EL-10-738Inspection Number: INSP - 158113
Scheduled Inspection Date: April 11, 2011
Inspector: Devaney, Michael
Owner: HEFFERNAN, COURTNEY
Job Address: 9120 NE 10 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: NOVOA ELECTRICAL CONTRACTOR
Building Department Comments
REPALCE LIGHTS AND INSTASLL OUTLET FOR GARAGE
OPENER
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 145105. Service not to code.
Dryer needs 4 wire cord. Strap conduit to code.
April 08, 2011
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: EL -4 -10 -738
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060030010
Phone: (305)665 -9247
Page 17 of 20
Address: / r
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
JOB ADDRESS: 9 1 Z6 tN E (6 r_
City: Miami Shores County: Miami Dade
Folio/Parcel #: l a `2 0
Is the Building Historically Designated: Yes
.4■.) 0 it ® �r C
djiL
pal APR 0 7 2011
BUILDING Permit No.E.Lj 0 —7315
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): A
O 1,-4y 4 t- f ct„-, Phone #:
C O ?
Address: — 2-0 tk) 1 1 a 1,L
City: }NA ; m � ; $ /4 v Ft- 13
c.5 State: � Zip: 3 3
Tenant/Lessee Name: Phone #:
Email:
Zip: 331 3
NO Flood Zone:
phone#:305-62
2
City: U l 0 7 State: Zi V
Qualifier Name: �P, f e �`�C i, `b � nt Q ,� Phone# 5 6
State Certification or Registration #: E / 310 C2 9—/ Certificate of Competency #: 6 6 ,D - 7
Contact Phone #: 9
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: Address DAlteration ONew Oljepair �e ❑ lition
Description of Work: ?I 11" , ®N ,, 0 `-' � 3
** * * * * * * * ** * * * * * * * * * ** * * * * * * * * * ** * * ** *F *** * * * * * * * * * *,* * * * * * * * * *** * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ Pk." . 'y �- CCF $ CO /CC $
Scanning Fee $ `) • Radon Fee $ DB.PR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 103 - C )
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 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
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
? / r
Owner or gent
The foregoing instrument was acknowledged before me this
day of ci\ , 20 \L, by ( 1r�Mi l l'\f iZivrir\
who is ersonally known me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
S ma.
Print: &r
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * *
(Revised 07 /10 /07)(Revised 06 /10/2009XRevised 3/15/09)
Contractor
The foregoing instrument was acknowledged before me this
day of
who i
tgn:
Print:
My Commission
20 1 1 , by aurido lL
me or who has produced
- as identification and -who did take an oath.
FlePiTu
ANA MA1W
MY COMMISSION 41 25115
EXPIRES: NOV 18, 2014
uDh:l1+1�.
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
Scheduled Inspection Date: June 03, 2010
Inspector: Devaney, Michael
Owner: HEFFERNAN, COURTNEY
Job Address: 9120 NE 10 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: NOVOA ELECTRICAL CONTRACTOR
Building Department Comments
June 02, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 145105 Permit Number: EL -4 -10 -738
For Inspections please call: (305)762 -4949
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060030010
Phone: (305)665 -9247
REPALCE LIGHTS AND INSTASLL OUTLET FOR GARAGE
OPENER
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
5 /zI/ e'6 e ,'or 0
e 7'
Page 36 of 39
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder )C p a - n- t `/ Pho
Owner's Address q l 20
City Lk ci._Xv►t, ,94 ' 't- State 1 L.. Zip ?
Tenant/Lessee Name i fk.._yet Phone
Email ( )l . (
Value of Work For this Permit $
Type of Work: DAddition
Describe Work:
Notary $
Scanning $ Radon $
Double Fee $
Structural Review. $
O'Iiami Shores Vill
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida X3138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 76.4949
DAlteration
CI ( eta --
Training/Education Fee $
DPBR $
Violation date:
1i) EC��II�'IM�j
MAY 2 6 2010
Es Y:
ermit No. Et..,O ' 13(6
Master Permit No. { �nI S4 ij �Cg
Job Address (where the work is being done) 9 9-0 \ C:k t1 /R_
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO . K" Flood Zone
Phone #
Square / Linear Footage Of Work:
['New
e # b
Repair/Replace
2 C Y5d
Contractor's Company Name { 6 V c(A„ E? e c CAvilagfi 305 5 2 V 2 rs sdY
Contractor's Address 15 ? d W C-5 -l- 3e 7 ta-c- C
City ‘ k._‘ ecJ Sta te Vt.- Zip 33 0 )2...
Qualifier Name wathis Ma h tom/
State Certificate or Registration No. 0 3 ( - 06 6 2°3-4- Certificate of Competency No.
Contact Phone 305 cc Zd'1 2 e C5 E -mail
9,5 66c5 9668
Architect/Engineer's Name (if applicable) / yr i3 Phone #
❑ Demolition
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Total Fee Now Due $
Technology Fee $
Bond $
See Reverse side -
Bonding Company's Name (if applicable
B
/2
onding Company's Address 1(/
City State Zip
Mortgage Lender's Name (if applicable) p
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
for the first ins • on which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wt n ' be approved and a re -i pection fee will be charged.
Signa
O , . er (Agent
The foregoing instrument was acknowledged before me this , S
day of '`7ea -cI3 , 20 /0 , by do ctm ra'y y
who is personally known to me or who has produced
p ,e{ScdiLL. k./0a identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Exp
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
l Examiner
Contractor
The foregoing instrument was acknowledged before me this 2 1
day of , 20 av , by -,
as identification and who 44
NOTARY PUBLIC: Q0•''•''• e' 9 0 ��'�.
•- • . • 0
k " : ".
y y : S #1)013 o
My Commission Expires:
3014 .
Zoning
Engineer Clerk checked
Y THIS CERTIFICATE MAY B SSUED
EXCLUSIONS AND CONDITIONS OF SUCH
LIMIT&
EACH OCCURRENCE $
$1,000,00
WMAwkIOKbNTtU $
$ 100i00�.
MED EXP (Any ong Pexson) $
PERSONAL A ADV INJURY $
$ 1 , 000,000
GENERAL AGGREGATE $
PRODUCTS - COMP /OP AGG $
$1,000,00
$ EXCLUDED
( o �� D) INGLE LIMIT $
BODILY INJURY $
$ EXCLUDED
BODILY INJURY $
$ EXCLUDED
PROPERTY DAMAGE $
$ EXCLUDED
$ EXCLUDED
AUTO ONLY. EA ACCIDENT $
OTHER THAN EA ACC $
$ EXCLUDED
AUTO ONLY: AGO $
EACH OCCURRENCE $
AGGREGATE $
$ EXCLUDED
$ EXCLUDED
$ EXCLUDED
$ EXCLUDED
TO I ER
E.L, EACH ACCIDENT $
$100,000.00
E.L DISEASE - EA EMPLOYER $
$10 0 000.0Q_
04/29/2010 12:06 3052616277
CERTIFICATE OF LIABILITY
PRODUCER
POWER INSURANCE AGENCY
7221 Coral Way #204
Miami, FL 33155
(305) 261 -2559
INSuREO
8
OTHER
NOVOA ELECTRICAL CONTRACTORS, INC
1580 WEST 38TH PLACE
HIAL' EAH, FL 33012
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE FOLIC
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFE NE POLICYEXPIRATT
TRAK 11DOti. POLICY NUMBER DAT1=(�M/DD DATEINANND
LTR MD 1YPP� INS(�t/1NCe
GENERAL LIABILITY
X COMMERCIAL. GENERAL LIABILITY
CWIM L?L--I
SMADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY Ef El Lac
AUTOMOBILE LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OwNEDAUTOS
GARAGE LIABILITY
ANYAUTO
EXCESS/UMBRELLA LW13ILI7Y
00cUR LEI CLAIMSMADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATIONAND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTN$ XECUflVE
OFFICE /MEMBER EXOLuDED?
If yes, describe wde
SPECIAL PROVISIONS below
CERTIFICATE HOLDER
ACORD 25(2001/08)
GL- 33697 -0
NOT COVERED
NOT COVERED
NOT COVERED
MC07078810
POWER INSURANCE
INSURERS AFFORDING COVERAGE
INSURER A: ASCENDANT INSURANCE CO.
INSURER B: AEOUICAP INSURANCE CO
INSURER C:
INSURER D:
INSURER E:
09/23/09
DESCRIPTION OF OPERATIONS / LOCATIONS 'VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
09/23/10
08/21/09 08/21/10
AU • ; ZED :PRE JQTATNE
PAGE 01/01
- DATE(MNllDpNYYI')
INSURANCE 4I2912010
.-
THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
NAIC#
CANCELLATION
SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
nATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO The CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OP ANY KIND UPON THE INSURER, ITS AGENTS OR
R RESE AT I -S,
J
MIAMI SHORES VILLAGE
10050 N.E. 2ND AVE
MIAMI SHORES, FL 33138
FAX: 305- 756 -8972
ACORD CORPORATION 1988