EL-13-1305 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-197004 Permit Number: EL-6-13-1305
Scheduled Inspection Date:August 12,2013 Permit Type: Electrical- Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: GROMELSKI, EDWARD Work Classification: Alteration
Job Address:464 NE 92 Street
Miami Shores, FL Phone Number
Parcel Number 1132060140030
Project: <NONE>
Contractor: LAMB CONSTRUCTION INC Phone: (786)299-3254
Building Department Comments
REPAIR TO EXISTING SERVICE&INTERIOR WIRING Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 12,2013 For Inspections please call: (305)762-4949 Page 37 of 41
I I III I I IIII I i II II i I I II I II I I
. OR 8k 28733 Pa 3646; (IPS)
RECORDED 07/2212013 12:02:44
NOTICE OF COMMENCEMENT HIAMI-fDADEICOUNTYP FLORIDART
A RECORDED COPY MUST BE POSTED ON THE JOB SiTE AT
4--4-3 l TNE OFFIRST IMPPMON LAST PAGE
PERMIT NO jE� 0 AX FOLIO NO. -320&-014-
STATE OF FLbRIDA,
COUNTY OF MIAMi-DADE:
THE UNDERSIGNED hereby gives notice that,improvernents will be made to certain real
property,and tn'abcordance with Chopter M,Fi dda Statutes,the following Infomuation
Is provided In this Notice of Commencement.
Space above reserved for use of recording office
1•.Lei tion of pro " and street/address: �l D r_°S . S ri' Z PJ l t?-a3 i LOT- 4
2.Description f Improvement: e _ i IC 1 1 1
3.Qwner(s)'ri' a and'ac!'drs:' $ d
interest in propwW. AfEks, 53)
Idarne.and address of fee simple titleholder
4 actor's name,address and phone umber: f
5 Sur' ty (Payment bond. required by owner from or,if y)
Name,address and phone number..
Amount of bond
6.Lender`s n4ime 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 713.1*1)(a)7.,Florida Statutes
Na eddress hone number.
A1 A 8.)n addition to himself,CWers designates the following perso the Lienor's Noti OF p fI
713.13(1)(6),Florida Statute*. A t)
Name,address asfd phone number: MIN A"ONSW,
e ..
9.Ezplretion'date of this`Notice of Commencement,
{the aw fifers
WARNING TO OWNER:ANY PAYMENTS MADE BY THE QWNER AFTER THE EXPiRtION OF.?FIE,NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER'PAAAi=NTS UNDER CHAPTER 713,PART I,SECTION 713.13.FLORIDR'SlATl17i:S,AND CAN RESULT IN YOWR PAYING TWICE FOR
IMPRQI/EMENTS.TO;YOUR PROPERTY A NOTICE OF COMIUIENCEMENT.MUST BE flECOfiDED AND PbSTED ON THE JOB SITE BEFORE THE
F1FiSfi JNSPECJION.IF YOU INTEND TO OBTAIN FlNANCINO,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDWG YOUR NOTICE OF COMMENCEMENT..
Signature(s)IV, s)or a s)' .. Officer/Director/Partner/Manager
er/Director/Partner/Manager
Preps Bp prepared By. ld.
Print Name Print Name .
Title/Office
Two ffice A.tI
'STATE OF FLORIDA
COUNTY OF MIAMI- ADE
The g` nt. I�fore met is ay 6 _.
Sy,
❑Individually,or ❑as . . for _
�]Persona Ifhown,br - ; .
,. . produced the following-type of�identiitcati n• .: : .
,Signature of.Notary.Public:
Print Name:
VERIFICAT IN,PURWANT TO SECTION 92:526 FLORIDA STATL 0,�4,,,,�u °°° A ALEWDRE
Urtder�etlalties of p*iquryj declare that I have read the foregoing and .$o ° Notary -State of Florida
that the facts stated in it are true,to the best of my knowledge and Hef. ¢. My CORMAxpira Apr 22,2094
Signa ) e or Owner( )' Authorized Offlcer/Director/P r r OD 911419111
By BY
123.01.82 PAWa ane
Miami Shores Village
Building Department
b10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUN 10 2013
Tel: (305)795:2204 Faxl,(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No. 0—'
PERMIT APPLICATION Master Permit No.
FBC 20 [P
Permit Type: Electrical
OWNER:Name(Fee Simple Titleholder): P.Aw mn!i 'S &-o VyL e y kt Phone#:3(),r,- 7,5 L"(D(67
Address: %4 NE. 52, S+L=±-
City: Hi anni shot-CS State: Fto r('co q Zip: 3 L
TenanV]Lessee Name: Phone#:
Email: Q r o m 6 k i P�C
JOB ADDRESS: 'J+(a!± ME Ct oZ,
j� City: Miami Shores County: Miami Dade Zip: 63 l 3 9
Folio/Parcel#: -CC)-30
Is the Building Historically Designated:Yes NO Flood Zone: lNjo
Coh s*C16 d tv Twc-
4
CONTRACTOR:Company Name: M�,.�. �� Phone#:�S
Address: &A,.'W
City: �°1 i;TZ�ln�, � State:
Qualifier Name: Phone#: ° -29 3 7-511
State Certification or Registration#:6zooc)7 7!�k L Certificate of Competency#:
Contict Phone#: 6-z 7'6-1q Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ �, �(�� Square/Linear Footage of Work: ' y o �.
Type of Work: DAddress OAlteration ONew ;ORepair/Replace ODemolition
Description of Work: 1pe-&' r f � /i-y9 g9-ru4 C - 1�Aecc r' Uj t �'a t'-Io�
Fees ¢
Submittal Fee$ ' Permit Fee$ � ®o' CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
3
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.
I
"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 ncement must be posted at the job site
for the first inspection which occurs seven (7) days after the building 4pe ! he absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature �• P Si Owner or Agent Contractor
The fore oing instrument was acknowledged before me this Th was acknowledged before me this
day o t ,2diI by 1—C����� _ day of 20 ,by )-re 704004/
identification and who did take an oath. l�i�& I) as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLI
Sign: Si
Print: t TE OF FLORIDA Prinr-�1
. Sanchez
ez
My Commission Expires: Commission#DD977801 My Commission Exp'
•, •`Expires: APR.Ol,2014 a p
sOliDm THRO ATLWnC BONDING Co.,me 1
2At7
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07XRevised 06/10/2009)(Revised 3/15/09)
391 7hhn cu 8 8116
FPi_ _ ground in 1"112 conduits.
- r--
301 Cu in 3"rigid
cwxkAs.
Now Zit 50 Amp meter
combo mein with 4-8 ,! New 211 SO amp 26-40
circuits• /J circuits mein tugs in door
pend.
6'min mart.
1#5 Cu tit to 2-518 z 8'long mound rods&314"
Hose cold water pipe.
JUN 10 2013
PERMIT #:Miami Shores Village
CITY APPROVED BY DATE
ZONING DEP"( _.. n. .
BLDG DEPT
C 0 Py SUBJECT 10 CC;t41Pt.VNCE wi(H All FEDERAL
STATE AN,)cr,,IjN i (,it-L:S AND REGULATIONS
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