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EL-11-310Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 159607 Scheduled Inspection Date: May 17, 2011 Inspector: Devaney, Michael Owner: LOUZADO, LYLLIAM Job Address: 33 NW 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RAY & REY INC Permit Number: EL -2 -11 -310 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1131010330150 Phone: 305 -819 -9793 Building Department Comments CONVERSION FROM OVERHEAD TO UNDERGROUND ELECTRIC 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- 156305. Lower the panel so that the main breaker is 6'6" above grade or below. /vg>/2- May 16, 2011 For Inspections please call: (305)762 -4949 Page 19 of 33 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 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical FEB .7MInnti 4 2011 Bli Permit No.�-- Master Permit No. 86 4 2-3 – 27 ? 9 OWNER: Name (Fee Simple Titleholder): I 1 i A,m tzvvZ.c f% Phone#: 3or '7 SE, SS-83 i�wrti, e Address: __13_ 3_ City: IULtauw: SLOres State: �*MO,n'da. Zip: 331aO Tenant/Lessee Name: 01 A r Phone#: r/ A Email: nete,.t 2„ o, Io 96 @ ak00 . cram • JOB ADDRESS: 3 3 1 J W 953 St eaeJ City: Mimi Shores County: Miami Dade Zip: 3 3 1 SO F o l i o / P a r c e l # : 1 1 3 1 0 (c7. 3 3 p/ S-0 Is the Building Historically Designated: Yes NO X Flood Zone: ND G CONTRACTOR: Company Name: Address: A .37C 1Ld, b /'j',4 £" ' City: f �l�l' 1JCJ State: Qualifier ame: L -‚- State Certification or Registration #: fC /3 0C (V G' Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Phone#:°' (23 a /moo Zip: $ . O' ' Phone#: 'Vc r Value of Work for this Permit: $ c e, 0 Square/Linear Footage of Work: Type of Work: Address °Alteration °New aRepair/Replace °Demolition Description of Work: CO lot VLes ovt. /»cr u `.J. 40 c 4ta- si.0 --d o €1 eck& 0fs:_.. c : i io ; a 1I(/ 4 L ] -n (04 YLr M ccc( Submittal Fee $ Permit Fee $ ,/.. ®m dt"D CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Tap 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 R 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 Owner or Agent The foregoing ins . nt was acknowledged before me lljs day of / ,204/,by /e �l; P7 4 who is personally known to me o6vvho /� has produced As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoin was acknowiMcl before me this ��day of 20// by //,44116. 40Z Sign: Print: My Commission Expires: who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Structural Review (Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15A39) Sign: Print: My Co rr 11 _ ^' • MARIA A RAMOS • „ MY COMMISSION # bD 769390 EXPIRES: Mach 28, 2012 • BodeST N Pubga Unde1e&eas 47/776, S Zoning Clerk ZG,er2A)- Miami Shores Village /Agfaian i Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Xi j/ Job Name 4 44, CRITIQUE SHEET e e, »c ko ' a / % © L 7 r , / I / FROM :RAY & REY INC. FAX NO. :305- 685 -7911 • Mar. 02 2011 04:59PM P1 '`I, ,. TIFIC T of ..i J , INS _ CAT£(rtt;ti9D1YYYY) ?1?3/20t7 THIS CERTIFICATE 1S. ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TFIE CERTIFICATE •OLDER_ THIS ' CERTIFICATE DOES ROT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE 1b OR ALTER THE COVERAGE AFFORDED BY THE POUGIES BEI -OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A , :QPTRACT BETWEEN TI-18 ISSUING 1NSURER'(8), AUTHORIZED .REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate heftier is an ADOmONAL INSURED, the policy los) mu$t be endorsed. If SUBROGATION IS AWED, subject to the terms and conditions of the policy. certain policies may require an eitdorsr merit, A statement on this certificate does not confer rights to the certificate holder. iii lieu of such ettdorssmen s . PROmICLR • A2rr7rust R18, GiC 701 Waterford busy, Suite 300 • • • • Mat 1"L 33726 C CT ' Citrysial Msrti7Dz -Pupe P, (306)444.83W x �sy, i tat A#1: L06j 444.6504 x atA11 PRuDI csR LC U. M ¢f"--• ._.__...._. 1NSURERISj AFFORDING.4CWERAGS A NBC x INSURED • Ray & Rey, toe . 1 d.b.a. Sunlife Power Systems 14370 LAKE CAN©LEW001? Cr . • Man?! Laken • 'i=i 33014 • - . I mtsufi •R Ail . Scottsdale insurance cpmPany itiSUP. t: B r•. Teahncylogy Insurances Co. �A ocal. $ 90.000 PHSUR r C :1 • _�- rdEoExP (Aware Ccagorti_i$ iNSUR R 0 t' • IN & R E :! . 11.4 ;g r ti ONRI.vMVMsIURY • CERTIFICATE • THIS tS TQ CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY SE ISSUED OR Ii1AY EXCLUSIONS AND CONDITIONS OF SUCH OF PERTAIN, POLICIES, ! ease INSURANCE USTED BELOW HAVE Se row 'OA COND1T)ON OF ttii THE INSURANCE AFFORDED SY LIMITS SHOWN MAY HAVE SEEN N iS;SUED TO f CONTRACT THE! POLICIES :EDUCED ST a+ 4 12J.14/2010 THE MUREX) NAMED ABOVE FOR THE POLICY PERIOD OR OTH1ER DOCUMENT wers4 RESPECT TO WHICH THIS DESCRIBED i-f REIN IS SUBJECT TO ALL THE TERMji. PAi(3 CLANS. fLTR TYPO of itiSURANCE t mop • POLter ilftlds6ER teDNYY 12(14/2011 LINTS ° EACH OCCURraiNc s 1,000.0 A Gamut, LtAelLirf VCOMMERCIAL GENES LiAC iTi' • ,CPS7's732a9 �A ocal. $ 90.000 CL41AMSWAOE vii OCCUR rdEoExP (Aware Ccagorti_i$ 5000 $ /e000,'000'—'- ti ONRI.vMVMsIURY • GENERAL, ,,1 aNEGATe s 2.060.0W f3 am ACpREGATt UMW AP tom: POLICY _- PR • i .oc rRcoUCTS - c t iOP AGG $ 1r404r040 v & ,omei =LEUAal1. Y ANY AUTO i I ALL OWNED AUTOS .$CHSOULNDAUTDS • HIRED AUTOS NoNOWNeoAvrOS • ; I comma SiNste'.MIT tats amo) S BMW( B INJURY iPer (*MAI S ` _ ' J SWAY INJURY mer t oxIds:1N $ PROPERTY DAMAGE' !irmr=cocent; $ ." $ — uareReLLA LIAR t I OCCUR ... EXCESS LIAB t M$ a At4UE : EACEN OCCURRENCE' IVCG $ ! At3GREW.TE } S _"j I Oc-DUCTIBLE • REr i h, S • i 5 Wot AND ANYaROPmlerompANTNe OFFIr (last lie* 0.s kLRS COMPENSAYION EMPi OY£R8 • LNSILATY • Y t N N to yWC325223$ 7 f20f0 i I • 70137177419 y f WC STATU• I OTI . .�1dtP^ Bt's EL. j4 $ 704000 texec rNe EttIT4 MBCR EXcLUOID? . a LiSeA$r • r�Lsyes s 100.000 r �Nt) d�r REPnONOFOPNRA.TION`8beim E.L.019f:A$E -Po U IArr $ 500.000 • • • • sesc JP'r1RN oe O1•`SRAT1Q I$ t LoCATLONS 1 t/ENICL$S (Attach ACORD 101, AQrlhtonyl Remits Sotodol It mgrs Spat i5 ;Cquired) i • • • • CI R11F A18 HOLDER Village of MiamI Shores Building ()apartment 0050 NE 2nd Avenue A4iemi Shops. Fl: 33135 ACORD 25 (2009109) CAN 'EL.t.ATIO SH It1LC1 ANY OF TEN ABOVE pestles= POLICIES St? CANCELLED BEFORE, TN ; EYPIRATTON DATE THEREOF. NOTICE WILL BE DELIVERED DAt AC ;ORDANCE Y/1im THE POLICY PROVISIONS. • 1.0 e+ 'R20 REPREsaNTATivI k Den, a Mas • ©1S$E O9 ACO The ACORD name and logo am rag stared marks of ACORD QRPORATION. Ail rights reservtctf