EL-10-1064Inspection Number: INSP - 156865 Permit Number: EL -6 -10 -1064
Scheduled Inspection Date: March 07, 2011
Inspector: Devaney, Michael
Owner:
Job Address: 1098 NE 95 Street
Project <NONE>
Miami Shores, FL 33138-
Contractor: ADT SECURITY SERVICES, INC
Building Department Comments
March 04, 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 1132050120010
Phone: (786)331 -3967
INSTALLATION BURGLAR ALARM SYSTEM, PANEL, AND
70 DEVICES
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 29 of 30
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: ELECTRICAL
Contractor's Company Name t
Contractor's Address ( 0 9 8 4i
City //A-Mg l State
Qualifier Name
Miami Shores Village u 3 iS V13 n
Building Department a JUN a 21°
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 I t esoatr's.o =ttr, •'• —•
INSPECTION'S PHONE NUMBER: (305) 762.4949
Owner's Name (Fee Simple Titleholder) Q\SO cttm C Phone # lib 4 89 (5 ' 3 s
Owner'ss Address 1 q S V 6 q d T
City 1 State d Zip 13
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done) I O ' NYE 6 15S - 1 .-
City Miami Shores Village County Miami -Dade Zip
FOLIO /PARCEL# 11 - 320S- ®(z - 0010
Is Building Historically Designated YES Flood Zone
Phone # (qv.) ) , 6 -- / j
Zip
Phone #
State Certificate or Regis ation No Certificate of Competency No.
Contact Phone (41-74( 2.,,,6, J [. 1 E-mail ( � l l% ��C G CAA1
alI
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ ?j 7 De v' Spare / Linear Footage Of Work:
Type of Work: ❑Addition Alteration kit New
/'' l ❑ Repair/Replace 0 Demolition
Describe Work: (f)
e "09
(--2
NO
Permit No.E -I Q
Master Permit No.
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $'SO' 00 Permit Fee $ aoh � 19. ' CCF $ 5 -44 CO /CC $
Notary $ Training/Education Fee $ 1 ISO Technology Fee $1•
Scanning $ » Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ 211 go
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 not b oved and a re- inspection fee will be charged.
e\SO Signature
Signatur
Sign:
Print:
.rOTAI<Y x'ULLIGSTATL' OF FLORIDA
My Commission Expires: ,, Alba Aguila
a�F -Commission #DD682830
Expires: JULY 26, 2011
BONDED THRU ATLANTIC BONDING CO., INC.
* ******** ******* * ** *** ** *icdcicie****nFit**** *fit
APPROVED BY
(Revised 07 /10'07)(Revised 06/10/2009)
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ,20_,by day of ,20_,by
who is personally 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 PUBLIC: NOTARY PUBLIC:
Engineer
Sign:
Print: ;' ry A
My Commission Expo
BOND a
/O k? - .Plans Examiner
ID
IC- STATE OF.
Atha Ague a
anission:P 0 .0 830
) t Ai2011
* *fit * * * * * * * * **
Zoning
Clerk checked