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ELC-15-617 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237543 Permit Number: ELC-3-15-617 Scheduled Inspection Date: June 25, 2015 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Low Voltage Job Address:9501 NE 2 Avenue Miami Shores, FL 33138- Phone Number (305)756-3711 Parcel Number 1132060133920 Project: <NONE> Contractor: 50 STATE SECURITY SERVICE INC Phone: 305-893-7766 Building Department Comments INSTALLATION OF BURGLAR ALARM, CAMARAS AND Infractio Passed Comments AUDIO VISUAL EQUIPMENT INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-237477. cancelled by Holly 305-981-0778 Failed6 Correction -17 Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. June 24, 2015 For Inspections please call: (305)762-4949 Page 31 of 40 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237543 Permit Number: ELC-3-15-617 Scheduled Inspection Date: June 25, 2015 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Low Voltage Job Address:9501 NE 2 Avenue Miami Shores, FL 33138- Phone Number (305)756-3711 Parcel Number 1132060133920 Project: <NONE> Contractor: 50 STATE SECURITY SERVICE INC Phone: 305-893-7766 Building Department Comments INSTALLATION OF BURGLAR ALARM, CAMARAS AND Infractio Passed Comments AUDIO VISUAL EQUIPMENT INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-237477. cancelled by Holly 1Z 305-981-0778 Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. June 24,2015 For Inspections please call: (305)762-4949 Page 31 of 40 �S � � � ��amu%.c� --- ��o'r`s jz� , Permit NO. E C- -'1 J-6 7 RMS Miami Shores Village Permit Type:Electrical -Commerci-��; 10050 N.E.2nd Avenue NE ' Work Classification:LOW Voltage Miami Shores,FL 33138-0000 Perill Permit Status:APPROVED 4VFN' p" Phone: (305)795-2204 F<ORIDp' Issue Date: 3/23/2015Expiration: 09/19/2015 Project Address Parcel Number Applicant 9501 NE 2 Avenue 1132060133920 MiDVS LLC ami Shores, FL 33133- Block: Lot: Owner Irfor nation Address Phone Cell DVS LLC 9400 NE 2 Avenue (305)756-3r`111 MIAMI Ft-33138- Contractor(s) Phone Cell Phone1 $ 17,350.00 g Valuation: 50 STATE SECURITY SERVICE INC 305-893-776E -- -- Total q Feet: 0 Type of Work: INSTALLATION OF BURGLAR ALAPPA,CAMP _ Available Inspections: Additional Info: r - Classification: Residential I Inspection Type: Scanning: 1 (Review Electrical Fees Due Amount Pay Date Pay Tyne Amt Paid Amt Due CCF $10.80 DBPR Fee $7Invoice# ELC-3-',3-'i 5-54865 .81 DCA Fee $781 03/23/ 5 re:it,Car '517 ?2 $ 50.00 Education Surcharge $3.60 03/19/2, 5 Credit mar' EJ.G: $ 0.00 Permit Fee $520.50 Scanning Fee $3,00 Technology Fee $14.40 Total: $567.92 ' In consideration of the issuance to me of this perry ; I agree +o perform the work covered hereunder in comp! nce with all ordinances and regulations pertaining thereto and in strict conformity with the pla s, drawings. statements or specifications submitted to the pro, Dr authorities of Miami Shores Village. In accepting this permit I assume responsibility for all , Ory --_ � --- - � ,- — — ---�- derstand that separate permits are required for ELECTRICAL, PLUMBING. IV'iECHANICA WINDOWS DO()RS, ROOFING and SWIMMING P001 wo c OWNERS AFFIDAVIT: I certify that all the foregoing informatlrcn is accurate and that :ver'c will be dcne in rpm �Iiance with all applicable laws regulating construction and zoning. Futhermore, I authorize the a hove named contractor to de or— stated. Mar :h 23, 2015 Authorized Signature:Owner / Applica it / Contractor�/ Agent =ate Building Department Con ,,, March 23, 2.015 J� 3 Miami Shores Village Building Department MAR 19 2 15 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. L;7lfG PERMIT APPLICATION Sub Permit No. ❑BUILDING CTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING F-] MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: l V aL v/�4 e?S3 City: Miami Shores,,^,// County: Miami Dade Zip: 06 Folio/Parcel#: f r Z b1 :5 39 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: /Flood Zone: BFE:G�!_ FFE: OWNER: Name(Fee Simple Titleholder):I)Y S U—C I I 1"lC' CE s A l L,t�t"�YL- Phone#,�p UJ°�Z�J'� J Address: zo I lq�_ 33) 3&2��jj City: 'A I A U State: —Zip: 33) 3C.� Tenant/Lessee Name: � ( Phone#: Email: e_re (e c-d CONTRACTOR:Coppany Name: -J CJ S` '�`l" i Phone#: Address: WE /V ✓G �r .� /t� L� k City: / State: �f Zip: Qualifier Name: kioh'C <-4Vr"4 Phone#: Cx� � a State Certification or Registration M Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: �t t Value of Work for this Permit:$ 1T � Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ZNew ❑ Repair/Replace ❑ Demolition Description of Work: U5`i,�Ll,4�T7fJ,1/ 19� ✓L1+L/M� ILL `. 14Wb 14"twc)All&M-t Specify color of color thru tile: Submittal Fee$ � Permit Fee$ ��� S L'� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,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 approverfvnd a reinspection fee will be charged. Signa Signature r ` O NE r AG CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instru!e%n�"wa a'c�c"now a ged before me this day of J'\� 20 i5 by � day ofRe Air C.� 20 J by ,c1.�d,itil�5�,who is ersonally know o ``__ ,—` ,who is personally known to me or who has produced as me or who has produced Ve f—50114Uli V-ny-a Q as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: 1� Sign: Sign: V e Print: A it lb Print: I% 'j e o ondaVictoria Tipacti�SachsSeal: �; MY S� � Seal: My CommissionEE060592 FF Expires 04/1 512 0 1 5 �' EXPIRES:Sepember 8,2017 �, "tOF7d� 8aWTin UppNotuySolen APPROVED BY ��//��Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)