Loading...
EL-11-1729Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 171423 Permit Number: EL -9 -11 -1729 Scheduled Inspection Date: March 26, 2012 Inspector: Devaney, Michael Owner: NEWMARK, ADAM & JESICCA Job Address: 355 NE 93 Street Miami Shores, FL 33138 -2854 Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132060136290 Phone: (786)331 -3967 Building Department Comments BURGLAR ALARM SYSTEM INSTALLATION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments please make it your last stop. Home owner will be home after 6:00 p.m /7- March 23, 2012 For Inspections please call: (305)762 -4949 Page 26 of 37 Miami Shores Village #62,1— sE /ke' 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: Name (Fee Simple Titleholder Address: �%+ g' V3 - City: djA/721 State: Zipj-' Tenant/Lessee Name: Phone #: • Email: 1 Permit No.E Master Permit No. )U44% Phone#: JOB ADDRESS: 3537 ✓7 c` / City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: / —6/3 6,2-9O Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: i/D *2 1_5" (a City: // State: e Zip; 3? 4 Qualifier Name: C/.e,D //z % A Phone # %�. )�� 3�/ State Certificatio or Regi trration #: 4 (0407/fjZ� Certificate of Competency #: Contact Phone 9J 2p,6 57/ 1 Email Address: aretiaJiQ- a . ° DESIGNER: Architect/Engineer: Phone #: NO Flood Zone: Phon #: .S Value of Work for this Permit: $ /OD ` 4- Square/Linear Footage of Work: Type of Work: ❑Address OA ration New OR ODe olition ��? �� Description of Work: ( /) • y - e 40 l C �j� /4-,,,,, /0,14 /2 ***** * ** ** * ****** * ***** ****** ***mm** qua:* Feeo************ *o *** ** * ******* * *** **** **** * * ** Submittal Fee $ Permit Fee $ ����� �' 4' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE mint Bonding Company's Name (if applicable) Bonding Company's Address City " State Zip Mortgage Lender Name (if applicable) Mortgage Lender's Address City to Zip Application is hereby made to ob. :'n a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance o permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I unders d 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 reinppection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this p The forego ;. g ins day o, 20 C , by c.7:-taGfZvcr_l AL, day of . /.l who is personally known to me or who has produced l 41 ! dr&b czA OAs identification and who did take an oath. NOTARY PUBLIC: 41 ®�` 4� Signatu .►r LA Ili /3 Wit,/ • Si Print: •••. My Commission ExpiresyS , fM5�,,, • *=k=k=k*nksg9k'knkDk**: *** APPROVED BY Contractor . ent was acknowledged before me this ' ,20!►,by who is personally known to me or who has producedd"O"7 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: . //l !1rgirwr — �ji7f il:cw� ! ,; My Commission Ex 1. 20 % Notary Public - State of Florida My Comm. Expires Jul 26, 2015 Commission # EE 106656 ********* ************akskska ************* *d= **Nkda $s****dc*****+k*Ht k*=k**** Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk