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EL-18-319 i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL f Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-301225 Permit Number: EL-2-18-319 Scheduled Inspection Date: April 10, 2018 Permit Type: Electrical - Residential Inspector: Devaney, Michael YP Inspection Type: h P 9 Owner: ROMEU,ALBERTO Work Classification: Alt. ration Job Address:905 NE 95 Street E Miami Shores, FL f Phone'Number (786)239-7989 Project: <NONE> Parcel Number 1132060143070 Contractor: MISTER SPARKY Phone: (954)933-5874 Building Department Comments REPLACE OUTSIDE 200 METER CAN REPLACE Infractio Passed Comments OUTSIDE 200 DISCONNECT REPLACE INSIDE 200 MAIN INSPECTOR COMMENTS False BREAKER PANEL GROUNDING , SMOKES Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee { No Additional Inspections can be scheduled until re-inspection fee is paid. i April,09,2018 For Inspections please call: (305)762-4949 Page 22 of 28 r Permit NO. EL-2-18-319 Miami Shores Village Permit Type: Electrical Residential �r 10050 N.E.2nd Avenue NEP 't r � erill ' Work Classifrcetrn:Alteration Miami Shores,FL 33138 0000 Permit Status:APPROVE Lk� ` Phone: (305)795.2204 �`Cp'�jRiDA ' issue nate: 3113/2018 Expiration: 09/09/2018 Project Address Parcel Number Applicant 905 NE 95 Street 1132060143070 ALBERTO ROMEU Miami Shores, FL Block: Lot: Owner Information Address Phone Cell LLBERTO ROMEU 905 NE 95 Street (786)239-7989 MIAMI SHORES FL 33138- 905 NE 95 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone MISTER SPARKY (954)933-5874 Valuation: $ 10,208.00 ......., m... .._,.,. __ . ...... ... . . .. Total Sq Feet: 0 Type of Work:REPLACE OUTSIDE 200 METER CAN REPLA Available Inspections: Additional Info:REPLACE OUTSIDE 200 METER CAN REPLA Inspection Type: Classification:Residential Review Electrical Scanning: 1 i Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $6.60 DBPR Fee Invoice# EL-2-18-66380 $5.36 03/13/2018 Check#:579 $336.81 $50.00 , DCA Fee $3.57 Education Surcharge $2.20 02/07/2018 Check#:538 $50.00 $0.00 Permit Fee-Additions/Alterations $357.28 Scanning Fee $3.00 Technology Fee $8.80 Total: $386.81 E In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. I r OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construNutho _zoning. Fut erm , I ri;e the above-named contractor to do the work stated. March 13, 2018 ed Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy March 13, 2018 1 El(za beY F 1 P i Y iami Shores Village - WED per` FE0 7 018 Building Department !n, 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 ,uta FBC 20 17 BUILDING Master Permit No. �L le— 19-3)9 PERMIT APPLICATION Sub Permit No. ❑BUILDING Q ELECTRIC ROOFING REVISION ❑ EXTENSION RENEWAL F-IPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: '9 N o R k G-A-ST `I fT City: Miami Shores County: Miami Dade Zip: -33137 Folio/Parcel#:1[-3aa(,—0 JA/ —3 0 70 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER:Name(Fee Simple Titleholder): AL3%n, ( -er0-r_ —tL: 15u Phone#: U&I 'Z3 q I Address: 505— 0o!t-Tt+c-AST QST 5 i City: State: FC- zip: 3 314$' Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Mister Sparky Phone#: 954-9335874 Address: 1450 SW 3rd St. #A8 City: Pompano Beach State: F1 zip: 33069 Qualifier Name: Christopher Crew Phone#: State Certification or Registration#: EC13007667 Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ /04 0-09, 00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 91 Repair/Replace ❑ Demolition Description of Work: 007, s Pc,A cti 0,.'s,0 iE GPOS 7-00 P�^C-C �Ljs ��E 2 �u (W M A- � � � .A /t r,, o -Al C L, 6-IL I /(I, L5 Des ca�'d.2c[1 (la n0 S Specify color of color thru tile: Submittal Fee$ S��- -Permit Fee$ .33') e z 8 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) 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. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this nd dayof aoliiQ 20 18 by �� dayof `1Qn'lQ! 20 by /�� I y Hl +nIG-4+^Gi n-R0 e 0,who is personally known to Ch r ohphe✓' Cr@c� who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: ��iiiitiiiii NOTARY PUBLIC: H q p �P.•Mis§i'' 9 bc.k0 2a2 rA. 6 L- q. Sign: / ,(�,/ Q :vSign: / TAR Print: /a' bi A add n: = Print: �,UG"f'►'1 G G[ ,�/P e .P Z �iC per:• � T J,�?� �0,:. Seal: ° �. Seal: T ?! 9 ' T #GG .• ' O �� ***s***s***s*s*****************s*s************s**s*s*******ss**s*ss**s***s********s************************* APPROVED BY 0�a Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ---._BROWARD--COUNTY LOCAL—BUSINESS-TAX-RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2017 THROUGH SEPTEMBER 30,2018 DBA:MISTER SOUTHEAST HOME SERVICES KY Receipt#:ELECTRI3CAL/ALARMS/CONTRACTOR Business Name:LLC Business Type:(CERTIFIED ELECTRICAL CONTR) I Owner Name:CHRISTOPHER J CREW Business Opened:12/16/2002 i Business Location:6409 PARKLAND DR State/County/CerUReg:EC13007667 i OUT OF COUNTY Exemption Code: + Business Phone:954-933-5874 Rooms Seats Employees Machines Professionals ! 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 's 4 3 ,S r THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS f , i . THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when i the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. I Mailing Address: SOUTHEAST FLORIDA HOME SERVICES LL- Receipt #02A-16-00006193 j 6409 PARKLAND DR Paid 09/15/2017 27.00 j SARASOTA, FL 34243 I i t s i - 1 , a ACO/2U® DATE(MMIDD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE 8/1/2017 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(ies)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 CONTACTNAME: Margi Furey Al Purmort InsurancePHONE (941)924-3808 FAX No:(941)924-8799 3340 Bee Ridge Road ADDRIESS:margi@alpurmort.com INSURERS AFFORDING COVERAGE NAIC# Sarasota FL 34239 INSURER ANational Trust Insurance Cc 20141 INSURED INSURERB14onroe Guaranty Insurance Co' .32506 Service. Minds, Inc. INSURERC:FCCI Insurance 10178 DBA: Mister Sparky INSURER D: 6409 Parkland Drive INSURER E: Sarasota FL 34243 INSURER F: COVERAGES CERTIFICATE NUMBER:17/18 GL CAU WC UMB 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. INSR TYPE OF INSURANCE A L U R POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/D MMID X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 MAGE DA TO A NTED CLAIMS-MADE ❑X OCCUR PREMISES EaEoccurrence $ 100,000 GL0019175 8/25/2017 8/25/2018 MED EXP(Any one person) $ 5,000 PERSONAL BADV INJURY' $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE , $ 2,000,000 X POLICY❑ PRO ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED CA100004912 8/25/2017 8/25/2018 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE I $ HIRED AUTOS AUTOS Paraccident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED I X I RETENTION$ 0 M4130024131 8/25/2017 8/25/2018 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT i $ 1 000 000 OFFICER/MEMBER EXCLUDED? ❑ N/A C (Mandatory in NH) 001WC17A75353 8/25/2017 8/25/2018 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Christopher Crew License #EC13007667 CERTIFICATE HOLDER CANCELLATION (305)756-8972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave NE ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Kevin Foust/MFUREY ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS0251201401) �,� .. .. . . • �- T a ... 140G , it - t� vJ FEB 0 2018 '-u4 L� �✓ 1. P J uv J �� ,4 S Sia � H3 �• .`� (�,'�� L ,v rf e t T )Nr NHOZ P® � miar iSh-resVilla ge #G�'10 APPROVED BY DATECITY i,ST-4 E rOf ZONING DEPT BLDG DEPT U. SUBJECT"CO CGNIPLIANCE WI FN All FEDERAL 11 c. STATE ANS rK L=S AND REGULATIONS 14(,[SarT (1'f'.IGl 1'r �1 C7 y►��v 07 r • • o ••• • • • • • • • • • • • • 9*4 •1• • • • t •• • • i •• ••• • • ••• • • • • •• y u h Z H A. p ��c•......., qc )v �V� _4�:� IOTA® N; J 3c = PUBLIC cp1 S OF �- \ �.