EL-10-1483Scheduled Inspection Date: August 24, 2010
Inspector: Devaney, Michael
Owner: GREEN, GIL & DEANNA
Job Address: 113 NE 101 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: SECURITY SYSTEMS SOLUTIONS CORP
Building Department Comments
August 23, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 150352 Permit Number: EL -8 -10 -1483
For Inspections please call: (305)762 -4949
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number 1132060131910
Phone: (305)468 -8900
NEW ALARM SYSTEM INSTALLATION FOR MAIN HOUSE
DETTACHED GUEST HOUSE SYSTEM ON SEPARATE
PERMIT.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
0
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Page 33 of 35
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: Electrical
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
OWNER: Name (Fee Simple Titleholder): Q�^ 1'1 ✓1 ✓ Z z Phone #: (° •E S? 3 Q
Address:_ 10 3 t`1 , b 1 54 M z 4-- U h 11• A
City: r ► a 1 S ho r t 1 State: _ Y Zip: 1 1?
Tenant/Lessee Name: Z °+ h Vl al �1 ✓ z . h Phone #:_
Email:
JOB ADDRESS: 1 1 3 nom 10 L S-h-r 2.Lf- U n 1 4 ` -A--
City: Miami Shores County: Miami Dade
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
• 5 .1
CONTRACTOR: Company Name: SL (U r 1 Y S" S 4 z nelS Phone #: 3 DS 1 108 — 81 by
Address: 7 2 1 1 n W (o9 I s-1--L tf 8
City: 1 'l 1 net 1 State: P 1--
E
Qualifier Name: '�;� %��! "�'' VIA Y1 v ^ Y ' 1 • r o
State Certification or Registration #: EF 2b O 0 0 S 1 Certificate of Competency #:
Contact Phone #: 340 5" •0037 ' ( Email Address:l. at r 4 t 1' S C Uv t4- .SsiS t MSS • ( 0P?
DESIGNER: Architect/Engineer: Phone #:
A,3
Value of Work for this Permit: $ ( Squ
Type of Work: ❑Address ❑Alteration A
Description of Work: {JVPD� ^1` bArel
ew
Permit No. €€
Phone #:
Submittal Fee $ Permit Fee $ /6 r e 2 CCF $
Scanning Fee $ Radon Fee $ DBPR $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
r eVVIS1
auG 1 1 2010
BY: 0,0: 77: :: 7777:=.•
O14&
3
Master Permit No.
Zip: 33 1 8
Zip: 3 ( k. 1.
30S 30 3
inear Footage of Work:
❑Repair/Replace ❑Demolition
CO /CC $
Bond $
TOTAL FEE NOW DUE $
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 a' proved and a reinspection fee will be charged.
Y
Signature "\ ` Signature
0 p . r or Agent Contractor
The fore oin
day of
who is
NOTA
1
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * **
APPROVED BY
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
ment was a• '. owledged beforg
201, by t�l J �L� l A
nown o me or who has produce .
identification and who did take an oath.
Structural Review
The foregoing i t ment was acknowle be .r e me t . 1
n l
day of '��' , 2011 J, by _! . 11 0 I
ally known to m or who has produce. ' _ A
e 1 ation and who did take an oath.
NO A '< PUBLIC:
Sign:
Print:
My Commission Expires:
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4t'7 Plans Examiner \No
Zoning
Clerk
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