DEM-15-2461 Inspection Worksheet r�
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-244286 PermitNumber: DEMO-9-15-2461
Scheduled Inspection Date:April 04,2016 Permit Type: Demolition
Inspector. Devaney, Michael Inspection Type: Final
Owner: ARMSTRONG, MARVIN Work Classification: Electric
Job Address:138 NW 107 Street
Miami Shores,FL 33168- Phone Number
Parcel Number 1121360080200
Project <NONE>
Contractor ALTRON ELECTRICAL SERVICES INC Phone: (754)779-0543
Building Department Comments
ELECTRICAL DEMOLITION OF ILLEGAL ADDITION Infractio Passed Comments
ENCLOSURE/UNAUTHORIZED STRUCTURE INSPECTOR COMMENTS False
Inspector Comments
Passed
awl y�
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
April
01 2016
For Inspections please call: (305)762-4949
Page6of35
Miami Shores Village t k f
10050 N.E.2nd Avenue NW " e
Miami Shores,FL 33138-0000 r
Phone: (305)795-2204
Expiration: 09/191201fi
Project Address Parcel Number Applicant
138 NW 107 Street 1121360080200
MARVIN ARMSTRONG
Miami Shores, FL 33168- Block: Lot:
Owner Information Address Phone Cell
MARVIN ARMSTRONG 138 NW 107 Street
MIAMI SHORES FL 33168-
Contractor(s) Phone Cell Phone Valuation: $ 600.00
ALTRON ELECTRICAL SERVICES INC (754)779-0543 Total Sq Feet: 0
Type of Demo:Electric Available Inspections:
Additional Info:ELECTRICAL DEMOLITION OF ILLEGAL AD Inspection Type:
Classification:Residential
Final
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 invoice# DEMO-9-15-57226
DBPR Fee $2'2509/25/2015 Check#:2162 $50.00 $109.10
DCA Fee $2.25
Education Surcharge $0.20 03/23/2016 Credit Card $109.10 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
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 taws regulating
construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated.
—jpt�� March 23,2016
Ignature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 23,2016 1
Miami Shores Village
SEP 5 2015
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 LB,-�- _-- --_-
Tel:(305)795-2204 Fax:(305)756-8972 /
INSPECTION LINE PHONE NUMBER:(305)762-4949 lel
FBC 20r�
BUILDING Master Permit No.�M6 15 aY 5�
PERMIT APPLICATION Sub Permit No' x0 (�� `L_�(01
F-1 BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 138 NW 107th Street
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#:1121360080200 Is the Building Historically Designated:Yes NO X
Occupancy Type: single Farcy Load: Construction Type: CBS Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Marvin E. Armstrong Phone#:305-308-4250
Address: 138 NW 107th Street
city. Miami Shoresstate: Florida Zip: 33168
Tenant/Lessee Name: same as owner Phone#:
Email: marmst1312@aol.com
CONTRACTOR:Company Name: A/^Ta/t/ ( G /. m P--�7f S• &C_ Phone#: ��4 740 X 2
Address: 7 dw 26 s% 33 2.2.
City: wxj 1 w —State: Mo 41104 Zip: ?s X73 2Z
Qualifier Name: fJ A(4 kWa I3 Phone#:a4( rd/AD
State Certification or Registration#: e. /3 D O 3 Z1 rj9 Certificate of Competency M
DESIGNER:Architect/Engineer: Arbab Engineering Phone#: 305-940-3088
Address:3363 NE 163rd street Suite 701 City: North Miami Beach State: FL Zip: 33160
Value of Work for this Permit:$ 4.000 - Square/Linear Footage of Work: 264
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition
Description of Work: Demolition of illegal addition enclosure/unauthorized structure
Specify colon-of color thru tile:
Submittal Fee Sal W Permit Fee$ 141' 490 CCF$ 0 -(Zd CO/CC$
Scanning Fee$ 9' (30 Radon Fee$-9' �5 DBPR$ Notary$
Technology Fee$ a ( Training/Education Fee$ <3 ' Double Fee$
Structural Reviews$ Bond$ n
TOTAL FEE NOW DUE$ 1 nC t , 10
(Revised02/24/2014)
3
• t
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,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.
Z�
Signature Signature
NER or AGENT C��VCONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
r c�day of 20 ,by day of '20 by
AM"' *SIMAo is personally known to nn it , ho is personally known
me or who has produced rY�T7Z-S7�2Yd=p as me or who has produced as
identification and who did take an oa identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign• Sign:
Print: Print: z.
Seal: 1 MUSAIIIII11Seal:
FWAe•ftft of rAft fI Frame•fta d Fleft
COMMMM*FF 200191 GIMMON f FF 200181
MY COMM.EWM Fab 17,2019 MY Coma.Etas Feb 17.2019
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APPROVED BY Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
RICK SCOTT,WVERNUK KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
EC13=459
The ELECTRICAL CONTRACTOR
NMed below IS CERTIFIED '
Umfer the provisions of Chapter 489 FS. •�`�►..
Expiration date: AUG 31,2016
BARNES, DONALD JAMES . y •� a
ALTRON ELECTRICAL SSS INC
8347 NW 26TH ST
SUNRISE 1FL33322 .
ISSUED: D825=14 DISPLAY AS REQUIRED BY LAW SEC# L140825=192
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SROWARD COUNTY LOCAL. BUSINESS TAX RECEIPT
118 S.Andrews Ave.,Rm.A-100.Ft. Lauderdale,FL 33301-1895-•VA-8314000
VAUD OCTOBER J,2015 THROUGH SEPTEMBER 30,2016
DBA.ALTRON ELECTRICAL SERVICES INC Receipt d:1Ah AL/ALARMS!
BaSlneft Name. Business Type:(MASTER ELECTItICi
Owner Name:DONALD 3 BARNES Business Opened:05/25/1995
Shalfleet Location:8347 NW 26 ST StatelCounty/Cerij":EC13003459
SUNRISE Exemption Code:
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SUsiness Phone:954-486-3132
Rooms Beate Employees Machin" Proleselonate
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4
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Tax Amount T F •NSF dee P
Prior Yews
. Cfli on Cost Taal Paw
ee enemy
127.x0 1 0.00 0.00 0-0010.00 0.00 27.00
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THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and Is
non-regulatory in nature.You must meet all County andlor Municipality planning
wHEk VALIDATED and zoning requirements.This Business Tax Receipt must be transferred when
the business Is sold, business name has changed or you have moved the
business location.This receipt does not indicate that the business is legal or that
it Is in compliance with State or local laws and regulations.
j
Mailing Address:
DONALD J BARNES Puaceipt 901A-14-00010374
$ 8347 NW 26 ST 'Paid 09/29/2015 27.00
i SUNRISE, FL 33322
t
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2015 . 2016
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ACORD CERTIFICATE OF LIABILITY INSURANCE ,0„' (MMI "''
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
API Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
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