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)