EL-11-23784
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Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 176883 Permit Number: EL -12 -11 -2378
Scheduled Inspection Date: August 06, 2012
Inspector: Devaney, Michael
Owner: ANDERSON, ELECTRA
Job Address: 80 NW 92 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number ()-
Parcel Number 1131010160090
Phone: (786)331 -3967
Building Department Comments
BURGLAR ALARM
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
August 03, 2012
For Inspections please call: (305)762 -4949
Page 50 of 61
. (x.11(92 Sy
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
RECEIVED
DEC 28 201
BUILDING Permit No. EL.. d I -�3 8
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): FY (K K� b ( I C Phone#: 102 3-1 1 I -1q 5
Address: I\ �f J (3Q q'- S t e, 1
ry
City: I 1 Sn 016 State: Honda, Zip:
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: 16 y !V GI
City: Miami Shores County: Miami Dade Zip: 3 3 IS 0
Folio/Parcel #:
Is the Building Historically Designated: Yes NO 'V Flood Zone:
ADT SECURITY SERVICES
CONTRACTOR: Company Name: 10785 MARKS WAY Phone#:
Address: MIRAMAR, FL 33025
City:
Sta te: Zip:
Qualifier Name: C® O rq e C c IntAll Phone#: C5
L4 (fl
51)Z1-
State Certification or Registration #: F )D 1 17., ( Certificate of Competency it
Contact Phone#: Email Address: Lbear'k1 ' ad ` . cA)no
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 1 (.4, a- Square/Linear Footage of Work:
Type of Work: DAddress [iteration UNew URepair/Replace UDemolition
Description of Work: 13U )0,./ A' 1 a rm
* * ** ** * ** *************************F * ass ** axe* sus * * * **** * * *** ***** **** ** * * *** * ***
Submittal Fee $ i _ Permit Fee $ /0 C., c to t2 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
6 • IL
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Tap
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 FE.FCTRICAL 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 reinspection fee will be charged.
Owner or Agent I Contractor
The foregoing instrument was acknowledged before me this The fore g instrument was acknowledged before me this_3
day of i ,20// , by fY CA A Koon , day of ,20 � II,by (y\ 16, ) i'?ciI;.
who is personally known to me or who has produced who is personally known to me or who has produced
VaitikA w ho did take an oath. ic.r% D1d A) as identification and who did take an oath.
NOTARY PUBLI ' P? • �SSIOf •D '� NOTARY PUBLIC:
l ' : 24'1 , 201ri09 e
Sign:
Print: (COwl CI Cc l-4-fil
My Commission Exp. S'''" LATOYA L CARTER
MY COMMISSION # EE 13os..
EXPIRES: October 19,
&sided Dm
* * * * * * * * * * * * * * * * * * ****** * * ** * * *** *** *** **** _ ************************** * *** * * ***** * *** * ** * * * ***a **** **
APPROVED BY
Structural Review
(Revised 07 /10/07)(Revised 06 /10/20(19)(Revised 3/15/09)
Zoning
Clerk
- -> WC 4299 TOWN & COUNTRY TITLE
BOX 160
RETURN TO:
TOWN & COUNTRY TITLE GUARANTY OF HOLLYWOOD
1779 N. UNIVERSITY DRIVE
PEMBROKE PINES, FLORIDA 33024
11 -0757B KASUNIC III
Property Folio No. 11- 3101- 016 -0090
PREPARED BY: B.J. REEVES, ESQ.
Terra Doe Prep, Inc.
1779 N. UNIVERSITY DR. SUITE 202
PEMBROKE PINES, FL 33024
WARRANTY DEED
111111111111111111111111111111111111111111111
CFN 20111'03 830469'
OR N 27423 Pss 3472 - 34431 (lass)
RECORDED 12/12/2011 11:41 :38
DEED DOC TAX 1,794.40
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
THIS INDENTURE, made this 14th day of November, 2011, Between MRC INVESTING,
LLC, A FLORIDA LIMITED LIABILITY CO in good stan'74ng, of the County of ,BROWARD
in the State of Florida, whose post office address is 2921 185 STREET #1202,
AVENTURA, FL 33180 party of the first part, and FRANK T. KASUNIC III and ADRIANA
KASUNIC, HUSBAND AND WIFE , whose post office address is: 80 NW 92 STREET, MIAMI
SHORES, FL 33150, parties of the second part.
WITNESSETH, That the said party of the first part, for and in consideration of
the sum of TEN and 00 /100 Dollars, to it in hand paid by the said parties of the
second part, the receipt whereof is hereby acknowledged, has granted, bargained, and
sold to the said parties of the second part, their heirs and assigns forever, the
following described land, situate, and being in the County of MIAMI -DADE, State of
Florida, to wit;
LOT 11, LESS THE WEST 5 FEET AND LESS THE SOUTH 10 FEET, OF MIAMI SHORES MANOR,
ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOR 45, PAGE 13, OF THE
PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA.
SUBJECT TO Conditions, restrictions, limitations and easements of record, but not
to reimpose same, and Taxes for the year 2011 and subsequent years.
And the said party of the first part does hereby fully warrant the title to said
land and will defend the same against the lawful claims of all persons whomsoever.
IN WITNESS WHEREOF, The said party of the first part has hereunto set its hand
and seal the day and year first above written.
Signed, sealed and, delivered in the presence of:
Si• y to - o 'Witness
Q¢y a
Print/Type name of Wit es ess
Signature of Witness
Ralph B. Mills Ih
Print /Type name of Witness
STATE OF Florida )
COUNTY OF BROWARD )
} as:
SWORN TO AND SUBSCRIBED before me by, MIGUEL A. CASTRO as MANAGER/MEMBER of MRC
INVESTING, LLC A FLORIDA LIMITED LIABILITY CO on behalf of said corporation
who is personally known to me
who produced a valid drivers license(s) or • /who produced
as identification.
WITNESS my hand and official seal this 14th day of November, 2011.
My commission expires:
Notary Public
Book27923/Page3492 CFN #20110830469
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