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EL-12-35Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 173004 Permit Number: EL- 1 -12 -35 Scheduled Inspection Date: May 23, 2012 Inspector: Devaney, Michael Owner: JIMENEZ, JESUS Job Address: 41 NW 106 Street Miami Shores, FL Project <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1121360060210 Phone: (786)331 -3967 Building Department Comments BURGLAR ALaRM Passed Q Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 169086. No one home at 3:55 p. m.. sz 23 h�yZ� i Z May 22, 2012 For Inspections please call: (305)762 -4949 Page 8 of 23 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fala (305) 756.8972 6:-)9t ( Li 1(2_ INSPECTION'S PHONE NUMBER (305) 76/4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): J c Phone#: aO (OZ Z 0 Address: l NUJ l O(o sk- p-1 :331SO city: ..l.�l t Q,nr�. smote: Tp• Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: ""t tO W ( O 1P St City: Miami Shores County: Miami Dade Tp: 33 (SO Folio/Parcel #: _ ( 3(0 00 (p - i.2.. L O Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: G Phone#: C1S4 o O Address: 1 c`n cs { lnan tl//3 P City: OVIA o..(VNGIN State: ■ L Zip: 3302 5 Qualifier Name: (.Q !� (6 \ Phone#: State Certification( or� Registration #: C , PUY) tX Certificate of Competency #: Contact Phone#: "[�� cI-`PK 0 G OCQ `( Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ L t Square/Linear Footage of Work: Type of Work: (]Address 4.1teration ONew C]Repair/Replace ODemojition Description of Work: IS) 4.0.1■ 3 0 DJ' rY \ e 1tt& C?) l� kAkCSL.0 ** ***** * * *`�* ** ^�* * * * * * * * * * *** *** * * * * * ** Fees*********+**** *** * * *** * * * *** * * * *�e* * * **** * * ** Submittal Fee " Permit Fee $ / e el e OP CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ TrainimglEducation Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 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 properly is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site for the fi inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspect be approved and a reinspection fee will be charged. Signature 0 r Agent The foregoing instrument was acknowledged before me this,3 day of (kt.F'p&; , 2011_, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged before me this day of O �1'n 20 j, by Q 4.1� who is personally known to me or who has produced as identification and who did take an oath. NOTARY APPROVED BY r 4"' Plans Examiner Structural Review (Revised 07 /10107)(Revised 06/10/2009)(Revised 3/15/09) My Commission Expires: Zoning Clerk Property Information Map • I. Property Information Map My Home Miami -Dade County, Florida Page 1 of 1 MIAMI•DADE Summary Details: HE =1oim St; Property Information: Folio No.: vU_ Property: 41 NW 106 ST Mailing JESUS R JIMENEZ Address: —_ ____ Living Units: 41 NW 106 ST MIAMI FL Adj Sq Footage: 33150 -1245 Aerial Photography - 2009 0 This map was created on 1/3/2012 7 :36:10 AM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. 113 ft Primary Zone: 0800 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 2/1 Floors: 1 Living Units: 1 Adj Sq Footage: 1,134 Lot Size: 9,225 SQ FT Year Built: 1940 $50,000/ $80,883 36 52 41 PB41 -78 City: DUNNINGS MIAMI Legal SHORES EXT NO 2 LOT Description: 13 BLK 206 LOT SIZE 75.000 X 123 OR 19167- 2202 06 2000 1 OR 19167- 2202 0600 00 Assessment Information: Exemption Information: 2011 2010 and Value: $45,979 $51,170 - uildin, Value: $94,308 $94,882 Sales which are qualified $140,287 ',146,052 ssessed Value: $130,883 128,949 Exemption Information: Taxable Value Information: Year: 2011 2010 om d: $25,000 $25,000 ►nd H ;tead: YES YES Taxable Value Information: Year: 2011 2010 $122,900 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable Sales which are qualified Value: Value: Regional: $50,000/ $80,883 $50,000/ $78,949 County: $50,000/ $80,883 $50,000/ $78,949 City: $80,883 $80,883 $50,000/ $78,949 School Board: $25,000/ $105,883 $25,000/ $103,949 Sale Information: Sale Date: 6/2000 Sale Amount: $122,900 Sale O /R: 19167 -2202 Sales Qualification Sales which are qualified Description: View Additirin:sl Calns http : / /gi sims2. miamidade. gov /myhome /printmap. asp? mapurl = http: / /gi sims2.miamidade. gov... 1/3/2012