ELC-13-653Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 188461 Permit Number: ELC- 4- 13-653
Scheduled Inspection Date: May 15, 2013
Inspector: Devaney, Michael
Owner: WEST CONDOMINIUM, SHORES PLAZA
Job Address: 637 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 -3
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
May 14, 2013
For Inspections please call: (305)762 -4949
Page 13 of 45
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON TIM JOB SITE AT TIME OPFMST INSPECTION
PERMIT NO., i'K"- 4s-n TAX FOUO NO.
1111111 11111 11111 11111 11111 11111 111111111 1111
CFN 2013R0287378
OR Bk 28579 Ps 3921; Ups)
RECORDED 04/12/2013 140121
HARVEY RUVIN? CLERK OF COURT
MIAMI-DADE COUNTY? FLORIDA
LAST PAGE
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED hereby gives ricificelhatirripitininierits will be made to certain real
property, and in accordance with Chapter 713 Florida Statutes, the following information
Is provided in this Notice of Commencement.
Space above reserved for use of recording office
1. Legal description f roperty and street/address: SMWASS
cr-Lia% pAwni cvklerc 3sIs
2. Description of improvement: •
"rtg
3. Owner(s) narne and address: 1-880 VALIN4-Tc41C. - eS vs) eAr—r
Interest in property: pgapirtr7r4sw otz...scrw- _
Name and address Onee simple tideliolder:
AI NIT car
4. Qontractort name, address and phone number Lifp.)03 rVi-r f
S six-re g m thmu - I
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)(47., Florida Statutes,
Name, address and phone number: y L fierlai C..14 6? /ace ciZar. &I; AA INAA s 1-VaneS
ft SA .3S 1
So C" Act Z. qs)T%-/
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number
6.1A41" Cone I Sisqc1 tsce-oic v
9. Expiration date of this Notice of Commencement:
(the expiration 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 NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER TM PART L SECTION 713.13. FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE_FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 013 SITE B E THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN
OR RECORDIN YOUR NOTICE OF COMMENCEMENT.
i411110 ^-_I- i'00"41 . -
' LA- . Officer/DIrector/Partne STATE OF FLORIDA, WU
I ii ,,, CERTIFY that
signatur .. . it. $
U. t. , 7 t.tc C Print N . * ' Sell" thi"ace
Prepared `+.41.-•.k_ —
Print Name uz ot,OU
TitlefOffibe r az S Title/Offi
STATE OF FLORIDA HARVEY
COUNTY OF MIAMI-DADE By
The foregoing instrument was acknowledged before me this 11 day of
,
0 IndMdually, or pPas reict,e0 for
By .1 0 EA/0 ri pnitr (..,1(
ersonally known, or IZI produced the following type of identification:
Signature of Notary Public:
Print Name:
..tiitelf,A Hans J. Wrobleski
Itg* lincommssioa #E858947
tl
cillEVIRES: DE6.16,2016
..,./..,„,,„.
(SEAL)
muaoloottffiumonsuargrouRojAsiAnm.
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. icww.AARONNOTARY.oxn
Sig re( of Owne s) • r Owner(s)1- A „I; rized Officer/Director/Partner/Manager who signed above:
By /er- OW :AL,!,/ By
1 -52 3W10
Miami Shores Village
G' 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
FBCZO
FVOMBV'q
pFR 0 3 2013 J
Y: e�vvevve-- vve�'ovme
Permit No. C1 5 195�
Master Permit No.
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder):S 140 QE'S c3 k,(41- A W iMI cb bPhone#:
Address: 627\ N . ii. 012 '3 t t .c A-vT 4 A rte,,
City: !mil f%r a S 1�o2tgS State: 'PL zap: 83.13
Tenant/Lessee Name: 3c 69 2 b S
Email: K e .L pM
JOB ADDRESS: 6sn tqc c a. `3TR
City: Miami Shores
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
County: Miami Dade
Tap: .t;? 3 £�
CONTRACTOR Company Name: 1.1")C0 fi+R 74.4kron Coop Phone#: SOS 33' $-2V
Address: 1 STSG1 a► CcAS Cey NIC t L-V S V v1":0, 313
City: ,&k M tAss" o t . Fic t4 State: 'PL
Qualifier Name: °- t=VF6i' rt I..y„ !r3
State Certification or Registration #: 'C.. 1300 sy.) 6") Certificate of Competency #:
Contact Phone#: SOS- 33 "r1 vs-2.4 , Email Address: EL - Q:tC. -SE aNs14% .CQM
DESIGNER: Architect/Engineer: Phone#:
Zip: S3 1 j
Phone#: &'L.Y
Value of Work for this Permit: $ j 455'7 °" Square/Linear Footage of Work:
Type of Work: OAddress E Alteration
ONew ORepair/Replace
ODemolition
Description of Work: L NSr"lis\-t_ 14^ AA w +ft t. E.- €Cz'a4S %J 4 -An{..T 7(
** ** *see * *saai********xt**** *ash*as*s* *****+ **** ** *+s* ****** *** **** **
Submittal Fee $ Permit Fee $/-4-49 'i ej
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF$ CO /CC$
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ I Id
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 $250D, 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.
Owner or Agent
The foregoing in went was acknowledged before me this 2—
day of April ,20,13, by j ®1n k.��'%ftLk,
who is pe rally known to or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Hot✓tS 1-Jfoblea■
My Commission Expires:
** *** *********
�•""rr"'� Hans J. Wrobleski
���pytYPtje`�, MISSION #EE858947
It V EXPIRES: DEC. 16,2016 -it
4q°g,,..... WWW.AARONNOTARY.cam
* * **** * * * **** ******
APPROVED BY f4& ~ Plans Examiner
Signature
Contractor
The foregoing instrument was acknowledged( before me this 2-
day of t4 ®r( 1 , 20 f 3, by deg"(C L/ ruet
who is ?` • wn :. or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Structural Review
(Revised 07 /10/07)(Revised 06/1012009)(Revised 3/15/09)
Sign:
Print:
110.0 biro &
My Commission E'xpirelit• reCOMMISSION� #►EE858947
s'' - -`- EXPIRES: DEC. 16, 2016
WWW.AARONNOTARY.com
Zoning
Clerk