EL-11-551Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 165130 Permit Number: EL -3 -11 -551
Scheduled Inspection Date: October 05, 2011
Inspector: Devaney, Michael
Owner: BRASAC, PEDRO AND TERESA
Job Address: 9500 N BAYSHORE Drive
Miami Shores, FL
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (305)751 -5401
Parcel Number 1132060143880
Phone: (786)331 -3967
Building Department Comments
BURGLAR ALARM INSTALLATION
Passed
D
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
e)--6/'/
October 04, 2011
For Inspections please call: (305)762 -4949
Page 39 of 49
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue N
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
Applicant
9500 N BAYSHORE Drive
Miami Shores, FL
1132060143880
Block: Lot:
PEDRO AND TERESA BRASAC
Owner information
Address
Phone
Cell
PEDRO AND TERESA BRASAC
9500 N BAYSHORE DR
MIAMI SHORES FL 33138 -3514
(305)751 -5401
Contractor(s)
ADT SECURITY SERVICES, INC
Phone
(786)331 -3967
CeII Phone
Valuation:
Total Sq Feet:
$ 4,000.00
0
Type of Work: ELECTRICAL
Additional Info: ALARM SYSTEM
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$2.00
$2.00
$0.80
$100.00
$3.00
$3.20
$113.40
Pay Date Pay Type
Invoice # EL -3 -11 -40480
04/05/2011 Check #: 9410
03/30/2011 Check #: 9242
Amt Paid Amt Due
$ 63.40 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
1
1
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.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
April 05, 2011
Date
April 05, 2011
1
a
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 No.
Master Permit No.
BY
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) P_?a'J-bCiZ&k 3110 ` 'hone #
Owner's Address 43.9i) N- - L shvi I/6
City wan ,j` jr►�°C� State Zip ,531k
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done) e;---11) N ZeLy5h fZ ve-
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # A266 — 0/ 7 — 3 2w
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name 3{ti /hone # (9 Q 26 6-L5-7/5'
Contractor's Address ![) am% £ AMY La)
City ,4'l f`'fr'24,K State
®,f Zip
Qualifier Name �.�"_ Y Z. Ala dyl `4/ ' Phone # (2f) 26a `�7,' q
State Certificate or Registration No. Or e)0 0 0l // 21 Certificate of Competency No.
Contact Phone (€5 -9) 2.(e6
E -mail
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ (l 0Gl6, 0
❑A dition
(/)
Type of Work:
Describe Work:
Square / Linear Footage Of Work:
❑Alte ation :New ❑ Repair/Replace
„liar O1 .
❑ Demolition
Submittal Fee $ Permit Fee $ / fe ' 67e' CCF $ CO /CC $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $
See Reverse side
Bonding Company's Name if applicable)
Bonding Company's Address
City State
1
Mortgage Lender's Name (if applicab)4
Mortgage Rider's Address
City
tate
Zip
Zip
Application is hereby made to obtain a permit to ' o 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
jurisdiction. separate permit q SIGNS,
WELL uS, POOLS, SFURNACES, BOILERS, TANKS td AIR CONDITIONERS, ETC
ICAL WORK, PLUMBING, SIGN,
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 CORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR AYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR 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 irochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of com encement must be posted at the job site
for the first inspection which occurs seven (7) days after the budding permit is issued. Ithe absence of such posted notice, the
inspection will not be approved and a re- inspection fee will be charged.
Signature ` Signature
Contractor
The foregoing instrument was acknowledged before me this /324he foregoing instniment was ac • .wedged before me
day of ,20 ,by , day of ,10If
Owner or Agent
who is personally known to me or who has produced
As iclirnitrftifkkirdik413All oath.
NOTARY PUBLIC. 's" s Albtl Agra
P !Co lion #DD 2830
I ` Uplift MX 26; 2011
1100137101171111LANTICKINDIVO CO.,
Sign:
Print:
My Commission Expires:
APPROVED BY
r)/
who is personally known to
as mien
Plans Examiner
Engineer
(Revised 07 /10 /07)(Revised 06 /10/2009)
Att R oath.
Aret
CCOMbilii011 es+ renr'e
ndp1Tes: RAY +`,1.0
1diiCBOIDING CO,r:'tC,
Zoning
Clerk checked
Mian'ii -Dade My Home
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Summary Details:
Folio No.:
11- 3206 - 014 -3880
Property:
9500 N BAYSHORE DR
Mailing
Address:
PEDRO J BRASAC &W
TERESA
9500 N BAYSHORE DR
MIAMI SHORES FL
33138 -3514
Property Information:
Primary Zone:
1700 SINGLE FAMILY
RESIDENCE
CLUC:
0001 RESIDENTIAL -
SINGLE FAMILY
Beds /Baths:
6/4
Floors:
2
Living Units:
1
Adj Sq Footage:
3,926
Lot Size:
12,125 SQ FT
Year Built:
1951
Legal
Description:
MIAMI SHORES SEC 3
PB 10 -37 S38.45FT OF
LOT 4 LESS W75FT &
LOT 5 LESS W75FT BLK
84 LOT SIZE 97.000 X
125 OR 16490 -1834
0894 1 OR 16490 -1834
0894 00
Assessment Information:
Year:
2010
2009
Land Value:
$224,070
$245,410
Building Value:
$488,390
$511,805
Market Value: w
$712,460
$757,215
Assessed Value:
$554.716
$540,133
Exemption Information:
Year:
2010
2009
Homestead:
$25,000
$25,000
2nd Homestead:
YES
YES
Taxable Value Information:
IYPar• 1 9nin I 2nna
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Miami -Dade My Home
Taxing Authority:
Applied
Exemption/
Taxable
Value:
Applied
Exemption/
Taxable
Value:
Regional:
$50,000/
$504,716
$50,000/
$490,133
County:
$50,000/
$504,716
$50,000/
$490,133
City:
$50,000/
$504,716
$50,000/
$490,133
School Board:
$25,000/
$529,716
$25,000/
$515,133
Sale Information:
Sale Date:
8/1994
Sale Amount:
$373,000
Sale O /R:
16490 -1834
Sales
Qualification
Description:
Sales which are qualified
View Additional Sales
Additional Information:
Click here to see more information for this
property:
Community Development District
Community Redevelopment Area
Empowerment Zone
Enterprise Zone
Zoning Land Use
Urban Development Boundary
Zoning
Non -Ad Valorem Assessments
http: / /gisims2. miamidade .gov /myhome /propmap.asp
Page 2 of 2
3/25/2011
1
CUMULATIVE SUBSTANTIAL IMPROVEMENT
VERIFICATION WORK SHEET
In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all
improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed
improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished
materials (include those donated), labor (including volunteer and self - performed), construction supervision and
management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is
attached for your reference. (A Copy of the Contract must be attached)
PROPERTY OWNER:
PERMIT #
ADDRESS: / r Z
FOLIO NUMB F 32,17-- 0/V---3 �, 1 i ZONE:
BASE FLOOD E VATION: FREEBOARD: EAST OF FL.CCCL:
COST OF PAST IMPROVEMENTS (12 MONTHS):
COST OF PROPOSED IMPROVEMENTS:
(ATTACH COPY OF CONTRACT)
TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed):
VALUE OF PRINCIPAL STRUCTURE (attach appraisal):
OWNERS SIGNATURE:
PLANREVIEWER:
PLAN REVIEWER SIGNATURE: DATE:
Created on June 2009