ELC-13-655Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 188481
Permit Number: ELC -4 -13 -655
Scheduled Inspection Date: May 15, 2013
Inspector: Devaney, Michael
Owner: WEST CONDOMINIUM, SHORES PLAZA
Job Address: 657 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 -5
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
PA_
May 14, 2013
For Inspections please call: (305)762 -4949
Page 15 of 45
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OFFIRST INSPECTION
PERMIT NO. I " 45-n TAX FOLIO NO, ! t .70 6"0 `
STATE OF FLORIDA
COUNTY OF MIAMI -DADE:
111111111111111111111111111111111111111111111
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.
CFN 2013R0287378
OR Bk 28579 Ps 3921; (1os)
RECORDED 04/12/2013 14:01:21
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
Space above reserved for use of recording office
1. Legal description f roperty and street/address: S KtEES (�L4 ?A W t CU t3
/ r pAtivAl Sminam R. .3 313
2. Description of improvement:
"7.1 YSG
3.Owner(s) name and address: :Jd WS KtL?A.-TitI CK - t2 C5VDEms' C2) MIT C 2 CT 4- 7,
interest in property:. PR c.t nptrt 0i cm • _
Name and address of ee simple titleetlolder:
4. Qontractor's name, address and phone number. _ 1,41 Vvit -r f & MW% Comp, 13kctQ R gale
Dori y�, loo enu:#.ni 'SAD► f C 33I Fc 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)(07., Florida Statutes,
Name, address and phone number: ¥' L S 62 • N t6 g2,Aj .1- MINA" c . S 14.0,172.8
314 33t3 �1 So 6q 2
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.
Named address and phone number:
9. Expiration date of this Notice of Commencement
(the expiration date b 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 OB SITE B O % ° E THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN
OR RECORDiN r YOUR NOTICE OF COMMENCEMENT. RTATit OF FLORIDA, COU
Signature( Qa s ► j►*' o
Prepared s 'Zi1Lt�1.1._ — mil c
Print Name '''Z' otf *J 1 t U. (1.
Title/Office P 111.x: 5
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The foregoing instrument was a I
By .,I o Rio
la Individually, or
ed Officer/Director/Partner s.' . CERfl Oult
Prepar- , ,; filed in This ice
TL /C C PrintN
Title/OffiMN
HARVEY R
wlpdged0- _
before me this L day of
for
, ersonafiy known, or I produced the following type of identification:
Signature of Notary Public:
Print Name:
(SEAL)
nategmaintasimiamesamierarkammumaara
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.
8,-%(-‘3 f,.it-abfsrsc.
••• "Y "''�� Hans J. Wroblesld
�•oI! Pye�yc
B. =COMMISSION #EE858947
EXPIRES: DEC.16, 2016
''•� mN •P YVWN►:AARONNOTARYoom
•
rized Officer/Director/Partner/Manager who signed above:
BY
Miami Shores Village
6 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 No. CA) °1D
PERMIT APPLICATION Master Permit No.
aFR 0 3 2013
FBC 20
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): OtrS cAW1A Wen MP-AN bPhone#:
Address: 62N 1V . C. 01.2 '3 c RAC^ A iY'T 9 A rJ,,
City: /NM A'n \ S 4aLZtl=S State: 'EL Zap: i
Tenant/Lessee Name: Phone#: '' 6' 2. g 0 S y
Finail. K 4 2( @ 1•-t v • CA) AA
JOB ADDRESS: 6sri s-r a
City: Miami Shores County: Miami Dade Zip: 33'1 Er
FoliolParcel#:
Is the Banding Historically Designated: Yes NO Flood Zone:
CONTRACTOR Company Name: kiticv ripe `�-
ti
Address: 13%1 Oh RNsCA■ tSLV t?
City: Ago M t tlnn t CS Erac 14 State: 'Ft.,
Qualifier Name: �e lz p.t
State Certification or Registration #: C 13 3 6`7
Contact Phone#: SOS- 33 'rt % 2Y Email Address:
/MA t1M
Svc f
Cvttp Phone#: 30S' 33C '`7 $-2V
.313.
. ` Zap: 33 f �< 1
Phone#: 3os- '°534.=
C Ca0 r"i Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 1,W 7 " Square/Li sear Footage of Work:
CINew CORepair/Replace
Description of Work: N',c. _ 14 ° r4 t...)% a r.MdeCa be- rCC'ru
Type of Work: OAddress
CDDemolition
Submittal Fee $ Permit Fee
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL 1 ?'EE 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 retnspection fee will be charged
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 2--
day of 4oti( ,20: 3 by J0Li" I�cIpA4rlL� ,
who is perso ii nown to or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: c.... l�
Print 1/4,r1 S
My Commission Expires:
* **** *** * * *** *** **
APPROVED B
oiro b l esk_;
ggr�'••, Hans J. Wrobleski
:camMISSION #EE858947
•' f`- EEXPIRES: DEC. 16,2016
4t , p.`� WWW.AARONNOTARY.com
Signature
Contractor
The foregoing instrument was acknowledged�before me this
day of t�0` i) , 20 13_, by iecrc t1 VW\ ,
who is pera q known to rte or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
,,�tr►rpoa , Hans J. Wrobleski
My Commission Expires:, n COMMISSION#EE858947
' -� `s"EXPIRES: DEC. 16, 2016
s'%%.,° ;,;:0`�, WWW.AARONNOTARY.com
** *** * * *** * **ONO *** *** * ****** *** *st**** * **** sit *** **** * **
PPL Plans Examiner
Structural Review
(Revised 07 /10107)(Revised 06/10/2009XRevised 3/15109)
Zoning
Clerk