EL-06-1239'Inspection Number: INSP -17211 JUN
Inspection Date: 06/07/2006
Inspector: Devaney, Michael
Project: <NONE>
Contractor: BRINKS HOME SECURITY INC
Building Department Comments
Tuesday, June 6, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
0 7 ENT'D
Permit Number: EL -5 -06 -1239
Permit Type: Electrical - Residential
Inspection Type: Final
Owner: DOMLESKY, ROBERT Work Classification: Addition /Alteration
Job Address: 285 91 Street NE
Miami Shores Village, FL 33138-
Block:
Phone Number
Parcel Number 1132060133460
Lot:
Phone: 305 - 887 -8455
Page 2 of 2
Passed
Inspector Comments
Failed
. _ c:::
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
'Inspection Number: INSP -17211 JUN
Inspection Date: 06/07/2006
Inspector: Devaney, Michael
Project: <NONE>
Contractor: BRINKS HOME SECURITY INC
Building Department Comments
Tuesday, June 6, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
0 7 ENT'D
Permit Number: EL -5 -06 -1239
Permit Type: Electrical - Residential
Inspection Type: Final
Owner: DOMLESKY, ROBERT Work Classification: Addition /Alteration
Job Address: 285 91 Street NE
Miami Shores Village, FL 33138-
Block:
Phone Number
Parcel Number 1132060133460
Lot:
Phone: 305 - 887 -8455
Page 2 of 2
Electric
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Buildi g
Owner's Name (Fee Simple Titleholder)
wner's Address /1
Zip
Tenant/Lessee Name Phone # /
Job Address (where the work is being clone)r
City Miami Shores Village
Ls Building Historically Designated YES NO
Contractor's Company N
Co• tor's • . ess
City
Qualifier
ianni Shores Village
Building D epartment
Architect/Engineer's Name (if applicable) Phone #
S Value of Work For this Permit
Type of Work: [Addition ❑Alteration
Describe Work:
(Continued on apposite side)
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
e hone #
Gam-- -- / Zip -�✓ -'
Total Fee Now Due S
County Miami -Dade
* * * * * * * * * * * * * * * * * * * ** t * * ** F e es * * * * *** * * * * * * * * * * * * *x lc * ** *
tC(c) .3CD
Permit No �� ° 9
aster Permit No.
Plumbing Mechanical Roofing
Phone #
Zip
3/ . 9 cf
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
Submittal Fee S C77 Permit Fee S /DG" -- CCF S C) • vC CO /CC
Notary S Training/Education Fee 5 c - , Technology Fee s 2 - 0
Scanning S Z • / ` Radon S Zoning Bond S
Cade Enforcement 5 Structural Plan Review. 5
Bonding Company's Name (if applicable) —
i c .:. - :. '3 Address
City
NOTARY PT LIC:
S ,s d
t t BSOEtr 't10:1
Print: 4 ' iy ,'OQ Itt :e40r 70141 , I
a,,A, t' Ire ..;I:..009
Mv Commission Expi_2S'°ft----•°--
Chc 12/15/03
APPLICATION APPROVED BY:
State
n2 CZ a2plicuoic)
Mortgage Lender's Address
City Slate 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
" -, • .n +. , r , i , ; ;, � ,._..rtic.i "s 1 rat° aid that all ixork ^ i11 be dc:.e comp_ lir ^re 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 sgven (7) days after the building permit is•issued In the absence of such posted notice, the
inspection will not be appr e and p r ir�spection fee will be charged.
Signature .,-- (� (1t Signature
V er gent ,/7 Contractor
The foregoing instrument was acknowledged b or a this The foregoing instrument was acknowl; • ged be r this /2
day of 20 OA, by p 6 2•/ . A fL1S , day of 20 04 , by
who is -rsonally known to me or who has produced who is pe son�wn to me or who has produced
P P
As identification and who did take an oath as identification and who did take an oath.
NOTARY PUBLIC:
Zip
its. !eddtp "
`zy
AlinfriviTIV446,
om.ttti4bn'E/x s:
********************************************************************* ** * * * * * *** ** * ** * * ** *** * **** * ** c * * *t. * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Primary Zone:
1000 SINGLE FAMILY RESIDENCE
CLUC:
0001 RESIDENTIAL- SINGLE FAMILY
Beds /Baths:
3/2
Floors:
1
Living Units:
1
Adj Sq Footage:
2,626
Lot Size:
13,000 SQ FT
Year Built:
1949
Legal Description:
MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 20 & 21 BLK 25
LOT SIZE 100.000 X 130 OR 19769 -0123 07 2001 1
Year:
2005
2004
Land Value:
$273,240
$181,148
Building Value:
$153,140
$139,084
Market Value:
$426,380
$320,232
Assessed Value:
$255,438
$247,998
Homestead Exemption:
$25,000
$25,000
Total Exemptions:
$25,000
$25,000
Taxable Value:
$230,438
$222,998
Folio No.:
11- 3206 - 013 -3460
Property:
285 NE 91 ST
Mailing Address:
ROBERT DOMLESKY &W JANINE
285 NE 91 ST MIAMI SHORES FL
33138 -3127
Sale O /R:
19769 -0123
Sale Date:
7/2001
Sale Amount:
$315,000
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Street Name: 191
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Issue Date: 5/15/2006
Owner's Name: ROBERT DOMLESKY
Permit Type: Electrical - Residential
Work Classification: Addition /Alteration
Job Address: 285 91 Street NE
Contractor(s) Phone
BRINKS HOME SECURITY INC 305 - 887 -8455
Primary Contractor
Yes
Comments:
BURGLAR ALARM
Additional Information
Miami Shores Village, FL 33138-
Type of Work: BURGLAR ALARM Additional Info:
Classification: Residential
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.
Fees Due
CCF
Education Surcharge
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$100.00
$3.00
$2.50
$106.30
Invoice Number
EL - 5 - 06 - 24811
Total:
Amt Due
$106.30
15 PAID
Amt Paid
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 11/08/2006
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: EL -5 -06 -1239
Phone:
Total Square Feet:
Total Valuation:
Required Inspections
1132060133460
Lot:
PB:
0
$ 600.00
Alteration
Underground Rough
WW
Service Change
Meter Box
Fire Alarm
Relocation
Final
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.