SGN-08-698Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756-897266N — 4-09 .--
Inspection Number: INSP -81826 Permit Number: ELC -4-08 -702
Scheduled Inspection Date: September 15, 2009
Inspector: Devaney, Michael
Owner: CABRERIZO, TOM
Job Address: 9031 -65 BISCAYNE Boulevard
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: ELECTRO GRAPHICS,POWER, LIGHTING, & SIGNS INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Sign
Phone Number (305)779 -8040
Parcel Number 1132060110051 -31
[�
Building Department Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
6PK
September 14, 2009
For Inspections please call: (305)762 -4949
Page 17 of 20
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NS P- 124452
Scheduled Inspection Date: September 15, 2009
Inspector: Bruhn, Norman
Owner: MALMSTEEN, YNGWIE & APRIL
Job Address: 1009 NE 94 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Permit Number: EL -8 -09 -1337
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number 1132050150010
Phone: (786)331 -3967
Building Department Comments
LOW VOLTAGE BURGLAR ALARM SYSTEM
1 PANEL
22 DEVICES
Inspector Comments
Passed
Filed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
°F; •"
A7,.?(
p/4967,
September 14, 2009
For Inspections please call: (305)762 -4949
Page 10 of 20
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
MCMWM
BY
Permit No.,
Master Permit No.
( �PilMYL €J
Owner's Name (Fee Simple Titleholder) r f Phone #
Owner's Addres `` (0 0 l 'J€ 434 s j
City ft P4(✓ (e f State Fl. Zip 3 3 f 3 8
P
Tenant/Lessee Name Phone #
E- MAIL:
Job Address (where the work is being done) ACME
fp►-1337
*7 c 69
City Miami res Viilage County Miami -Dade
FOLIO / PARCEL # /l 3�Q, c/� j co/ )
Is Building Historically Designated YES NO
e
Contractor's Company Name CAN '1`I
Contractor's Address 07 cff S` t lJe _
City s�C11 -44 ti State re, v/j'
�j /1
�`7l/ / i#' Phone # (% rld ✓ ,/c
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Qualifier Name
Zip 33{3`
Phone # C7 r)- to--- 57/5'
Zip
State Certificate or Registration No.
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
of Competency No.
46U0l`�—r
Phone #
Square / Linear Footage Of Work:
['Alteration tor New
tom/ L/4 L
(1)9l
WeAld-5
Repair/Replace
❑ Demolition
x******: * * * * * * * * * * * * * * * * * * * * * * * * *xxxxx* Fees************** * * * * * * * * * *.ac * * * * * * * * * * * * * * * *r. ie is
Submittal Fee $ -50.00
Permit Fee $ /4,0' daP,0
Notary $ Training /Education Fee $
Scanning $ at73 Radon $ DPBR $ Zoning $
CCF $ O4490 CO /CC
Technology Fee $ b?-S0
Bond $ Code Enforcement $
Structural Review. $
y\QM ert_
Double Fee $
Total Fee Now Due $
5Q.30
See Reverse 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
C9
t /�
qh� Signature L
Owner or Agent tractor ag, ��
The foregoing instrument was acknowledged before me this ( The forego i : instrument was acknowledged b ore m a d
of • , 200'2 , by , day of , 2OO , by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
NOTARY PUBLIC:
Sign:
" ! 1V PU L C -STATE er FLORIDA Print
Aib f,�Pty
Audi X1011 My Commission Expires: ,� ���
- Ps ,.� 2011 0 rr IS3itt .. Did (532u30
✓ yypp°`y ,k acxa°x ,tie aY�i�A- �xd�xxxxx�Y ,tixxxxxxxxxxxxxxxx,Yxxx,tx3c eexxx�&o:k'?k,�F;,:E �.4$j}e,4 *T��,c�i
�JL�l� ,U rile ���.L��u �
BONDED THRU ATLANTIC BONDING CO., INC.
azke-
r r, 11 I II �.
APPLICATION APPROVED BY:
(Revised 02/08/06)
Plans Examiner
Engineer
Zoning