EL-06-3007Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 12/10/2007
Inspector: Devaney, Michael
Owner: DAVIS, JEFFREY AND YASMIN
Job Address: 9275 BAYSHORE Drive
Miami Shores Village, FL
Project: <NONE>
Contractor: DELTA ALARM SYSTEMS, INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Block:
Phone Number (305)577 -3777
Parcel Number 1132050270570
Lot:
Building Department Comments
Friday, December 7, 2007
Page 1 of 2
Passed
Inspector Comments
CC ,011° � I ,6/2._
(icp,00----e9-
ev
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Friday, December 7, 2007
Page 1 of 2
•
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building
tiocet,,
Electrical
DEC Nmomium-1
RR 1 42006 lig
Permit No. CXQr ( O1
Master Permit N(7.-372 C36 15e93
Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Te $-' T A 0 1 yS' Phone #
Owner's Address - q„9. 7S /J �S hone
city /,t'1 AI; aoRC U, /�4 State 6"7= / Zip 33 j 3 p'
Tenant/Lessee Name
Phone #
Job Address (where the work is being done) c 'I e 7S Q y s i o 2 e 4'
City Miami Shores Village County
FOLIO / PARCEL #
Is Building Historically Designated YES NO l.'
Contractor's Company Names/tJtX�l 6 A 1 t
Miami -Dade Zip 3 3 1 3S
Phone #5
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ ,j 8
Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration ONew ❑ Repair/Replace ❑ Demolition
Describe Work: m
Submittal Fee $ Permit Fee $ % 49e, I --
Notary $
Scanning $ -00
Training/Education Fee $ n'ao
Radon $
DPBR $
Bond $ Code Enforcement $
Structural Review. $
CCF $ CO /CC
Technology Fee $
Zoning $
Double Fee $
Total Fee Now Due $
See Reverse side -*
Bonding Company's N
Bonding Company's Ad
City
e (if applicable)
ess
Mortgage Lender's Nam
Mortgage Lender's Addr
City
State
Zip
(if applicable)
Application is hereby ma
commenced prior to the
construction in this juris
WELLS, POOLS, FURN
OWNER'S AFFIDAVI
applicable laws regulatin
"WARNING TO 0
PAYING TWICE FO
CONSULT WITH
COMMENCEMENT."
Notice to Applicant: As
promise in good faith t
whose property is subjec
for the first inspection
inspection will not be app
Signature
State Zip
e to obtain a permit to do the work and installations as indicated. I certify that.no work or installation has
issuance of a permit and that all work will be performed to meet the standards of all laws regulating
ction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
CES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
construction and zoning.
R: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
OUR LENDER OR AN ATTORNEY BEFORE • RECORDING YOUR NOTICE OF
condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
a copy of the notice of commencement and construction lien law brochure will be delivered to the person
to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
oved and a reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20
who is personally known 1
As
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * **
APPLICATION APPRO`
(Revised 02/08/06)
Signature
Contractor
The foregoing instrument was acknowledged before me this
, by , day of , 20 , by
o me or who has produced who is personally known to me or who has produced
identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
******************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
D BY:
Plans Examiner
Engineer
Zoning •
1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address 9
Citylli%Ami '4one VI a Te State .
Tenant/Lessee Name
Permit No.
Master Permit Na P6 JS 03
Plumbing Mechanical Roofing
„'eff- 1)Puis
Phone #
Zip 3,3 I3
Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
Is Building Historically Designated YES NO t/
Zip 33/3d
Contractor's Company Name Alafln Phone #
Contractor's Address
City State
Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Square Footage Of Work:
T e of Work ❑Addition ❑Alteration New ❑ Repair/Replace ❑ Demolition
ascribe P. /RR / Sy Sep rfl
Submittal Fee $ Permit Fee $ CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
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 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 reinsp¢ction fee will be charged.
Signature
Own or Agent
The foregoing instrument was acknowledged before me this
day of Jae.. , 204* , by 9.1Ay who is personally known to me or who h produced
As identification and who did take an oath.
NOTARY P .1: LIC:
Sign:
Print:
My Commission Expires:
JUDITH A. FARNEY
/111Y COMMISSION 1 DD 385019
EXPIRES: January 10.2009
Bonded Tluu Budget Notary Services
Signature
Contra
or
The fo go' i g instrument s acknowledged before me this /
day of e. C. ,2006,by5D e 11lnITL'00,
who is personally known to me or who has produced _
as identification and who did take an oath.
NOTARY PUBLIC:
175- ire'73:LUc
Print:_
My Commission
(Certificate of Competency Holder)
E State Certificate or Registration No. G. y 10 / Certificate of Competency No. 97L O GQ 177
APPLICATION APPROVED BY:
Chc 10/14/03
Plans Examiner
Engineer
Zoning