EL-17-820Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -3-17-821
Permit Type: Electrical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 3/27/2017 Expiration: 09/23/2017
Parcel Number
Applicant
241 NW 92 Street
Miami Shores, FL
1131010331180
Block: Lot:
PERFECT HEAT LLC
Owner Information
Address
Phone
CeII
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
(305)892-6501
CeII Phone
Valuation:
Total Sq Feet:
$ 1,500.00
0
Type of Work: SERVICE RELOCATE 200 AMP
Additional Info: SERVICE RELOCATE 200 AMP
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Amount
$1.20
$2.25
$2.25
$0.40
$5.00
$150.00
$9.00
$1.60
Total: $171.70
Pay Date Pay Type
Invoice # EL -3-17-63449
03/27/2017 Credit Card
03/24/2017 Credit Card
Amt Paid Amt Due
$ 121.70 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W. W.
Underground
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
at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructi. •.)r z•g. her • e, I authorize the above-named contractor to do the work stated.
.....:_ _. v �
ru orized Signature: Owner / Applicant / Contractor
Building Department Copy
March 27, 2017
/ Agent ate
March 27, 2017
1
BUILDING
PERMIT APPLICATION
BUILDING 0 ELECTRIC
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
ROOFING
11 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
Al w
JOB ADDRESS: 241 SIE: 92 Street
City: Miami Shores
MAR 2 ,2017
FBC 20 int
Master Permit No. p,,'. 1 `G ` 13
Sub Permit No.Et 320
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
County:
Miami Dade Zip:
Folio/Parcel#:
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
Address: 241 NE 92 Street
City: Miami Shore
Construction Type:
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
Hect±. LLC
Phone#:
State: FI Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: L S Curtis
Address: 20341 NE 30 Ave 108
City:
AventuraState: FI Zip: 33180
Qualifier Name: Lewis Curtis Phone#: 305-933-0683
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: $ /, 5ry��
Type of Work: ❑ Addition I i Alteration ❑ New Repair/Replace ❑ Demolition
Zip:
Square/Linear Footage of Work:
Description of Work: J 1eV/ taG.. 1%cA%E .200 A -11 P
Specify color of color thru tile:
Submittal Fee Permit Fee $ 60 it90 CCF $ 1 •
Scanning Fee $ v' Radon Fee $ Z. • 2S DBPR$p 2 - 2-'s
M
Technology Fee $ 1 • CPO Training/Education Fee $ o (-' LJ
tel Double Fee $
Structural Reviews $` Bond $
TOTAL FEE NOW DUE $
CO/CC $
Notary $
(Revised02/24/2014)
5
121
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 fge will be charged.
Signature
411,g Atii
OWNER or AGENT
The foregoing instrument was acknowledged before me this
= (4 day of MG , 20 `� , by
{))1Y0 (CS ?-10 , who is personally known to
me or who has produced C SSS 1..(43/
identification and who did take an oath. tit
NOTA
Sig
as
Print:
Seal:
!"p1' EXPIRES: November 2, 2020
-�; o IP:
Bonded Thru Notary Public Underwriters
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
24 day of March
20 17 b
- t-': ((//t/7 ' , who is personally known to_
me or who has produced as
identification and who did take an oath.
NOTARY PUBL
Sign:
Print:
Seal:
CASSANDRA NEBBIA
y•u,
Commission it FF 979238
My Comm. Expires Jul 25, 2020
..%.°. s `° Bonded through National Notary Assn
.ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss:sssssssssss:ssssssssssssssss
APPROVED BY
(Revised02/24/2014)
4/l i9)z./' Plans Examiner
Structural Review
Zoning
Clerk
1 SET 3#•2/0
IN��tIMC
3' MIN
OVERHEAD
L S Curtis
20341 NE 30 Ave #108
Aventura, FL 33180
EC0003175
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COPU
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MAR 24 2017
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COMBO
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i Shores Village
SUBJECT TO COMP!_I \NCE WITH ALL FEDERAL
STATE AND COUNTY l IULES AND REGULATIONS
INDOOR
EXIST. PANEL
110 SPC.
206 A.
• ••• • ••• • •
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• • • ••2 GROUND BUDS 8' x 5/8
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CASSANDRA NEBBIA
(Vs,Notary Public - State of Rut
�1 '1 • Commission # FF 979238
4-.�de My Comm. Expires Jul 25, 20:
'�°P''''''' Bonded through National Notary r