ELC-13-654Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 188472 Permit Number: ELC -4 -13 -654
Scheduled Inspection Date: May 15, 2013
Inspector: Devaney, Michael
Owner: WEST CONDOMINIUM, SHORES PLAZA
Job Address: 645 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 -4
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
is /Vay a6, /7
May 14, 2013
For Inspections please call: (305)762 -4949
Page 14 of 45
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OFHHST INSPECTION
PERMIT NO. I'! 45-1 TAX FOLIO NO, f l % 3 .P® do ci3
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
111111111111111111111111111111111111111111111
CFN 2O 13RO 8 t' 3 r'8
OR Bk 23579 Ps 39216 (ips)
RECORDED 04/12/2013 14:01:21
HARVEY RUVINr CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
THE UNDERSIGNED hereby gives notice that.improvements 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.
1. Legal description gf t perty and streeVaddress: SlketttES
Space above reserved for use of reaarding office
CU_
N q2 S "NM S 12 t?5., a 311s
2. Description of improvement:
3.Owner(s) name and address: 1.6 1C1 L 4 ^11e. t C jC - M 1A E.,S -r ^
� '� (� 6'2 I q2 'Z A
Interest In property: f?op coez �cr,2
o,,y _
Name and address . of 'lee simple tltletroIder -
4. Contractor's name, address and phone number. (.if 8 VVi-r f d.(p w Cog s ` I Vs'gq t3 ISCas-.iE 'Crsl. V
$ v \' c & i S Joe Altmedu 'ItK A � 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)(a)7., Florida Statutes,
Name, address and phone number:
.NCf •-T Ifx ,. s bon es
c SA 3313 V So 6q 2 gos�d
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.
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 713, PART I,' 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 09 SITE : ?- • °E THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN
OR RECORDIN r YOUR NOTICE OF COMMENCEMENT.
Signatur.= - �f4.440 s _ - ii, it o ►- • Officer/Director/Partner
Prepared is i..._ t .. : Prepare
Print Name 'l ®tf 4J 1 " 7 C ,, , T L(c C Print N -:
Title/Office P ae S Tttle/Offi
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The foregoing In ent was acknowledged before me this /1 day
By
❑ Individually, or Pas for
ersonaily known, or ❑ produced the following type of`Identification:
Signature of Notary Public:
Print Name:
STATE OF FLORIDA, CO U
CERTIFY that
*Jinn* ON
r'
HARVEY
sv..
of
(SEAL)
Under penalties of "perjury, I declare that ( have read the foregoing and
that the facts stated in It are true, to the best of my knowledge and belief.
01 "', Hans J. Wrobleski
8'g :ICOMMISSION #EE858947
Sy; ' -� /* TIMES: MES: DEC.16, 2016
, %" .p s WW W:AARONNOTARY•cont
A 1r razed Officer/Director/Partner/Manager who signed above:
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: (305) 762.4949
Permit No. 1
Master Permit No.
BUILDING
PERMIT APPLICATION
FBC20
lamowrci
AFR032 3
Bp: o.�oor± womome�t!eppc ®nm
Permit Type: Electrical C-
OWNER: Name (Fee Simple Titleholder):.,3 V OQCS 2 A WIZ Cb bPhone#:
Address: 62-N lal . tCi. 012 '3 t i G' i A -e—r 4 A
City: !fit A on S 1Iw2tL S State: 'F1,. Tap: nl S Cl
Tenant/Lessee Name: Phone# 3c 69 2 clock-)
Email: 2 e . c v,N+
JOB ADDRESS: GUS
City: Miami Shores County: Miami Dade Zap: .17 t S Er
Folio/Parcel#:
Alq G[ 2. S'Ta
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address: 13fi -ctq •15CAy (3L J
City: Alt, M tAnn t� mac 13 State: 'et..
Qualifier Name: **-Sr e. N i- `4r�s, -1
State Certification or Registration #: �L P 3 s,'r) 6'7
Contact Phone#: SOS- SS S"= '11 %S'D4 _ Email Address:
NO Flood Zone:
L. ti(IJCv 'F'1 9e" �- 11-tA nnn CO 1 Phone#: SOS 33S 7-1 $'2V
zip: S3
Phone#: 3�- "S3L - f's2v
00 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit $ , Sce7 ° Square/Linear Footage of Work:
Type of Work: OAddress C9A1teration
ONew ORepair/Replace
ODemolition
Description of Work: t t4 A C V t,4% its ,tsAtiletar E^rcCr'orkS la ,g pA f7inn ssi S
***************************************F * **** * **** * see ******** r* ► ******** ****
Submittal Fee $ Permit Fee $ /P /0"�
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ I I V e
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reirzspection fee will be charged.
Signature
g.
/op 0-1111111:
Owner or Agen
The forego nstrument was acknowledged before me this f Z..
day of 4f(1 l , 20 13. by J Q kvt �i I Fact( e r, _ ,
who is y known tom or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
dtr%
My Commission Expires:
,.p`�`�pYP(jr; Hans J. Wrobleskl
aft; : , °s_COMMISSION #EE858947
4' , tee; EXPIRES: DEC. 16,2016
,F;;�`° WWW.AARONNOTARY.com
** s*s * *** *s * * *** ******* *** **a*ss� wes*n ews+ ** ** *** **r ************ s*syss es***sees+is ear
APPROVED BY Pit Plans Examiner Zoning
Signature
Contractor
The foregoing instrument was acknowledged before me this 2-
day of Apr; ( ,20Jiby J f 1 'fAeo ,
who is ,Y : ly kno , me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
(1.--) '"'' L----
Print Pdt #1. f6, 640$ A.;
" °, Hans J. Wrobleski
My Commission Expi°.hY Ppe
:;f :COMMISSION#EE858947
, " /EXPIRES: DEC. 16 2016
-4r „C��� W.tW.AARONNOTARY.co11I..
Structural Review Clerk
(Revised O7 /10/07)(Revised 0 /10/2004)(Revised 3/15/09)