EL-07-1710Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 08/23/2007
Inspector: Devaney, Michael
Owner: CADWALLADER, CAROLYNE
Job Address: 339 100 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: APX ALARM SECURITY SOLUTIONS INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Block:
Phone Number
Parcel Number 1132060135360
Lot:
Building Department Comments
ALARM
Passed
Inspector Comments
,a1*17°2--
WI
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Wednesday, August 22, 2007
Page 2 of 2
BUILDING
PERMIT APPLICATION . 4 u17 101 aster Permit o.
FBC 2004 4 0812,l1Cy451/42_
. (rel-t5lcuL. 514,c)ral
i%moi
Miami Shores Village
old .
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
"4014
Permit No. G�01"'fl0'O
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) e r
Owner's Address CC N€ � CEO 51
City MiO -1i (PJ State rl Zip
Clw ' Qi# 7 7Sf
Tenant/Lessee Name Phone # 3D5 -756-215S
E -MAIL:
Job Address (where the work is being done) y q NE IC -F
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Zip
Is Building Historically Designated YES NO X
Contractor's Address ii .b2 N V WI Contractor's Company Name Afic A I GYrn 5eaftici
City Dr w Q State V T
Qualifier Name
2441
Phone # 8c &Z, l ' 52 3 2 �x--
e501 ^ 464— SOO
34 Cam-
Zip
Phone #
State Certificate or Registration No. Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work:
Describe Work:
I SCE
❑Addition ['Alteration
MOYM
Phone #
Square / Linear Footage Of Work:
❑New
❑ Repair /Replace ❑ Demolition
******'** *** * ********* ****** ********* *** Fees * * *'`*x &*** of*** Acre**** ** * xxx**
Submittal Fee $
Notary $
Scanning $
Bond $
3va
Permit Fee $
Training /Education Fee $
Radon $
Structural Review. $
I
i40
Code Enforcement $
DPBR $
CCF $ ( 2 O CO /cc
Technology Fee $ Z - S )
Zoning $
Double Fee $
Total Fee Now Due $
(61 -ICU
See Reverse side -+
.. / L C . . . . . - - - - _
Vendor D , . , . ....
';Name . `
„
.` n
Rayment N rnber; ` ,; . `
check Date
41oc raeilt,N' mbar
,
MIAMI SHORES FL
CITY OF MIAMI SHORES
00000000000118859
8/15/2007
88355
InvoiceNuriber
[3ate '
.'pm;0,00 . r. ... AmounttBad
111s ount ,,,,
Vet Amount Paid`
SB LIC 2
r.varai.xali ♦%.. JaVtSd1\ Y.
8/15/2007
107.10
$107.10 $107.10
$0.00 $107.10
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 properly 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
Signatur
Owner or Agent
The foregoing instrument was acknowledged before me this e J
day of r 20 0 % by dA R .Ly, t �f 9c l e ] 4 Oc t<
who is o Ily known to or who has produced
ST,Oriti ati oath.
NOTARY PUBLIC: •
Sign:
Print: L
�a3lif4`
Signature c " = -:""
Contractor
The foregoing instrument was acknowleageglaiefore to this
day of , 20'0-1 , by
who is personally known to me or who hasTpi•o4 } f_,,V& N.S.0
511 7oatacat as identification and who did,take an oath.
NOTARY PUBLIC: (-)
Sign:
Print:
My Commission Expires:
My Commission Expires: Oa-(, . /,O,q o {Q .-10.3 lci •Q
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
APPLICATION APPROVED BY:
• Chc 10/14/03
************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/4r,■0 Plans Examiner
Engineer
Zoning