EL-08-768Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 05/16/2008
Inspector: Devaney, Michael
Owner: FERNANDEZ, ALBERT & LIZA
Job Address: 999 99 Street NE
Miami Shores, FL 33138-
Project: <NONE>
Contractor: BRINKS HOME SECURITY INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Block:
Phone Number (786)564 -9152
Parcel Number 1132060340271
Lot:
Phone: 305 -887 -8455
Building Department Comments
burglar alarm
•
Passed
Inspector Comments
6 /Ka C-,-,
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Thursday, May 15, 2008
Page 1 of 2
1'12 ittn
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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)
Owner's Address q ale [ S' S
City e-ita r' "-ro State `— Zip 33138
Tenant/Lessee Name Phone #
E -MAIL:
RE:u €iVEL
APR 2 5 2088
Al- gErzra
Permit No. EL OS -105
aster Permit No.
d
i 4-00 A Phone # (36,s� 7 ?- - (c, 3 5a
Job Address (where the work is being done) cqq i.y, Gy 5 ST'
City Miami Shores Village County Miami -Dade Zip ,33` 3?
FOLIO / PARCEL # //AZ '' 644-1a)-7/
Is Building Historically Designated YES NO
Contractor's Compan' N
Contra or' Addre
City
Qualifier
t-to.^-E core. F2- ( �
Phone d f 2 :4- J
Zip
Phone #
State Certificate or Registration '. Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ ?if 1�
Type of Work: ['Addition
Describe Work:
Phone
Square / Linear Footage Of Work:
❑New
❑ Repair /Replace
❑ Demolition
********* * * * * * * * * * * * * * * * * * * *le * * * * *9e * ** Fee s * *xxr. * * * *le ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $
Permit Fee $ /e,G'
Notary $ Training /Education Fee $ 0 -40
Scanning $ ', Radon $ j - -DPBR $ Zoning $
CCF $ co /cc
Technology Fee $ LSO
Bond $ Code Enforcernent$
Structural Review. $
APR 0 200$
CK100or3
Double Fee $
Total Fee Now Due tj
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 itch posted notice, the
inspection will not be approved and a reinspection fee will be char
Signature _ /'� Signature
Owner or Agent
The foregoing instrument was acknowle
ontractor
ged before me this 35'4 The foregoing instrument was ackno
day of MLA- , 20 CI, by Ito= UZA at Z. , day of , 20 by
who is personally known to me or who has produced F-
�' c As identification and who did take an oath.
NOTARY PUBLIC:
Sign: `
Miguel Public of Florida
Miguel Fernandez
1 My Commission DD772916
s' so Expires Expires 03/27/2012
Print: 4 4,c,„ re,A,A.4 �e
My Commission Expires:
dged before me this
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY P y LIC:
Sign:
40 "cep Notary Public State of Florida
Miguel Fernandez Commission
aep cr Expires 03/27/20DD772916
Print: M%,c4et Fed..A.)
My Commission Expires:
ir* ****************ak********ae lar. ******** xxxxxxxxxxxx*** *xrxxxxx xxx xxxx9exxxxdexxrx *x*xxxxxwwwte***wwxxxrxxxxxxxx
APPLICATION APPROVED BY:
(Revised 02/08/06)
$,eayx®, Plans Examiner
Engineer
Zoning