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ELC-14-1001 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-220089 Permit Number: ELC-5-14-1001 Scheduled Inspection Date: January 30, 2015 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: PROPERTIES LLC, SHORE SQUARE Work Classification: Addition/Alteration Job Address: 9099 BISCAYNE Boulevard BURGER w1.irl. Miami Shores, FL 33138- Phone Number (305)779-8040 Parcel Number 1132060110040 Project: <NONE> Contractor: ALECTRIC CORP Phone: (305)525-8905 Building Department Comments INTERIOR REMODELING PARKING LOT LIGHTS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-212535. Partial Interior o. k.. Outside light pole fixtures rough wiring o. k., need letter from engineer stating photo metrics to code. Failed Correction ,v a l3 Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. January 29,2015 For Inspections please call: (305)762-4949 Page 8 of 34 CEIVED ` l / JAN 3 0 2015 BY- CERTIFICATION OF COMPLIANCE WITH PARKING LOT ILL NATION STANDARDS IN CHAPTER 8C OF THE CODE OF MIAMI-DADE COUNTY Date: November 11 h, 2014 RE: Case No.: Electric Permit Number 20014005399 Property Address: 9099 Biscayne Blvd. Miami Shores, FI 33138 Folio No. 11-3206-011-0040 Building Description: Burger King 1. I am a Florida registered professional engineer or architect with an active license. 2. On November 11th. 2014, at 9:10 pm, I measured the level of illumination in the parking lot (s) serving the above referenced building. 3. Maximum 15.0 foot candle per SF, Minimum 1.4 foot candle per SF, Minimum to Maximum ratio 10.7:1 , foot candle 7.2 average per SF. 4. The level of illumination provided in the parking lot(s) meets the minimum standards for the occupancy classification of the building as established in Section 8C-3 of the Code of Miami-Dade County. 5. Light levels where measurered with a Extech Light Meter Model No. LT300 Serial Number 140521328 calibrated on a yearly basis per NIST standards. Signature and Seal of Architect or Engineer Elias P. Crespo Crespo Consulting Engineering Accredited Prefessional ' t ttt�tt 2;-tc4cmfe EIVY 2sq 1r11Q1111 011V1 G6 r 111QgG R ECEIVED Building Department 5 29 4 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 - INSPECTION'S PHONE NUMBER: (305)762.4949 FB C 20 1 l7 BUILDING Permit No. CLC ) y I PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: 9099 Biscayne Boulevard City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: Is the Building Historically Designated: Yes NO X Flood Zone: OWNER:Name(Fee Simple Titleholder): J 4 Or"e_ J4 a[�tr1� �/T�Phone# �JJ" a 7,3_V9 J � Address: J�(� � f Z"i�-57y- City: r City: ��e�.yt�' State: - Zip: 06 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Alectric Corp Phone#: 3055258905 Address: 4660 SW 101 st Ave Miami FL 33165 City: State: Zip: Qualifier Name: Jorge A Anillo 3053003932 Phone#: E 13005163 State Certification or Renist ion#: Certificate of Competency#: Contact Phone#: 305525890Email Address: 5 ALEXIS @ALECTR IC.NET DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit:$25,000 Square/Linear Footage of Work: Type of Work: ❑Address DAlteration ❑New DRe air/Replace ❑Demolition Description of Work: INTERIOR REMODELING, PARKING LOT LIGHTS p�':�jx:x:x�xxx:x:�x�x:�x:*�:x�:k*�x�:�****Fees**x�x�:��*x�:��x�xxx**:�x�xx���:�:���*�:x:x�*�:*�:*xx Submittal Fee�' Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ L _ Double Fee$ Structural Review$ (, TOTAL FEE NOW DUE$ Bonding Company's Name(it applicable) Bonding G.ornpany'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 ,jor :he first inspection which occurs seven (7) days after the building permit is issued. In e absence of such posted notice, the inspection will not be appro ed n dare ection fee will be charged. Signature Signature or Agent Contractor The foregoing instrument was acknowledged before me this�� The foregoing instrume t. as acknowledged before me this—� day of_�/la 20 14,by day of— 0-4 by Joj4 ESC Aq-4 who is personally known to me or who has produced__-- who is personally own to me or ho has produced______ As identification and who:;id tyke an oata. as identification and who did take an oath. -- DMA APORTELA ENRiQUL NOTARY PUBLI NO 'A BL $NOTARYPLIBLIc l STATE OF FLORIDA ,i Comm EE214784 Sian: _ Sian. Iros 7AM -6- Pri!.,t _ My Commission E ,Vie' . Commission#FF 032722 My Commission Expires: Expires Ju2' July 2017 l(/ ro,s '�+� 1 8:•' Basted Tisu Troy Fin lnsurWO P :k>,Y Y����k�8=%k�*:t:$:�e:¢�:t�:x�:k:k Y,::j:>e:k:g:;::��**J::�:Y h:k:j:,k>k>,::::<:E:t>,F.y:�:t�<:k:l:�::h�:F:e:��:Y,::;:>:i,::;c�:Y::.:�:k$:h*:�:e:;::k�=k�=:Y:k�1=>k:F:Y:;e h:1:�':�•X,%k:k*�**�k�:1=>k Y,:;t:k:�::F:;: APPROVED BY If/1'1ar,.s Examiner ---Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/]0/2009)(Re.v,sai 3/15/09; ���•.� ALECT-1 OP ID: KH DA CERTIFICATE (MM/DDIYYYY) �� CERTIFICATE OF LIABILITY INSURANCE 05/14/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: iSure Insurance Brokers PHONE FAX 8700 W.Flagler St.,Suite 270 A/C No Ext): (AIC, AIC No): Miami,FL 33174 E-MAIL Javier A.Fernandez ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Western World Insurance Co. 13196 INSURED Alectric Corp INSURER B:Associated Industries 4660 SW 101 Ave Miami,FL 33165 INSURER c:Essex Insurance INSURER D:Progressive Ins.Co. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA D POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY NPP8141896 06/28/2013 06/28/2014 PREMISES Ea occurrence $ 100,00 CLAIMS-MADE FxI OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ INCLUDE POLICY PRO- LOC $ JE T AUTOMOBILE LIABILITY Eaa accidentOMBIND SINGLE LIMIT $ 1,000,00 D ANY AUTO 01704014-1 06/28/2013 06/28/2014 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS PER ACCIDENT $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE MAPXS00000442 06/28/2013 06/28/2014 AGGREGATE $ 1,000,00 DED I I RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY T RY M T Y/ ER B ANY PROPRIETOR/PARTNER/EXECUTIVE❑N NIA AWC1022167 06/28/2013 06/28/2014 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEEL$ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) ELECTRICAL WORK Jorge A. Anillo, License # EC13005163 CERTIFICATE HOLDER CANCELLATION MIAMSHV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department. 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ' 00.4351 - • Local Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOT A BILL—DO NOT PAY 7062946 % LBT-./j BUSINESS NAMEMOCATION RECEIPT NO. EXPIRES ALECTRIC CORP RENEWAL SEPTEMBER 30, 2014 8530 NW 64 ST 7340599 Must be displayed at place of business MIAMI FL 33166 Pursuant to County Code Chapter BA—Art.9&10 OWNER 1 SEC.T,fPE OFBUSINESS 114 �i 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED _ALECTRWo kerl(s)ORP 4 EC13005163 ) If f r I r 1 �Y TAX COLLECTOR I 444 $75.00 07/)8/26i , A I I TXHS1-13-031168 f This Local Business Tax Receipt only Confirms payment of the Local Business Tax.The Receipt is not e,license,— L' permit,i1r a certification of the holders qualifications,to do business. Holder must comply with any governmental or nongov6rnmental regulaton}laws and'requirements which apply'to the business. _ t ISI The +�RECEIPT NO.above most be displayed on all commercial vehicles—Miami—Oede Code Sec�Ba-2T6. � S I F,p,r more information,visit www.miamidade povttaxcollector AC# ' j .N ;:6 4 41 2- F STATE OF FLORIDA. x csyDE>iARTMENT OI•' BUSINESS' "AND. PROF`ESSIOIJAL REGt7LAZ"IbN 1:'r r? .• '. ELECTRICAL '"CONTRACTORS LICENSING- BOARD t +. §EQ#L121008002g3 ' • LICENSE NBR;;�•[ t, l0' 08 2012. 12013'$9:34 EC130051f� .� tAdd' t gzZaJ Busirieg,s u> lification They ELECTI2IG' , CONxI2ACTOR r; fr<f"�'•mac' ��` +'•.' Named, 73e ota I5 CERTIFIFD� + .' S.", C' k, '$ncier7 the:;provisioiys o -�hapte` '489' rj E ixation date: AUG .31. 20]:4 = `;ANILT�O, x J0} GE ti A =' ': �� 4 ,rr• ;�.. ' . '.ALECTI2IC, -CORP �f �►,�,� � 162-14 SW. 63RD 'STRTs'ET MIAMI }t� 33 19 RICK SCOTT+ c r° '. 1 4 IGEN LAWSON GOVERNOR .y n ` >` SECRETARY f DISPLAY AS REOUIRED BY L.AVV� 0