EL-09-1259 T-7 M 7777
N G m J�9
s °R bt Miami Shores Village ''' Penn#,Type: E : Reaftelfittat
10050 N.E. 2nd Avenue ttVocssalor7 , rOv
Miami Shores, FL 33138 -0000 % v
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Phone: (305)795 -2204
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p Expiration: 01/312010
Project Address P arcel Number Applicant
f 50 104 Street 1121360130890
HELEN HALES
Miami Shores, FL 33138 -2027 Block: Lot:
Owner Information Address Phone Cell
HELEN HALES
50 104 Street
I
MIAMI SHORES FL 33138 - 2027
Contractor(s) Phone Cell Phone
Valuation: $ 2, 000.00
ADVANCED PROTECTION SERVICES (954)481 -4497
Total Sq Feet: 0
Type of Work: ELECTRICAL For Inspections please call:
Additions! Info: ALARM SYSTEM
(305)762 -4949
Classification: Residential Available Inspections:
Inspection Type:
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $1.20 EL -7 -09 -35499 $ 107.10 $ 50.00
Education Surcharge $0.40 1
Permit Fee - Additions /Alterations $100.00 EL - 7 - 09 - 35499 $ 107.10 $ 107.10 $ 0,00
Permit Technology Fee $2.50
Scanning Fee $3.00
Submittal Fee $50.00
Submittal Reversal Fee ($50.00)
Total: n; $107.10
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In conside a(ion of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining iibgreto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting fts permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required fLECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERSkFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructi� and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
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December 03, 2009
Authorized Signature: Owner / Applicant % Contractor / Agent Date
Builcfing Department Copy
Decenflibr 03, 2009 - 1
Miami Shores Village
B Y:
...................
Building Department
f0050N,E2nd A%: Miami Shores. Florida 33138
Tel: (305) 7()':i.)'()4 Fax: (305) 756,8972
BUILDING Permit No. IJ 1
PERMIT APPLICATION Master Perinit No.
FBC 2004
Permit Type: Electrical
ONi ner's Name (Fee Simple Titleholder) (3a - 77
State ' h /.3
Zip
1 ��
I c1lant/LesseeName Phone
E-MAIL
Job Address (where the work is being done) _S_& Aj C–
C 1 t MiU111i Sh0FCS Village , Aiami-Dade zip
FOLIO / PARCH, # I I - -2- L-3 6' - ! � �0
Is Building, Historically Designated YFS
Contractor's Compan MON6ed J�-5e-1/;eet5Phone
2 ga
Contt Adch Uj 1- 1 el 6(e
State ---- Zip 5AW
Ouatifiet Name U V_ AP2'A�<� Phone 4 - 311- elelf 7,
Certificate of Competency No.
E-MAIL
Architect/1'Aigincei's Nwnc (if applicable) Phonc 4
Value of Work For this Permit S i'Linear Footage Of Work:
Ty I)c o Wo ❑Addition ❑AItcratioll Demolition
Si t>niif(c f)escrihe Work:
CO/cc
er eP ccF S
Permit Fee S
S
Notary S_ Training/Education Fee S Fee S
Scanning S_ Radon 3 S Zoning S
Bond S Code Enforcement S Double Fee S
Structural Review. S Total Fee Now Due S
See Reverse side
Bonding Cortrpany'S Name (if applicable)
r Conrpanti "'s
State —. —_
Gip
Mortgage Lender's Name (it applicable)
ortgage Lender °s Address —_
-- Stan; — —
_
Ap is hereby made to issua a pcnnit to do [lie s i installations as indicated. I certily of that no work or installatio h
n as
this uris n. I Understand that i
usssunc�nu,d prior to the rssuance of a pem�it and th�.1 r .ti uill be pertonn o m
ed to the standards all lass regulating
l"1 uet in j ,clst�. be secured for LI I; WORK, PLUMBING, PLUMBING, PLUMBING, SIGNS
W
!� 1;I,LS PnC)LS, FURNACEACJ -:S, I3OII.ERS, HEA71 RS '1
xi AIR COM)ITIONE RS, E'I'C.....
OWNER'S AFFIDAVIT: I St r Ctl on and Toning. that the
applicable ]uses regulating eonsh l{srctoin, : �! ;olt i accurate and that all "Fork will be done in compliance with all
WARNING '1'O OWNER: YOUR FAILURE TO 1uk A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO yr;
OPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR .1� t)RNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT,"
1 otrca to _lpplicant. , =1s' a condition to the issuance (Y a vernlil With an estimated value exceeding S2500, the applicant must
promise ire vorxlJaith that a col?3- crf the 1totice of comme , �t and construction lien law brochure will be delivered to the person
w hose , proln.rlt� is subject to attachment. Ilse a c r tit "c e. recorded notice of commencemcsnt must be pasted at the fob site
Joi the fir st inspection s>>luch occurs seve - rr G> den line permit is issued. In th , e absence of such posted notice the
spec tion still trot be "l)prrn.L!d and o reins ��eclion lip
f .. Signature
— Signature
Meer or Agent
Contractor
The foregoing instrument was ackno>vlcdeed befi)re j..:
The fo foregoing instrument was acknowledged before nre this �_
das of U , 20 D''_ by _. - -- "�_�
— dad of`_ -� U� -20,"ff by
%Q]o is personally krlmsn to me or who has produced
1 _ - %\h() is personallN kno>.in to me or Who has produced
As identihctition al,4 o did take as identification and set d take a o th.
NOTARY P'C � t' — .... NOTARY I' C:
Sign: _Not I cz; t °tor�da
4r+?rt fez
s, Sign: f!�
Print: � � My w7,rs )ti Ull906188
r - -- _ Print: c y Camm►tti�
My Commission Ex xPrtt —
My Commi
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.1I APPROVED lY:
Plans Examiner
rigineer
,. .._ —. ...... - _-- ...,..._. —... -- Zoning
(Re%tsed 02 ON 06)
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Nu mb e r: INSP- 133299 Permit Number: EL -7 -09 -1259
Scheduled Inspection Date: January 13, 2010 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: HALES, HELEN Work Classification: Alarm
Job Address: 50 NE 104 Street
Miami Shores, FL 33138 -2027
Phone Number
Parcel Number 112136013089
Project: <NONE>
Contractor: ADVANCED PROTECTION SERVICES Phone: (954)481 -4497
Building Department Comments
INSTALLATION OF ALARM SYSTEM
Inspector Comments
Passed
ET
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 12, 2010 For Inspections please call: (305)762 -4949 Page 16 of 22