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ELC-16-596 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-254067 Permit Number: ELC-3-16-596 Scheduled Inspection Date: May 18,2016 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Sign Job Address:9601 NE 2 Avenue Miami Shores, FL 33138-2721 Phone Number (954)348-0479 Parcel Number 1132060134060 Project: <NONE> Contractor: DONNIE BENNETT LIGHTING MAINTENANCE COMPANY Phone: (561)688-2511 Building Department Comments CONNECT POWER EXISTING TO 3 NEW SIGNS. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 17,2016 For Inspections please call: (305)762-4949 Page 11 of 44 Permit N� EL',", > ami Shores Village l� `3� - `�: � ' s� Mt9 �t � 1" 8til 'rClm . 10050 N.E.2nd Avenue NE 4. WOK Miami Shores,FL 33138-0000 Phone: (305)795-2204 h r€ � 51i �' Isatte.,. 3L'17/ t Expiration: 09/13/2016 Project Address Parcel Number Applicant 9601 NE 2 Avenue 1132060134060 Atlantic Oil Incorporated Miami Shores, FL 33138-2721 Block: Lot: Owner Information Address Phone Cell Atlantic Oil Incorporated 1308 E Atlantic Boulevard Pompano Beach FL 33060- 1308 E Atlantic Boulevard Pompano Beach FL 33060- Contractor(s) Phone Cell Phone Valuation: $ 500.00 DONNIE BENNETT LIGHTING MAINTE (561)688-2511 _. ........ . _.... , . Total Sq Feet: 0 Type of Work:CONNECT POWER EXISTING TO 3 NEW SIG 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 $0.60 DBPR Fee Invoice# ELC-3-16-58924 $2.25 03/04/2016 Check#:13309 $50.00 $109.10 DCA Fee $2.25 Education Surcharge $0.20 03/17/2016 Check#:13330 $ 109.10 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo ' g. Fut more,I au 'ze the above-named contractor to do the work stated. March 17, 2016 Aut torized Si caner pplicant / Contractor / Agent Date Building Department Copy March 17,2016 1 maw Miami Shores Village Ilrb Building Department Two 1.0050 N.E.2nd Avenue,Miami Shores,Florida 33138 M R 0 2016 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC _ BUILDING Master Permit No � PERMIT APPLICATION Sub Permit No. L BUILDING ORELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9601 NE 2 Ave City Miami Shores County: Miami Dade Zia: Folio/Parcel#:11-320M13-4060 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder)_ A+W\14- ��L i =�hr� ��C� Phone- 66/ �2 408' —(/ 16) Address:9601 NE 2 Ave City: Miami Shores State: Florida Zip. 33138 Tenant/Lessee Name: Moll Phone#: Email: CONTRACTOR:Company Name: Donnie Bennett Lighting Maintenance Phone#: 561-688-1511 Address: 4645 Southem Blvd City: West Palm Beach state: Fl Zip: 33415 Qualifier Name: Donnie Bennett Phone#: 561-688-1511 State Certification or Registration M ES 12000358 Certificate of Competency#: DESIGNER:ArchitectJEn�gArchitect/Engineer\�. Phone#: Address: DLW 1"'JRc City: State: Zip: value of work for this Permit:$ uare/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ® New ❑ Repair/Replace ❑ Demolition ' Description of Work: -T0 tvew l ` �X-of- 1CVJr✓5 % 1�1 it Specify color of color thru tile: Submittal Fee$ Permit Fee$ /407;P/ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ Notary$ Technology Fee$ y Training/Education Fee$ 0 Double Fee$ YC' Structural Reviews$ (�z Bond$ TOTAL FEE NOW DUE$ (Re%isedO2/24/2014) � a Bonding C (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 he issuance of a building permit with an estimated value exceeding$2500,the applicant must promise in good faith that a c p,o he notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to 6 c ent. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection w o urs seven (7) days after the building permit is issued In the absence of such pasted notice, the inspection will not be ap o nd a reinspection fee will be charged. Signature Signat OWNER or AGENTCONTRACTOR The �foregoing instrument was acknowledged before me this The foregoing Instrument was acknowledged before me this ! da of ZI 20 16 ,by day of `U 20 Ili by who is personally known to l) who is personally known to meteor w o 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: (� Print: mac— - Print:OWN U Seal: QS,gERt STMEI JR Aa Seal: aILSERT STpEIEC JR public•State 01 Florti ��.4" "`"%,, %0WV Pub11c•Stata 01 Florida °�� °"°4''• NOt FF 191085 "181085 °� Commlaela► 0.2019 ':° a Opmmtsaton IP 2019 • x ties Jan 2 mm,ExPtrea Jan 20, �.sx+s l 'N8Y' 'b�� xsrx�aaaraasxse�ra� , x�*�h��9i .s**►�*s loop • SOOt11(CU9h ��''�a�i `�• AP Plans Examiner Zoning Structural Review Clerk L (Rev1sed02/24/2024)