EL-14-1550 9 1q '1'v12
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-240613 Permit Number: EL-7-14-1550
Scheduled Inspection Date: August 19,2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: WEBER,STEVEN&VIRGINIA Work Classification: Alteration
Job Address:1214 NE 92 Street
Miami Shores, FL 33138-
. Phone Number (631)379-8547
Parcel Number 1132050270480
Project: <NONE>
Contractor: LS CURTIS INC Phone: 305-892-0115
Building Department Comments
KITCHEN RENOVATION Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-240476. Need smoke/carbon
monoxide detectors ins final.
Ef
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 19,2015 For Inspections please call: (305)762-4949 Page 24 of 39
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Miami Shores Village
Building Department JUL 1-7 2014
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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. 4t�-/
PERMIT APPLICATION Master Permit NoAL
FBC 20
Permit Type: Electrical
OWNER:Name(Fee Simple Titleholder): A- 1-11?A f W-G b C'_i7 Phone#: 305-933-0683
Address: 1214 NE 92 Street
City: Miami Shores State: Fl Zip: 33138 _
Tenant/Lessee Name: Phone#: 5
Email:
JOBADDRESS: 1214 NE 92 Street
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#:
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: Lewis 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: aasteve@aol.com
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 4000. 00 Square/Linear Footage of Work:
Type of Work: ❑Address OAlteration ❑New ❑Repair/Replace ODemolition
Description of Work: Kitchen counter top receptacles, lights, switches and
appliance
xxxxn��x�n�xxx�x�xxxx�x�x�x��xx���xxu:x�Fees�x�x�x�x���xxx�xx�xxxx�xxx�xxmxxxxxx���xx�x�x
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Submittal Fee$ Permit Fee$ -2 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ � �� • �,
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 d notice, the
inspection will not be ap ed and a reinspection fee will be charged.
Signature Signature
1'%t er or gent Contractor
The foregoing instrument was acknowledged before me this 0 The foregoing instrument was acknowledged before me this2 nd
day of vl ,201\ V''f W 1, day of June 2014 by Lewis Curtis
who is personally known to me or who has produced who is pei me or who has produced
_V' L Q 4L As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOT7)4
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Sign: Sign:
Print: uX Print: CASSANDRA N i+IE�BU1
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My Commission Exp es:` Wayti ®�' My Com fires: pi�g Jtaly ,2016
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comm.expires Feb.7,20%
APPROVED BY ,� �� ���V Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)