Loading...
EL-10-1276BUILDING PERMIT APPLICATION FBC 20 Permit Type: ELECTRICAL 0) .-46 /- f2 Owner's Name (Fee Simple Titleholder) #111.4 /9 r -1 Phone # 'S"'s f 0/ 7 Owner's Address f f' e1 Pi' / b 4- City /6 j` ,5 State Pt Zip 3 9/6 Tenant/Lessee Name (I4 Phone # Email o pet 1,100 e Gocy-2 ; -, 4/ ---1 Job Address (where the work is being done) g9 MP ! 144 Of City Miami Shores Village County Miami- Dade Zip 13 1 4 FOLIO / PARCEL # ft A. /6;4 " Ge 1 -- 0 Y66 Is Building Historically Designated YES NO Id Submittal Fee $ 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 Permit Fee $ Permit No. Et- I0— r2-7c41 Master Permit No. Flood Zone lira Contractor's Company Name .Z)45' 574L 4'LECTR/C- //14C, Phone # 305- a 1( -3/73 Contractor's Address /d! E / .a.advb sr City /(/4 fll /A M 1 State /= t. Zip 33 1(.o Qualifier Name STe.CrE A d' c..b ER0,..) Phone# t2.5 -a /( - 3/')3 State Certificate or Registration No. ,Eieo 01 Y 141? Certificate of Competency No. Do o o / ( 4 U 5 Contact Phone 365= S a 1G-3 / 1 3 E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 900.00 Square / Linear Footage Of Work: /00 FT Type of Work: ' '❑Addition Alteration :New ❑ Repair/Replace ep 0 Demolition Describe Work :" .ZNS1711.-L.. .5 0cstT°f C TS ) 0 N6 fl) /CRoec.J.4V re- ET" A/ E. ZISKt.0 OUT�� A01) 2, /eEc. €ss LIri- (T5. /li/ AirCK Notary $ Training/Education Fee $ 0 - 2.0 Scanning $ Radon $ ( Sfl DPBR $ 0•SO Double Fee $ Violation date: fr5.11"1 CCF $ Structural Review. $ Total Fee Now Due $ Technology Fee $ 0.80 Bond $ 1 Ip' CO /CC $ .con See Reverse side - 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 re- inspection fee will be charged. O'yner or Agent , , ,, ; ` \ Contractor The foregoing instrument was acknowledged before me this The foregoing ins tpent was acknowledged before me this 6th. day of 20 IL) by Art ICJ` - l A. 4J % 4 ' d a of July 2010 b y c�✓Y , y 'P Y , by 5ot? ®.00 /66119p, who is personally known to me or who has produced f Lt 0 who is persona ly known to me or who has produced ����►n n wyNi,. - As identification and who did take an oath. , ;`es►�L AwA me• Print: =1 My CoNissienf,x)ffregi; STATE � y v� APPROVED BY /`— "G/- riive Plans Examiner Zoning (Revised 07 /10 /07)(Revised 06/10/2009) PeetteC6 Si aura '(�.. - � �--- NOTARY P Sign: P as i. ntification and who did take an oath. LIC: N ,,, r pp 0 X00362 , Engineer Clerk checked Scheduled Inspection Date: August 30, 2010 Inspector: Devaney, Michael Owner: BISHOP, PATRICIA Job Address: 89 NE 107 Street Project: <NONE> Contractor: DAY STAR ELECTRIC INC Building Department Comments August 27, 2010 Miami Shores, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 149920 Permit Number: EL -7 -10 -1276 For Inspections please call: (305)762 -4949 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1121360070400 install 5 outlets one microwave outlet one dishwasher outlet and 2 recess lights in kitchen. Passed 12' Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 20 of 34 07/08/2010 13:41 9549688307 AGGRO CERTIFICATE OF LIABILITY INSURANCE PRODUOER API Group P.O. Box 934125 BROOKSIE PEEPLES #A203142 MaT ate FL 33093 MUM DAY STAR ELECTRIC INC 830 NE 122ND ST HENRY GOCKEN AOH N MIAMI FL 33161 COVERAGES MEW, CIAL CLANG MADE 'ABILITY occuR 07/31/2010 (A_ny en NAL A ACV N e D NUCLEI LIMIT PROPERTY DAMAGE (Per a I e t) 500 000 $ 1 5,000 500 000 $1,'" 000 1 000 000 ■■ 5 NIAGGREr TE LIMIT A . PO L 5 N''- A • , QBILEUA ILNY ANY AUTO ALL DWNED AUTOS SCH6DUU3lAUTQ�fi • MIRED ALRpB i IIII ANY AUTO II III EI�CE33NMBR6LLA OCCUR L_ JI . DEOIIS:iIBLEi 5 R �1IDN s 07/31/2009 P P 1 4 4 ICti'*1` CAN TION WOAD ANYOP ?REMOVE DEEDINEED MOUSSES OANCELLED BEFORE THE EfPIRATON DATE THSNEOP. TNH IEEE= INSURER IND& ENDEAVOR TO MAIL 10 DAYS worm N LEFT, BUT immune TO !MOO SHALL IMPOSE = TION OR LIABILITY DR . > K UPON THE INSURER, ITS AGENTS OR NONCE TO THE OEINVIDATE HOLDER RAM LLD. 1118 POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITMSTAKENG ANY WEOUIREMENT, TERM OR COMMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS swam' TO ALL THE TERMS, EXCLUSIONS AND CONDITION$ OP SUCH POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PALM CLAIMS. CERTIFICATE HOLDER MIAMI SHORES, FL 33138 ACORD 25 (2001/08) 2002 - 09 - 28 13:40 VILLAGE OF MIAMI SHORES 10050 NE 2ND AVENUE P 09AL086813 9549688307 API GROUP THIS CERTIFICATE 18 ISSUED AS A ONLY AND CONFERS NO RIGHTS HOLDER. THIS CERTIFICATE DOES ALTER THE COVERAGE AFFORDED INSURERS AFFORDING COVERAGE uvsuRRA; NOVA CASUALTY CO INSLIIR B: I IOURER ; INSURER IX • • INSURER E: PAGE 01/01 DATEIMMiDD1YYYV) 07/0$/2010 MATTER OF INFORMATION UPON THE CERTIFICATE NOT AMEND EXTEND OR BY THE POLICIES BELOW. NAIC 0 Page 1 ACORD CORPORATION 1908 Jul 06 2018 17:23:58 Via Fax Mrs DAY STAR ELECTRIC 830 N.E. 122ND ST. NORTH MIAMI FL 33161 INSURERS AFFORDING COVERAGE INSURERAHartford Underwriters In Co INSURERS: INSURER c INSURER DI INSURER E: ACORD CERTIFICATE OF LIABILITY INSURANCE PAYCHEX INSURANCE AGENCY INC /PHS 210703 P:(877)287 -1312 F:(888)443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 COVERAGES THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THEINSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 14I8 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OESERI TIONGPOPERATIOPENODA780AWYEHA {88irEX AMIDST B{WOR8EMENT/ PEGALPROVW.ON8 Those usual to the Insureds Operations. RE: Patricia Bishop 89 NE 107TH St. Miami Shores, FL 33161. CERTIFICATE HOLDER City of Miami Shores 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ACORD 26 -S (7/97? -> DAY STAR ELECTRIC IN The Hartford Fax Page 884 Of AODRA7NALMGfRED; MENU LETTER: CANOELLATION 2002 - 09-26 18:18 1115 LEGAL SERV 860 -547 -5000 Kite DATE P1DC 07 -06 -2010 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 POUCIES BELOW. 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 (10 DAYS FOR NON - PAYMENT) TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AN.17A�� A7 -` @ ACORD CORPORATION 1988 Page 4 TYPE OFM IAIYCD POLICY MEM A4R1RRM7M /YY/ W. LENTS GEAMM LIABBITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 8 FIRE DAMAGE (Any OAB (118) 8 CLAIMS MADE D OCCUR MED EXP (Arty one person) B PERSONAL & ADV INJURY 8 GENERAL AGGREGATE 8 GEWL AGGREGATE LIMIT APPLIES PER: POLICY n fit n LOC PRODUCTS - COMP /OP AGG 8 7 AMMONIA LIABILITY ANY AUTO AU. OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT 8 — BODILY INJURY (Per person) e — _ BODILY INJURY ITV g pg8�) 8 — PROPERTY DAMAGE (Pee eeeidern) y DAME,. 124881f Y ANY AUTO AUTO ONLY • EA ACCIDENT 8 OTHER THAN EA ACC 8 — AUTO ONLY: AGO NESTS MINUTE OCCUR _I CLAIMS MADE DEDUCTIBLE RETENTION 8 EACH OCCURRENCE 8 AGGREGATE 8 8 * _� 8 A WOMBS COMPENSATION MO EMPLOYERS' uaEm►tY 76 WEG EZ8317 07/27/09 07/27/10 X I WC BTAT U- I 1 ER TORY LIMEM 1 ER E.L. EACH ACCIDENT 8100, 000 EL. DISEASE • EA EMPLOYEE .100,000 E.L. DISEASE -POLICY LIMIT 0500,000 0778IR Jul 06 2018 17:23:58 Via Fax Mrs DAY STAR ELECTRIC 830 N.E. 122ND ST. NORTH MIAMI FL 33161 INSURERS AFFORDING COVERAGE INSURERAHartford Underwriters In Co INSURERS: INSURER c INSURER DI INSURER E: ACORD CERTIFICATE OF LIABILITY INSURANCE PAYCHEX INSURANCE AGENCY INC /PHS 210703 P:(877)287 -1312 F:(888)443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 COVERAGES THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THEINSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 14I8 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OESERI TIONGPOPERATIOPENODA780AWYEHA {88irEX AMIDST B{WOR8EMENT/ PEGALPROVW.ON8 Those usual to the Insureds Operations. RE: Patricia Bishop 89 NE 107TH St. Miami Shores, FL 33161. CERTIFICATE HOLDER City of Miami Shores 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ACORD 26 -S (7/97? -> DAY STAR ELECTRIC IN The Hartford Fax Page 884 Of AODRA7NALMGfRED; MENU LETTER: CANOELLATION 2002 - 09-26 18:18 1115 LEGAL SERV 860 -547 -5000 Kite DATE P1DC 07 -06 -2010 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 POUCIES BELOW. 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 (10 DAYS FOR NON - PAYMENT) TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AN.17A�� A7 -` @ ACORD CORPORATION 1988 Page 4