ELC-14-179Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 r, C I
Inspection Number: INSP-206442 Permit Number: ELC-1-14-179
Scheduled Inspection Date: August 15, 2014 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , TROPICAL CHEVROLET Work Classification: Addition/Alteration
Job Address: 8880 BISCAYNE Boulevard
Miami Shores, FL
Project: <NONE>
Phone Number (305)754-7551
Parcel Number 1132060200880
Contractor: KEYLITE POWER AND LIGHTING CORP Phone: (305)232-9910
tsuuamg uepartment comments
INTERIOR ELECTRICAL REMODEL LIGHTS AND
OUTLETS AND SERVICE AREA
Inspector Comments
Passed
Ea -
Failed � ✓ ® �
�
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 14, 2014 For Inspections please call: (305)7624949 Page 1 of 14
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:
15
FBC 20
JANA 0 2014
Permit No. -- l
Master Permit No. o— 3 , 2 i
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address: 12.'--)i 2 :�i �o � 1
�►.1•�wir.�1� t'
� -
City: 1.�\G►--1► State: Zip: , )� I&
Qualifier Name:A6n 1 Cif f 6C7) Phone#:."
State Certification or Registration
#: � � ��� � Certiificcate�oyf,.Commpetency #:
Contact Phone#: SU5- � CV: 11 Email Address: P!CAc� In l.�__ lo`' +eori-1 !.g ve . oc:„
DESIGNER: Architect/Engineer: Fhone#:
Value of Work for this Permit: ASquare/Linear Footage of Work: L
Type of Work: OAddress Iteration ONew /Replace DDemolition
Description of Work:
***************************************Fees********************************************
Submittal Fee $QC) a Permit Fee $ CCF $ CO/CC $
Radon Fee $
Scanning Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $�'G
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 a ence of such posted notice, the
inspection will no ke approved and a reinspection fee will be charged.
Signature7,Iyfz�.>"�%
Owner or Agent
The fore oing instrument was ac wledged bef eZ
day of —�"�T' Ire yn)
20 1' by t l i
who is personally-4nown to me or who has produced
fes..
WAs identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
Contractor
The foregoing instrument las acknowledged before me this,
day of 20byarl i(J(4z
—,
who is person to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print:
My Commission Expires: —�
Wt PppLADE1146
CASTRO
Plans Examiner"
Structural Review
(Revised 3/12/2012XRevised 07/10/07XRevised 06/1D/2009XReAsed 3115/09)
Zoning
Clerk