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ELC-15-2156 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-242073 Permit Number: ELC-8-15-2156 Scheduled Inspection Date: September 03, 2015 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: SKLAR,ARI&OSCAR Work Classification: Sign Job Address:9400 NE 2 Avenue 9400 Miami Shores, FL 33138-0000 Phone Number (786)326-2747 Parcel Number 1132060132780-00 Project: <NONE> Contractor: BOB SCOTT LIGHT, POWER AND SIGN Phone: (954)981-6770 Building Department Comments RENEWAL OF EXPIRED PERMIT SGN 12-444 Infractio Passed Comments INSPECTOR COMMENTS False I Inspector Com Passed Failed � �� 44 Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 September 02,2015 Page 22 of 35 la }a $' 3 i"AZ �' 3 } 1r t Miami Shores Village44 Wba Permh 10050 N.E.2nd Avenue NE � Miami Shores,FL 33138-0000 � z Wow ftcatr�r Sign `z Phone: (305)795-2204 ` 3 ,` Issue � 121�01 Expiration: 02129/201 Project Address Parcel Number Applicant 9400 NE 2 Avenue Number: 9400 1132060132780-00 MSVC LLC Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address Phone Cell MSVC LLC 2310 NE HOLLYWOOD BLVD Street (786)326-2747 HOLLYWOOD BLVD FL 33020- 2310 NE HOLLYWOOD BLVD Street HOLLYWOOD BLVD FL 33020- Contractor(s) Phone Cell Phone Valuation: $ 50.00 BOB SCOTT LIGHT, POWER AND SIG (954)981-6770 .:._.._ .... .. _ . _::A. _: �....... ._..... __ Total Sq Feet: 00 Type of Work: Available Inspections: Additional Info: Inspection Type: Classification:Commercial Final Scanning:3 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.80 DBPR Fee Invoice# ELC-8-15-56829 $2.00 08/24/2015 Check*1000 $50.00 $58.60 DCA Fee $2.00 Education Surcharge $0.20 09/02/2015 Credit Card $58.60 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or sp ications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my ent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFIN and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that rk will be one i compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contra to d or s to September 02, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent ate Building Department Copy September 02,2015 1 Miami Shores Village R vE AUG 24 2095 Building Department 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 A) ) r5— '? [5J— PERMIT r5— '? [5.-PERMIT APPLICATION Sub Permit No. 1��5 ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL r-1 PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: i® -;2 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: /1-72-0 4:5 0 `-T 2= ?�'v Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): CSCflc 5444fl- Phone#: -7" 3a6 c;? 2y7 Address: City: ��a� State: 7��®d��44 Zip: -33c� Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: .SCOC-f- 7aPhone#: Address: SYS City: tl- /® State: Zip: Qualifier Name: Phone#: ?3y State Certification or Registration#: C:)Q�� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ,2 Square/Linear Footage of Work: Type of Work: ❑ Addition F-1Alteration ] New ElRepair/Replace ❑ Demolition Description of Work: �s � e. �� i�✓ � l� �' a Specify color of color thrutile: ° Submittal Fee$ Permit Fee$ 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commen ment must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the Bence of such posted notice, the inspectio of ed oved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRA OR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of- &.4e4$-f- 20 /S by ,-7/ day of 20 AS' ,by S/�-e who is personally known to Rod who is personally known to me or who has produced?I:k-V'a.0a 4,Lf AJ3 r►,y as me or who has produced P'Lfhd'ed^)f-Z tzSrWas identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: L JL— Sign ASign: Print: Print: MINSeal: 1 M1'COAIMI�@IAy � Seal: ' PAN my EXPIRES;Jy"@@ 9> T�uiSi�a� APPROVED BY i 74,4BO(y/,l pal ns Examiner Zoning Structural Review Clerk (Revised02/24/2014)