EL-11-671Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 159941 Permit Number: EL -4 -11 -671
Scheduled Inspection Date: May 18, 2011
Inspector: Devaney, Michael
Owner: HANDAL, MITSOUKO
Job Address: 195 NW 96 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number 1131010250160
Phone: (786)331 -3967
Building Department Comments
INSTALLATION OF BURGLAR ALARM (1) PANEL AND 15
DEVICES
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
May 17, 2011
For Inspections please call: (305)762 -4949
Page 26 of 27
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: ELECTRICAL
Owner's Name (Fee 'Tiholder)
Owner's Address ' 1
City ► t
Tenant/Lessee Name
Email
Permit No. 1)-ijj
Master Permit No.
fsDu Phone# T3' 317°3v 1q
Job Address (where the work is being done)
City Miami Shores Village Coun Miami -Dade Zip �31
FOLIO / PARCEL # 11- «I „ — Ti V
Is Building Historically Designated YES NO
Q
Phone #
(sr-
Contractor's Company Name` I j 'i �, S
_ I
Contractor's Address
City
Qualifier Name
Flood Zone
Phone #cJ —'0P „119
Zip
Phone #
State Certificate or Registration No.
Contact Phone
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
['Addition
E -mail
Certificate of Competency No.
Phone #
b0
alteration ['New ❑ Repair/Replace ❑ Demolition
Square / Linear Footage Of Work:
111141_, ■1 AMINO , 'MN
******** * * * * * * * * ** * * * * * * * * * * * * *** * * * * ** Fees * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * *: **
Submittal Fee $
Notary $
Scanning $ Radon $
Double Fee $
Permit Fee $ / e;',6)047.4?
Training/Education Fee $
Structural Review. $
CCF $ CO /CC $
DPBR $
Violation date:
Technology Fee $
Bond $
Total Fee Now Due $
See Reverse side -+
Bondi Company's Name (if applicable)
Bonding Co : • any's Address
City
Mortgage
Mortgage Le
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indica ed. 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 re- inspection fee will be charged.
Signatur
Owner or Agent
The fo - going instrumen was ac
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yy��wLLho is personally known to me or who has produced
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My Commission Expires:
ARY PUBLIC -STATE OF FLORIDA
"'bo Monica Agudelo- Floret
Commission #DD987856
Expires: MAY 03, 2014
APPROVED BY
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// Plans Examiner Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
Property Informati
1111111 1111111111 11111 11111 11111 11111 11111111
Lc . .nent.Prepared By,:and Return to:
RICHARD A. GOLDEN, P.A.
I{RAMER AND GOLDEN
1175 NE 125TH STREET SUITE 512
NORTH MIAMI, FLORIDA 33181
FILE NO. 69 -11P
Parcel ID Number: 11 -3101- 025 -0160
Warranty Deed
This Indenture, Made this l8th day of March, 2011 AD., Between
Vincent J. Sadusky ,a married man
of the County of MIAMI -DADE, State of Florida, grantors, and
Mitsouko Handal
whose address is: 195 N.W. 96 Street, MIAMI SHORES, FL 33150
of the County ofMIAME -DADS, State of Florida, grantee.
Witnesseth that the GRANTORS, for and in consideration of the sum of
-TEN DOLLARS ($10)
and other good and valuable consideration to GRANTORS in hand paid by GRANTEE, the receipt whereof is hereby acknowledged, have
granted, bargained and sold to the said GRANTEE and GRANTEE'S heirs, successors and assigns forever, the following described land,
situate, lying and being in the Comity of Dade State of Florida. to wit
Lot 16, 'Re subdivi s ion of Block 3, Bomar Park, according to the map or
plat thereof, as recorded in Plat Book 42, Page 60, of the Public
Records of Miami -Dade County, Florida.
This property is not the homestead of the Gramtor, nor has it ever been,
nor is said property contiguous to his homestead. Said Grantor resides
with his spouse at 1293 N.E. 95 Street Miami Shores, Florida 3138
CFM -2O 1.1. R.O 192 92
DR 8l: 27629 Fns 4559 - 4560; C2t3sizl
RECORDED 03/25/2011 13.15.46
DEED £ 0C TAX 1r860.00
HARVEY RU /IF{p CLERK OF COURT
MAKI -DAIIE COUi4TY, FLORIDA
DOLLARS,
and the grantors do hereby fully warrant the title to said land, and will defend the same against lawful claims of all persons whomsoever.
In Witness Whereof, the grantors have hereunto set their hands and seals the day and year first above written.
Signed, sealed end delivered in s i r presence:
69 -11P
:%f l (Seal)
Vincent J. Sadusky
P.O. Address: 1293 N.E. 95 Street, MTAMt SHORES, FL 33138
•
..f
R t?k 27629 PG 4 ,560
LAST. PAGE
STATE OF Florida
COUNTY OF MIAMI -DADE
The foregoing instrument was acknowledged before me the lath day ofMarch , 2011
Vincent J. Sadusky , a married man
who are personally known to me or who have produced his Florida driver "s licen as identification.
Printed Name:
Notary Public
My Commission Expires:
NOTARY PUBLIC - STATE OF FLORIDA
,.° °.•. Susan K. Golden
CommissionatDD632872
''•.� , +,,� 1rpires: MAR. 11, 2011
Bona ip TM MAIM got+ M Co., WC.
I
WITNESS mybanMand Ofitcfai
HARVEY RWIN
By
69 -11P