EL-16-2614Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -9-16-2614
Permit Type: Electrical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 9/30/2016
Expiration: 03/29/2017
Parcel Number
Applicant
241 NW 92 Street
Miami Shores, FL
1131010331180
Block: Lot:
PERFECT HEAT LLC
Owner Information
Address
Phone
Cell
PERFECT HEAT LLC
241 NW 92 Street
MIAMI SHORES FL
(305)608-4672
241 NW 92 Street
MIAMI SHORES FL
Contractor(s)
LS CURTIS INC
Phone CeII Phone
(305)892-6501
Valuation:
Total Sq Feet:
$ 1,500.00
0
Type of Work: REPLACE KITCHEN CABINETS, INSTALL N
Additional Info:
Classification: Residential
Scanning: 1
Fees Due
Amount
CCF $1.20
DBPR Fee $3.38
DCA Fee $3.38
Education Surcharge $0.40
Permit Fee - Additions/Alterations $225.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $237.96
r1
r
1
1
Pay Date Pay Type
Invoice # EL -9-16-61432
09/22/2016 Credit Card
09/30/2016 Credit Card
Amt Paid Amt Due
$ 50.00 $ 187.96
$ 187.96 $ 0.00
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W. W.
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.
1 -v --
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
September 30, 2016
Date
September 30, 2016
1
0•
Licensed & Insured Lighting Designs
CC# 18543 EC# 0003175 Lutron Lighting Controls
4.s. ewtted
Licensed Electrical Contractor
Residential • Commercial • Industrial • Marine
1 DENIS SANCHEZ
Office: 305-892-0115
District Manager Fax: 305-940-2138
L
1.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
BUILDING Q ELECTRIC ❑ ROOFING
PLUMBING ❑ MECHANICAL DPUBLIC WORKS
JOB ADDRESS: 241 NW 92 Street
RECET
EP22016
FBC
Master Permit No.126- 2' 13
Sub Permit No. P.,U (f)' 261 I
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County:
Folio/Parcel#:
Occupancy Type:
Load: Construction Type:
Miami Dade Zip:
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
X
OWNER: Name (Fee Simple Titleholder): Laslo Biro
Address: 241 NW 92 St
Phone#:
City: Miami Shores State: FI Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: L S Curtis
Address: 20341 NE 30 Ave 108
City: Aventura
Qualifier Name:
Phone#: 305-933-0683
Lewis Curtis
State: FI
Zip: 33180
Phone#: 305-933-0683
State Certification or Registration #: EC0003175 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ 1500.00
Zip:
Square/Linear Footage of Work:
Type of Work: ❑ Addition n Alteration ❑ New
Description of Work: y SN%D i( ,D. Tt-CTD S J 1c9 °tl.T LATS ier jl(/ leF
Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ 9:3 • W
Scanning Fee $ 'C71
Technology Fee $ ( • cO 0
Structural Reviews $
Permit Fee $ �2✓ + m v CCF $ 1 ' 20 co/ccs
Radon Fee $ 3 • 3 Ei DBPR $ 267 Notary $
Training/Education Fee $ G • T Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
I e R— leo
4
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.
L-z�,GI.N�
Signature
OWNER or AGENT
The foregoing instrument wasasacknowledged before me this
2 day of J.�Ai ,, , 20 / l , by
A52-1-0 g1 LO , who is sonally known o
me or who has producedP °t2 %C y as
identification and who did take an oath.
NOTARY PU IC:
Sign:
Print:
Seal:
CASSANDRA NESSIA
NotartPu01ic - Sherd Florida
My Comm. Expires Jul 25, 2020
.;'\ Bonded through ,'Tr y sn.
CONTRACTOR
The foregoing instrument was acknowledged before me this
12day of September , 2016
Lewis Curtis , who is
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
, by
Sign:
Print:
Seal:
************************************************************************************************************
APPROVED BY
(Revised02/24/2014)
Og 32 56)7/A Plans Examiner
Structural Review
Zoning
Clerk