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EL-12-2005Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 181832 Scheduled Inspection Date: November 21, 2012 Inspector: Devaney, Michael Owner: KISILUK, PETER Job Address: 59 NE 92 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ADT LLC Permit Number: EL -10 -12 -2005 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132060130250 Building Department Comments NEW ALARM INSTALLATION 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 / AY0 November 20, 2012 For Inspections please call: (305)762 -4949 Page 19 of 27 BUILDING PERMIT APPLICATION Master Permit No. FBC 20 s+ 09 F Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): .e....er 1 S Lu K Phone#: 3 05- 9. B'`1 21 i Address: S`T City: “N■c1 `Mi State: V\064641 Tenant/Lessee Name: Phone #: Email: 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 Permit No. J 12 2-0(13 i)FcG�IIC�I�;� X41 OCT 24 2m2 ZWJ Zip: 3 13Y JOB ADDRESS: 5-9 q'L ST City: Miami Shores County: Folio/Parcel #: { I " 32.0(2-(01 -0 2,50 Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: 10715 /nay k City: rYliwi m Rif Qualifier Name: (Y PICK State Certification or Registration #: Contact Phone #: DESIGNER: Architect/Engineer: Miami Dade zip: 33131 NO Flood Zone: AD -7; u_.C, vo'J state: dA iedordl Phone #: 4:154- 2 � (r — 5 i 47 Phone #: Zip: Certificate of Competency #: Email Address: Phone #: O'er Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address ,� OA1 ation New ORepair/Replace ODemolition Description of Work: Ate 1 -/� fr/ee...4-44 Submittal Fee $ Permit Fee $ /01016'0 Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 5/3 s 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 be a, ; °o ed and a ' 'nspee fee will be charged. Signature The forego day of , who is p sonally known to me or who has produced Owner or Agent / instrument was ac 1' wledged be ore me s 20 t., by /�' /� /� %" 1/ � // 4 NOTARY PUBLIC Sign: Print: My Commission Expires: ""'" MARIO HOYOS .:r; MY COMMISSION # EE 097617 •�* a' EXPIRES May 26, 2015 sm, Bonded Thru Notary Public Underwriters / ■416 Signature Contractor The for rn g instrument was acknowledged before me this / q day of Le l, 20 RI by r who is personally known to me or who has le L. c'4�a ath as identification and £ hhP & % sIt.: • 2 ;t BONDED V. : Q NOTARY PUBLIC °�O NOTARYOUGH s 73 .UNDERWRITERS,' 0 .FED 5.� #'�@4IL', STA��, ISrg4 n tt ttt•% ass,a,*s,s,* ************* APPROVED BY Sign: Print: My Commission Expires: ,*** * * * *** ,a,******* ** ***** *** ** ,* ,s, * *** ** ,**** ** ******ai=r ****** * * * ** *** * * * * ** *ass, * * ** 8f- �!/�G� Plans Examiner Zoning Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk Miami -Dade My Home My Home Show Me: Property Information Search By: Select Item I Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11- 3206 - 013 - 0_250__ Property: 59 NE 92 ST Mailing Address: PETER KISILUK &W LANI 59 NE 92 ST MIAMI SHORES FL 33138 -2811 Property Information: Primary Zone: 1000 SGL FAMILY - 2101 -2300 SQ CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,108 Lot Size: 12,800 SQ FT Year Built: 1950 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 17 & 18 BLK 2 LOT SIZE 100.000 X 128 OR 18189 -4998 0698 1 OR 18189 -4998 0698 00 Assessment Information: Year: 2012 2011 Land Value: $142,720 $109,785 Building Value: $192,373 $193,554 Market Value: $335,093 $303,339 Assessed Value: $201,315 $195,452 Exemption Information: Year: 2012 2011 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: ear: 2012 2011 Applied Applied axing Authority: Exemption/ Exemption/ ACTIVE TOOL: SELECT Page 1 of 2 x { x 40i NM 1 Aerial Photography - 2009 0 My Homes 1 Pro_pmrty Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser Home 1 lasing Our Site 1 Plux_ie Directory 1 Pivacy 1 Disclaimer 113 ft If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. http: / /gisims2. miamidade .gov /myhome /propmap.asp 10/9/2012