EL-08-1111Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
1071 95 Street 1132060143610
Miami Shores, FL Block: Lot:
Contractor(s)
ADT SECURITY SERVICES, INC
Phone
(786)331 -3967
Cell Phone
Fees Due
CCF
Education Surcharge
Expired Permit Renewal Fee
Late Plans /Review Fee
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$100.00
$0.00
$110.00
$3.00
$2.75
$216.55
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Expiration: 1 211512009
Project Address Parcel Number Applicant
Invoice #
EL -6-08 -32157
Check #: 1136
Total Amt Paid Amt Due
$ 116.55 $ 116.55 $ 0.00
EL-6 -09 -35107 $ 100.00 $ 100.00 $ 0.00
Check #: 2073
•
Type of Work: BURGLAR ALARM
Additional Info:
Classification: Residential
DONALD S MCCORQUODALE J1 1
Owner Information Address Phone CeII
DONALD S MCCORQUODALE JR &W & 1 1071 NE 95 ST
MIAMI FL33138 -2547
Valuation: $ 1,000.00
Total Sq Feet: 0
Date
For Inspections please call:
(305)762-4949
Available Inspections:
June 15, 2009
Inspection Type:
Final
Rough
1
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.
June 15, 2009 1
pteturn to:
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138 -0000
IBM To I
DONALD S MCCORQUODALE JR &W & BEV
1071 NE95ST
MIAMI, FL 33138 -2547
Date
06/15/2009
06/15/2009
Monday, June 15, 2009
Fee Name
Expired Permit Renewal Fee
Late Plans /Review Fee
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Invoice Number: EL-6 -09 -35107
Invoice Date: June 15, 2009
Permit Number: EL -6 -08 -1111
Bond Number:
'Comments:
Fee Type
Calculated
Fixed
Total Fees Due:
Fee Amount
$100.00
$0.00
$100.00
Payments
Date Pay Type Check Number Amount Paid Change
06/15/2009 Check 2073 $100.00 $0.00
Total Paid: $100.00
Total Due: $0.00 II
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores , FL 33138 -0000
Phone: (305)795 -2204
Project Address Parcel Number
1071 NE 95 Street 1132060143610
Miami Shores Village, FL Block: Lot:
aS$
Expiration: 12/17/2008
.....R1K!lg[.Iff.4RnatIQf Address Phone CeII
DONALD S MCCORQUODALE JR &W & 1071 NE 95 ST
MIAMI FL 33138 -2547
Contractor(s)
ADT SECURITY SERVICES, INC (786)331 -3967
Phone CeII Phone
Valuation:
Total Sq Feet:
Type of Work: BURGLAR ALARM
Additional Info:
Classification: Residential
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$110.00
$3.00
$2.75
$116.55
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Tuesday, June 17, 2008
Applicant
Total 1 Amt Paid 1 Amt Due
$ 0.00 $ 0.00
Payment Type :
$ 0.00
JUN Me
AMAMI SHORES VILLAGE
DONALD S MCCORQUODALE
Available Inspections:
June 17, 2008
Date
$ 1,000.00
0
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 .
1
OC1\b & W O
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder)
Describe Work:
Structural Review. $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Owner's Add es 0 / / ,5
City ' ��Q cei.e Jkj Mate
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # )(a- itf /C — 7eto
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor' r'A ddress
Vie
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ['Addition ❑Ateration
RECEIVE
Ju � 2008
Nott tvl f MCC& eq.
dee.as
0 2000
MIAMI SHORES VILLAGE
,.
Master Permit No.
u e"' 4it- Cs '
Phone #
Phone #
Phone #
A911.7—e:
Square / Linear Footage Of Work:
******* xxxxxx* x* xxxx &**xxx****x*&xxxxx*F *xxxr. xx **xx xxxxx xx xxx * x* xx*
Technology Fee$ 7.75
Total Fee Now Due $ i �Cr
See Reverse side -+
Permit No. I:LOVA(
Zip
(9,5
City V ✓G / � State i Zip ,33,10' Qualifier Name � 7j/��' Phone # ('5's ) ` /-i2—
State Certificate or Registration No. Dal/ 2 ( Certificate of Competency No.
E -MAIL:
❑ Repair /Replace ❑ Demolition
Submittal Fee $ Permit Fee $ CCF $ 0.6 6 CO /CC
Notary $ 40 Training /Education Fee $ 6 c
Scanning $ 3.(D Radon $ PBR $ Zoning $
Bond $ Code En 4. a _;' �:.._ ) ouble Fee $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage tNl res
City State
`' Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. ( 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 not be approved and a reinspection fee will be charged.
U,144 t M c r6Foual c 4 3k. 2C, M 7 6 z 1fx- yJ_73t9 -
Sign:
Print:
My Commission Expires: OTARY PUBLIC-STATE ��OFgg�� ic
;
FLORIDA
xxxxxxxxx3exx4exxxxxxx1 *xxxx bbd C�.*x xx •�Iku'ae' t2 A. xxxxxxxx
'
4 s.
Commission :;" /g:'
.._, . xi , irc:s: JULY 26, 2011
• °' A
APPLICATION APPROVED BY:
(Revised 02/08/06)
Sign:
Print:
Signature /.�'�, ; � Signature / /jam"
..�
Owner or Ag onractor � il
The foregoing instrument was acknowledged before me this The fore :+s ing instrument was acknowledged before a thi
day of , 20 _ , by , day of ��I/
who is personally known to me or who has produced who is1"-rsonally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
as identification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires:
NOTARY PUBLIC -STATE OF FLORIDA
AthaA uila
xxxx *xxxxxxxx* xx xx xxxxxxxl° ° xxxx xxxi i ti 5
ULY 26, 2011
`. BONDED U ATLANTIC BONDING CO., INC.
✓etti-Ais. Plans Examiner
Engineer
Zoning
Inspection Number: INSP -87591 Permit Number: EL -6 -08 -1111
Scheduled Inspection Date: July 02, 2009
Inspector: Devaney, Michael
Owner:
Job Address: 1071 NE 95 Street
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Building Department Comments
BURGLAR ALARM
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
2 .)"(0 y m�
1..1.• Ill 7flflQ
Miami Shores, FL
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 1132060143610
Phone: (786)331 -3967
D....e 4 7 ..i 47