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EL-05-1322Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 • .................................... Scheduled Inspection Date: February 25, 2009 Inspector: Devaney, Michael Owner: BAILEY, MARY Job Address: 1100 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: PROTECTION ONE Permit Type: Electrical - Residential Inspection Type: Final Work Classification: New Umossivolor, Phone Number arcel Number 1132050180150 Phone: 305/590 -3000 Building Department Comments R,0 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments cc February 24, 2009 Page 19 of 24 o� 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 No. FtO3 Master Permit No. Permit Type (circle): Building Plumbiing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 3 t5 `�3. A-+ L .� Phone # Owner's Address l 10 0 &) . /- City H ( 011 Sineige State Zip 3/3 Tenant/Lessee Name Phone # Job Address (where the work is being done) 11 00 l� 69'1 ST- City Miami Shores Village County Miami -Dade Zip /'3 8' Is Building Historically Designated YES _ NO Contractor's Company Name LOT C n 0 tJ 0'3 li Phone # ,0--C—,S50 - sfeo k t01013 Contractor's Address - Z s !o U`) \ 9 s 1 D--D 2 S ?e- F City phi 1 1 State e-- Zip 5.5 t 2Ap Qualifier EV G 1 . (C- � 7 6. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 1 20 0 P1 Square Footage Of Work: Type of Work: ['Addition ULAlteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: 1i•)--c-Fr --not) ©f 20 (±?LAL P(,A f I'P -A Z 1C(�� * * * ** * *** ** * * * * **** * * * * * * *** Fees **** * * * * * **** ** * * * * * * * * * * * * *** Submittal Fee $ Permit Fee $ / e ' • CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 10-7 • 10 (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 such posted notice, the inspection will not be approved and a reinspection fee will be charged. Sign Owner or Agen The foregoing instrument was acknowledged before me this by day of Jf■Cj V , 20 0c, by who is personally known to me or who has produced ssi� As identification and who did take an oath. NOTARY :LIC: Sign Print: My Commission Expires: Signature P1 `C Contract The foregoing instrument was acknowledged before me this /S day of 40/• , 200 ' by who is rsonally known me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: I,- ire& 441141 AP My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 TEdriguez =sissies DD298675 Expires April 05, 2008 ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ��% Plans Examiner Engineer Zoning