EL-11-465Inspector: Devaney, Michael
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Building Department Comments
April 05, 2011
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 157746 Permit Number: EL- 3- 11-465
Scheduled Inspection Date: April 06, 2011 Permit Type: Electrical - Residential
Inspection Type: Final
Owner: ROVINSKIY, DENNIS Work Classification: Alarm
Job Address: 65 NE 106 Street
Miami Shores, FL 33138 -2034
For Inspections please call: (305)762 -4949
Phone Number (786)382 -9647
Parcel Number 1121360060300
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
CREATED AS REINSPECTION FOR INSP - 157684. please make this
inspection the last of the day. Home owner is present after 5:00 p.m thanks!
No one home at 5:15 p.m..
57L_
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Page 7 of 16
A kil 1 / 4
BUILDING
PERMIT APPLICATION
IBC 20
Permit Type: Electrical
OWNE • Name (Fee Simple Titleholder : fl t 5 11 f 1 'S NI Phone #:
Address � ' Vc ‘4 5f
,
SI L) State: 3 Zip: 1
City: V \ lar4
Tenant/Lessee Name:
Email:
City:
Folio/Parcel #:
CONTRA TOR: Company Name:
Address:
City: 11 A
Miami Shores Village � �/ d' z
L
MAR 1 5 2011
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
Permit No. 165
Master Permit No.
Phone#:
JOB ADDRESS: (5 I ►(. !Do £f
Miami Shores
— 3 0
County: Miami Dade
Zip:
Is the Building Historically Designated: Yes NO Flood Zone:
50:_tirkt let icasphone#Q) 2(6(4--c-
Qualifier Name: _ 1 /' A A CJ
State Certification or gistration #: '/, I Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: S Lbq Square/Linear Footage of Work:
Type of Work: ❑Address Al\ don ❑New ❑Re air/Replace
Description of Work:
r).4,
❑Demolition
1 / @ b-utttlar a ciALt
OA pciywA
Q_, \ Deuu 0
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * *** F ********** * ****** ** * * * ****a * ** * ***** *** ****
Submittal Fee 6D cW Permit Fee $ /4. ''' t CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ �J ® (V/0
Bonding Company's Name (if applicable)
Bonding ompany's Address v�
City State Zip
Mortgage Lender Name (if applicable
Mortgage Lender's A,' dress
City tate 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 CONDIITONERS, 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 a a reinspectio ee will be charged.
Signature / Signature
Owner or Agent
The for. .o' ins ment was ac .. owledged befo e me this The foregoin instrument was acknowledged before me this//
day of �',� �, .' ' 0 4 1, by l 1 1 I I ` _ t v li day o , 20 // by
w s person Iy known to me or who has produced who is personally known to me or who has produced
As entification and who did take an oath. Pr as identification and who did take an oath.
NOTARY PUBLIC:
NOTARY P
Sign:
Print:
My Commission E
* * * * * * * * * * * * * **
APPROVED
� n: .., - ires: MAY 03, 2014
R q
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Contractor
Sign: L tikfRATI 7177,17. S ?` 17MA
My Commission Expires: e °
o e' a'i!r.. JICY 2 Ill
BONED xki3L' r Lr v taC z:A.41■124v C.0,INC.
* ************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
✓� Ae. Plans Examiner Zoning
Structural Review
Clerk