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ELC-16-168 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INS P-251358 Permit Number: ELC-1-16-168 Scheduled Inspection Date: March 23,2016 Permit Type: Electrical-Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: MANAGEMENT LLC,ADVANCE Work Classification: Sign c' noMnw Job Address:9190 BISCAYNE Boulevard Miami Shores,FL Phone Number Parcel Number 1132060100030 Project: <NONE> Contractor: SAUL SIGNS INC Phone: (305)266-8484 Building Department Comments AWNING/SIGNAGE ELECTRICAL INSTALLATION. IPassed Comments INNSPECSPEC TOR COMMENTS False Inspector Comments Passed E0 Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. March 22,2016 For Inspections please call: (305)762-4949 Page 7 of 34 r, Miami Shores Village ` 10050 N.E.2nd Avenue t ri yq f' 3p Miami Shores,FL 33138-0000 ,; Phone: (305)795-2204 Expiration: 06107/2016 Project Address Parcel Number Applicant 9190 BISCAYNE Boulevard 1132060100030 Miami Shores, FL Block: Lot: BRITE STONE INVESTMENT LL( Owner Information Address Phone cell BRITE STONE INVESTMENT LLC 9190 BISCAYNE Boulevard (786)340-7513 MIAMI SHORES FL 33138- 9190 BISCAYNE Boulevard MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone $ 656.00 SAUL SIGNS INC (305)266-8484 Valuation: --- Total Sq Feet: 0 Type of Work:AWNING/SIGNAGE ELECTRICAL INSTALLAT 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 Invoice# ELC-146-58406 DBPR Fee $2.25 01/21/2016 Credit Card $50.00 $109.10 DCA Fee $2.25 Education Surcharge $0.20 02/092016 Credit Card $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: Ice ' tall foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F e uthorize the above-named contractor to do the work stated. February 09,2016 Authorized Sign er / Applicant / Contractor / Agent Date Building Department Copy February 09,2016 1 Miami Shores Village Building Department AN 2 1 ��15 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. 1. r ❑BUILDING M ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9190 Biscayne Blvd City: Miami Shores County: Miami Dade Zia: Folio/Parcel#:11-3206-010-0030 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Brite Stone Investment LLC Phone#: Address:1160 Kane Concourse#202 City: Bay Harbor Islands State: Florida Zip: 33154 Tenant/Lessee Name: Bank of America Phone#: Email: CONTRACTOR:Company Name: %.tj Phone#: Address: 8(9 W 8r51--_' City: State: _ Zip: /p0 Qualifier Name: Vt ne &Lo Anook L Phone#: State Certification or Registration#: 03C)( Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ �1+�•�(� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration [X New ❑ Repair/Replace ❑ Demolition I—Descrip ( �Pk I Cc.� Specify color of color thru tile: Submittal Fee$ Permit Fee$ �� ®�!yam CCF$ CO/CC$ Scanning Fee$ W Radon Fee$ 0' DBPR$ •�� Notary$ n� Technology Fee$ 1D•M Training/Education Fee$ 0 Double Fee$ 4� Structural Reviews$ /A_ Bond$ lyme TOTAL FEE NOW DUE$ toe (Revised02/24/2014) A'' 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 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 the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will notbe a o nd a reinspection fee will be charged. Signature Signature OWN or AGENT CONTRACTOR The foregging instrument wasacknowledgedacknowledged before me this The foregoing instrument was ackn dged before me this _� 6—day of L I/ 20 AT by _ day,of 20 !, ,by rofGflcdll�i who is Dersonallv known�a wh is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and w d to n oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: k0P VAPn- onzalez , Boris BOinikhov ' +� ,, MMISSI N#FF156627 Seal: BO � COMINW0 NFF164392 Seal: : mac IXPiRE . t 03, 2018 V-,* :Expires: SBP 30,2018 ,i►►►�� WWW RONNOTARY.COM BONDEDTHRU �' s►`�� 1$T FWRIDA NOTARY r APPROVED BY /.T-4LI;--41; Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) t Co4dot, o4-v r b r� (;oti4ra v-O rs 143 1 sjw fiovk