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ELC-12-1569Permit Number: ELC -8 -12 -1569 j Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 183819 Inspection Date: January 08, 2013 Inspector: Devaney, Michael Owner: CHURCH, Job Address: 602 NE 96 Street Miami Shores, FL Project <NONE> Contractor: BETACOM INCORPORATED Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)754 -9541 Parcel Number 1132060141410 Phone: (813)986 -4922 Building Department Comments UPGRADE EQUIPMENT AT EXISTING TELECOMMUNICATIONS INCLUDES LOW VOLTAGE WORK ON DATA CABLES. Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 177542. Need to meet contractor on job site. 4,1 / 111111(4 4 1 / Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until January 08, 2013 For Inspections please call: (305)762 -4949 Page 1 of 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type:YreCtTlCar I JOB ADDRESS: 602 NE 96th Street FBC 20(3 �(ec. AUG 2 2014 Permit No. qt-- C., ( -2 S Master Permit No.Ccr2 -1540Y City: Miami Shores County: Miami Dade Folio/Parcel# 11-3206-014-1410 Is the Building Historically Desiignated: Yes 33138 NO Flood Zone: OWNER: Name (Fee Simple Titleholder): NA I ifsm t st4orms P 9 O phone#: Address: s �^ 3i- -7y4-1_ ?S)J City: State: Tenant/Lessee N. i e: Email: Er Zip: :g3 )3d_ Phone #: CONTRACTOR: Company Name: tit: Eorn , Inc • Phone#: 813 -984 - Address: g35t 6 Vou3teR Avg. City: ''Cl'tonotosBSS$ State: F t_ Zip: 3359a1 Qualifier Name: Ronald Moong<( Phone#: '813 -9 $tn - y9Qa State Certification or Registration #: ECAROoa aaa Certificate of Competency #: Contact Phone# g.k oa'taEmail Address: +aibtxl';61%'li oP'ni nt.C,onn DESIGNER: Architect/Engineer: Phone#: r` a> frOO Valve of Work for this Permit: $ ' Square/Linear Footage of Work: ONew DRepair/Replace °Demolition D e s c r i p t i o n of Work: U pt r r a e ( X . e f t v i p h , , e ft-f- l+ P j 4 r ' i e t , '{f k Co �. ay. v ; a C' ®,t5 .fuci l�- . ,t•,rc (vi, ' /01w vo i4- -”e L.✓c,rrk op\ tec4 Cer, L,!.pS, Type of Work: °Address °Alteration Submittal Fee $ Permit Fee $ /. D' ePD CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ Scanning Fee $ Radon Fee $ Notary $ ining/Education Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1� s-zn CONTRACTOR: 1:-C SUBMITTAL DA TE: (- ADDRESS: Q 0 c `P � 3 NAME: Fa L-3 G (Ll A,NS cA�!K RESUBMITAL DATES: PROJECT TYPE: Pt1`■ ((Z,t, -A ZONI ly /� ,_ FIRE L STRUCTURAL IMPACT FEES C f - �� i ELECTRICAL /y HRSIDERM PLUMBING NOC MECHANICAL BLDG ?-67.)74■ Bonding Company's Name (if applicable) Bonding Company's Address City State lip 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 Owner or Agent The foregoing ins ent was acknowledged before me this day of 30 J it 0 Irby Qho is personally linown to tney who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature ®f tractor The foregoing instrument was acknowledged before me this 10 day of Auo5u94 , 201L, by Ronald Moonty who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: [' G 1G . -1.1 _, Sign: f_€ re—L t • trC £�-- Print: J y 1 V i A. IJQ /�� /e. Print - ffna IQ . M; t Imo. / NOIAKY PUBL1Ca'1'A'1'k, OF FLORIDA My Commission Expires: """•• Sylvia Halter My Commission Expire Commission # EE098053 .,,, ,,,s Expires: JUNE 08, 2015 BONDED THRII ATLANTIC BONDING CO., INC. dk******>'k***ak* ak** yak * ***9**d ******** *> IR#> k>' k******>' M*at>' SM nRAt*k **W+k***+k3***** *** APPROVED BY % % / / %�/ �C --,%© 4 Plans Examiner Zoning Clerk - NA N. MILLER is =_ Commission # EE 020599 _.Pi Expires November 28, 2014 .4 r` Bonded Thru Troy Fain Insurance 800 - 385 -7019 Structural Review (Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06/10 /2009)(Revised 3/15/09)