EL-16-484Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -2-16-484
Permit Type: Electrical - Residential
Work Classification: Addition
Permit Status: APPROVED
Issue Date: 3/11/2016
Expiration: 09/07/2016
Parcel Number
Applicant
124 NE 96 Street
Miami Shores, FL 33138-
1132060132690
Block: Lot:
MICHAEL PUCHADES LOURDES
Owner Information
Address
Phone
Cell
MICHAEL PUCHADES LOURDES
124 NE 96 Street
MIAMI SHORES FL 33138-
J
124 NE 96 Street
MIAMI SHORES FL 33138-
Contractor(s)
LS CURTIS INC
Phone
(305)892-6501
CeII Phone
Valuation:
Total Sq Feet:
$ 1,800.00
00
Type of Work: NEW HIT HATS IN THE ADDITION AND SM
Additional Info:
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.25
$0.40
$150.00
$3.00
$1.60
$160.70
Pay Date Pay Type
Invoice # EL -2-16-58771
02/22/2016 Check #: 4022 $ 50.00 $ 110.70
03/11/2016 Check #: 1231 $ 110.70 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Review Electrical
1
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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated.
Authorized Signature: Owner / Applicant /
Building Department Copy
ctor / kaent
March 11, 2016
Date
March 11, 2016 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
--go-i(D. - DB2
Inspection Number: INSP-273823
Permit Number: EL -2-16-484
Scheduled Inspection Date: December 28, 2016
Inspector: Devaney, Michael
Owner: LOURDES STEPHEN, MICHAEL
ofUAF c
Job Address: 124I(NE 96 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: LS CURTIS INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition
Phone Number
Parcel Number 1132060132690
Phone: (305)892-6501
Building Department Comments
NEW HIT HATS IN THE ADDITION AND SMOKE
DETECTORS THROUGH OUT THE HOUSE
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
December 27, 2016
For Inspections please call: (305)762-4949
Page 32 of 32
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
RECEIVED
FEB 21 2016
BY PIILY�C.,
FBC 20/x%`
BUILDING master Permit No& /6 — 932 -
PERMIT APPLICATION Sub Permit No.C' /6 4/E17!
❑BUILDING ets1`LECTRIC D ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE`
M i A-6 L t? L C -t -r I�- SES
OWNER: Name (Fee Simple Titleholder): 1.._0 0 (> p e) ;1-6'Pi+ F th.)
Address: ('2 4 QV 1G 7(a "("()
Zip: -Z2- g
City: I t
State: L _
Phone#: 30r- 334- 35 D
Tenant/Lessee Name: W"
Email: 1M 0Gitie- �i( C` Uvl�� a`r(GS 1_4A/i.e.!)
�•v�
Phone#:
Zip: "j/ 1•2-,g)
CONTRACTOR: Company Name: % 5 Ce1A/1 j� > ��i 1/14C
7
Address: �� ,62zt 1 E— 77 0 'Tp.6) -F ; t o g
City: peiel 61AAP State: k— i Zip: g'V
Qualifier Name: ? Afl (kal`eLt ( A.11 S Phone#:
Phone#: 2 ---6,.S75-2
State Certification or Registration #: GC OGl 31 7S Certificate of Competency #:
DESIGNER: Architect/Engineer: 104.14 A , A.11 F076L-(_ Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 1,00 Square/Linear Footage of Work: ) q2 Sci
Type of Work: Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:. M 8(A) +i1 f-tf-1 S 1tN1 Yf ( r A N:Yp(T(Jl\) A M 71i Ok'
S7 G- i is c i ot/ 5. .'�i'j Opo (;,-t 0 cr i 7fie o
Specify color of color thru
Submittal Fee $ / 0 "CO
Scanning Fee $`
file
Permit Fee $ /6- 00 CCF $ i -t9teCO/CC $
Radon Fee $ _ DBPR $ �� Notary $
Technology Fee $ 1 --6o
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $ G' ' Double Fee $
Bond $
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. 1 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.
Signatur
OWNER or AGENT
The foregoing instrument was acknowledged before me this
Cl day of YU Q (L , 20 t , by
-4 C V ( 42. 1 Put( h(.(( ( vho is pet kwa n to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
° i:'cr• '.t 'i .:-02.8644
,'
•
.7_3: Jt,.r 21, 2017
nature
CONTRACTOR
The foregoing instrument was acknowledged before me this
C.
day of y , 20 / C , by
, who is persteally known t>
me or who has produced
identification and who did take an oath.
NOTARY PUB IC:
Sign:
Print:
Seal:
as
***s**sss****s*******ss*****sss***sssss**s*s**s********s*s**********ss********s****s*s*ss*********s********s
APPROVED BY Z6 -%<F13/6 Plans Examiner
(Revised02/24/2014)
Zoning
Structural Review Clerk