ELC-13-639Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-188332
Scheduled Inspection Date: December 16, 2014
Inspector: Devaney, Michael
Owner: ,
Job Address: 9475 NE 2 Avenue
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: ARO ELECTRICAL CONTRACTOR
Building Department Comments
Permit Number: ELC-4-13-639
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number
1132060133760
Phone: (786)873-3555
replace light fixures under the drive thru. replace fixtures on Infractio — Passed comments
the pole light I
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 15, 2014 For Inspections please call: (305)762-4949 Page 2 of 51
Miami Shores Village
Building Department
90050 N.R2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
Permit No.
Master Permit No.
JOB ADDRESS: 7 f19 1 o(/o,azycd rT x�✓e o�nc
City: Miami Shores County: Miami Dade Zip:
Folio/ParceN.
Is the Building Historically Designated: Yes NO Float Zone:
OWNER: Name (Fee Simple Titleholder): Phone#:
Address:
City: State: Zip:
Tenant/Lessee Name: Phone#•
Email:
p 0=97M
MAR 2.3 21152
Y®__ �—:� p...
CONTRACTOR: Company Name: e8�l dTiCi �.� C pvT.B.�cTe�� Phone#: 7 A4 -973 -3 -CSS -
,2
Address: ��vi 5''�/d S�✓ 9 7rT.
City:tit �.,.�.�'� State: Y Zip: X3/ 9G
Qualifier Name: i/o Ii elf fTE'^'irl.`'tvi �'-2 Phone#
State Certification or Registration M EC i3 00 y2 G �Z Certificate of Competency #:
Contact Phone#: 7P4-f-73-3SSs Email Address: tilA.epi✓ c�f�,/d/�+i.�OC.F'BTi�4/%,C'ow,
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ S ° oa
Square/Linear Footage of Work:
Type of Work: ❑Address DAlteration uNew -_ �epair/Replace LIDemolition
Submittal Fee $ Permit Fee $s ��ad CCF $ CO/CC $
Scanning Fee $
Radon Fee $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
0
L' 4- /7
)Bonding Company's Name (if applicable)
lb
Bofnding Company's Address
City
State
Mortgage bender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 COMN[ENCEMENT."
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 7n the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of . 20 _, by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of 2.-44L- 141t 1'3 by V D Ke Z s'fLt�. •�. ,.�Z.
Who is Wally lmow to me or who has produced
ALM oath.
ROMMY ROMIQUEt
lie - State of Florida
MY Comm, res Nov 18, 2011
r
WWI loo -
APPROVED BY 2Pl i3
Plans Examiner
Zoning
Structural Review Clerk
(Revised MW2012)(Revised (17/1aW)(Revised 06/10 )(Revised 3/15109)