EL-06-2111Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 02/28/2007
Inspector: Devaney, Michael
Owner: LONGA, ORCAR
Job Address: 314 94 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number (954)254 -0491
Parcel Number 1132060136190
Lot:
Phone: 305- 628 -7434
Building Department Comments
BURGLAR ALARM 1 PANEL 30 DEVICES
MAR 0 1 2007
Passed
Inspector Comments
j 1.- ,
;,,i-e'"
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Tuesday, February 27, 2007
Page 2 of 2
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Buil
Owner's Name (Fee Simple Titleholder)��
Owner's Address 5/ r.L
City
IMMEFUE
AU , 0 9 2006
BY:! /1611/ 11(.°
Permit No. rL o —2--(1 1
,Mastei'r Permit No.
Mechanical RoOfmg
(3 S) 762
Tenant/Lessee Name
to
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier
Zip 3523P
Phone #
. qV
County Miami -Dade Zip
NO
State Certificate or Registration No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
State
J/t /
ai/Phone (7190 /--3f
Zip
Certificate of Competency No.
Phone #
j� Square Footage Of Work:
Type of Work: DAddition DAlteration
Describe Work:
New
Repair/Replace 0 Demolition
* * * *, * * *, * * * * * * * ** * * * * * * * * *, Fees * * ** * ** * * * * * * * * * * * * * * * *** * * * **
Submittal Fee $ Permit Fee $ /6-0e .°.
Notary $,
Training/Education Fee $
CCF $ Na313 CO /CC
Technology Fee $Ni
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
•
Total Fee Now Due $ II 51 .5 6
(Continued on opposite side)
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 installatio 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: 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 be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of •mfn ent mu be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is is ed i a. ence such posted notice, the
inspection will not be ap roved nd a reinspection fe will be charged.
caner or Agent
The fore. -.' g instrument was acknowledged before me this r/ The foreg g instrument as acknowledged before me this
day of , 20 Lr L by day of
20 , by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
* * * * * * * * * * * * **
x ires'r 'lba Aguila
p my Commission DD434335
* * * * * * * * * * * * * * * * * * * * * * **
Apr/ Putjlle wee Florida
Alba Aguila
*inkyIemonissi 433,§
Expo et 07'2 )20017
* * * * * **
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
Plans Examiner
Engineer
Zoning