EL-11-688Inspection Number: INSP - 159499 Permit Number: EL -4 -11 -688
Scheduled Inspection Date: May 10, 2011
Inspector: Devaney, Michael
Owner: PADILLA, ORESTES
Job Address: 9526 NE 2 Avenue
Project: <NONE>
Miami Shores, FL 33138
Contractor: ADT SECURITY SERVICES, INC
Building Department Comments
May 09, 2011
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number 1132060132630
Phone: (786)331 -3967
ALARM PERMIT 1 PANEL 5 DEVICE
Passed
C9
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
/� /??V 2//
Page 23 of 23
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) LL-c i j v L. �• l�
Owner's Address es e ms 5 i 1c✓ "3
City [1..A. A State (.— Zip 3 3 2. 3 ) T
Tenant/Lessee Name ran e /2;444 4/S?€/ Phone # ?d2 s - e a -/o ,O
E -MAIL:
Job Address (where the work is being done)
Value of Work For this Permit $ / 9g• tP
Miami Shores Village
Building Department
/0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Phone #
` %\ta. - 2, L / 6 /
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # I 3 ic 7-C, 3 0
Is Building Historically Designated YES NO y
33° )°!ttl
APR 1 9 2 1 11 9 �,
B Y:____m�
Permit No. r
Master Permit No. €-A -- 1
3(6 1,5 S I2,
Zip
Contractor's Company Name ,92)/ Phone #
Contractor's Address /22 - ,fg S A q / /.5 Z1-4 t2
City O/B0 r State Zip , eg,.5
Qualifier Name 6 e6V1e._ 47 —/f 7 ° Phone #
State Certificate or Registration No. f 000 //?. / Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable) Phone #
Square / Linear Footage Of Work:
Type of Work: ❑Addition DAlteration ❑New LRe air/ El Demolition
,�
Describe Work: 'A P m o i � ll I Ce—
******** *** *** ** ** ********** * *** * * * ** F * * ** ***,a****** xxxKxx *****
Submittal Fee $ 50 0 . 3 Permit Fee $ CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side -�
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, 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 w ich occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be app oved an f a reins ection fee will be charged.
Signature
Signature
Owner or Agent
The fore • oing i strument was acknowledged before me this !Q) The forego
day of , 20 i1 , by , day of
Sign: .. > : r i tr Sign:
- -
Print: la i,ail: filiv. "lr"!" Print:
y .�.
My Commission Expires: STATE OF FLORIDA My Com
COMMISSION: DD 786773
APPLICATION APPROVLD BY: EXPIRES: MAY 7, 2012
(Revised 02/08/06)
NOTARY PUBLIC:
Contra or
ment was acknowledged before me this
, 20 n , by
who is pers nally known to me or who has produced who is personally known to me or who has produced
. As identification and who did take an oath. as identification and who did take an oath.
NOTARY ' UBLIC:
ission ExTE OF
COMMISSION: DDS h '
EXP1R S MAY 7i 2012
xammer
Engineer
Zoning
tt