******* u
Submittal Fee $ Permit Fee $ /$ • 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 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 111.
141 Owner or Agent
The foregoing ment was acknowledged before me this
day of l ( 20.I),by JOkv ■\V1- 47aGk,
who is pe ly kno or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: ® p
Print: i`1 " on so
My Commission Expires:
APPROVED BY
Wrob1esk i
at. ' " ° "'' Hans J. Wroblesld
3 ;;g COMMISSION #EE858947
,
s�.cEXPIRES: DEC. 16 2016
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C+ /y
3 9- /P/4 Plans Examiner
Z.
Signature
The foregoinj instrument was acknowledged before me this q—
day of �T�� /. l , 20 / 3, by ci e Cevi i.- ✓° ✓►
who is persoOly known or who has produced.
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
31411.0
My Commission Expitak
1's °s ms J. J. w ble�s�1_
Gy ?COMMISSION #EE 858947
•� ^'*'°:EXPIRES: DEC 16,2016
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Structural Review
(Revised 07 /10/07)(Revised 06/10t2009)(Revised 3/15/09)
Zoning
Clerk