EL-08-1952Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: December 17, 2008
Inspector: Devaney, Michael
Owner: KOKIEL, JOEL
Job Address: 1431 101 Street NE
Miami Shores Village, FL
Project: <NONE>
Block:
Contractor: ADT SECURITY SERVICES, INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number 1132050240280
Lot:
Phone: (786)331 -3967
Building Department Comments
Monday, December 15, 2008
Page 1 of 1
Passed
Inspector Comments
ALARM FINAL
/ 7�
a jr - .'
v
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Monday, December 15, 2008
Page 1 of 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. O�1 2_
Master Permit No.
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder)
Owner's Address
City
Tenant/Lessee Name
E -MAIL: r
Job Address (where the work is being done) / y/ e.
Phone #
City Miami Shores Village
FOLIO / PARCEL #
County Miami -Dade
Zip
Is Building Historically Designated YES NO
Contractor's Company Name
Contracto ' Address
City
Qualifier Name
7— t,kee,4,1Z- ` lone# ( P9 -rsV
State Certificate or Registration No.
E -MAIL:
Zip
Phone
3
1! AV-/ Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Additi n ❑Alte�ra/tion
,Oirr /
Describe Work:
(7
W1/4"7
Phone #
Square / Linear Footage Of Work:
❑New
❑ Rep. 'r /Replace
Demolition
<ri
******** * * * * * * * * ** *xxxxx * * * * * * * * * * * * * ** Fees*****xx*xxxxxx* xx *xxxxx **x * *'r. * * * * * * * * * * ** * **
Submittal Fee $ Permit Fee $ /el", m!0 CCF $ CO /CC
Notary $ Training /Education Fee $ Technology Fee $
Scanning $
Bond $ C u . - . E Double Fee $
Structural Review. $ ' Total Fee Now Due $
Radon $
DPBR
Zoning $
NOV 2 1 2008
a
MIAMI SHORES VILLAGF
See Reverse side -4
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 noti e, the
inspection will not be approved and a reinspection fee will be charged.
Owner or Age
The foreg i g instrument was acknowledged before me this
day of , 20 by
who is personally known to me or who has produced
Contractor
The foreg 1n. instrument was acknowledge
, day of < . ,200W,by
who i personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC -STATE OF FLORIDA
Alba Aguila
'
Si
Co, 'ssion #DD682830
s: JULY 26,2011
Sign:' ' ,,,-
g RbS Fn THR i ATLANTIC BONDING CO., INC.
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
NOTARY PUBLIC -STATE OF FLORIDA
•' Alba Aguila
�.;.'•-
;.commission #DD682830
i . -41
My Commission Expires:
THRU ATLANTIC BONDING Ca, INC.
xvxxxxx xx xxxxxxacx acxxxxxxxxxxxxxxxx
APPLICATION APPROVED BY:
(Revised 02/08/06)
Print:
My Commission Expires:
xxxxxxxxxxxxxxxxxxx xxxx xrxxxxxxxxxxv.. xx xxxxxxxrxxxxxxxxxxrxxxx
Tans Examiner
Engineer
Zoning