The URL can be used to link to this page

EL-12-798Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 (t, Inspection Number: INSP - 173816 Permit Number: EL -5 -12 -798 Scheduled Inspection Date: May 21, 2012 Inspector: Devaney, Michael Owner: EVERETT, HENRY Job Address: 165 NE 96 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1131010250130 -165 Phone: (786)331 -3967 Building Department Comments INSTALL BURGLAR ALARM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 2/ / 'K May 18, 2012 For Inspections please call: (305)762 -4949 Page 37 of 38 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 j "'� Permit No. L i i Master Permit No. BUILDING ee/e7 y' l9 PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder); Address: City: MEW; MI MAY 042a2 A ne #3 r— qao state: 3 3-767 ssee Name: geg 0,46 'd C!'+C.11 Zip: Phone #: -440/-0303 Email: JOB ADDRESS: 165 ` 'k Sr City: Miami Shores County: Miami Dade Folio/Parcel #: //" Sao& -- 0/3 - / 0 Is the Building Historically Designated: Yes NO Flood Zone: Zip: 'n 156 CONTRACTOR: Company Name: 5e .0 5L/ Se/wet-4J Phone #: 0` J 2l'& Address: /077r MthIS tfraV City: m,/,,2-?cif State: T ®y7 4,/G% Qualifier Name: //174" State Certification or Registration #: t1J 9®® /r* / Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Zip: 3e Phone #: Value of Work for this Permit: $ I' ` 0 0 Square/Linear Footage of Work: Type of Work: ❑Address Alteration Description of Work: . � S" 1/ ❑New ORepair/Replace UDemolition ** ** x**** * * * * * * * * * * * *:x*: * *** * * ** x***** Fees * *** **** x **** * * ** * *** * * **** * **** * :k ** CO /CC $ DBPR $ Bond $ Submittal Fee $ Permit Fee $ l 1 '00 Scanning Fee $ Notary $ Double Fee $ Structural Review $ Radon Fee $ CCF $ Training/Education Fee $ Technology Fee $ 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 Q 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 beapproved and a reinspection fee will be charged. s Signature Owner or Agent The foregoing instrument was acknowledged before me this day of t( ,20,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PU C: Signatu Contractor 30 The foregoing instrument was acknowledged before me this Sign: Print: My C * * * * * * * * ** C&l S71 N IbAL€,S sin Expo M'It881ON #EE118353 BondltES: 01rq, X15 APPROVED BY *TI4N VIOALES ■ day of who is sonall 20 &7Ty n to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Z4'14 Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Sign: Print: Ci.----' a\`�0100%44111IO y®,i o� ER �i� 4? tv. %Q.. piaES •'.° I6/ ;,c,\'‘ 7415 •• b y My Commission Expires: eo:kg ®,e e: m ® .o o 4 ,e ao _ x(47, b s° . ••.'0 °0• tiattlt••• JO '4,9 \a! Zoning Clerk 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: 1---.frea4/1 e £ S °`� PERMIT # ADDRESS: FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: 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: - DATE: PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 Property Information Map My Home Miami -Dade County, Florida Page 1 of 1 Property Information Map Aerial Photography - 2009 This map was created on 4/24/2012 1:23:39 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. 0 125 ft Summary Details: Folio No.: 11- 3206 - 013 -2510 Property: 9600 NE 2 AVE Mailing Address: FRANCES B EVERETT HENRY A EVERETT 188 DEVON DR CLEARWATER BEACH FL 33676- Property Information: Primary Zone: 6100 RESTRICTED COMMERCIAL CLUC: 0013 OFFICE BUILDING Beds/Baths: 0/0 Floors: 2 Living Units: 0 Adj Sq Footage: 23,108 Lot Size: 19,500 SQ FT Year Built: 1952 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 3 -4- 5 BLK 19 LOT SIZE 19000 SQUARE FEET COC 23732 -4546 08 2005 4 (CD) OR 27638- 1734 0311 12 Assessment Information: Year: 2011 2010 Land Value: $429,000 $429,000 Building Value: $1,061,205 $1,351,728 Market Value: $1,490,205 $1,780,728 Assessed Value: $1,490,205 $1,780,728 Taxable Value Information: Year: 2011 2010 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $0/ $1,490,205 $0/ $1,780,728 County: $0/ $1,490,205 $0/ $1,780,728 City: $0/ $1,490,205 $0/ $1,780,728 School Board: $0/ $1,490,205 $0/ $1,780,728 Sale Information: Sale Date: 3/2011 ale Amount: $3,084,000 Sale O /R: 27638 -1734 Sales Qualification Description: Deeds to or from financial institutions View Additional Sales http: / /gisims2.mi amidade.gov /myhome /printmap. asp? mapurl = http: / /gisims2.miamidade.go... 4/24/2012