35 NE 92 St (16)Inspection Number: INSP -13334
Permit Number: EL -3 -06 -788
Inspection Date: 04/25/2006
Inspector: Devaney, Michael
Owner: SUISSA, ALAIN AND NICOLE
Job Address: 35 92 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Monday, April 24, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phon (305)795 -2204 Fax: (305)756 -8972
a
Permit Type: Electrical - Residential
Inspection Type: Underground Rough
Work Classification: Addition /Alteration
Block:
Phone Number (305)975 -0400
Parcel Number 1132060130240
Lot:
Page 1 of 2
Passed
Inspector Comments
Lk",
•‘- , ' --- ei7 - ii.4 1-
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -13334
Permit Number: EL -3 -06 -788
Inspection Date: 04/25/2006
Inspector: Devaney, Michael
Owner: SUISSA, ALAIN AND NICOLE
Job Address: 35 92 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Monday, April 24, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phon (305)795 -2204 Fax: (305)756 -8972
a
Permit Type: Electrical - Residential
Inspection Type: Underground Rough
Work Classification: Addition /Alteration
Block:
Phone Number (305)975 -0400
Parcel Number 1132060130240
Lot:
Page 1 of 2
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building
Job Address (where the work is being done)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Owner's Name (Fee Simple itleholder) /11 .-/f - / ,c Ul SS IJ Phone # , 3t0
Owner's Address 3 ,S r)6- q d s ,- �`
City /1/ I /-� 312- 61 State zip 3/ 3
S � p 4
Tenant/Lessee Name Phone #
City Miami Shores Village County Miami -Dade Zip 33) g
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Permit No. fi L -� - 1St5
Master Permit No. '06- 166
Plumbing Mechanical Roofing
975' 6400
Contractor's Company Name O kii) NCI` Phone # 30 - [ 7 � ` a f 0
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
9.0
Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration ['New L Repair /Replace ❑ Demolition
Describe Work:
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ /9 lfi CCF $ 0 • CoO CO /CC
Notary $ (2i Training /Education Fee $ ®. GC) Technology Fee $ Z -�7
Scanning $3- C Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 1 1 ( - 30 .
See Reverse side —>
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Sign:
Print: 4',4,6:
My Commission Expires:
(Revised 02/08/06)
Signature
Owner or Agent ,�
The foregoing instrument was acknowledged before me this V u
day of tl(Llfs , 204 , by ijklY1 SCISStc
who is personally known to me or who has produced F( Li(
APPLICATION APPROVED BY
MONICA USSETH DIAZ
MY COMMISSION # DD 483995
b� EXPIRES: October 20, 2009
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 sat .chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection hie iccurs s en (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be and a einspection fee will be charged.
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of ,20_,by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Plans Examiner
Engineer
Zoning
ITEM
LATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
/
FEE
ITEM
SPACE HEATERS
UNIT
FEE
;IDET
LIGHT OUTLETS
CENTRAL HEATING
)ISHWASHER
RECEPTACLES
A/C (WIND)
)ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
)RINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 FP
FGT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER - 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-l00 HP
COOLING TOWERS
EATER CLOSET
l
(
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES
l
I
A/C WII
REINSPECTJON
WATER SUPPLY T0:
1
I
AIR CONDITIONERS
A/C UNIT
1
STRIP HEATER
FIRE SPRINKLER
I
I
GENERATORS TRANSFORMERS
NEATER -NEW INST.
I
I GENERATORS TRANSFORMERS
HEATER- REPLACE
I
GENERATORS TRANSFORMERS
I j
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
j
SWIMMING POOL
OUTLETS COMMERCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
*SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY -WATER
I
FIXTURES
SEPTIC TANY
ANTENNA
RELAY
I
TELEVISION OUTLETS
DRAINFIELD, I' TILE/RES.
VIOLATION
I
PUMP L ABANDON SEPTIC TANK
RE I NSPECT ION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN'
ROOF INLET
"kN ArPLICATION fOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM.. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
SOLAR WATER HEATER
=IRE STANDPIPE
'COL PIPING,
_AWN SPRINKLER SYSTEM
.3AS RANEE
ETER SET (GAS)
3AS: Ploik_
r1 U U L 1 1 U 1J 111 1 V U U J. L U i 1 1 t.1 1 L 1 l 011 1 1 !11 1 t. i - 1 1 1 v l
ELECTRICAL
MECHANICAL
Issue Date: 4/3/2006 Expires: 03/28/2007
Owner's Name: ALAIN AND NICOLE SUISSA
Permit Type: Electrical - Residential
Work Classification: Addition /Alteration
Job Address: 35 92 Street NE
Miami Shores Village, FL 33138-
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 - 0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Contractor(s) Phone Primary Contractor
HOME OWNER
Yes
Comments:
ELECTRICAL WORK FOR BATHROOM REPLACEMENT
Additional Information
Type of Work:
Classification: Residential
Additional Info:
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
Notary Fee
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$100.00
$3.00
$2.50
$111.30
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: EL -3 -06 -788
Phone: (305)975 -0400
1132060130240
Lot:
PB:
Total Square Feet: 104
Total Valuation: $ 200.00
Required Inspections
Alteration
Underground Rough
W W
Service Change
Meter Box
Fire Alarm
Relocation
Final
Invoice Number
EL
Total:
Amt Due
$111.30
FAPR 0 4 PAID
CAS t-+
Amt Paid
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Inspection Date: 08/08/2006
Inspector: Devaney, Michael
Owner: SUISSA, ALAIN AND NICOLE
Job Address: 35 92 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Monday, August 7, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)975 -0400
Parcel Number 1132060130240
Lot:
Page 2 of 2
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Inspection Date: 08/08/2006
Inspector: Devaney, Michael
Owner: SUISSA, ALAIN AND NICOLE
Job Address: 35 92 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Monday, August 7, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)975 -0400
Parcel Number 1132060130240
Lot:
Page 2 of 2