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EL-16-3169214 74 A-barb --re nui?.se-- di/Ls 04 ie.,e-4,4e__ ciehr-p--e • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 13s1 - Inspection Number: INSP-273122 Permit Number: EL -11-16-3169 Scheduled Inspection Date: December 15, 2016 Inspector. Devaney, Michael Owner: SHOAF, DAVID Job Address: 1516 NE 104 Street Miami Shores, FL Project <NONE> Contractor: ELECTRIC SUNSHINE INC Permit Type: Electrical - Residential Inspection Type: R llgh Work Classification: Alteration Phone Number Parcel Number 1122320320360 Phone: (305)974-4339 Building Department Comments REPLACE RECEPTACLES TO ISLAND 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 /4/1c7 December 14, 2016 For Inspections please call: (305)762-4949 Page 31 of 33 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Expiration: 06111/2017 Applicant 1516 NE 104 Street Miami Shores, FL 1122320320360 Block: Lot: DAVID SHOAF Owner Information Address Phone Cell DAVID SHOAF 1516 NE 104ST MIAMI SHORES FL 33138-2666 Contractor(s) ELECTRIC SUNSHINE INC Phone Cell Phone (305)974-4339 Valuation: Total Sq Feet: $ 2,500.00 0 Type of Work: REPLACE RECEPTACLES TO ISLAND Additional Info: Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.80 $2.25 $2.25 $0.60 $5.00 $150.00 $9.00 $2.40 $173.30 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -11-16-62122 12/13/2016 Credit Card $ 173.30 $ 0.00 Available Inspections: Inspection Type: Review Electrical Review Electrical 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 A constructio at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating I,authorize the above-named contractor to do the work stated. u 'orized S = nature: • mer / Applicant / Contractor / Agent Building Department Copy • \6NCeDecember 13, 2016 Date December 13, 2016 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)- 795-2204 Fax: (305) 756-8972 INSPECTION UNE PHONE NUMBER: (305) 7624949 BUILDING PERMIT APPLICATION El BUILDING VIELECTRIC ❑ ROOFING El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS BY: FBC 2019 Master Permit No. kC -110 _L 3iS'1 Sub Permit No. -EU kb 3 169 0 REVISION ❑ EXTENSION ❑RENEWAL rte., §7 il� NOV 18 16 ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /676‘2 4) City: Miami Shores County: Folio/Parcel#: // 2 Z3 0 Jaz ..3�G Occupancy Type: Ze S= Load: Miami Dade Zip: 5 7( z 6 Is the Building Historically. Designated: Yes NO Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): /)eL IT) i 6' Phone#: Address: LC -LC-(& , A1 / 0' S C City: YJ/1eS owl Tenant/Lessee Name: Phone#: Email: C -4 v G State: Zip: 53( CONTRACTOR: Company Name: Address: ./ // AA, E f(5 Z 4 C' City: O v —'- L Statef . - (— Qualifier Name: 04 l --eA/t G00' NA State Certification or Registration #: C 1 a(1-4/42( Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Z-7 7 (PC Square/Linear Footage of Work: Repair/Replace Phone#: 5-5 7 Zip: 5( Z Phone#: 174-ici Type of Work: ❑ Addition Desai tion of Work: G`L2 7C tv d Specify o color thru tile: P !v color f ❑ Alteration 0 New 0 Demolition Submittal Fee $ Scanning Fee $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $` 1.71" Permit Fee $ 1, rePi[Pe'. Radon Fee $ CCF $ - CO/CC $ DBPR $ Notary $ (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. CI— Signature G,/At. OWNER or AGENT The foregoing instrument was�a/c�knowledged before me this 1 � • day of �%/A (-5, , 20 1 6 , by p(-4n- ro a 7 , who i personally know]) me or who has produced as identification and who did take an oath. NOTARY PUBO • Sign: Print: Seal: *************** APPROVED BY (Revised02/24/2014) Jesse Walters Notary Public- State of Florida Commission # GG 32294 Expires 9/21/2020 s /iG' " r'' i Signature ,Se/1- CONTRACTOR The foregoing instrument was acknowledged before me this �l5 day of �`- , 20 . by ALX -71.. NA (; who is personally known to me or who has producedO as identification and who did take an oath. NOTARY PUBUC: v00re MiU1111i/�� Sign: �����: AkIb 4/ 14, �e9°a:saQa ... r,j Print: o. ,s y®; Seal: E.�:s o m o: n -fie ate: 3 i, ; s ozo cp.. = e A°1-11/01111110A /f 0l 11111111Vb°1,0e0��\e Plans Examiner Zoning Structural Review Clerk ACQ/'f(�°D, ° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/1B/2016 TVPF CF INRIIRANCF PRODUCER SOUTH FLORIDA CASUALTY 415 North 4th Street Lantana, FL 33462 (561) 533-6144 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ALTER THE COVERAGE AFFORDED BY THE POLICIgS OR BELOW. INSURERSAFFORDING COVERAGE NAIC# INSURED Electric Sunshine, Inc. 411 NE 152nd Street Miami, FL 33162 786-512-1519 Cell 1 INSURERA Scottsdale Insurance Company 41297 INSURER II FCB & 1 Fund INSURER C: EACH OCCURRENCE INSURER D: X INSURER E $ 100,000 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INsH LTR AMYL NSRD TVPF CF INRIIRANCF POLICY NUMBER POLICY EFFECTIVE OATF(MM/fln/VVI POLICY EXPIRATION f1ATF(MM/IIITNVI UMITS GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1.000.000 X DAMAGE l0 RtN 1EU PREMISES (Eaoccurence) $ 100,000 ICLAIMS MADE II OCCUR MED EXP (Anyone person) $ 5.000 A CPS2532457 09/20/16 09/20/17 PERSONAL&ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 2.000.000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY ® IPRO- Fr n LOC PRODUCTS- COMP/OP AGG $ 2.000.000 AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT —.1 ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Peraccident) $ PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $ DOCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ifyyeess describe under SPECIALPROVISIONSbelow 10656173 2/11/16 2/11/17 ITORVI M4R1 X 1°;R E.L. EACH ACCIDENT $ 500,000 E. L. DISEASE - EA EMPLOYEE $ 500.000 Et DISEASE - POUCYLIMIT $ Snn.nno OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Electrical Contractor City of Miami Shores 10050 NE 2nd Ave Miami Shores, FL 33138 FAX 305-756-8972 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BE�FOORETHE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD25 (2001/08) ©ACORD CORPORATION 1988 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 SENATORE, ALEX G ELECTRIC SUNSHINE INC PO BOX 661004 MIAMI SPRINGS FL 33266 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Departments initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! K`SCO TT, GOVERNOR STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESS! NAL REGULATION EC13004016 0812812016 CERTIFIED E L trO CTOR SENATORE, , ELECTRIC SU S'CERTiftED under t pra ionofCh.489 FS. tatsbn date :, AuG Bi. 2018 LI 604+3fi00 45E DETACH HERE KE1�t %Ai! STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Ch ' ter 489 FS. Expiration date. AUG 31, 18 SECRETARY SENATORS, ALEX G ELECTRIC SUNSHINE PO BOX 661004 MIAMI SPRING, - ISSUED: 08/28/2018 PLA AS `t UIREIrfSY SEO .L7 OO4328 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A 8111 - DO NOT PAY 6347892 BUSINESS NAME/LOCATION ELECTRIC SUNSHINE INC 411 NE 152 ST MIAMI FL 33162 OWNER ELECTRIC SUNSHINE INC Workers) RECEIPT NO. RENEWAL 615232. LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. Ti BUSINESS 196 ELS ISL CONTRACTOR EC13Di`;.' This Local ilusiooss Tax Receipt Daly confirms payment of the t t aI permit or acertification rite holder's gualilicallorm todotwine= __-- trr nongovemmentat regulatory laws aW. requirements which apply to Uro b The RECEIPT N0. above must ho displayed on ail commercial vehicles -Miami-Dade Code Sec to-, For mere information, visit ymmtLroiamidade„gavitascoiieotpg PAYMENT RECEIVED BY TAX COLLECTOR $75.00 09/12/2016 ECHECK-16-176476 be Receipt is not a license, ootply whit any governmental +/- 16' - 6" EXISTING +/- 17' -11" EXISTING BATHROOM RECEPTACLE ON 20 AMP CKT AND G.E I PROTECTED LEGEND (EXISTING) ... •I: MASTER BATH KITCHEN 0 CC ,IPL.tf`NCE WI fH ALL FEUERAL LUN i f t_•L IS Ari NO POINT ALONG COUNTER TO BE MORE THAN 2 FEET FROM G.F.I PROTECTED RECEPTACLE. PUT DIW RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED CKTS. DINING ''OD SMOKE/CARBON MONOXIDE DETECTORS ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. I. MAX WOLFE AA 0002534 AR 0008679 ENLARGED EXISTING FLOOR PLAN SCALE: 5/16" = 1' MAX WOLFE ARCHITECT 3300 RICE STREET COCONUT GROVE, FL 33133 M aiw Stt,wvna-ni 305 216 9641 MAX@MA X W OLF EA R C HI TECT.COM ISSUED 4/25/16 5/11/16 (REV 1) 6/7/16 (REV 2) 1/29/16 (REV 5) flooring repairs to the Diane & David Shoaf Residence 1516 NE 104 Street Miami Shores, Florida 33138 ELECTRICAL SWITCH DUPLEX OUTLET DUPLEX OUTLET GFI & TAMPER PROOF QUADPLEX OUTLET QUADPLEX OUTLET GFI & TAMPER PROOF 220 VOLT OUTLET SMOKE DETECTOR CO2 DETECTOR I WATER SERVICE FITTING EXIST EL• IC PANELS •••• • ▪ • • • •• s•/•�, N • • .XJLT4NG ELECTR;C•QISTLETS $ WT,Ifl ES A N d' N1 IN G FIIIIVgS TO REM JIN • • • • • • • • • ▪ VERIFY LOCATIONS IN FIELD }PROLI1A AS -BUILT FIR FIELD IAEVISIOIls) • • • • • • • 4 • SEE SHEET 2 FOR•PROKCT • s NOTES AND DESCRIRTI• OIaS • TURN OFF BREAKER & DISCONNECT EXISTING OVEN, COOKTOP, MICROWAVE, RECEPTACLE AS REQUIRED TO REMOVE ISLAND FOR FLOOR REPAIR ACCESS. FOLLOW ALL ELECTRIC CODE SAFETY PROCEDURES. PROTECT ENDS OF EXPOSED WIRES, ETC.!!! •• • • • 1 1 • , • 1 Y 1 1 • • s •> ••• 1 • • • • • RECONNECT EXISTING OVEN, COOKTOP, MICROWAVE, RECEPTACLE AS REQUIRED AFTER REINSTALLING EXISTING ISLAND IN EXISTING LOCATION. FOLLOW ALL ELECTRIC CODE SAFETY PROCEDURES AND TURN ON � APPROPRIATE BREAKER!!! • AFTER TURNING OFF BR AND FOLLOWING SAFE ELECTRIC CODE PROCEDURES, REPLACE EXISTING, WHITE ABOVE COUNTER ELECTRIC OUTLETS WITH NEW, SIMILAR BLACK FINISH OUTLETS!!! ENLARGED FLOOR PLAN SHEET 4