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EL-08-1657Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: February 17, 2009 Inspector: Devaney, Michael Owner: IRAHETA, TIFFANY & MARIO Job Address: 501 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: BRINKS HOME SECURITY INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm one Number Parcel Number 1132060140850 Phone: 305 - 887 -8455 Building Department Comments 0 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. t/f Pe' 69 February 13, 2009 Page 11 of 22 BUILDING PERMIT APPLICATIO FBC 2001 Miami Shores Village Building Department t0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 61_' 9 - DB /fr57 Master Permit No. Permit Type (circle): Building Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) /44to f 14-6T/ 3 Phone # ( ) 2 v/ — 0' Z L Owner's Address tt■ f W cruf 4 T City r--4 4 or-1 "-v ( State P C - Tenant/Lessee Name Zip 37/317 Phone # Job Address (where the work is being done% 4/. ‘5-71 City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Zip Contractor's Company Name t f ° �/ Phone # Contractor's Address Q942 0 C.?) // (p City lleCfl State .— Zip 331-732 Qualifier jL [ cky ctS."S ' Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit / Square Footage Of Work: ['Alteration ❑New ❑ Repair/Replace ❑ Demolition Type of Work: ❑Addition Describe Work: Submittal Fee $ >% Permit Fee $ / ®m/ CCF $ 1` �U Notary $ , =• _ Training/Education Fee $ O Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (W ' P Technology Fee $ 2 �v Bond $ Structural Plan Review. $ (Continued on opposite side) REF _12 PA O: /000E57 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 be securedi for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AI11DAVIT: 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 $2500, the applicant must promise in good fait '- that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is:u%ject t tachment. Also, a certified copy of the recorded notice of commencement must b posted at the job site for the first insoec; on w oo %ur seven (7) days after the building permit is issued In the abse 'e o 'such posted notice, the inspection wil, no be • 1. e' n ;a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this S day of S G ecr ,20 d$ by who is personally known to me or who has produced 1 Signature NOTAR ' C: Sign: oFncv Print: KW As '� no`i' i o' take an oath. Notary Public Stuto of Pltiri© Frank Marrero. My Commisslort 00720&M Expires 09/3012011 My Commission Expires: 61 /7, abi1 ' **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Contractor The foregoing instrument was acknowledged before me this 5- day of 5 E V , 20 6 g, by tux) b S s 634-SS,�'tf who is personally known to me or who has produced s identification and who did take an oath. NOTARY PUBLIC: Sign: Print: • Notary Public State of Floridan Frank Marrero My Commission Expires: 5j *********************** * ** * * ** * * *,* *** * * * * * *,* *,* ** *,< ,<,�,�,� �. *,� ** * SD (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: Chc 10/14/03 c Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNERS NOTARIZED SIGNATURE NEED NOT BE UENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE AP PLUMBING ITEM BATH TUB DISHWASHER DISPOSAL UNIT FOR: ELECTRICAL FEE FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK. POT /3 COMP. SINK, RESIDENCE. SINK, SLOP. TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY FAINFIELD, 4 TILE/RES. PUMP & ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET ITE SWITCH OUTLET LIGHT OUTLETS RECEPTACLES SERVICE TEMPO SERVICE SIZE IN SERVICE REPAIR/ APPLIANCE OUTL RANGE TOP OVEN WATER HEATER MOTORS 0 -1 HP MOTORS OVER 1- MOTORS OVER 3- MOTORS OVER 5- MOTORS OVER 8 -1 MOTORS OVER 10 MOTORS OVER 25 MOTORS OVER 10 A/C WINDOW AIR CONDITIONER STRIP HEATER GENERATORS TRA GENERATORS TRA GENERATORS TRA SPECIAL PURPOSE OUTLETS COMMER SIGN TUBES SIGN TRANSFORM SIGN TIME CLOCK FIXTURES ANTENNA TELEVISION OUTLE VIOLATION REINSPECTION SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING PERMIT # MECHANICAL S SPACE HEATERS CENTRAL HEATING NC (WIND) RARY A/C (CENTRAL) AMPS DUCT WORK METER CHANGE REFRIGERATION ETS PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVEGROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS 3 HP HOT WATER BOILERS 5 HP MECHANICAL VENTILATION 8 HP TRANSPORTING ASSEMBLIES 0 HP ELEVATORS /ESCALATORS -25 HP FIRE .SPRINKLER SYSTEMS -100 HP COOLING TOWERS 0 HP VIOLATION REINSPECTION S NSFORMERS NSFORMERS NSFORMERS CIAL • :RS TS ciAti UNIT F FEE I ITEM U UNIT F FEE