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RC-14-2275 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-228475 Permit Number: EL-1-15-178 Scheduled Inspection Date: February 23, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Rough Owner: MOOREHEAD,THERESA Work Classification: Alteration Job Address:1561 NE 105 Street 2-5 Miami Shores, FL Phone Number Parcel Number 1122300530640 Project: <NONE> Contractor: ALES GROUP ELECTRICAL CONTRACTORS Phone: (786)244-0004 Building Department Comments ADD 4 NEW SMOKE DETECTORS Infractio Passed Comments INSPECTOR COMMENTS False PasseC Inspector Comments CREATED AS REINSPECTION FOR INSP-228278. Bathroom receptacle E� not on a 20 amp. circuit. Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. February 20,2015 For Inspections please call: (305)762-4949 Page 13 of 28 Miami Shores Village JAN 27 2015 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 IP INSPECTION LINE PHONE NUMBER-_(3_03)-Y62-4949 FBC 20 0® BUILDING Master Permit Nog -, ILl — �22 PERMIT APPLICATION Sub Permit No. P7 ❑BUILDING XELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP J ' .�+ CONTRACTOR DRAWINGS i<V JOB ADDRESS: IP- 109 S 1 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: [ !/" 2 Z 3 0 O JV-3 • 0( ¢0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: ---�r1C�onstruction Type: ,Flood Zone: BFE: FIFE: b OWNER:Name(Fee Simple Titleholder): 1 i7Ef��5i4 �OO&E'Hl41> Phone#:7496 243 DCl Address//:��7Ae ,,MA.5 Above City: �v�t c52 State. Zip: / 3 Tenant/Lessee Name: Phone#: Email: q CONTRACTOR:Company Name: .4 5, C-72oup fit. �o i,I T. Phone#: 7&.�� " 6c !& Address: S 4 6 S W 7 C City: 144MII State: P4 O 1%1 DA Zip:?Qk 14 4 � Qualifier Name: 2.4p ioAj LL p&aw rE Phone#: State Certification or Registration#: C G 0 DO I Z 88—Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: 800_07V71 + Value of Work for this Permit:$ CJ©o o ✓ Square/Linear Footage of Work: Type of Work: ❑ Addition a Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 11.15 TALL 4 1,JGW 5MO" D E?Z�'G T=5 Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) l t 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. Signatur,J- Signature &44iiQ 9 1 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this,_) l 'day of Gc�vt�i� 20 1 by _ _day of qo• 20 S by �� rsonally known to �^ &n Lore� who is personally known to me or who has produced as me o_r who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PURL • NOTARY PUBLIC: Sign: Sign: Print: �-V �i2c� P }�� Print: 1-1C4V-A LUISFEP34MU Seal: ` MyCUMISSION#EE 838180 Seal: , .: ADRIANAGIRARDI ?«: . MY COWAISSION#EE 867174 EXPIRES;November 7,2016 o; EXPIRES:Jan.aary 22 %I �1 F��@W., Bonded ThmBudget NotaryServces ' fib?•` Bonded ThruNotary!'ubiw0id^oncesJ APPROVED BY 8�"'�-.� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL.REGULATION , ELECTRICAL CONTRACTORS LICENSING BOARD EC0001288 t ` The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS F Expiration date: AUG 31,2016 LORENTE, RAMON ?r ALES GROUP ELECTRICAL CONTRACTORS 896 SW 70TH AVENUE m ; ,• MIAMI x:33144 ..; :;.. ISSUED: 08120!2014 DISPLAY AS REQUIRED BY LAW SEQ 0 L1408200002069 MfDDNYrn , II & CERTIFICATE OF LIABILITY INSURANCE F°ATE/30/2014 6/302014 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 poilcy(hya)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 cortificate does not confer rights to the certificate holder in Ileu of such endorsemen a). PR ICER SUNZ Insurance Solutions, LLC. ID:TLR NAME: Aimee Gra C/0 TLR Of Bonita IncC u 727-520-7676 x 222 ac No)* 727-525-3862 AIL 1700 Dr MLK Jr. §treet N Suite B .M St. Petersburg, FL 33704 ADPRESS: INSURERIS1 ArFORDING COVERAGE-. _--. N=# wsURERA: SUNZ Insurance Company 34762 INSURED LNsuRER B: Aspen Re-London-Best Rating"A" TLR of Bonita, Inc dba EnterpriseHR Encore Business Solutions, Inc wsuRERc: Catrin Syndicate-Lloyds-Best Rati ^A" and its Subsidiaries I tNsuRERD: Brit Syndicate-Lloyds-Best Rating•A^ 1700 Dr.MLK Jr.Street N,Ste B INSURERE: St. Petersburg FL 33704 -- INSURER F COVERAGES CERTIFICATE NUMBER: 20728791 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. _ ILLTTRR TYPE OF INSURANCE ALW POLICY NUMBER MNMD POLICY EFF MIDDr E%P LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ T IN111 CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GE_NL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY LJ JECT LJ LOC PRODUCTS-COMPIOPAGG $ OTHER: $ CON=SED SIN LE IT AUTOMOBILE LIABILITY EB arlt $ ANY AUTO BODILY INJURY(Per person) $ _ AUTOS WNED _ SCHEDULED BODILY INJURY(Perecadent) $ UTIDS HIREDAUTOS AUT SWNED PPROPdentl E TY er DAMAGE $ I $ UMBRELLA LIAe OCCUR EACH OCCURRENCE S _ EXCESS LII& _CLAIMS-MADE AGGREGATE_ - S DED RETENTION It $ A WORKERS COMPENSATION WCPEO00=1111110 6/1/2014 6/12015 gTATUTE ER AND EMPLOYERS'w.SIUTY YIN WCPE00000001 09 6/12013 6/12014 ANY PROPRIETORIPARTNER/EXECl1TIVE MIA E.L.EACH ACCIDENT $ 11000,000 OFFICERNEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,desQme under DESCRIPTION OF OPERATIONS Eelam E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Workers Compensation This is for informational purposes C Excess Coverage and nothing shall create any right D I under such reinsurance. I DESCRIPnON OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Adddlenal RoffwrM Schedule,may be attaehod M more spear Is required) Coverage Provided for all leased employees but not subcontractors of:Ales Group,Inc. Client Effective:6/20/2014 dba Ales Group Electrical Contractors CERTIFICATE HOLDER CANCELLATION 7790 Miami Shores Village Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIJ D BEFORE 10050 NE 2nd Ave g p ACCOTHE RDANCE EXPIRATION THEOLILICY PROVISIONS. Miami VYILL BE DELIVERED IN Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE fray Glen J Distefano ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD CERT NO., 20?28791 Aimee Oray 6/30/2014 _1:90:19 AM (STI Page 1 of 1 ,4 Rco o� CERTIFICATE OF LIABILITY INSURANCE 1/14/2015 ' THIS CERTIFICATE IS iSSU£D AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTft-MCATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE: POLICIES 8FLOW. TH13 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREK(SI, AUTHORIZED I! r REPRESENTAnve OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It the cerUflcate holder Is an ADDITIONAL INSURED,the Polloyties)mu.t be endorsed. If SURROGATJON IS WAIVED,subject to ' the terms and conditions of the policy,camin policies may require an endorsement A stalarnant an this certificate does not confer rights t0 the 1 cettlneete holder Ut lieu of such endotsement(eJ- j DROOUCER NAME CONTACT ANDY RODRIGUEZ JR .A.MYS ASSURANCE AGENCIES 14.41 W F (305)842-8407 4,Nn;( 0- 643-5969 >?lagler St 305) Miami, FL 33135 AooREssandy'r@andysassurance.com _ ---i mN81lREIa3j AFFORDING COVERAeE I,AICa J 1 ( _ INSURER A:WESTERN FIERITAGE ITS CO INSURED ALES GROUP INCINSURER 11: ; d/b/a PROLOCK & SAFE/ALES GROUP INSURER C: i ELECTRICAL CONT/ALES GROUP GC INSURER D: 896 SW 70 AVENUE INSURER E: MIAMI, FA 33144 I INSURER F, _ COVERAGES 10122"=ICATE NUMBER: REVISION NUMBER: I THIS 16 TO CIRRTIFY THAT THE POLICIES OF WaURANoz USTeO OrMOW HAVF BEEN ISSUED TO THF-INSURED NAMED ABOVE FOR THE.POLICY PERD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THOIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSA LtiT�...--- TYPE OF INSURANCE tNEDZWURRI OLICY NUMBER IJlarrg iI X I caamaxcwt.ceNEBAL LIABO nY I EACH OCCURRENCE 5 1.000,000 CIAIMS MAGEL.:L(OCCUR I I PREMISES lea rxorgr rx $ 100,000 ' MED EXP V*em peraw) S 5000 A Y SCP1507683-01 01/03/15 01/03/16 PERSDIKKAADVINJURY s 1,000,000 I GEN'L AGGREGATE U rrAPPLIES PER: GENERAL AGGREGATE S 2,000,000 I POLICY D JECT LOC PROIlUCTS•COMPIOP AGGS 1,O 00,000 OTHER- 5 ! II AUTOMMILE II LIABILITY Ed liCddCryl _S ( �!ANYAUTO BODILY INJLFErr(Per person) s — i I ALL OWNEO I SCHEDULED -i —I AUTOS AUTOS BODILY INJURY(Per awdeni) S E �I UTS °HIRED AUTOS AOPextlent $ , I { BRELLA LIAR OCCUR E'CESS A 00 --HCLAIMS INIADERRGA! ATERRENCE 5 OED i RETENTIONS I 8 I WORKERS COMPENSATION AND EMPLOYERS LMILITYYtN 1 I STATUTE ER JANY PROPA 01IWARIWEIVEXECUTNE I 1 I i OFPICERfA4EIABER EXCLUDED? ❑N/A i i E.L EACH ACCIDENT S .� i (IM"WIory M NH) E.L.DISEASE-EA EMPLOYE S .w. i It a e8ala4„ndor 106141PTION OF OPERATIONS belay i I 1:.L,DISEASE-POLICY LIMIT S I i E DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES(ACORD 161,Addil ml ROMBIUS Schedule.meq tie Biteched N more spare is rawaw), 'Locksmith (14913) , Uoor & Window Installation (91746) , Alarm Installation (91127) , 'Electrical Work (92978) , General Contractor (91580) & Subcontracted Fork (91585) 1 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THF-ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE SCIPIRATION DATE THEREOF, tkOTICE WILL BE DELIVERED IN I 10050 NE 2 Avenue ACCOR ANCE WITH THE POLICY PRO NS. j Miami. Shores, Fl 33138 AUTHORItO REPRESENTATIVE I I i ' I i (Fd 988-2013 AC RD CORDO N. All rights reserved. ACORD25(2013/04) The ACORD name and logo are regWered mar of ACORD , t. a �J3E�0 LocAllusiness Tax Receipt -BT Miami-Dade Countylo State of Florida 01 -THIS NIOTA MLI -,99,40 PAy w sgsosaa; �� icnTtaw >*sr; rt+rttr+a r CFI RES A#.'F�I 1I3E�Et�CrRtMCOI+114tAE,TbR$ tEWAL' � 2Q1 s ��a ' � 1 'i ��+11STf OWNER, B6C TO" i37 SUStNES PArMEnrrRBCBiV@G r ' ALES OB4f;�'!NC 156 ELCC I I1CAL CINTRACTOiaf TAX tu Yi1k1Yk@t'E� ECTdN 'fC0001298 F} '75.00 0013012014 �` ,•MEDITCARD-14-043542,.; Thio Leal Baslom TPA Receipt Only tiaalirors paVmem of ft Local Butaen Tm The N8 to a�a itcaaaa pstndtar'a certifiaeg"bf the hotdet`s qUalificaftas,to do bt iaesa.HoldervalO"Ift aav Gov at emoBoaammeataf regs9awn iawaa�togat«obfits+vh�spp4 m rico hualesr� Tae RECEIPT N0."shove attmt5o pioyed dt1 aR caeieietCfal vehicles-Miami-DMiki da Sac 88-276. fa tmue itrtonnadaa,vet ta9amidada gavJtaiodhw!tn;�, I