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EL-09-1324 •v Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)785 -2204 Fax: (305)756 -8972 I nspection Number: INSP- 140789 Permit Number: EL-8-09 -1324 Inspection Date: April 19, 2010 Permit Type: Electrical Residential Inspector: Devaney, Michael Inspection Type: Final Owner: FILS RIME, BERNARD Work Classification: Alarm Job Address: 453 NE 99 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060170410 Project: <NONE> Contractor: ADT SECURITY SERVICES, INC . Phone: (786)331 -3967 BuIlding Department Comments BURGLAR ALARM INSTALLATION Inspector Comments Passed 786-281 -6825 I v I Owner - Roman. Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 18, 2010 For Inspections please call: (305)762 -4949 Page 1 of 1 \ � Miami Shores Villa e w rm T RT%j B ilding Department MAR 4, 5 2010 �V 10050 N. .2nd Avenue Miami Shores, Florida 33138 ! e (305) 795.2204 Fax: (305) 756.8972 a ........ r BY . ..... ....... ( P ION'S PHONE NUMBER: (305). 762.4949 BUIL ING Permit No. ° 13R PERMIT APPLICATION Master PermitNO'. FBC 20 Permit Type ELECTRICAL_ Owner's Name (Fee Simple Titleholder) Phone # Owner's Address: City to a Zip Tenant/Lessee Name Phone # Email Job Address (where the work is being done)" City Miami Shores Villaee County _ Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name Phone # Contractor's Address � City g ti State Zip Qualifier Name - - -eo gnamel1l Phone # State Certificate or Registration' No. �b � Certificate of Competency No. Contact Phone �-/ � y E -mail C.�CZf'I Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑Ne ❑ Repair/Replace ❑ Demolition Describe Work: Submittal Fee $ Permit Fee $ 100 0 _ CCF $ CO /CC $ Notary $ Training/Educa�tion Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ _ Bond $ Double Fee $ Violation date: M ,t � Structural Review. $ Total Fee Now Due S 'V0 ' 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 fmELECTRICAL 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 jab site for the first - inspection which occurs seven (7) days after the building permit is issued. In the absence of such I osted notice, the inspection will not be approved and a re- inspection fee will be charged. Signaturr7 — - ` Signature ` Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregomi instrument was acknowledged before me this day of , 20 _, by day of & RNL A , 20LQ_, 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: 1 6 Sign: Sign: L� erMARYPUB 1EOF Print: i a � _ Xx My Commission Expires: Commission #DD682830 My Commission Expires: NOTARY PUBLIC -STATE OF FLORIDA , Expires: JULY 26,2011 Alba A a caoz+IDaxocon� Commission # DD682830 soxnEOZl�g „, Expires: AMY 26, 2011 ��, ��: ��, x��, �u��• x��: ��r��,��,��k ages APPROVED BY Plans Examiner Zoning r Engineer Clerk checked (Revised 07 /10 /07)(Revised 06 /10/2009) 7 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Expiration: 0210712010 Project Address Parcel Number Applicant 453 99 Street 1132060170410 BERNARD FILS -AIME Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell BERNARD FILS -AIME 453 99 Street MIAMI SHORES FL 33138 -2461 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 ADT SECURITY SERVICES, INC (786)331-3967 Total Sq Feet: 0 Type of Work: ELECTRICAL For Inspections please call: Additional Info: ALARM (305)762.4949 Classification: Residential Available Inspections: Inspection Type: Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ EL -8-09 -35599 $ 50.00 $ 50.00 $ 0.00 Education Surcharge $0.20 Permit Fee - AdditionstAlterations $100.00 Check #: 2557 Scanning Fee $3.00 EL48- 09-35613 $ 56.30 $ 56.30 $ 0.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Check #: 2710 Technology Fee $2.50 Total: $106.30 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. August 11, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy August 11, 2009 VV Miami Shores Village ' AUG 1 0 2009 Building Department f0050 N.E.2nd Avenue, Miami Shores, Florida 33138 - B Y: - . ®� ®- •es_e... ® ® ®m ®® Tel: (305) 795.2204 Fax: (305) 756.8972 a BUILDING Permit No. - �{— PERMIT APPLICATION Master Permit No FBC 2004 Permit Type Electrical Owner's Name (Fee Simple Titleholder) I464 A I .� Q t4V Phone # :3 2,8 8 Owa dress `1 S �i 9 ° City State Zip 3 �' Tenant/Lessee Name Phone # E -MAIL: Q Job Address (where the work is being done) `1 r S - 3 1 City Miami Shores Village County Miami -Dade Zip r 3 FOLIO / PARCEL # 1 13 20 60 I °7 ® O Is Building Historically Designated YES NO e Contractor's Company Name A OT �W V f ( d J 1U S Phone # Contractor's Address S JA) av City State Zip 334M Qualifier Name °+�`� aft 4/ Phone # l State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # v Value of Work For this Permit $ �,6 040 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration WNew ❑ Repair/Replace ❑ Demolition Describe Work: Submittal Fee $ Permit Fee $ CCF $ mc CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 0 See Reverse side -� t 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 be approved and a reinspection fee will be charged. rn Signature Signature er or Agent Contractor [ C The fo ' reg g instrume s acknowledged before me this The foreKonally ' ent was acknowledged before me this day of , 20 [P f, by day of , 20 D �l by , who is p onally known to me or who has produced who is p wn to me or wh o has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: It alw� Sign: Sign: A Print: MIA PIT tT rATf; 0TTAt RIDA Print: A` Alba AZuila 7 F17.1 a ksfi. Ccrs s.' is�ion ; ,,� D1:%68 X30 M Commission E ltjs M Commission Expires: o Y P i t r B1) (58� �0 y P � E uics: J�TL� 2u, 2011 ��>r r• x ��e�r��r�r��r�r�r��> <r�r�r�:•x��r�?sl�d�,�r��.�r�: art: �• xt�• x�a�za, ��r�arrt�r >tit�t�•x��r�•�:�r�:�e�rBg °tt ,3�d`�•,�Q��GP•�C. B0IY7)ED T73RD AT . BONDING C0•,INC. APPLICATION APPROVED BY: �� Plans Examiner Engineer Zoning (Revised 02/08/06) " 4 i t: a i. T im boat** loop aw AW 01 Ad to MAW Ks hum It mwa YL PAU NOW c :.. 1. S a _ _ � Y mmumn YES