EL-14-1552 F ^
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-242488 Permit Number: EL-7-14-1552
Scheduled Inspection Date: August 31, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: RIVERO, MANUEL Work Classification: Alteration
Job Address:1286 NE 95 Street
Miami Shores, FL 33138- Phone Number (305)762-7851
Parcel Number 1132060144050
Project: <NONE>
Contractor: LS CURTIS INC Phone: 305-892-0115
Building Department Comments
KITCHEN LIGHTING SYSTEM AND ELECTRICAL Infractio Passed Comments
OUTLETS INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 28,2016 For Inspections please call: (305)762-4949 Page 19 of 26
Miami Shores Village - IV-ED
l..•�„ S d
Building Department JU 17 2014
• 40050 N.E.2nd Avenue,Miami Shores,Florida 33138 B
Tel: (305)795.2204 Fax: (305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 2010
BUILDING Permit No. A �®
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical
JOB ADDRESS:— � -z- xa lAic—,
City: Miami Shores County: -Miami Dade Zip:
Folio/Parcelt ?_ 14 — s-
Is the Building Historically Designated:Yes NO Flood Zone: " q�
OWNER:Name(Fee Simple Titleholder): "*�-N ote \ �\��` Phone#:
Address: Z ��
City: V\a-nu State: tP-A • Zip: l
ssee ame: C) Phone#:.Tenan
Email: �✓
CONTRACTOR:Company Name: �.��' �' Phone#:
Address: 7.-,w 7 4L l /V49�7 CJ ® ti-C
City: State:
Qualifier Name: Phone#:
State Certification or Registration#: 631Q6-7 �_ 2! S_Certificate of Competency#: -'- -' ®!zl C�_27 /
Contact Phone#:79� EmailAddress: '4®4
DESIGNER:Architect/Engineer: � V"�811 ne#: ® �jC ��
Value of Work for this Permit:$ Square/Linear Footage of Work: - � `�—
Type of Work: DAddress tera'on ONew ErRepair/Replace �molitio
Descriptio of Work -� VC,4� C
Submittal Fee$ Permit Fee$ Z Z37�®a CCF$d • 40 CO/CC$
Scanning Fee$ f! Radon Fee$ ':?>° :�- k DBPR$ Bond$_
Notary$1 G >co Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$ 46
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
COMAMNCEM ENT 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subje to atta nt. Also, a certified copy of the recorded notice of commencement must be posted at the job site
.for the first insn c ' hich oecurs even (7) days after the building permit is issued. In the absence of such pos tice, the
inspection tZl roved and a 'n ection fee will be charged.
Signature Signature
Owner o Contractor
The foregoing instrument was ackn ledged before me this /— The foregoing instrument was acknowled before me thio! tr
day of ,20!$,by day of ,2%,by ,
who is personally known to me or who has produced who is o me who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Si Ike
CASSANDRA N N BE BIA
Print: � NO�rY Public ` IONS EE219418
Print: EX IRr5SiuIy25,2Q10
na Feliciano "
My Co i •e YCommllO 082753 My Commi P-1Wt!�`ry�W-=n
!►ea 01/12/201®le
y
APPROVED BY Plans Examiner Zoning
. Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)