EL-11-466Scheduled Inspection Date: April 04, 2011
Inspector: Devaney, Michael
Owner: PROPHETE, PATRICK
Job Address: 190 NW 101 Street
Miami Shores, FL
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Building Department Comments
April 01, 2011
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenu4 Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 157837 Permit Number: EL- 3- 11-466
For Inspections please call: (305)762-4949
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number 1131010230170
Phone: (786)331 -3967
BURGLAR ALARM
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
/.)--(z e9
Page 26 of 26
C'
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) if /c 7 Z
Owner's Address / �C3 4J J /o/ S-74 rty s/®/es State "l
Tenant/Lessee Name
Miami Shores Villa Wfrer)
Building Departme
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
E- MAIL:
Job Address (where the work is being done) lL ji 9 11 „1 6 �
City Miami Shores Village b County e)
Miami -Dade Zip , ,
FOLIO /PARCEL# 11 — 31 b 1- �'"'
Is Building Historically Designated YES NO
lass. it I
Contractor's Com
Co i x . is Address
City
Qualifier Nam
State Certificate or Registration No.
E -MAIL:
Archftect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
Type of Work:
Describe Work:
Notary $
Scanning $
Bond $
on
q c q
Iterati
Zip 3?/s'
Phone #
MAR 1 5 2011
BY
Permit No. EU 1 " ( 40
Master Permit No.
4 € Phone #
ST
Phone # 4
Zip
Phone #
Certificate of Competency No.
Square / Linear Footage Of Work:
New ❑ Repair/Replace ❑ Demolition
r yy
* *** * * *** * *er *****i ** tit* t. *************F e es***
Submittal Fee $ Permit Fee $ / tP a c u'
Training/Education Fee $
Radon $ DPBR $
Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
CCF $ CO /CC
Technology Fee $
Zoning $
y icdo
See Reverse side -+
, Bonding Ccimphny's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's N
M. e Lender's Ad
City
Application is h made to o ' ' . : permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to e 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 reinspectlon fee will be charged
srgoaixue ' 0,
Owner or Agent /
The foregoing instrument was acknowledged before me this 9/4
day ofinel A , 20 /l , by 0 , ;4l1e,./P1 , asp - ,
who is personally known to me or who has produced e'J 1.
As identification and who did take an oath.
NOTARY PUBLIC:
Sign.
Print
ors 7tlLLS
i MY CO MW -. t a N OD 847914
Fa(PIR
lil r _,—A, 7, 2011
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
e (if applicable)
State Zip
Signature
Contractor
trument was acknowledged before me this/0
20 if 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:
* * ***** ** * * **k] C.
Z. l/ Plans Examiner
Engineer
Zoning