EL-11-16534
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 170359 Permit Number: EL -9 -11 -1653
Scheduled Inspection Date: February 27, 2012
Inspector: Devaney, Michael
Owner: DEL ALMO, RAMIRO
Job Address: 9215 N BAYSHORE Drive
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)772 -6820
Parcel Number 1132050270590
Phone: (786)331 -3967
Building Department Comments
LOW VOLTAGE VIDEO
Passed
-7
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
February 24, 2012
For Inspections please call: (305)762 -4949
Page 43 of 43
Penn #-11--1tca_
Folio # /( �3,Ga3 - O? 7 6 .] 9r
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real
property and in accordance with Chapter 713, Florida Statutes, the following Information
is provided in this Notice of Commencement :
1. Legal Description of Property: Lot 6 Bioc
Subdivis . n / Condominium:
Street Address if available:
2. f3eneral description of Improvement :
3. a. Owner name and address:
b. Interest in property.
c. Name and address of fee simple
titleholder (If other than Owner):
4. a. Contractor name and address:
b. Contractor's phone number.
5. a. Surety name and address:
b. Surety's phone number.
c. Amount of bond:
6. a. Lender name and address:
b. Lender's phone number.
Unit # Bldg #
111111111111 11111 1111 1 11111 11111 11111 11111111
CFH 2011R0611594-
OR E:k 27823 Ps 0213; (1pO
RECORDED it9,.13/2011 11:24:24
HARVEY RUV'IN CLERK OF COURT
MIAMI— CrACrE COUNTYp FLORIDA
LAST PAGE
.his space reserved for recorder
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7. Persona within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Forda Statutes:
Name:
Address:
b. Phone number.
8. a. In addition to himself or herself, the Owner designates
b. Phone number of person or entity designated by owner
9. Expiration date of notice of commencement:
to receive a copy of Uenor's Notice per Section 713.13(1)(b), Florida
(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB .SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK 0 RECORDING YOUR NOTICE OF COMMENCEMENT.
ed Itiltfieer /Dlrector/Partner/A7anager
By
u.0 Name
amid Fle,
Title/Office M0)% C/L4)4UJ./L'
eilalvj)t43 d -ii/r'ES7' LL C
STATE OF FLORIDA
COUNTY OF BROWARD
The forming Instrume
By
OrndIvIdustly, or El as
Zcersana8y (mown, or
Acknowledgert re me is day of
❑ produced the following type of Identificaport
for
re of Notary Public
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 82525. FLORIDA STATUTES
Under penalties of perjury, l declare that I have read the foregoing and
that the fads stated in it are true, to the beat of my knowledge and bend.
Signature(s) of Owner(. or Owner(sy Authorized Officer /Director/Partner /Manager who signed above:
By
r
By
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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: Name (Fee Simple Titleholder):
d3 147)(45 a (COW/Web V P o #: c3 °o'Zo l5'
Address: "" q 2' S` f� fl e `'sfit0
A
City: -0)4w' -Sitz rs State: rt--
Tenant/Lessee Name: T L 47'48
Email: C6110/36 //t)(%F� i {/ IL o 61
9 a /s` s I/Dr-6
Permit No. eZ //-4.53
.53
Master Permit No.
JOB ADDRESS:
zip: 3 3/38'
Phone#: 7f - a763° /s.
City: Miami Shores County: Miami Dade Zip: 53/3 '
Folio/Parcel #: 626, ° 0 27 t)S'9C1
Is the Building Historically Designated: Yes
•
NO Flood Zone:
CONTRACTOR: Company Name: M% See-1-4-(21-1-7 5 J / -e Phone #: / 5/y -516`2 7
Address: (6 0 � S A1 4-414&
City: �I rt.
I (Alf � '✓C��-vv State: / t
Qualifier Name: (-et)i . i weel
Zip: - g36102S"
�) Phone #:
State Certification Re _'stration #: �0 CJ //02/ Certificate of Competency #:
Contact Phone #:� /°'q�(!�'��9. Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: ik 7 0 4O Square/Linear Footage of Work:
Type of Work: ❑Address 9 / ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: li IDS S,-,4"1 L ` /hoe €€ 1 D v 8 (1A-4l
e; r
* * * * * * * *** * * ** **** * * * *** * * * * ** ** * * * * * *Fees***** * ** pax * * ** ��x*'* ° x **** * **4*** * ***** ** ***
0
Submittal Fee $ S0 Permit Fee $ /3 2'r ®� CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $ c;
TOTAL FEE NOW DUE $ / 1
Bonding Company's Name (if applicable) i
•
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 notice, the
inspection will not be approved and a reinspectio ee will be charged.
Signature
g' y 2 n.6 Eed
The foregoing instrument was acknowledged before me this,)1371/1 The foregoin instrument was acknowledged before me this 7
day of 41.4,6 , 20 JL, by )14/7-5 ./> , day of , 2011 , by
who is personally known to me or who has produced who i sonally kno o me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Signature
o actor
Print:
My Commission Expires:
Ijrlir� air J-°/S'
Zc l/
�✓/� g 57Plans Examiner Zoning
NOTARY P
Sig
Print:
My Commission Expires:
ky, ADAM M. RAMIREZ
• .*? MY COMMISSION # EE 1 1724
'f Bonded Tara Notary May Un
s75 r
Structural Review
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Clerk