ELC-13-656Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 188490 Permit Number: ELC -4 -13 -656
Scheduled Inspection Date: May 15, 2013
Inspector: Devaney, Michael
Owner: WEST CONDOMINIUM, SHORES PLAZA
Job Address: 673 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 -6
Phone: (305)335 -7824
Building Department Comments
INSTALL HARDWIRED SMOKE DETECTORS IN
APARTMENTS
04/10/2013 - PENDING 1 NOC FOR ALL PERMITS. As
4/15/13 NOC RECEIVED
Infractlo 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 16 of 45
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO, gS-ni TAX FOUO NO. 1/306.0g3e9e2
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED hereby gives ricitiCe.thatiMprOVerhents will be made to ,certain real
property, and in accordance with Chapter 713, Florida Statutes, the following infOnnaflon
Is provided in this Notice of Commencement
1. Legal description
roperty and street/address: 51-1WES
111111111111111111111111111111111111111111111
CF"t4 20 1 3 RC) 2137 7.5 713
OR Bk 28579 Ps 3921F (las)
RECORDED 04/12/2013 1401:21
HARVEY RUVIN? CLERK OF COURT
MIAMI—DADE COUNTY? FLORIDA
LAST PAGE
Space above reserved for use of recording office
Cu
2. Description of improvement
Sr*CI
3. Ovvner(s) name and address' Iiiku) c)(2 M/11)eArr 6.2.1 bJI r gra gcr
Interest in property: pPopeerni 063A3ce•er
Name and address of/es simple *lel-folder:
pontractor's name, address and phone number LAbica V4-r f a_tAe" Cone 4, iitqct 404%-.3e 43( v
s cm. &rice, szsg.)
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 1t yi L e_14 62 /4 Cf qz,s, TT MI'I"4 14-0/24
ft SA SS le sosr ciocq
8. In addition to himself, Ovvners 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:
t-1.&
.1
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 08 SITE : z- s, °E THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO
, .01,:iillf
'''' B t:leb:"' ' N
OR RECORDIN YOUR NOTICE OF COMMENCEMENT.
Si .1 : ■ : ,4 . ._,,. , ,ii . L,ed Officer/Director/Partner STA, TEr':-OCFERTIR-ORFYItipt:' CO
Prepared ti.t.... — A °'..,61...4.64, Preriar Ned in this Office
Print Name —nfi a I ); .,,, 1 1 ii ' Te.(c C Print N
PZ
Title/Office r ile S Title/
STATE OF FLORIDA
'7 • 7- -•C ":1:4111P-11-11147Z/M111..alr?-4
r
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1
HARVEY
COUNTY OF MIAMI-DADE Bv
The foregoing instrument was acknowledged before me this 11 day of
By NI 4--tt\) 1 1 ?At( eg._
L Individually, or Revt for
e)M:terSonally known, or CI produced the following type of Identification:
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.528. 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.
2.013
Sig
By
•
of Owne
s) • Owner(s)4,- A
T '
1
3 9/10
000,04
pste.ixt Hans J. Wrobleski
aVAPASSION tEE858947
-,',•k.-1.7EXPIRES: DEC. 16, 2016
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razed Officer/Director/Partner/Manager who signed above:
By
Miami Shores Village
6 j 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
Permit No.
worovm1
A.FR 0 3 2013 J
Master Permit No.
Permit Type: Electrical
OWNER Name (Fee Simple Titleholder): \ o S (3V2 A WueS1 1 C3Phone#:
Address: Ei L-\ . ol'2x ` - t case i Art T 4 A
City: ('mil A on • S t'4oCt-ti=' S State: Vt.. Zip: i % G
Tenant/Lessee Name: Phone#: 3o' 69 2 4 or q
Email: S t{ 2' e Gt ve . coAA
JOB ADDRESS: 6-is Nc 42 5 t R E
City: Miami Shores County: Miami Dade Zip: .b 1 S Er
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
t
CONTRACTOR Company Name: 4 ji1Cv CI Re' .k AAA tw% Coop Phone#: .SOC 33's 17 rav
Address: t Scroi c' i(zSCAy A.Ptr 8.1-V t> S_V %-t 313
City: Nit, M tam t f't petc t3 State: -et. Zip: SI it- i
Qualifier Name: `� iae nt Lyar3 Phone#: 3os- S'S <,:- '17 i's''z v
State Certification or Registration #: ec-. 13,030 sn 6" ") Certificate of Competency #:
Contact Phone#: SOS- 33 '1 TS-2.y Email Address: E C 2t t, '5E'F 1 GMatL•COM
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit $ 155"7 Square/Linear Footage of Work:
Type of Work: I lAddress iteration CINew °Repair/Replace
Description of Work: rJ ,[ > _. is A n w> >R Maar be -eccro
CtDemolition
***************************************Fees** r *** ********s+s************** *********
Submittal Fee $ Permit Fee $ I.-G° " -fe--' CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ � t
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 RLFCTRICAL 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 certfed 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
Owner or Agent (J Contractor
The foregoing i nt was acknowledged before me this 2- The foregoing instrument was acknowledged before me this 2--
day of get,'
,0 , , 20. /3, by ()IAA 14.1 0%471 k -, day of April , 20 , by Je t4C4 (1 Line? ,
who is pe . ly known tom or who has produced who is , : ly known to or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: ht/t 5
My Commission Expires:
k)(6719 feski
447.4,N Hans J. Wrobleski
:s: • ;c;?COM MISSION #EE858947
,•„ N. EXPIRES: DEC. 16, 2016
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NOTARY PUBLIC:
Sign:
Print: igAHC 17. Oro bIesk;
d"`r',' "'% Hans J. Wrobleski
My Commission Expires: P/eci COMMISSION #EE858947
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V EXPIRES: DEC. 16, 2016
WWW.AARONNOTARY,com
APPROVED BY
/�..- JfPyz Plans Examiner
Structural Review
(Revised 07 /10/O7)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk