EL-11-2321Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 187976 Permit Number: EL -12 -11 -2321
Scheduled Inspection Date: March 26, 2013
Inspector: Devaney, Michael
Owner: VERNA, YVES & EDITHA
Job Address: 1294 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ADT LLC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number 1132060143840
Building Department Comments
INSTALL CCTV 1 DVR 7 CARAMRAS
03/15/2013 - SAME QUALIFIER
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
�6 /(//L2C'/Y
March 25, 2013
For Inspections please call: (305)762 -4949
Page 14 of 19
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 Cv
Permit Type: Electrical
Permit No.
Master Permit No. (i "/..1 'MAW
OWNER: Name (Fee Simple Titleholder): Phone #:
»
Address: i " A/‘. A/‘. , dd 17
City: State: Zip:
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: /) 9/ /v L 91 " '
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: Air Phone #: 9. ...J Z7r
Address: /D7,' d+ / Wety
r ESL
City: o �- eyy � State:
Qualifier Name: Oir aG iiit .//
State Certification or Registration #: ir 13
/C 00
Contact Phone#:�J Y° gee' %J Email Address:
DESIGNER: Architect/Engineer: Phone#:
Zip: 3P 4)
Phone #: er#54"`•r27f
Certificate of Competency #:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Address, /j ❑Altera 'on ❑New ❑Repair/Replace ❑Demolition
Description of Work: "'ea) B'' • �L'l J -1/-.2,,-/
*m****** * * * * * * *** * * * ** * * * * * ** * * * * * * * * ** Fees************* * * * ** * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $
Scanning Fee $ 0 Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
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 MR 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
Owner or Agent
The foregoing instrument was acknowledged before me this
day of ,20_,by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Contractor
The foregoing instrument was acknowledged before me this
day of (►7 , 20 3 by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Co
MARIA D. PER
No ar' p:bic - State of Florida
ebt,, = r,r■Ht Eicuiies May 7, 2016
Commissron .r -E '96354
***********************1, ***** ******** ***+k************* *********** *: x* *****: x**** ** x********* ***************
ee
APPROVED BY
�- �9, Eg l frix- Plans Examiner Zoning
Structural Review
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Clerk
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Permi�
Permit No. EL-112-11-2321
Permit Type: Electrical - Residential
Work Classification: Alarm
Permit Status: APPROVED
Parcel Number
Issue Date: 12/16 /2011
Expiration: 06/13/2012
Applicant
1294 NE 96 Street
Miami Shores, FL 33138-
Owner Information
Address
1132060143840
Block: Lot:
YVES & EDITHA VERNA
Phone
Cell
YVES & EDITHA VERNA
1294 NE 96 Street
MIAMI SHORES FL 33138-
I
Contractor(s)
ADT SECURITY SERVICES, INC
Phone
(786)331 -3967
Cell Phone
Valuation:
Total Sq Feet:
$ 4,700.00
0
Type of Work: INSTALL SECURITY
Additional Info:
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$3.00
$2.47
$2.47
$1.00
$164.50
$3.00
$4.00
$180.44
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL -12 -11 -42834
12/15/2011 Check #: 132185 $ 50.00 $ 130.44
12/16/2011 Check #: 0132213 $ 130.44 $ 0.00
Available Inspections:
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.
December 16, 2011
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
December 16, 2011 1
L lna�b (02214
Miami Shores Village
.1 ing Depa �n nj
10050 N.E.2nd Avenue, Miami Shores, PFori X3138
TeI�'(3 5) �1s'2204 Fax: 005-756.8972
756.8912
INSPECTION'S PHONE NUMBER: 005 762.4949
DEC i 5 2611
Y:
Per tNa: \C„, 1
ester ,Permit No.
Con tors Address ,'. Rini .C2 '. r : e'r..
i
Citl! ‘ " :.. State ..Qr4 z: . g2 ,2,
�- ,Y.p '. arkg .: -I , $,+k, -- _.. .v - ,::.Phone
Stste Certificate or anon No, 033% lam, W Certificate of Coinpe
t �. :. eaI
Value: of Work For this Perini . q
Type of Work: °Addition i titration
Describe work: 1415'1-G11 Cc-TV,
Square / Linear Footage (tW r
°New f Repair) Replace
Demolition
C�� DVIe
•
..
0 Fe:'. Violation
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 liar
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 ELECTR'IC.; W PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS,; HEATERS,, TANKS and AIR CONDITIONERS,
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and tat all work will•be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER YOUR FAILURE TO RECORD A N CT OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE ' ' ` POR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH - YOUR LENDER } OR AN ATTORNEY Y` ,YORE
RECORDING YOUR NOTICE OFCOMMENCEMENT."
Notice to Applicant. A,s a condition to the issuance of a building permit with an estimated ifalueYeedtg 2500? giant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will l be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted gibe job site
for the first inspection which occurs seven (1) days; after the building permit' is issued. In the 'absence" of such posted fiance; the
inspection will not be approved an c re- inspection fee will be charged.
gout
The foregoing instrument was acknowledged before me this The i
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Summary Details:
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Folio No.:
11- 3206 - 014 -3840
Property:
1294 NE 96 ST
Mailing Address:
YVES G VERNA
EDITHA F VERNA
227 KNICKERBOCKER ROAD TENAFLY NJ
07670-
Property Information:
Primary Zone:
1700 SINGLE FAMILY RESIDENCE
CLUC:
0001 RESIDENTIAL - SINGLE FAMILY
Beds/Baths:
4/4
Floors:
1
Living Units:
1
Adj Sq Footage:
3,614
Lot Size:
12,493.75 SQ FT
Year Built:
1967
Legal Description:
MIAMI SHORES SEC 3 PB 10 -37 E125FT OF LOT 1 & E125FT
OF N 41.45FT OF LOT 2 BLK 84 LOT SIZE 99.950 X 125 CF
75R- 191702 COC 23080 -0314 01 2005 1
Assessment Information:
Year:
2011
2010
Land Value:
$276,862
$230,884
Building Value:
$388,307
$390,477
Market Value:
$665,169
$621,361
Assessed Value:
$665,169
$621,361
Taxable Value Information:
Year:
2011
2010
Taxing Authority:
Applied Exemption/
Taxable Value:
Applied Exemption/
Taxable Value:
Regional:
$0/$665,169
$0/$621,361
County:
$0/$665,169
$0/$621,361
City:
$0/$665,169
$0/$621,361
School Board:
$0/$665,169
$0/$621,361
Sale Information:
Sale Date:
3/2009
Sale Amount:
$850,000
Sale O /R:
26818 -1370
Sales Qualification
Description:
Sales qualified as a result of examination of the deed
View Additional Sales
Additional Information:
Click here to see more information for this property:
Community Development District
Community Redevelopment Area
Empowerment Zone
Enterprise Zone
MI,
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