EL 10-1908Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 164196
Permit Number: EL -10 -10 -1908
Scheduled Inspection Date: September 08, 2011
Inspector: Devaney, Michael
Owner: QUINN, FREDDIE
Job Address: 2 NE 91 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number 1131010200080
Phone: (786)331 -3967
Building Department Comments
BURGLAR ALARM (INSTALLATION, PANEL AND DEVICES
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector -Comments
.mber 07, 2011
For Inspections please call: (305)762 -4949
Page 47 of 47
Miami Shores Villa
Building Departme
10050 N.E.2nd Avenue, Miami Shores, Florida 3
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit No. (L I `-' 19 Or
Master Permit No.
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): 3e,.._ J�S Lk- (,(,C / Phone #:
Address: �� 2 " �L' 1 �� 1
City: (,./�iO1t �JIt State: cL Zip: 3J(3,
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: 2 I V'E q\ , ek
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #: I 1 1Q\ 02-con 250
Is the Building Historically Designated: Yes NO / Flood Zone:
CONTRACTOR: Compan Name: AD T Az l t m ___...artri C.e- Phone #: 4' 210(0 .5245
Address: (O7tC5 1 i IDS t)O LA
City: State: FI
Qualifier Name: .0 1 .L2 1 .I 411
State Certification Regi>;tfation #: Gr 119'1
Contact Phone #:
Email Address:
Zip: 33026
Phone#: 2l06 .5 2
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ INi1C? Square/Linear Footage of Work:
Type of Work: ❑Address UAlteration
Description of Work:
❑New ❑Repair/Replace
❑Demolition
*********** * * * * *** * * * * ** ********:x*** *** Free' s�****: ��x�x�x* �x�x**** x�**** �xx� **** *�x�:�x *�x�x�x�x **** * ****
Submittal Fee $ Permit Fee $ 10D 03' CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ ��a
* * **
ling
Clerk
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 MR 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.
Signature
°Ownet<er6gecn
The forego ug instalment was aclowledged afore me thJs
ay of 1i 1 20 /I ,,by
who is person
ly known to m wh " as produ
d
As identification and who did take an oath.
NOTARY PI .Tr.
il
Sign: ..�.-
Print:
My ComtrLsion Expir 'NOTARY PUBLIC
lq v...
* * * * * * **
STATE OF FLORIDA
* * *....w. W W�vc.rsws zrst *w*,..,,*x * * **
3
APPROVED BY EXPII?ES:
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Signatur
T e foregoin
instrum
day of 1'
who is perso ally known to me or
ontractor
nt was acknowledged before
20 LL, by
roduced
as identification and who did take an oath.
NOTARY PUBL :
Sign:
Print:
My Commission Expires:,_
A6
* * * * * * * * * * * * * * * **
lans Examiner
Structural Review
NOTARY PUBLIC
STATE OF FLORIDA
COMMISSION: DD 786773 zo
EXPIRES: MAY 7, 2012
Protect Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
Applicant
2 NE 91 Street
Miami Shores, FL 33138-
1131010200080
Block: Lot:
FREDDIE QUINN
Owner Information
Address
Phone
CeII
FREDDIE QUINN
2 NE 91 Street
MIAMI SHORES FL 33138 -2808
Contractor(s)
ADT SECURITY SERVICES, INC
Phone Cell Phone
(786)331 -3967
Valuation:
Total Sq Feet:
$ 200.00
0
1
Type of Work: ALARM SYSTEM
Additional Info: ELECTRICAL
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.25
$2.25
$0.20
$100.00
$3.00
$0.80
$109.10
Pay Date Pay Type
Invoice # EL -10 -10 -39270
10/28/2010 Check #: 7563
11/05/2010 Check #: 7734
Amt Paid Amt Due
$ 50.00 $ 59.10
$ 59.10 $ 0.00
Available Inspections:
1
Inspection Type:
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated.
November 05, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
November 05, 2010
1
� O. CT 2 8 2010
An
Miami Shores Village MI
284'-'17 ‘-‘1 `57 g p
Building Department ,..o ................
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit No. 1 10-''dOe
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
o
Owner's Name (Fee Simple Titleholder) _ (.7— one # (3,(5) IS 1 — (0(0& 0
Owner's Address M E
City �l (AMA State
Tenant/Lessee Name
Phone #
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES NO
County Miami -Dade Zip 334.3j7
Contractor's Company Name
6007 Ccg-- Phone #
Contractor's Address / 49Z ' a–led
City
State `
i
,
Qualifier r��c. a f'j�j y'yrp, / i2
(93'77) 2-6°‘-'cVic
Zip
33ei zj
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit LP q
Type of Work: DAddition
Describe Work:
Alteration
:New
Square Footage Of Work:
❑ Repair/Replace ❑ Demolition
ahv v ' _` Fee $ ****************************Fees******************************
,r * ** * * * *, *,a,t, , * * *** *, , Fees**** ,x * * ** * * ** * *,r * * *,� * * *,�,� *** **
Submittal Fee $ �/� �� Permit Fee $ / ®C2r CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
0
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's a (if applicable)
Mortgage Lender's Address
City
state
Zip
Zip J,
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, 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 d 'vered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must . posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence tf such posted notice, .e
inspection will not be approved and a reinspection fee will be charged.
Signature
e
Owner or Agent
The foregoing instrument was acknowledged before me this
day of CC,/ , 201p, by
identification and who did take an oath.
NOTARY P ' LIC :.
Sign: ._ :rtee''y �Ye�tc State of Florid-
Print: fiat ' G.�J R:< =, , ,y 'ono
My Commission Expires; (7�(/c��
+ k+ t�ed�st�k�k�eae�r ** *�t** *�Y�Y�rYia'it * ;41:-?*
ontractor
The foregoing instruma a was acknowledged before me this70
day of t ,20 by
is personally known to me or Who has produced
as identification and who did take an oath.
TARY PUBLIC:
Sign:
4:17", Print: tn° 7'
Y m g",`ig,Lres. Jigs: L..,'�0J
/ �i My Commission Eiares� tr , �n:EO�,�raU coaxc,
# 4e t****ii�l,
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
******* * * * * * * * * * * * * * * * * * * * * * * * * * * * **** ********************************* * * * * * * ** * * ** * * * * *** * * * * * * * * * * **
APPLICATION APPROVED BY:
����
Chc 10/14/03
Plans Examiner
Engineer
Zoning