EL-05-333Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue: Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
+' .....:..., :Rai.0 „s.:,rga:•N Jr;•. >:r ,tii1F�' :::.- .” i
Inspection Date: 03/22/2007
Inspector: Devaney, Michael
Owner: RUTHERFORD, GWYNNETH
Job Address: 975 94 Street NE
Miami Shores, FL 33138-
Project: <NONE>
Block:
Contractor: BRINKS HOME SECURITY INC
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number (305)725 -6233
Parcel Number 1132060350020
Lot:
Phone: 305 - 887 -8455
Building Department Comments
BURGLAR ALARM
MAR 2 7 Mg
Passed
re
Inspector Comments
if,frA_. ,c-
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Thursday, March 22, 2007
Page 2 of 2
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/23/2005
Applicant: GABRIEL & GWYN
Owner: MARTINEZ
JOB ADDRESS: 975 NE 94
Contractor BRINKS HOME SECURITY INC
Local Phone: 305 - 887 -8455
Parcel # 1132060350020
Electrical Permit
Permit Number: EL2005 -333
Page 1 of 1
MARTINEZ
GABRIEL & GWYN
ST
Contractor's Address: 9960 N. W. 116TH WAY, SUITE 12
Legal Description: MAGEE & HAWKINS SUB PB 51 -5 LOT 2 LOT SIZE 15361 SQUARE FEET OR
Fees:
FEE2005 -12749
FEE2005 -12750
FEE2005 -12751
FEE2005 -12752
FEE2005 -12753
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$100.00
$0.60
$0.20
$2.50
$3.00
$106.30
Total Fees: $106.30
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 3/20/2006 Construction Value: $600.00
Work: BURGLAR ALARM
Signed: (INSPECTOR)
eCV 07 P r
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder)
BY:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (! _ ' .. 04 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder
Owner's Address
Ci .1®. State Zip 3//
Permit No. L���'-3�
aster Permit No.
Plumbing Mechanical Roofmg
Tenant/Lessee Name
Phone #
Job Address (where the work is being done) Q 76-/v
City Miami Shores Village
Is Building Historically Designated
Contractor's Company N
Contra . is ddress
City
YES
County Miami -Dade
NO
Zip
Zip / 7777-
Qualifier
Architect/Engineer's Name {if apph'cablA f Phone #
$ Value of Work For this Permit
Type of Work: ❑
Describe Work:
/V
y Alteration
New
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
****************************Fees*********** *****************
Submittal Fee $_ /) Permit Fee $ /Ave' ' ® CCF $ 0. 6CD CO /CC
Notary $ / Training/Education Fee $ 0 . 20 Technology Fee $ 2
Scanning $ 3, 00 Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due$ IC D.�'I
(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 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: 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 x'ch posted notice, the
inspection will not be approved and a reinspection fee will be charged
e /
The foreg = 4+ , enter ackno . a. gal befer me�hls The forego instrument was - aeknowl: ged bef n` this Air
day of ,,/ 20d�` , by L ®� ✓ � day of ! 20 �o by 141'W
who is personally known to me or who has producecY who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY P
Sign:
Print:
My Commission Expires:
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
rotary u+ • State of Florida
.�a My Commission DD448697
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
******************* * * ** * * * ** * * * * * * * * * * * * ** * * ** * * ** ********************* ** * * * * * * * ** * * * * * * * * * * * * * ** * * * **
APPLICATION APPROVED BY:
Chc 12/15/03
Plans Examiner
Engineer
Zoning