EL-07-2056Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Nurn
INSP -63!
43
Permit Number: E
-07 -2056
Inspection Date: 10/10/2007
Inspector: Devaney, Michael
Owner: CASTILLO, DEBORAH
Job Address: 955 92 Street NE
Miami Shores Village, FL
Project: <NONE>
J
Contractor: BRINKS HOME SECURITY INC
Block:
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number 1132060060050
Lot:
Phone: 305 - 887 -8455
Building Department Comments
ALARM
SI I, 5 Si
Passed
Inspector Comments
VC.,-/ 047
V
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Wednesday, October 10, 2007
Page 2 of 2
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 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder)
Ow is Address
City
Tenant/Lessee Name
E -MAIL:
agg
fa OCT 0 3 AV
___o_
Permit No. Mp
Master Permit No.
Zip
Job Address (where the work is being done)
Phone #
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # // 0
zip
Is Building Historically Designated YES • NO
Contractor's Company Name
Contractor's Address
City s IWL Zip
Qualifier Name O', I �/
Phone #
State Certificate or Registrati �No.. ® ®� Z� .� Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ['Addition
Describe Work:
4
teration
Phone #
Square / Linear Footage Of Work:
❑New
❑ Repair /Replace ❑ Demolition
********* * *,* * * * * * * * * * * * * * * ** * * * **** **** Fees'************ *** * * * * * * * * * * * * * * * * * ** * * * * * * * **
Submittal Fee $
Permit Fee $ /P6''' CCF $ 0.690 CO /CC
Notary $ Training /Education Fee $ � Technology Fee $ 2'S
Scanning $ .(73 Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ lC -
See Reverse side -a
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. l 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 o such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Owner or Agent
The foregoing instrument was acknowlei _ed before me this /f
who is personally known to me or who has produced
day of f ,20 °7by
As ide
NOTARY PUBLIC:
Signature
Contractor
The foregoing instrument was acknowledged before me this /0
day of ( , 2l7, by
who is personally known to me or wlS i1 as produced
as identi
NOTARY PUBLIC:
My Commission Expires:
APPLICATION APPROVED BY
(Revised 02/08/06)
My Commission Expires:
G� /%f'° Plans Examiner
Engineer
Zoning