EL-12-1481Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 179583 Permit Number: EL -8 -12 -1481
Scheduled Inspection Date: October 10, 2012
Inspector: Devaney, Michael
Owner: TORRES, ANA MARIA
Job Address: 112 NE 111 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: VIVINT, INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (305)754 -2251
Parcel Number 1121360040100
Phone: (877)479 -1667
Building Department Comments
New Alarm
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
October 09, 2012
For Inspections please call: (305)762 -4949
Page 38 of 46
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 No 2C._," /a / t
Master Permit No.
Permit Type (circle): Building /� a 'caI Plumbing Mechanical Roofing
Owner's Name (Fee Simple Tdleholder) Are. 111lari Tair- -s Phone # 7%(v ° Zoo - q (c q
Owner's Address U 2- N 11 I +i
City VA State rL Zip (co 1
Tenant/Lessee Name Phone #
Job Address (where the work is being done) U-2.- - M ‘kk 4•k
City Miami Shores Village County Miami -Dade Zip 1D31(p
Is Building Historically Designated YES NO
Contractor's Company Name \ i V V' \- \ Phone # gi1l - 471 _ (je( j
Contractor's Address X1°13 ‘ N 3 cra IA)
City Vra.r�
Qualifier Lot S tvstnrs
State LAX Zip ` 9('-(
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit
Alger' iSco
Square Footage Of Work:
Submittal Fee S.
kkkkkanhir****kkiskk*** i ***F ******** **i k****A -*** ***
0
Permit Fee $ t' ® CCF $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ COG 2-0
(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 RI .F.CTRICAL 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 i �; reinspection fee will be charged.
Signature _
wner or Agent
The for :oing ins ent was acknowledged - •re me thi
day of � I ' , 2� by
who is . - rso ly known t+ me or who has produced
Contractor
The foregoing instrument was acknowlledged (before me this,24
y of McV-0X , 20 /2, by 4,7 S h Lam,
o is personally known to me or who has produced VA.
entification and who did take an oath. DL as identification and who did take an oa
NOT
Sign:
Print:
My Commission Expires:
•
APPROVED BY
NOTARY PUB
Sign:
Print:
i% '
pAMEEZ ABBAS
Notary Public Virginia
Comm0 't 008T11
nunisaloo Exp
re
015
My Commission Expires: Q elobe i 3� ��t 2015
Plans Examiner Zoning
Structural Review
(Revised 07 /10/07)(Revised 06/102009)(Revised 3/15/09)
Clerk