EL-13-232Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 185303 Permit Number: EL -2 -13 -232
Scheduled Inspection Date: March 25, 2013
Inspector: Devaney, Michael
Owner: MAGEE, PHILIP & LISA
Job Address: 780 NE 94 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: SAFE STREETS USA
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)469 -2281
Parcel Number 1132060141650
Phone: (813)514 -2693
Building Department Comments
WIRELESS BURGLAR ALARM INSTALLATION 1 CELL, 1
PANEL, 2 BUTTON FOB, 3 DOOR AND WINDOW,1
MOTION, 1 SMOKE
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
March 22, 2013
For Inspections please call: (305)762 -4949
Page 21 of 48
Uj13 --3(46-P
II,DING
PERMIT APPLICATION
Miami Shores Village S 0.
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 Type: BUILDING
JPermit No. j � 02
Master Permit No.
ROOFING
JOB ADDRESS: 780 NE 94 St
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel #: 11- 3206 - 014 -1650
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): Lisa Magee Phone#: 305 -469 -2281
Address: 780 NE 94 St
City: Miami Shores
Tenant/Lessee Name:
Email- Iisagmagee @aol.com
State: FL
Zip: 33138
Phone#:
CONTRACTOR: Company Name: Safe Streets USA Phone #: 919- 861 -8521
Address: 5660 W Cypress St Suite G
City: Tampa State: FL Zip: 33607
Qualifier Name: William Alan Peacock ' Phone#: 919- 861 -8521
State Certification or Registration #: EG13000404 Certificate of Competency #:
Contact Phone#: 919- 861 -8521 Email Address: jmansfield @safestreets.com
DESIGNER: Architect/Engineer: ' Phone#:
Value of Work for this Permit: $ 49.00 Square/Linear Footage of Work:
Type of Work: DAddition Alteration ONew ORepair/Replace ODemolition
Description of Work: Wireless Burglar Alarm - 1 Cell, 1 Panel, 2 Button Fob, 3 Door / Window, 1 Motion,
1 Smoke
Color thru tile:
+ ******+x** *** *************************Fees** w + s+ x******** ******+x *+x+x******+s+xx *** ***** **
Submittal Fee $ Permit Fee $ /® r CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1'
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 FT.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
Signature 1./fl
Owner or ` gent
The foregoing instrument was acknowledged before me this 29TH
day of JAN 201 3 by Lisa Magee
Signature V
Contractor
The foregoing instrument was acknowledged before me this 29TH
day of JAN 20 13 by William Alan Peacock
who is personally known to me or who has produced DL who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did tnke an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
JARROD M. ADAMS
NOTARY PUBLIC
STATE OF FLORIDA
Comm# ES100338
NOTARY PUBLIC:
JARROD M. ADAMS
NOTARY PUBLIC
STATE.OF FLORIDA
My Commission Expires:
3!IfiIIID
****** *** * * ** ***wax * * *** x * *** **** * ** ***** * *** *+x** ** ** * * *+ *** **** * ** * * * *** * *** * * ** * *** * * * *** ***** ** * **
2a�1r
1 Aga Plans Examiner
APPROVED BY
Zoning
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)