EL-15-515 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236236 Permit Number: EL-3-15-515
Scheduled Inspection Date: June 08, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: LOFFREDO, STEPHEN Work Classification: Alteration
Job Address: 317 NE 102 Street
Miami Shores, FL Phone Number
Parcel Number 1132060135060
Project: <NONE>
Contractor: LS CURTIS INC Phone: 305-892-0115
Building Department Comments
REMODEL KITCHEN AND LAUNDRY ROOM RELOCATE Infractio Passed Comments
WASHER AND DRYER INSPECTOR COMMENTS False
Inspector Comments
Passed El
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
June 08,2015 For Inspections please call: (305)762-4949 Page 22 of 25
Permit NO, EL-3-1 5-5115
Miami Shores Village Permit Type:Electrical -Residential
10050 N.E.2nd Avenue NEWork Classification:Alteration,
Miami Shores, FL 33138-0000 Per it Permit Status:APPROVED.
Phone: (305)795-2204
Issue Date: 312312015 F Expiration: 09/1912015
Project Address Parcel Number Applicant
317 NE 102 Street 1132060135060
STEPHEN I-Or-FRED0
Miami Shores, FL Block: Lot:
Ow—n(:-!t1.1c Aedress Phone Cell
STEPHEN LOFFREDO 317 NE 102 ST
MIAMI SHORES FL 33138-2428
Contractor(s) Phone Ce!I Phone $ 7,000.00
LS CURTIS INC 305-892-011 Valuation:Total Sq Feet: 360
Type of Won,, REMODEL KITCHEN AND LAUNDRY ROOM«E. Available inspections:
Additional Info Inspect.1cri Type:
Class:f*tcafioi. Res;de7t'al Review Electrical
Scanning: 1
SI
syss�ssa >are:a.s�z:�sa=se�mr seta
Fees Due Amount PayzZc PayTypL --it Pai int Duc
CCF $4.20 Invoice# Ei--3-15-54?12
DBPR Fee $3.68
DCA Fee $3.68 03/23/2015 Credit Card c 216.56 $ 50.00
Education Surcharge $1,40 03/10/2019 Credit Card S 50.00 $ 0.00
Permit Fee-Add,tions/Alterations 5245,00
Scanning Fee 33.00
Technology Fee $5.60
Total: $266.56
In consideration of the issuarce to me of ihis r)p.r- t I qrre— rnrnri :nuc vrth al: oid;na9ces and regulations
pertaining tnereto and in, strict comormity wim me pians.jqrawf �, ��at—:c :'Iliage. In
" - ,, -7�� c-;�-:-Itt:-1--o1 tc P. l ir, ,
accepting this permit I assume responsioility for all kirk dor1t: mv-c". i-,iv -ice �e a� o ni;;!-,,�/e,- that separate permits are
required for ELECTRICAL, PLUMBING, MECHANI(' .WINDG',,\iS, DODRS' R,3 0 7:NG a S liNG POOL wo
and \N iNG P'
OWNERS AFFIDAVIT: I certify that all the rm, information is accxa e. a. .1 th,t all k w' ci,e in corn diance with all applicable laws regulating
ict,
�)�'
construction and zoning. Futhermore, I authorize th� Dove-named contracto,!,dl
d�\6,4 he�w a Cte d.
M a ir h 23, 2015
'c or
Authorized Signature: Owner Appl;ca t Gontrac or den' a'e,
Buildinn Department Con �
Miami Shores Village
;t
Building Department MAR 092015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20UD
BUILDING Master Permit No. P-<- vS , i 3
PERMIT APPLICATION Sub Permit No. R. 'ys-
❑BUILDING 5Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
ii � ����{{ CONTRACTOR DRAWINGS
JOB ADDRESS: 31�� /y I (�� i Kc
City: It-
Shores County: Miami Dade Zip: .3,3 i
Folio/Parcel#: 1 l' 32-as 013 5o'COl7 Is the Building Historically Designated:Yes NO
Occupancy Type:CW- L Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): e)-fjEVr e LC E- �� Phone#:
Addresss� i�L�%
City: V 'l A—M L '3TR,SCE 5 State: L Zip: J
Tenant/Lessee Name: Phone#:
Email: (; -{
CONTRACTOR:Company Name: L _ J l"�.*_ r� if)C. Phone#: �3(_XS �'(I�
Address: _�C V 3("t I N A-C e lcq—) +
City: � 1�"t?�-�t r2r� State: "� Zip: lSV
Qualifier Name: Jk?U o eita Phone#:
a
State Certification or Registration#: C�(L 00p,3N'-VS Certificate of Competency.#: f +
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ rA d c C . � Square/Linear Footage of Work:
Type of Work: ❑ Addition [Nfl4 Alteration ^❑ New -i P Repair/Replace ❑ Demolition
Description of Work: o
o
Specify color of color thru tile:
Submittal Fee$ 5& Permit Fee$ -2y3i CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ to ,
(Revised02/24/2014)
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.
Signature Signature
OWNER or A CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of MAw 20 jLJ by %'U day of /Y? L-1 20 by
who is personally known to �,/ �y/L�71 who-' p�lly kno 0
XMMme or tho has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLI NOTARY PUBLIC:
Sign: Sign: WW-"143
) I I
Print: Print: af�A NSeal: STEVEN L JONE 8EE219dis
Notary Public State of Florida Seal: EXPM J*26201a
Dec 5,2016
MY
Commission N EE 85002As5
` ed Throuyh National Nota Y
*********** *sk***sR*** * ********************************************************************
APPROVED BY �/�� /x J�flj/Z Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)