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DEMO-11-1752Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 � 1 -1(.6 1 Inspection Number: INSP - 164793 Permit Number: DEMO -9 -11 -1752 Scheduled Inspection Date: October 03, 2011 Inspector: Devaney, Michael Owner: , SHORES SQUARE INVESTMENTS Job Address: 9025 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Project <NONE> Contractor: MEGA ELECTRIC INC Permit Type: Demolition Inspection Type: Final Work Classification: Electric Phone Number Parcel Number 1132060110051 -25 Phone: (305) 828 -5205 Building Department Comments DEMOLITION INTERIOR ELECTRICAL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 3c7' September 30, 2011 For Inspections please call: (305)762 -4949 Page 13 of 29 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 9025 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 1132060110051 -25 Block: Lot: SHORES SQUARE INVESTMENT Owner Information Address Phone Cell SHORES SQUARE INVESTMENTS 3850 BIRD Road MIAMI FL 33146- i Contractor(s) MEGA ELECTRIC INC Phone CeII Phone (305) 828 -5205 Valuation: Total Sq Feet: $ 500.00 0 Type of Demo: Electric Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Work without Permit Fee Total: Amount $0.80 $2.00 $2.00 $0.20 $100.00 $3.00 $0.80 $100.00 $208.60 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO -9 -11 -42108 09/27/2011 Check #: 1463 $ 208.60 $ 0.00 Available Inspections: Inspection Type: Final 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: 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. Futhermore, I authorize the above -named contractor to do the work stated. September 27, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date September 27, 2011 1 4- 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 FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Sk fl -2 Address: 3,5-0 1-04,4 4tko Permit No. Master Permit No. 11-' /(,05/ S lfrtve‘ti -le„ ,r Phone#: 305 - 111 -kOL a City: t o w+ i State: e 1 L Zip: 3 3 k 6 Tenant/Lessee Name: Ed "I0.4® Q. 1t.v yQ / .16(PA Phone#: 30S - Z 4 m885 Email: JOB ADDRESS: 'd'C / Q (O€ i'0t6 8/5G4V/V C- L,VD City: Miami Shores County: Miami Dade Zip: 3313 f Folio/Parcel #: Is the Building Historically Designated: Yes NO X' Flood Zone: CONTRACTOR: Company Name: at202 eie aC -27)c Phone#: 305". 82'B • 5P-05 Address: /<02 S2 Nu) 9cf % Ac,Nonefe City: Wtcileah State: Orie►4 Zip: 'aVOI b Qualifier Name: 4 ' &yes -- Gifu? Ian Phone#: WS- • 828 -52O State Certification or Registration #: d3C - ®OC' / ? .2S Certificate of Competency #: Contact Phone#: 4908 -SZD.T Email Address: DESIGNER: Architect /Engineer: Phone#: Value of Work for this Permit: $ 5-°®- 0 0 Square/Linear Footage of Work: Type of Work: ❑Address DAlteration [ ❑New ❑Repair/Replace 21 molition Description of Work: o /#73®101 h ft? h 1 0 /1i &. /0 a n % N * ***** ***:x************** ** ** **** **** *** Fees: x: xx: x:: **: x********* ********* ****** ************ Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ ALL- TOTAL FEE NOW DUE $ 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOIT.F,RS, 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 esti promise in good faith that a copy o the notice of commencement and constructio Also, a certified copy of the recorded n (7) days after the building permit on fee will be charged. whose property is subject to attachme for the first insp ction which occurs seve inspection will not ' approved and a rei Signature L pe Owner or Agent The foregoing instrument was acknowledged before me this L2 day of , 20 LL_, by �tj Sfi i S who is personally known to me or who has produced ' As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: RICARDO E. BERMUDEZ PlUTARY PUBLIC *** ** ******** ******** ':4"(4'R *1"4,''� ri , 015 ..-� �ireS1��: x: x: x: x�x�xs< �x**�x�x: x�x*�x: x�xa��xx: �x�x�x�xx��xa�: x: x�x*s��x�xa: �:: x�x�x�x�xx�: x�x�x�xx :�x�xx�*�x�x*�x:x*�xm�x�x APPROVED BY Plans Examiner Zoning ted value exceed brochure wil ace iss of ommencer °d. In th '' ab. $2500, the applicant must be delivered to the person ust be posted at the job site of such posted notice, the Signature Contractor The foregoin instrument was acknowledged before me this./ day of ��' , 24 t� , by( %� '��l4 who is n to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Orr YF My Commission Expires: °'sa! Cruz .q ^r;, IS :10N #DD711762 ',CT. 13, 2011 Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk