EL-12-367Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 174155 Permit Number: EL -3 -12 -367
Scheduled Inspection Date: June 07, 2012
Inspector: Devaney, Michael
Owner: GARRETT, SUSAN
Job Address: 91 NE 91 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 1132060130140
Phone: (786)331 -3967
Building Department Comments
BURGLAR ALARM INSTALLATION
Passed
Faile
Correction
Needed
r
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 174067.
Go to side door per Susan.
fz-eltje 2,c2
June 06, 2012
For Inspections please call: (305)762 -4949
Page 16 of 24
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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
Customer # INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit No.T t Z i)( 1
Master Permit No.
Permit Type: Electrical (�
OWNER: Name (Fee Simple Titleholder): V aso7 erapr 7 t Phone#:
��f
Address: °T/ g9/ J 77^
City: /i/ Qin/ U /i®i 4' State: �Okie V cp Zip:
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: q//VP` 6// (7/7' -a?7fr
Cite: Miami Shores County: Miami Dade Zip: r
Fol io/Parcel#: /I °3 ,Rt t O/ 30/ go
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: ADT SECURITY SERVICES Phone #: 954- 266 -5027
Address: 10785 MARKS WAY
City: M I RAMAR State: FLORIDA Zip: 33025
Qualifier Name: GEORGE MAN G I N E LLI Phone #: 954 - 266 -5033
State Certification or Registration #: EF0001 1 21 Certificate of Competency #:
Contact Phone #: 954- 266 -5064 Email Address: LLCARTER @ADT.COM
DESIGNER: Architect /Engineer: Phone #:
Value of Work for this Permit: $ 0 ' GO Square/Linear Footage of Works Y
Type of Work: ❑Address ]Alteration UNew ❑Repair/Replace ❑Demolition
Description of Work:
Burglar Alarm
* **: k% kl,: a#>;: g=>;: * ******** **** * * * *a;; *Y:* **** *Fees**** ********** * ** ******>k**** * *** * * *x*******
Submittal Fee $ Permit Fee $ / ® e CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education 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 $2500, the applicant rnust
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the .first inspect , which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n,provjand a reinspection fee will be charged.
Signatur
wner or Agent
The foregoing instrument was acknowledged before me th. he foregoi g instrument was acknowledged before me this
day of 20 lay of . 20 12, by George Manginelli
who is personally known to me or who \`nulif/
1.0 As identificat l�tt5;�i . �%%¢"`"��n oath.
•• MISS/ ••. y
• rnber°N
'f9.1).• o NOTARY P .:.ICc itTERj��'��
Signature
•/ Contractor
ersonally k o me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
• f #x `�:40115� *. el'+ Sign: ii4■/1191;
Z � Sign: + . co .1..„,, C G . ; S •
Print: r . Print: t
N1\ Cc on Expires: sires: .• .� Q i.
t ® /��� ',��$�r.�J4 #E�,�> ,,row
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My Commission Expires:
APPROVED BY
,3'G PL Z' Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
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Summary Details:
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Folio No.:
11- 3206 - 013 -0140
Property:
91 NE 91 ST
Mailing Address:
SUSAN GARRETT
91 NE 91 ST MIAMI SHORES FL
33138 -2807
Property Information:
Primary Zone:
1000 SINGLE FAMILY RESIDENCE
CLUC:
0001 RESIDENTIAL - SINGLE FAMILY
Beds/Baths:
3/2
Floors:
1
Living Units:
1
Adj Sq Footage:
2,065
Lot Size:
10,621 SQ FT
Year Built:
1948
Legal Description:
MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 23 & E1 /2 OF LOT
22 BLK 1 LOT SIZE 81.700 X 130 OR 20786 -3668 09 2002 1
COC 23661 -0107 07 2005 4
Assessment Information:
Year:
2011
2010
Land Value:
$90,948
$95,909
Building Value:
$201,768
$202,949
Market Value:
$292,716
$298,858
Assessed Value:
$292,716
$298,858
Exemption Information:
Year:
2011
2010
Homestead:
$25,000
$25,000
2nd Homestead:
YES
YES
Taxable Value Information:
Year:
2011
2010
Taxing Authority:
Applied Exemption/
Taxable Value:
Applied Exemption/
Taxable Value:
Regional:
$50,000/$242,716
$50,000/$248,858
County:
$50,000/$242,716
$50,000/$248,858
City:
$50,000/$242,716
$50,000/$248,858
School Board:
$25,000/$267,716
$25,000/$273,858
Sale Information:
Sale Date:
7/2005
Sale Amount:
$0 _
Sale 0 /R:
23661 -0107
Sales Qualification
Description:
Sales which are disqualified as a result of examination of the deed
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