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EL-10-1677Inspection Number: INSP - 152098 Permit Number: EL -9 -10 -1677 Scheduled Inspection Date: October 12, 2010 Inspector: Devaney, Michael Owner: LIVINGSTONE, KERI Job Address: 1140 NE 100 Street Project: <NONE> Miami Shores, FL 33138- Contractor: LONGMAN ELECTRIC INC Building Department Comments October 08, 2010 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 Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (786)218 -0080 Parcel Number 1132050190430 Phone: (305)758 -1211 REPALCE CLOTH WIRE IN 2 BEDROOMS AND PUT ON ARC FAULT CIRCUIT Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 20 of 30 q/z511D---L,11 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 mamgw3D ) t.C' ?; BUILDING Permit No. BY: PERMIT APPLICATION Master Permit No. LI 0 IC01 FBC20 Permit Type; ELECTRICAL 2 C Owner's Name (Fee Simple Titleholder) )(eh L4 C * j5419� Phone # 3ef- 7j/- ,�® 7/ Owner's Address 1) Lib A/C I e m s fl f,t.f City/h ,, y4•J-&j State r4 Zip 33 / J P Tenant/Lessee Name Phone # Email Job Address (where the work is being done) 5e.- 490 41-41- City Miami Shores Village County Miami -Dade Zip $31 .3.0 FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name Lit/(r4,44, riCA . Phone # Contractor's Address 6J i t 1 1 /1//.5 q S cc /. City /Y2 -1 ' __ 4 / v � GS J State PL zip 3 3 /...7..g ' Qualifier Name l ' t G c! e / 20A/ /4 y. Phone # 3 bf ^ ?S.8 — /Al/ State Certificate or Registration No. £ C- / 3 oa3 713 Certificate of Competency No. Contact Phone 3 ms— 7f 9 - I2 // E -mail &f 7s..0 ../ Y( Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: DAddition ['Alteration ❑New Repair/Replace , � 0 Demolition Describe Work: l G 4. 1�h,M A, BGG/ c,2, 3 y-.. f *************************************** F************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $SO.0 Permit Fee $ `✓ P o CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 10(0 '9%0 See Reverse side -4 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 Fl FCTRICAL 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 Signature Owner or Agent L 1 5 2.-51 2' Contractor vt The foregoing instrument was acknowledged before me this 9" The foregoing instrument was acknowledged � o before me this ?O day of 594L* 201 V , byl i feh - L{ fi.,e9a%' S✓ �-c day of y�ri ' , 20 L b, by r�` �`L ��■ 1,4 who is personally known to me or who has produced who is ersonally known tome r who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: My Commission xpir- : * * * * * * * * * * * * * * * * * * * * * * * * * ** * * **** * * *** * * * *** ******** : * * * * * * * * *** * * **** ** : ** * * *** * * * * ** * * *** ** *** ** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) P/k 7/ 9V Plans Examiner Zoning Engineer Clerk checked 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYYI POLICY EXPIRATION DATE (MMIDDIYY) LIMITS A INSURED GENERAL X LABILITY COMMERCIAL GENERAL LIABIUTY 77AC856157 -3001 09/07/2010 09/07/2011 EACH OCCURRENCE $ 2,000,000 DAMAGE TO PREMISES (Ea occure ce) $ 100,000 $ 5,000 INSURER E CLAIMS MADE X OCCUR MED EXP (Any one person) GEML kl PERSONAL &ADV INJURY $ Included GENERAL AGGREGATE $ 2,000,000 $ 2,000,000 AGGREGATE UMIT APPLIES PER: POLICY PRO- T LOC PRODUCTS - COMP /OP AGG B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA- 0472R150 -10SEL 05/12/2010 05/12/2011 COMBINED SINGLE UMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) GARAGE LI4BIUTY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER If yes, desa SPECIAL COMPENSATION AND LIABIUTY EXCLUDED? WC STATU- OT TOR LIMITS ER TOR E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ ibe under PROVISIONS below E.L DISEASE - POLICY LIMIT $ A OTHER Inland Marine 77AC856157 -3001 09/07/2010 09/07/2011 Unscheduled E 5,00011,000 ded DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/07/2010 AUTHO D REPRESENTATIVE :`{� C91, f (DMS) PRODUCER Phone: 407 -698 -1333 Pontell Insurance and Financial Group, Inc. 1484 Tuskawilla Road Oviedo, FL 32765 License #: D051255 THIS CERTIFICATE IS 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. INSURERS AFFORDING COVERAGE NAIC # INSURED Longman Electric Inc 844 N. E. 98th Street Miami Shores, FL 33138 I INSURER k Nationwide Mutual Fire Insurance Company INSURER B: Travelers Insurance INSURER C: INSURER D: INSURER E Miami Shores Village P- 305 - 795 -2207 10050 NE 2 Ave Miami Shores, FL 33138 I SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE 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 OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHO D REPRESENTATIVE :`{� C91, f (DMS) COVERAGES TIFICATE HOLDER ACORD 25 (2001/08) CANCELLATION © ACORD CORPORATION 1988 Printed by DMS on September 07, 2010 at 10:07AM CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: PERMIT # i.(."1d 2 '(C—. ADDRESS: II4a Jot too S1- tee.+ pr•5h.sre.s 3 313i FOLIO NUMBER: t 1 - ZoS - bt 9 oti 3 u FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): K.*-'R -i Nb$11 12c0 _CSC COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): 1 QC-0 e CD(-1' 1 . 12 1 c2 VALUE OF PRINCIPAL STRUCTURE (attach appraisal): K OWNERS SIGNATURE: DATE: v it t I to PLAN REVIEWER: PLAN REVIEWER SIGNATURE: DATE: 11 -12 -08 Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 2/2 Floors: 1 Living Units: 1 Adj Sq Footage: 1,900 Lot Size: 8,925 SO FT Year Built: 1946 $25,000/ $229,283 5 53 42 MIAMI SHORES SEC 8 REV PB 43-67 Legal LOT 7 BLK 178 LOT Description: SIZE 75.000 X 119 OR 20234 -3479 02 2002 1 ,0R 20234 -3479 0202 00 Year: 2010 2009 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/ $211,148 $50,000/ $211,148 $50,000/ $204,283 $50,000/ $204,283 County: $279,999 City: $50,000/ $211,148 $50,000/ $204,283 School Board: $25,000/ $236,148 $25,000/ $229,283 Folio No.: 11 -3_205- 019-0430 Property: 1140 NE 100 ST Mailing RAYMOND MATEO & Address: DAMARIS RIVERA , . 184,769 1140 NE 100 ST MIAMI $279,999 SHORES FL 33138 -2602 arill 2010 2009 >tY - = . $25,000 $25,000 , . 184,769 $279,999 ,. 42,018 Miami -Dade My Home Show Me: Property Information Search By: Select Item Text only My Home ;n a rni ade.€gov Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Property Information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: rornnno ACTIVE TOOL SELECT', Aerial Photography - 2009 Web Site © 2002 Miami -Dade County. All rights reserved. itEtcla My Home 1 Property Information I Property Taxes My Nelahborhood 1 Property Appraiser Home 1 Using Our Site 1 Phone Directory 1 Privacy] Disclaimer 0 113ft If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Page 1 of 2 Legend Property Boundary Selected Property Street Highway Miami -Dade County Water W4OE 8 http: / /gisims2.miamidade .gov/MyHome /propmap.asp 9/22/2010 2010 2009 >tY - = . $25,000 $25,000 Miami -Dade My Home Show Me: Property Information Search By: Select Item Text only My Home ;n a rni ade.€gov Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Property Information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: rornnno ACTIVE TOOL SELECT', Aerial Photography - 2009 Web Site © 2002 Miami -Dade County. All rights reserved. itEtcla My Home 1 Property Information I Property Taxes My Nelahborhood 1 Property Appraiser Home 1 Using Our Site 1 Phone Directory 1 Privacy] Disclaimer 0 113ft If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Page 1 of 2 Legend Property Boundary Selected Property Street Highway Miami -Dade County Water W4OE 8 http: / /gisims2.miamidade .gov/MyHome /propmap.asp 9/22/2010