EL-08-717Inspection Number: INSP - 151553 Permit Number: EL -4 -08 -717
Scheduled Inspection Date: September 23, 2010
Inspector: Devaney, Michael
Owner: LANE, CULLEN & CRYSTAL
Job Address: 1200 NE 91 Terrace
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Building Department Comments
low voltage alarm
Passed
‘,/
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
(-k°
September 22, 2010
Miami Shores, FL 33138-
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 (305)498 -9822
Parcel Number 1132050010490
Phone: (786)331 -3967
Page 16 of 16
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: ELECTRICAL
Owner's Name (Fee S i m p l e Titleholder) C( L j A L ) IJ1v,)(L Phone # 305 3 3..- ' 5 3
Owner's Address R 1' Al / L,T /J.
cit ilk .l gh MA State PL.-- Zip 3 1 3 e
Tenant/Lessee Name C,u LL N Phone # 30S t i 98– 96e9-3—
Email
Job Address (where the work is being done) tg-O S a C ° ` enjt-,
City Miami Shores Village County Miami -Dade Zip 13 1 38
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name 5e€ c-4. -e 7'
Contractor's Address l o°7 S W
City 1 o A State
Qualifier Name
State Certificate or Registration No. ,®
Contact Phone E -mail
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition ['Alteration
Describe Work:
Miami Shores Village ee44,e 4,
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
Training/Education Fee $
Master Permit No.
Phone #
Certificate of Competency No.
Phone #
Square / Linear Footage Of Work:
Permit No. 08 - 1 k
Flood Zone
9 5 - q -.2 6.6 -s /f9
Zip 3302
Phone # �S�' a-Co ro
:New ❑ Repair/Replace ❑ Demolition
* ***** * * ** * ** * *** * * *** ** * ************ F *************** air * ** * * * ***** * * * ** *** *****
Submittal Fee $ Permit Fee $ eDD • CCF $
Notary $
CO /CC $
Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
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 which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n� b a ro 'd and a r- ,ection fee will be charged.
k V Signature ,� , .416.—
Owner or : gent Contractor
The foregoing instrument was acknowledged before me this The foreg g instrument was acknowledged before me this 1 '
day of .SCA l y , 20k ° , by e -v2. AL (O (L , day of ��L , 20/ a , by ,
who is personally known to me or who has produced `f .t D who is pe onally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Signature
NOTARY PUBLIC:
Si � ..■ Sign:
Print: \ \\ P OTi s r��'
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a S a `� " GJ `ate BO:dull i:ii.0 I.TLANTIC BG1dDING CG.,INC.
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_led" Plans Examiner Zoning
My Commission Expires:
APPROVED B
(Revised 07 /10/07)(Revised 06/10/2009)
Engineer
Clerk checked