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EL-14-253 Miami Shores Village ®EC 0 3 2014 Building Department LBY. 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. EL-2-14-253 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: Electrical OWNER:Name(Fee Simple Titleholder): Robert Butler Phone#: 305-933-0683 Address: 123 NE 97 Street City: Miami Shores State: Fl Zip: 33138 Tenant/Lessee Name: Phone#: Email: JOBADDRESS: 123 97 Street City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 1132060132440 Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: L S Curtis inc Phone#: 786-486-1961 Address: 20341 NE 30 Ave #108 City: Aventura State: FL Zip: 33180 Qualifier Name: Lew is S Curtis Phone#: 786-486-1961 State Certification or Registration#: E C 0 0 0 317 5 Certificate of Competency#: Contact Phone#: 786-486-1961 Email Address: aastevegaol.com DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ 10 0 0 - 0 0 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: Temp Service ran i+- �x�xx��x�x�xxxx�x��x�xxxx�x�xxxxx��xxx��Feesx�:xxx�xx�:xxx:x�xxxxxxxx�xxxx�:�:��xxx:xxxxxxx��:� 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$ liy. L10 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 not be approved and a reinspection fee will be charged. Signature Signature_ c<� ' Owner or Agent Contractor The foregoing instrument was a knowled�ged before come this`q The foregoing instrument was acknowledged before me this 20 day of +y ,20 1 by o`V "er A�lf.�1 L day of November20 14,by Lewis Curtis , ho• personally known to me or who has produced_ who is pemo r who has produced s L-- As identification and who did take an oath. as identification and who did take an oath. NO PUBLIC: NOTARY PUBLIC: 1 ` ii Sign: v � Sign: d d � 's�? CASSANDRA N NEBSIA Print: Print My Co s My Commis M-, es: EXPIRES July 25,2015 It C "0 140M (or)ase o,s3 Fz,rwan0t3rys8rv>W.=m APPROVED BY /4v Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-206958 Permit Number: EL-2-14-253 Scheduled Inspection Date: December 17,2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: BUTLER, ROBERT Work Classification: Temp for Test Job Address: 123 NE 97 Street Miami Shores, FL 33138- Phone Number (786)556-2919 Parcel Number 1132060132440 Project: <NONE> Contractor: HOME OWNER Building Department Comments TEMP FOR TEST Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 16,2014 For Inspections please call: (305)762-4949 Page 2 of 46 Miami Shores Village FEB x 1 201 L� 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 FBC 20 BUILDING Permit No. 4� 'OC'GP-/r"% PERMIT APPLICATION master Permit No.Z` /!Z . Permit Type: Electrical JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: C'�.7 a .;??6 '-) T� 9 OWNER:Name(Fee Simple Titleholder): VlQ)$t�i✓�7 6U!L i Phone#: 3r/S 7S7/ Address: City: State: L Zip: 313 TenanvLessee Name: Phone#: Email: CONTRACTOR: Company Name: /21-V4115K Phone#:306— Address: 2 5�� • �7 � � City: &g2& s:ZZ61406 State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit: $ SC./0• n,--S Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: �:Id�Y2 I Ce 07, 7�S_ a Submittal Fee$ Permit Fee$ !da; CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$Z2,t<4 — Bonding Company's Name(if applicable) Bonding Company's Address City I I w e_. 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 not be approved and a reinspection fee will be charged. Signature ,P Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this�� The foregoing instrument was acknowledged before me this day of ,20�,by U/—t day of - ,20_,by , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: P Print: y CommissMy Commission Expires: Jet � Notary P Wile state Of Flodda • Joanna �Mi Feliciano e >tit �eCGf/ 0 82A6a8�e �e�e�e�r � � �r �e>ti,�tx�r� �e� �r>ti �r,�s��e�e >ti �e APPROVED BY t/ Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012XRevised 07/10/07XRevised 06/10/2009)(Revised 3/15/09)