EL-11-253Inspection Number: INSP - 158311
Scheduled Inspection Date: April 13, 2011
Inspector: Devaney, Michael
Owner: MASONGSONG, PAUL & HEATHER
Job Address: 117 NE 109 Street
Project: <NONE>
Miami Shores, FL 33138-
Contractor: ADT SECURITY SERVICES, INC
Building Department Comments
April 12, 2011
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: EL -2 -11 -253
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (305)510 -2319
Parcel Number 1121360040540
Phone: (786)331 -3967
BURGLAR ALARM INSTALLATION
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 21 of 21
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) he ((J (91,561,56a5 Phone #
Owner's Address 1 17 N 1 b9 5"
City M,( -0C'i, .51/10 rc5 State -FL Zip 33 1
Phone #
Tenant /Lessee Name
E- MAIL:
Job Address (where the work is being done) I 1 ,41 / D 9
City Miami Shores Village County Miami -Dade Zip
v
FOLIO / PARCEL # t l— 0'∎13 00 OSLI
Is Building Historically Designated YES
Contractor's Company Name
NO
Contractor's Address l tj /RS / A),
State
City G(/t✓
Zip ,_33 /P/
Qualifier Name �(, f4`ll /'i ll /' Phone # (.5.0
State Certificate or Registration No. jif"4OQ 1/ 2-1 Certificate of Competency No.
E - MAIL: ( l Gt C( htl) 4 ( > Gd
Architect /Engineer's . ame (if applicable) Phone #
Value of Work For this Permit $ (41/00 0YP> Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration New
Ati
„1,9
Describe Work:
SO
lviiami mores village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *F * * ** * * * * * * * **
Submittal Fee $ Permit Fee $ /G96De ®0
Notary $
Scanning $
Bond $
Structural Review. $
Master Permit No.
Phone # ((J-2 246 —57/5
'
❑ Repair /Replace
* * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF$
Training /Education Fee $
Radon $ DPBR $
Code Enforcement $ Double Fee $
Permit No.
Technology Fee $
Zoning $
Total Fee Now Due $
CO /CC
See Reverse side -*
# —
o MGMIIM11�
FEB 1 5.2011
BY.
El
❑ Demolition
Bonding Company's Name (if applicable)
r �
Bonding Company's Address
City \ State Zip
lic '
Mortgage
g g able)
enders Name if a °
(� pp
Mort a e Len r 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: 1 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. W YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COM MENCEMENT."
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
Or 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.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 1
day of4r` 20 1 by
who is personally known to me or who has produced k c4
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: ye,
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
t
Signature
Sign:
Print:
My Commission Expires:
efore t hi s /7
, 20// by
Contractor
The foregoing instrument was acknowledged
day of
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
3
1
Plans Examiner
Engineer
Zoning