EL-14-1298�r P
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756-8972
Inspection Number: INSP- 214919
Scheduled Inspection Date: June 27, 2014
Inspector: Devaney, Michael
Owner: TANIZAKI, ANNE
Job Address: 707 NE 93 Street
Miami Shores, FL 33138-
Permit Number: EL -6 -14 -1298
Project: <NONE>
Contractor: LS CURTIS INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060141780
Phone: 305 - 892 -0115
Building Department Comments
REMOVE AND REINSTALL 1 LIGHT FIXTURES ON ROOF
Infractio
Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
itefAv&
June 27, 2014
For Inspections please call: (305)762 -4949
Page 22 of 23
Miami Shores Village
' JUN 18 2014
Building Department 03
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 APPLICATION
FBC 20
Permit No.6`/ /9 -i29r
Master Permit No. IF - /1)6
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): Anne Tanizaki Phone#: 3 0 5- 93 3 - 0 6 8 3
Address: 707 NE 93 Street
City:
Miami Shores &v v. Fl Zip: 33138
Tenant/Lessee Name: Phone #:
Email: aasteve @aol.com
JOB ADDRESS: 707 NE 93 Street
City: Miami Shores County: Miami Dade Zip: 3 313 8
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: L S Curtis inc 786-486-1961
Phone#:
Address: 20341 NE 30 Ave #10 8
City: Aventura State: FL Zip: 3 318 0
Qualifier Name: Lewis S Curtis Phone#: 786- 486 -1961
State Certification or Registration #: EC 0 0 0 317 5 Certificate of Competency #:
Contact Phone#: 786 -486 -1961 Email Address: aasteve@aol . com
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 7 0 0 .0 0 Square/Linear Footage of Work:
Type of Work: °Address °Alteration °New °Repair/Replace °Demolition
Description of Work: reomove and reinstall j fixtures and provide permit
***************************************F ************ *+x**** **** * ******** ******** *wax **
Submittal Fee $ Permit Fee $ !P le, t CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 11 g. l,�
r
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 A VU.a . 11)-0%
Owner or Agent
The foregoing instrument was acknowledged before me this
day of ,,E ,_, 20 / , by %a te -A_y . 1'U i
who is erselyl own to me who has produced
As identification and who did take an oath.
Contractor
The foregoing instrument was acknowledged before me this 17
n LAS; day of June , 2014 , by Lewis Curtis
who is�egse me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission
CASSANDRA N NESBIA
?Pi MY COMMISSION # EE219418
RES July 2b, 2018
53 F a idarwmryssro .oan
NOTARY PUBLI :
Sign:
Print:
My Commissi
CASSANDRA N NEBBIA
.•: MY COMMISSION 8 EE219418
EXPIRES July 25,`2010
(401398:0153 FlorldsatobuySeuvice,00m
* ** *s< ********+s**s:s; **+i ******** **+k ****>h** ******as: # *4a *sk * ** HEN+b** ** *** *s'** **e<+k**** Ask+ k*+ k+ k* ak +k+k:Ank **+N****** * ***>HS:***
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9 i%'frd° Plans Examiner Zoning
APPROVED BY
Structural Review
(Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09)
Clerk