EL-10-11991
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Project Address
Parcel Number
Applicant
25 NE 103 Street
Miami Shores, FL 33138 -2326
1121360130940
Block: Lot:
EDWIN GUEVARA
Owner Information
Address
Phone
Cell
EDWIN GUEVARA
25 NE 103 Street
MIAMI SHORES FL 33138 -2326
(305)775 -7095
Contractor(s) Phone Cell Phone
DEFENDER SECURITY COMPANY' (317)810 -4720 (317)810 -4722
Valuation:
Total Sq Feet:
$ 1,000.00
0
1
Type of Work: ELECTRICAL
Additional Info: BURGLAR ALARM INSTALLATION
Classification: Residential
Scanning: 1
Fees Due
CCF
CCF
Education Surcharge
Education Surcharge
Permit Fee
Permit Fee - Additions/Alterations
Scanning Fee
Scanning Fee
Technology Fee
Technology Fee
Amount
$0.60
$0.00
$0.20
$0.00
$0.00
$100.00
$3.00
$0.00
$0.80
$0.00
Total: $104.60
Pay Date Pay Type Amt Paid Amt Due
Invoice # WS -6 -10 -38309
07/16/2010 Check #: 123804 $ 104.60 $ 0.00
Available Inspections:
Inspection Type:
Final
1
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated.
August 04, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
August 04, 2010 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 147413
Permit Number: EL -6 -10 -1199
Scheduled Inspection Date: August 02, 2010
Inspector: Devaney, Michael
Owner: GUEVARA, EDWIN
Job Address: 25 NE 103 Street
Miami Shores, FL 33138 -2326
Project: <NONE>
Contractor: DEFENDER SECURITY COMPANY'
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (305)775 -7095
Parcel Number 1121360130940
Phone: (317)810 -4720
Building Department Comments
INSTALLATION FOR LOW VOLTAGE ALARM SYSTEM
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
,c-zz
July 30, 2010
For Inspections please call: (305)762 -4949
Page 15 of 34
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
BUILDING
PERMIT APPLICATION
FBC 20
JUN 2 J s2UlO
Permit No. El 10 11
Master Permit No.
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): EA W 1(1 G u e\ aka Phone #:
Address: 25 NT 5- 1 0 3 cd St •
City: Ll (G ui S1lo re,,S State: P L_ Zip: 333P)
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: /V /25,t( � ! p ' t (
City: Miami Shores County: Miami Dade Zip: Q
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: -la° Rin 5-e. cur( h' Phone #: s ! D -(4720 Exi- 9(L
Address: 3150 ii rp r i+ 7 We Y S . Dr. sut i k-e 2-00
City: =Dr \ . 3 State: 4.--n Zip: y (07.4()
Qualifier Name: J Ohfl. Si, rre.11 "i 1
Phone #: li-{ -10 -1820
State Certification or Registration #: EC. 13003(1/i Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ c19 • DO Square/Linear Footage of Work:
Type of Work: DAddress DAlteration ONew ORepair/Replace ODemolition
Description of Work: `T .lt-ej Lb 1n( V f) kV_ . (' Nr-f\ s V6? -1'f
Submittal Fee $ Permit Fee $ /1"69/'41' 67 CCF $ 0 `mil CO /CC $
Scanning Fee $ f Radon Fee $ e�DBPR $ Bo�n,,d /$�
Notary $ Training/Education Fee $ 020 �1..�
Technology Fee $ ®'
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $10440
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 F `1" URE TO RECORD A NOTICE OF
CO 1 1 NCE 1 NT MAY ULT IN YOUR PAYING TWICE FOR
IMPROVE 1: NTS TO YOUR PROPERTY. IF YOU TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO ' Y BEFORE
RECORDING YOUR NOTICE OF COMMENCE 1 NT."
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 he absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
,,
Signatur
Owner or Agent
The for _oing instrument was ackno: ledged before me
day o , .. _ , , 20 leby
who i personally kno to me or who has produced
1T !�, �,. ' • .: ; s identification and who did take an oath.
i
NOT R' PUBLIC:
Contractor C�
The forego nstru r :. as acknowledged before me this 2
f Jt1l l e_. , 20 I p by _Eh y-,,SSY ieit
who is personally known to me or who has produced
as identification and who did take an oath.
Sign:
Print:
My Commission Expires:
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-.- 72 /flans Examiner
4r,sDi`1pi^�
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NOTARY PUBLIC:
Si
Print:7/'
My Commissirr
Structural Review
(Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09)
Notary Public, State of Indiana
Hamilton County
Commission # 612522
My Commission Expires
October 21, 2017
Zoning
Clerk