EL-11-270Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 160800 Permit Number: EL -2 -11 -270
Scheduled Inspection Date: June 09, 2011
Inspector: Devaney, Michael
Owner: , SHORES SQUARE INVESTMENTS
Job Address: 9017 Biscayne Boulevard
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: ADT SECURITY SERVICES, INC
Permit Type: Electrical - Residential
Inspection Type: Rough
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060110070 -17
Phone: (786)331 -3967
Building Department Comments
INSTALL BURGLAR ALARM AND CCTV SYSTEM BA 22
DEVICES, CCTV 4 CAMERAS, 1 MONJITOR, 1 DVR
G/1:
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
June 08, 2011
For Inspections please call: (305)762 -4949
Page 15 of 17
1.,
Miami Shores Village e0
Building Department . e A
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 No. lO
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: Electrical ° t � ° �
OWNER: N ame (F ee Simple Titleholder): S pone
#: lOS 91 � C✓
Address: 3 SS� ®
City: rn t state: F 1 Zip: 1 NI' jo
Tenant/Lessee Name�� `�S`1�• \CZCjlfli964, corf )( Phone#:
Finail•
1
JOB ADDRESS:a 011 B‘k, N-.),V) A
City: Miami Shores County: Miami Dade
Folio/Parcel #: i p ,° 3 t i t ® 0
Is the Building Historically Designated: Yes
Zip: °jV54:g
NO Flood Zone:
CONTRACTOR: Company Name: At `, c` r\ � Se(\ S ZC . Phone #: \S' % -4(o l` 50(03
Address: t 5 t \&S W a\-1
City: tA\t" Zrr∎'.6 State:t' \ - Zip: 3 3®QS
Qualifier Name: 00-3 \i• 72)012r4rM Phone #: c\5 • a(ii tp' S
State Certification or Registration #: D^> 91 C4, Certificate of Competency #:
Contact Phone#: l 55' - WAD- 30(03 Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 3eAs L °� Square/Linear Footage of Work:
Type of Work: DAddress DAlteration bur New ORepair/Replace
onu
Description of Work: I►; ` d r '* a Pt 'ice L
DauticeS
ODemolit',on
CCTV • Cbmetra S 1 T1.oviik r 1 Dv )2
*** ** ** * *: a***x ::x:*x:**** * * * * * *** * **** **Fees* *** *P ***** ***** * *** * ** : * *:x ***x: ******:x:x*****
_ ;14- $P
Submittal Fee $ Permit Fee $ /1e, ow CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
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 F.T.F.CTRICAL 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 fai t a py of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is s .r je t to a chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspect on whi h ccurs seven (7) days after the building permit is issued. 1 absence ' such posted notice, the
inspection will not and a reinspec 'on fee will be charged.
The foregoing instrumen was ackno The foregoing instrument was acknow
day of F 0 I , by 9 G. . t 1, day of , 20 a by
who is person y kno,, o me,. r who has produced who is personally known to me or who has produced
'fication and who did a .' oath. P 1.�% as identification and who did take
NOT ' Y ' UB C:
Sign:
Print:
My Commissio
"""44,. Victor T. Pii nog
Expires: , '� � i Expires: JUNE�15, 2011
BONDRD THRe ATLANTIC BONDING Ca, INC,
* * * * * * * * * * * * ** * * * **
�l acs //
APPROVED BY "Q2- />/1 Plans Examiner
My Commission Expires:
.*****:************** *: * * * ** * * * * ** * ******* **** *** ***
Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)