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EL-10-3Inspection Number: INSP- 138996 Permit Number: EL- 1 -10 -3 Scheduled Inspection Date: March 31, 2010 Inspector: Devaney, Michael Owner: KELLY, VIRGINIA Job Address: 426 GRAND CONCOURSE Miami Shores, FL Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 c L- Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132060170070 Phone: (786)331 -3967 INSTALLATION OF A RESIDENTIAL LOW VOLTAGE BURGLAR ALARM Passed E Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 305 -758 -4005 - ROB FROST /a4 March 30, 2010 For Inspections please call: (305)762 -4949 Page 13 of 23 Project Address 426 GRAND CONCOURSE Miami Shores, FL Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 426 GRAND CONCOURSE MIAMI FL 33138 -2463 Contractor(s) ADT SECURITY SERVICES, INC Phone Cell Phone (786)331 -3967 Type of Work: ELECTRICAL Additional Info: ALARM Classification: Residential , Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $3.00 $50.00 ($50.00) $0.80 $104.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Address dential Expiration: 07/07/2010 Parcel Number 1132060170070 Block: Lot: Phone Invoice it EL -1 -10 -36729 EL -1 -10 -36729 Check #: 3963 Total Amt Paid Amt Due $ 104.60 $ 50.00 tt $ 104.60 $ 104.60 $ 0.00 Date Applicant VIRGINIA KELLY January 11, 2010 Cell Valuation: Total Sq Feet: $ 1,000.00 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: 1 January 11, 2010 1 ■ wvo Miami Shores Village p1 �`'s �� Building Department BUILDING PERMIT APPLICATION FBC 2004 permit Type: Electrical Owner's Name (Fee Simple Titleholder) /et) Owner's Address City 1 S' f bie State _ Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) 4 Q - .,4 4ml .- 33 (31 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # — 524)(0 0 V1 --©07 Is Building Historically Designated YES NO Contractor's Company Name Ifirr— 64 iL Phone #I5 xo 6 5717 Contractor's Address t oi. 13 Sp4,t Cit ..--- �-�M �� — State � Zip S �,� Qualifier Name L 14,5 Amit ) Phone # r? Y- "d -Q 6 / g State Certificate or Registration No. 1j (( Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit t / cote- Type of Work: ['Addition ❑Alteration 7 few 0 Describe Work: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Submittal Fee $ r� ` X7 Permit Fee $ /mom ea' e' Notary $ Training /Education Fee $ O. 20 Scanning $ .3'00 Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Permit No.SD D - f Master Permit No. ,7( Bg � Ph o # AF-7 440 Zip 3 l8" Phone # Phone # Square / Linear Footage Of Work: 0 Repair /Replace icxxxx eYx icicoYxaY*4c9:*x4exxxxxxxxxxx aYxxx**Fees acwwwae* Yxxxxxxxyc **wxxxxxeYxxxxxxxx*xxxwvetc* tx CCF $ Od(jJ CO /CC Technology Feed$ 0• Zoning $ Total Fee Now Due $ See Reverse side -+ JO 0 tICT 0 Demolition 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 besecured 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 J6ith 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 ileinspection fee will be charged. Si naturex Qa6L g I/ g40-Iti � Signature i tQna re T :i:i : z : ;9 44 Agent -o+Jhe ®� �` F f t 5T• rkt The foregoing instrument was acknowledged before me this day of p G , 20e , by 11, &i ➢e a Owner who is personally known to me 9 , has produced NOTARY ' UBLI Sign: Print: My Commission Expires: pe% ** x x******x*** *xxxx*x* *********************** wve sex*** ** xxx xxxxxxx*xxxx xxxxxx xxxxxxxxxx ***x*xxxxxxxxxxxrxxxx APPLICATION APPROVED BY: (Revised 02/08/06) As identification and who did take an oath. HUBERT NUNEZ t: MY COMMISSION # DD 894714 EXPIRES: September 11, 2013 My Commission Expires: Contractor The foregoing instrument was acknowledged before me this a l, day of 9E , 20 61 by (g®rz5 G /v(A-- �S•..e�rc �� who is personally n to me or who has produced as identification and who did take an oath. NOT t Y P I LIC i }, „I HUBERTNUNEZ *- :;,Ty MY COMMISSION #s DD 894714 EXPIRES: September 11, 2013 Bonded Tbru Notary Public Underwriters Plans Examiner Engineer Zoning