ELC-13-643Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
cc / 3 .77'
Inspection Number: INSP-188354 Permit Number: ELC-4-13-643
Scheduled Inspection Date: April 28, 2014
Inspector: Devaney, Michael
Owner:
Job Address: 9501 NE 2 Avenue
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: SOUTH DOM ELECTRIC INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)756-3711
Parcel.Number 1132060133920
Phone: (305)626-5904
Building Department Comments
BUILDING ELECTRIC UPGRADE & SERVICES
RENEWING & UPGRADE
04/01/2013 - PLANS RETURN. PLANS NOT SIGNED AND
SEALED.
04/02/2013 - PLANS AND PERMIT RESUBMITTED.
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
r 7K
April 25, 2014
For Inspections please call: (305)762-4949
Page 1 of 24
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: Electrical
JOB ADDRESS: 9501-9545 NE 2nd Ave
I1 ', C TNT
FBC 20 %O
Permit No.
Master Permit
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3206-013-3900
Is the Building Historically Designated: Yes NO X Flood Zone: X
OWNER: Name (Fee Simple Titleholder): DVS, LLC
Address: 9545 NE 2ND AVE
Phone#: 786-423-5959
City: MIAMI SHORES
Tenant/Lessee Name:
State: FL Zip: 33138
Phone#:
Email:
CONTRACTOR: Company Name: SOUTH DOM ELECTRIC
Address: 5860 NW 192ND ST
Phone#: 305-335-9124
City: HIALEAH
Qualifier Name: JOSE MATOS
State: FL Zip: 33015
Phone#:
State Certification or Registration #: Certificate of Competency #:0`1'60
Contact Phone#: 305-335-9124 Email Address: Josematos@bellsouth.net
DESIGNER: Architect/Engineer: Reyes-Gavilan
Value of Work for this Permit:
Type of Work: ❑Address
Description of Work:
Phone#: 305-828-5205
637 025b Square/Linear Footage of Work:
❑Alteration ❑New ARepair/Replace ❑Demolition
.t 1 c. ttp i'a � x J[ c -e S
ems`77 ¢ ctp
c15t-I Q54I iv q53 IS3
***********************************/*�***Fees********************************************
Submittal Fee $ Permit Fee $ 19 %.67 / d D CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable) Ai
Bonding Company's Address 0
City State Zip
Mortgage Lender's Name (if applicable) n/a l 4 7
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 wlicJh-oeeuws-se . 7) days after the building permit is issued. In the absence of such posted notice, the
inspection w' r . d a a reinspectio ee will be charged.
/�/
Sig / ,��u_-/ Signature
` , •r ner or Agen ' ^ Contractor
,Ii
The foreg g instrument was acknowledged before me this
ff The fore ing i strument was ackn
day of� 1 , 20 13 , by T i,exe4 Cc(cca v A S& , day of i , 2013, b
who is personally known to me or who has produced who is per •nallly krown to me or who has produce
As identification and who did take an oath. "
NOTARY PUBLIC:
le
ed before / t s
. A A Lr�
Sign: ___#thih(./ t
Print: 1.043/ I G it
My Commission Expires: dia-q is `l
AtO
BARBARA A. ESTEP
dedtification and who did take an oath.
NO AR PUBLIC: -
Sign:
rint:
MY COMMISSION # DD 955300 �Y Commi
EXPIRES: March 29, 2014
Bonded Thio Notary Public Underwriters
***********************************
APPROVED BY
Conlin �xp12881
s_ M'1 commission # EE Assn.
Bonded Through National Notary
*************************************
2 ,in Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/1 0/07)(Rev ised 06/ 1 0/2009)(Revi sed 3/15/09)
*****************************
Zoning
Clerk
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. _L/
I
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE:
TAX FOLIO NO. I f3J� Ol '�
t/ -5 -013
/ i -1.2.0(0-03 .90
//-5240 -(v3 5t2c
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: 9_.6-0
2. D�'s�'�tr ft pe�jto v rhe 77i7X-
3.
-
3.00wwner(s) names aarrtl aaddOress( -
Interest in property:
Name and address of fee simple title older: bV5•__
4. Contractor's name address and phone number: i-
111111111111111111111111111111111111111111111
CF-N 20_013R0305620
85
!? � Bk 28538F'9 47v�e (1p5}
RECORDED 04/13/2013 11:51 : r
HARVEY RUYINr CLERK. OF COURT
MIAMI—DDADE COUI'1TYr FLORIDA
LAST PAGE
Space above reserved for use of recording office
:Jr %6 4,9-5/ 111971'
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
Amount of pond $
6. Lender's name and address;
7. Persons within the State of F orida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes, .-�-►
Name, address and pflou number: L�,14 Jit_ -*
S-4 . l �e
/Q 1.'' . 5C31/�
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice a• provide
713.13(1)(b), Florida Statutes.
Name, address and phone number:
Section
9. Expiration date of this Notice of Commencement:
(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPRFIRSTOVEMENTS INSPECTION. IF YOOU IEPROPERTY. A OBTAINOICE OF FINANCIING CONSULTNT WITF T8 $EC�Q DED ANDPOSTEDONWTHEJOB
OCOT11N1ENCIBEFORE THE
OR RECORDING YOUR .NOT.t 1 OF C MENCEMEN�.
HEREBY -T/FYthat this's a eco. o/fhe /°NO •
lriknel filed L' thi offic
Signature(s) gtOwner(s) or Owner Authorized Officer/Director/Partner/Manage
Prepared By _ .. /r _ / Prepar
Print Name _._ ___J v"")cC/. _ta C_ . L.0 fit --(t let- Print N
Title%Office ___ / t(- ,.(CLC,i. j� t �c' 4/4/ Title/0...
STATE OF FLORIDA / iy
COUNTY OF MIAMI-DADE f"..
The for oing instrument was acknowledged before me this o day of
By e ('a. ! ��-�
ndi ally, or ' as for 1? V€ ( L. C.—._______________
ersonally known, or 1J produce the following type of identif on:
Signature of Notary Public:��.`—
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES
Under penalties of perjury, 1 declare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
Signatiare(s) of- wner(
By
123 71 r,! 602 •✓/
s
ot��. r LAURA BOURNE BURKHALTER
* MY COMMISSION k 00 859461
EXPIRES: June 9, 2013
r(,a`).s •Authoriaedllfficer/Director/Partner/Manager who sigh*Fa;3PoveBonded Th" Budget Notary Servkse
By