ELC-15-2865 Inspection Worksheet 6
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-247699 PermitNumber: ELC-11-15-2865
Scheduled Inspection Date: January 15,2016 Permit Type: Electrical -Commercial
Inspector: Devaney, Michael Inspection Type: Final
Owner: , SHORES SQUARE INVESTMENTS Work Classification: Sign
Job Address:9017 Biscayne Boulevard
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1132060110070-17
Project: <NONE>
Contractor: CAPITOL SIGNS Phone: (954)578-9340
Building Department Comments
INSTALL CHANNEL LETTER WALL SIGN WITH Infractio Passed Comments
ELECTRIC INSPECTOR COMMENTS False
CONNECT SIGN TO EXISTING ELECTRIC
Inspector Comments
Passed
Failed � � ✓ � ��
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
January 14,2016 For Inspections please call: (305)762-4949 Page 5 of 23
Perm 'No FERC- 1151,,",
�*a $ �
Miami Shores Village P ft7tl �+p1 1'1000 a dtClf ltr I 3
,. 10050 N.E.2nd Avenue 7_ ��/ �+ { p
a NY ��*'F.�A� Y4t SI
Miami Shores,FL 33138-0000
E �1 APP R ROVE
Phone: (305)795-2204 = �.,• 'E �_ _:
01� Expiration: 0610612016s�ea :12912
Project Address Parcel Number Applicant
9017 Biscayne Boulevard 1132060110070-17 SHORES SQUARE INVESTMENT
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell
SHORES SQUARE INVESTMENTS 3850 BIRD Road
MIAMI FL 33146-
.. s
Contractor(s) Phone Cell Phone Valuation: $ 100.00
CAPITOL SIGNS (954)578-9340
...... _.., __ Total Sci Feet: 33
Type of Work:INSTALL CHANNEL LETTER WALL SIGN WI Available Inspections:
Additional Info: Inspection Type:
Classification:Commercial Final
Scanning:1 Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.80
DBPR Fee Invoice# ELC-11-15-57744
$2.00 12/09/2015 Check#: 1048 $58.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 11/12/2015 Cash $50.00 $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 specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, ore I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMIN OOL wN k.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will a do in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named contractor to d k state .
December 09, 2015
Authorized Signature:Owner / Applicant / Contractor en ate
Building Department Copy
December 09,2015 1
Miami Shores Village
g
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 201 y
BUILDING Master Permit No.` l S I
PERMIT APPLICATION Sub Permit No.-EL-C� 15' - 2-S-41
❑BUILDING KELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL Ej PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: >V % a c o-.4 -F�
City: Miami Shores County: Miami Dade Zip: 13 3
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): share Jg(?te �l'_ Phone#:1 � �
Address: 2
bqk r / S �w
City: klwdu State: F C Zip: ,3 AV/
Tenant/Lessee Name: "V'y4-J;1 �TAOL s Se!`�_ Phone#: 30,S v 15
A-,14
Email: fllc40. .yd7z B.. � e"'es7ayi,�77scOwcjr"�.-ue('ss, Gysy Va 4,
CONTRACTOR:Company Name: �P I TOS S 6 JV � Phone
Addr s: /
1 r_ — d�
City: �f� s� State: r(— Zip: 3 V
Qualifier Name, 1 / 1. 4016 W Phone#:
State Certification or Registration#: tz( A Certificate of Competency#:
DESIGNER:Architect/Engineer: "] �1 J Phone#: l!-311)-
Address: kj j Al L0-z City: baCa Ash State: Zip:
Value of Work for this Permit: Square/Linear Footage of Work: -3 o o�
Type of Work: ❑ Addition [0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: C'0 e 'E r..
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ZAV^AP CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ �� 6
(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 approved and a reinspection fee will be charged.
Signature Signature
0or AGENT CONTRACTOR
The foregoing instrumeOtwa�sa/cknowledged before me this The foregoing instrument was acknowledged before me this
day of A74kh?4— ,20 ®:!SL' by6_day of�Ci,-, 20 IS by
�fa14 �� ��C who is personally kin to �� � LO-vv ® ,airr`c � ,who is personally known to
��
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign �,
cepa
Print: Print: 11 I Notary Public-State of Florida
ommission# F 032722 e•; r•=My Comm.Expires ec 2018
Seal: P^ Expires July 2,2017 Seal: Commission#FF 177270
a TTw Troy F��^emmm Boo m&7018 Bonded through National Notary Assn.
unnp
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(ReAsed02/24/2014)
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SA File Name: orange theory miami shores 062
Designer: RANDALL DAVIS Customer: ORANGE THEORY x"
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General O Design is in accordance with the requirements of the Fla Bldg Code 5th Ed(2014)for use within&outside the High Velocity Hurricane Zone(HVHZ). 0 This engineering certifies only the structural integrity of those systems,components,and/or other construction explicitly
Notes: specified herein.0 Electrical notes,details,&specifications are provided by and are the sole responsibility of the electrical contractor.No electrical review has been performed and no certification of such is intended.O Aluminum extrusions shall be 6063-T6,unless noted otherwise.
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ADDITIONAL NOTES
I2r
.• Electrical grounding and bending.as per NEC 260;
Pow Pa .•f; •' °"' 012 THVWN, AVM copper wine, as required
o
• .• •-- — I Approved weather proof 20 amp electrical semi
.. 0 Am (' disconnect swithe as per 00.2 , �►0It
•••••• f 012 Prima electrical hooker to electrical s
• ••• Disconnect switch _ _ a
r"!F p up ly
N E C 600.2 inside 1!2"min Type Rw flexible con r \ N
approved equal 5
CUSTOMER ELECTRICAL REVIEW � �
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OranT A��R®VE
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DATE .. E _
9017 Biscayne Blvd -= -_- - - � � � � � o
Cl
Miami Shores,, Fla
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Cmnhwdur d: THE INTENT OF THIS ®FtAMANG 0 o- o a am
Capllo1 Signs Inc. I� T+C7� �H�311�d �CirdG E R'TIJ+�L `` � m � �e Y
401 N.W 93 Ave.P.Pines,FI 3302 � R EPR ESENTATION i0r THE - uti
+1-+�WI 1 Lie.x'1261 PROPOSED SIGNAGE. . .
General O Design is in accordance with the requirements of the Fla Bldg Code 5th Ed(2014)for use within&outside the High Velocity Hurricane Zone(HVHZ). 9 This engineering certifies only the structural Integrity of those systems,components,and/or other construction ex 'y
Notes: specified herein.O Electrical notes,details,&specifications are provided by and are the sole responsibility of the electrical contractor.No electrical review has been performed and no certification of such Is Intended.0 Aluminum extrusions shall be 6063-T6,unless noted otherw e.