EL-11-529Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 162689
Scheduled Inspection Date: August 08, 2011
Inspector: Devaney, Michael
Owner: MOTA, ALLAN
Permit Number: EL -3 -11 -529
Job Address: 467 NE 100 Street
Project
Miami Shores, FL 33138 -2446
<NONE>
Contractor: I E I ELECTRICAL CONTRACTORS INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)970 -3131
Parcel Number 1132060170530
Phone: (786)621 -5215
Building Department Comments
1 -200 AMP SERIVCE CHANGE
1 -SUB FEED 200 AMP
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 162630. Connect cable t. v.
Ground to inter system bonding bar. No one home to check inside.
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August 05, 2011
For Inspections please call: (305)762.4949
Page 24 of 37
Miami Shores Village
Building Department
10050 N.E2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECI1ON'S PHONE NUMBER: (305) 762.4949
Permit No. aA
Master Pennit No
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: Elecittical
IM@MMQ-irg
it MAR 2 5 2011
B Y:
der): IqZ71P /1)&1-79
/ 00
City:
Tenant/Lessee Name:
Email:
Phoneit:
JOB ADDRESS:
City: Miami Shores
Folio/Parcel#:
Is the Building Historically Designated: Yes
County:
Miami Dade
Zip:
q46
Flood Zone:
CONTRACTOR: company Name: I El_ --/ee-tle:/cAL Ph ,7-j-)6-479/ --60AC ----
Acklress: 5
AP, Eli): 3-g0/
City: / /2)7' Ste_
Qualifier Name: A-/&k 4,,64 7 Si _i-
State Certific:r Registration #: i et)/,17/ 9" Certificate of Competency #: 6CC60 /499 7/
Contact Phon 9(J) 6a/ — 5 D/ .c" Email Address:
,*DASN'rIs'BR;ArrtlttRqF4P8iee ,
Woe of Work for Mb Permit: Sli vez__-_--
,, Type °Mork: UAddress ' pAlteration
Description of Work:
o
Phonet
Phonet
Squareftineat' Foots* oily
ONew ORepair/Replace
ODemolitiOn
************
Submittal Fee - 3
vai 0 Permit Fee $ /5-I9(1," CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Tntining/EducatIon Fee $ Tedmology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
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 orinstaliation 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 m tins Junsdictson i understand that a separate permit must be secured forELLCTRICAL 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 comrnencCmesa and construction lien law brochure will be delivered to the person
whose properly 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 rater the building permit Ls issued In the absence such posted notice, the
inspection ;. not be approved and a reinspection fee will be charged
Owner or Agent
The foregoing instrument was acknowledged before me this 2/
dayof 20 /O,byj4 (�})) Y I O +
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
T%
My Commission Expires:
4.44:0.
;..:....aroma_... _ ..,; ...
Contractor
The foregoing instrument was acknowledged before me this
day of.�7t4 <'� _� , 20 �l , by �6e1C 4,,b, j
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
SANDRA PENNY
„r -•rfp�
ot Florida
tdrq ��, . Expires Apr 19 14
130
ded Through National Notary Assn
Sign:
Print'
My Commission
air
t -.7' AWN VA, O
1.;y4 T
SANDRA PENNY
Public - State ot Florida
2014
134
.."4,1I M;" Bonded Through National Notary Assn.
•
Structural Review
taevised.mnc XRev sed 4)&10n009XRe d 3/15109)
Clerk
CONTRACTORS, INC.
March 24, 2011
Village of Miami Shores
10050 NE 2 Ave.
Miami Shores, FL. 33138
ATTENTION: Mike
REF: 467 NE 100 St.
Miami Shores, FL.
Dear Mike,
The above referenced job location is where we met at 6 p.m. for a final electrical
inspection. The customer was just finishing the remodel of their kitchen. Our
final electrical inspection was approved.
This new permit application, that is being submitted, is for changing the meter
can to a meter combo at the proper height with new sub - feeds. At the time we
met, you had said that for this new job it would not be necessary to have
drawings.
Should you have questions, please call me at: 786 - 286 -7988.
I E L Electrical Contractors, Inc.
Lance Penny
16200 NW 59th Ave, #105 • MIAMI LAKES, FL. 33014
Tel: 786.621.5215 Fax:786.621.5216
ACORD®
CERTIFICATE OF LIABILITY INSURANCE DATE IM
03/23/11
THIS CERTIFICATION IS ISSUED AS A MATTE 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.
PRODUCER
Wilson,Washburn And Forster
Suite 300
10301 South Dixie Highway
I, „ inccrect, Fl 3315 -6
INSURERS AFFORDING COVERAGE
NAIL •
IEI Electrical Contractors Inc.
5941 NW 176 St #7
Miami,F1 33015
COVERAGES
INSURER A:.g'f`QttGd,'31 a Tnsurance Co.
INSURER B:Castlepoint Florida Ins.
INSURER C:
INSURER 0:
I INSURER E:
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 SUC4 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INRTSRMSRDM
POLICY EFFECTIVE � PO
TYPE OF INSURANCE POLICY NUMBER LICY EXPIRATION
DATE(MWDD/YY) DATE(MMIDD/YY)
LIMITS
A *
GENERAL
LIABILITY
''COMMERCIAL GENERAL LIABILITY
CPS 115 2 6 4 5
,
I
03/11/10
{
i 03/11/12
EACH OCCURRENCE
4 0 0 0 0 0 0
P°RE"M 4M r )
35 0 0 0 0
CLAIMS MADE OCCUR
MED E" (My tine pent")
$5000
PERSONAL a ADV INJURY
81000000
$2000000
$
$ 2000000
GENERAL AGGREGATE
GENT. AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMPIOP AGG
POLICY r: ECT i LOC
AUTOMOBILE
UABIUTY
ANY AUTO`
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
{
COMBINED SINGLE LIMIT
(Ea eoddent)
3
—
BODILY INJURY
(Per petaon)
3
BODILY INJURY
(Pet eoddmd)
PROPERTY DAMAGE
(Per accident)
3
fi
GARAGE
UABILITY
ANY AUTO}
i
C
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
�_,
AUTO ONLY: AGO
$
EXCESS/UMBRELLA
UABILITY
OCCUR • 77 CLAIMS; MADE
EACH OCCURRENCE
3
AGGREGATE
3
DEDUCTIBLE
RETENTION $
$
;
$
$
WORKERS COMPENSATION AND
EMPLOYERS' UABIUTY
ANY PROPRIETOR/PARTNER/EXECU
B TIVE
� I yes, E�aBE EXCLUDED?
___ISPECIAL PROVISIONS below
WCP780321000
I
03/24/I 1 03/24/12
I WC STATU- OTH-
TORY WAITS ER
E L EACH ACCIDENT
3] O O O O O
E.L DISEASE - EAEMPLOYEE
3100,000
3 O •0 OA 0
EL DISEASE • POLICY UMR
OTHER
I
DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
** *Electrical Contractors * * * * **
•
1
Village of Miami Shores
10050 NE 2 Ave.
Miami Shores, Fl 33138
ACORD 25 (2001/08)?.
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, TIM ISSUING INSURER WILL ENDEAVOR TO MAIL () DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO TIE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
REPRESENTATIVE
ACORD CORPORATION 1988
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