EL-12-657Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 182440 Permit Number: EL -4 -12 -657
Scheduled Inspection Date: March 06, 2013
Inspector: Devaney, Michael
Owner: MOSHEIM, PAUL AND SUZY
Job Address: 1098 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ALARM AUTHORITY SECURITY SYSTEMS
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (305)757 -8233
Parcel Number 1132060143460
Phone: (305)596 -4976
Building Department Comments
REPLACE EXISTING ALARM SYSTEMS
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
C7
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 172918. CREATED AS
REINSPECTION FOR INSP- 172851. Not ready fora final.
No access at 5 P. M..
/(11-/2
March 05, 2013
For Inspections please call: (305)762 -4949
Page 15 of 43
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BUILDING
PERMIT APPLICATION
FBC 20
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
APR 132012 U
BY: =========== =mast essocome,
Permit No. E 3 2-7"-C-1
Master Permit No.
Permit Type: Electrical `� 'A ,�
OWNER: Name (Fee Simple Titleholder): 1 Pk) L Y''1oS \ 1 elm phone#:3og 761 ea` 33
Address: 10St e N E Q b S4- y-eea-
City: I /t t awl l & tore S State: pi- Zip: 331 3
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: 109 8 >a E q 6 S ce e+
City: Miami Shores County: Miami Dade Zip: 33 (3
Folio/Parcel #: 115 a% 04,6 9'3 Lib
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name4 /kein Aui-l/oIZ/4 S ogi / SyShdhone#: 305- 596 Ski 76
Address: r 3cq 5 3o.) 1 14 Ir'
City: %y/i/J iv
Qualifier Name: Aoki /nose le t.
State Certification or Registration #:
Contact Phone# S ' 5f '3%(
DESIGNER: Architect/Engineer:
State: ___
zip: 33/gP6
Phone #: 305- 5,6 1/57 6
Certificate of Competency #:
Email Address:SU/VSF'%/4%1f @ CO mC4 71. /t
Phone #:
Value of Work for this Permit: $ — Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration UNew )(Repair/Replace ❑Demolition
Description of Work: PEA)kee &3c- tsh°`07 4/421.71 i S�
******** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * ** ** x***** ** * *** ***** *****
Submittal Fee $ Permit Fee $ / ®. '® CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ coeD `Vo
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 n¢Jt be approveddnd a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this • The fore oing instrument was acknowledged before me this `-
day of Pcip,rt L , 20 Ilk-, by Q1Rrok- o5ka.tt rv) , day of
who i me or who h • who is
Signature
Contrac
�dL ,20 \a, by C21° n VI°5e1 ,
to me or who has produced
and who did take • oath.
who did take an oath.
NO
n
/3
* MY OMISSION t DD 860035 e # DD 3000
EXPIRES: February 22, 201 EXPIRES. February ' 13
8 P
k-
APPROVED BY yI%% i6 131P ;�- Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
X *IC X X X X X X X X X X X X
MIAMI -DADE COUNTY TAX COLLECTOR
140 W. Flagler Street
Miami, Florida 33130
Please keep your receipt for
future reference.
Thank you and have a nice day.
4/17/2012 1300/226/001TRAM 0013 -0001
Last Seq. #:0001 WI LBT #:00 725134 -1
Local Business Tax $75.00
CA $100.00
CHANGE $25.00
MIAMI -DADE COUNTY TAX COLLECTOR
LOCAL BUSINESS TAX SECTION
140 W. Flagler St. - 1st Floor
Miami, Florida 33130
TEMPORARY RECEIPT
2011 -2012
LOCAL BUSINESS TAX
Local Business Tax #:00725134 -1
State/CC #:EF0000265
Issued to:
ALARM AUTHORITY SECURITY SYSTEMS
Type of Business:
SPEC ELECTRICAL CONTRACTOR
THIS RECEIPT IS ISSUED AS EVIDENCE OF
PAYMENT FOR YOUR LOCAL BUSINESS TAX
OR PERMIT.
YOUR OFFICIAL RECEIPT WILL BE MAILED
TO YOU WITHIN 10 DAYS FROM THE
VALIDATION DATE ON THIS RECEIPT.
Payment Received as Certified Above
Miami -Dade County Tax Collector