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EL-11-1898Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 166916 Permit Number: EL -10 -11 -1898 Scheduled Inspection Date: November 22, 2011 Inspector: Devaney, Michael Owner: WENSLEY, CRAIG & ALEXAND Job Address: 10650 NE 11 Court Miami Shores, FL 33138- Project: <NONE> Contractor: ELECTRIC SUNSHINE INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1122320280460 Phone: (305)974 -4339 Building Department Comments SERVICE CHANGE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 7.-cn-- avvvZ November 21, 2011 For Inspections please call: (305)762 -4949 Page 37 of 46 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 in 1 4-2011 Tel: (305) 795.2204 Fax: (305) 756.8972 10\ 7,01[ INSPECTION'S PHONE NUMBER: (305) 762.4949 eS BUILDING Permit No. 1—" k t PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: Electrical % OWNER: Name (Fee Simple Titleholder): ` ` j e-7(6"/ICI 'r 0\ " " [01 Phone #: Address: /0 60 5-0 ' V& / 1 G City: £/V ti State: ' C— Zip: 3 7 13°0 Tenant/Lessee Name: Phone #: r06' 3 V& 45 7/ 7 Email: JOB ADDRESS: /0(0 5-C2 /V T / f �i City: Miami Shores County: Miami Dade Folio/Parcel#: — O` 670 Is the Building Historically Designated: Yes NO Zip: 3 p Flood Zone: CONTRACTOR: Company Name: 61-e' e` 1"-- - - Phone #: 3DS /Z'' q,q Address: %// City: Wt. °- c State: /— /— Zip: 3� � Qualifier Name: -P� a ( "p--C._ Phone #: 305— % q "f c, State Certification or Registration #: ' f 3 D ® Z7f� g Certificate of Competency #: Contact Phone #: 7,3t' 57Z- 157 Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ / ? 7 7 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration New Repair/Replace Description of Work: ‘D.G . / e- tk9F4toY**** *d: k***** Y* ****** * * ********** ** Submittal Fee $ `° Permit Fee $ ' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ 5 ZNIJACO tia KT "S YAK etitit1 i �f!Hia� • ❑Demolition ***** Y****** Y k Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ N o �%O 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 Owner or Agent The foregoing instrument was acknowledged before me this ( day of OCWba -i , 20 I 1 , by air xanc.htlti Wens- who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Contractor The foregoing instrument was acknowledged before me this! Lf , day of l ( ,201L, by p t-+ -A SO jAT Y14 L d who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: '&Sign: COCX-'�'� y�j —AeJ Print: O >t? vt �, e My Commission Expires: APPROVED BY (Revised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09) Plans Examiner Structural Review Sign: Print: , o /O6 /2012' My Commission Expires: Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. >C COPY OF QUALIFIER'S STATE LIC CARD B. x COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. _. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: E/ �� �-- ,S v Ask,- BUSINESS ADDRESS: W/ CITY 0V1 ■ A-AM C STATE f ZIP CODE 3 3 / (P L BUSINESS PHONE: (3a 5) I71 % e7 FAX NUMBER (3D f) 9 ye 7 Z CELL PHONE (7 ) 57'7 QUALIFIER'S NAME: 4 (`e- S eJJ Yi�� QUALIFIER'S LIC NUMBER: C 1 a 0 `/ () l Q E -MAIL ADDRESS (IF APPLICABLE): f le c)-(11- p C 5 t cove ca S1• A e__ Created on 3119109 BY MLDV 1 RV 3126109 MLDV STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 SENATORE, ALEX O ELECTRIC SUNSHINE INC 411 N.E. 152ND STREET MIAMI FL 33162 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto, www.myfloridalicensecorn. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and loam more about the Departments initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! IBt} +order 'ths provi�,iou9 CU.49s aG.. "AUG `31, 2012` L10 0 8 23 01 8 53 DEPART OF CO "'BUSINES ELECTRICAL " NT DATE BATCH NUMBER L100 0" 853 -CB f TIF Under "provisions o pira "tion daate: AUG 31 SENATORE, ALEX G ELECTRIC SUNSHINE INC 411 " N.E. 152ND STREET MIAMI FL 33162 CAL OU. ADECtfN'Y E EXP AE 6 „ UST Be OISPLAVED A' PLA SUANT TO COUNTY COaE CH 34789 -2 HESS HAM t LQCAT404V LECTRI C SUNSHINE INI 411 NE 152 ST 3162 UNIN DARE COUN' RECEIPT " 20'41 i ` 3 -CLA 2Q41 igt GRID11 - # S: AGE PAID OF 0US NESS SSAML, FL. IS 1S NOT A SILL — 00 NOT PAY RENEWAL RECEIPT, 6i STATEN EC13004016 3$€N s ELECTRIC SUNSHINE INC Sec, Type of Business 42#4 c CTRICAL CONTRACTOR' IM RECEIPT, OT DO E$ E T FM[4 4 THE VIOLATE ANT TOY CORM o NOR DOES [r BREMPT THE OWER FROM ANY 0114ER.. TERM' OR LiCENSE REQUIRED E LAW. TICS ISM HOT A CERTtFICATIOt4 OF Tire )41 LL!m's Ut }CA- RAIMENT RECEIVED M A fl -OADE COUNTY TAX COLLECTOR' 10/07/2010 09010017001 000082.50 SEE OTHER SIDE DO NOT FORWARD ELECTRIC SUNSHINE INC ALEX SENATORE PRES 411 NE 152 ST MIAMI FL 33162 i111►11Ili,Iilfl , li„ /li li111111i1 ,,,lllli,i,ll //lillllil��l ACORD. CERTIFICATE OF LIABILITY IN SURANCE PRODUCER SOUTH FLORIDA CASUALTY 415 North 4th Street Lantana, FL 33462 (561)533 -6144 INSURED Electric Sunshine, Inc. 411 NE 152nd Street Miami, FL 33162 1305- 974 -4339 DATE(M 10/11/2011 THIS CERTIFICATE IS ISSUEDAS 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. INSURERSAFFORDING COVERAGE NAIC # INSURER k Scottsdale Insurance Company 41297 I ER BI Markel Insurance Company INSURER C 38970 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE USTED 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 ISSUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'NXYL INS/ LTR IMO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMUDDNY) POLICY EXXPIRATON DATE (MUMMY) UNITS A GENERAL LIABILITY COMMERCIAL GENERALUABIUTY CPS1467116 09/20/11 09/20/12 EACH OCCURRENCE $ 2,000,000 $ 100,000 $ 5,11(10_ $ 2,000,000 $ 2,000,000 x unMAGE nrD PREMISES (Ea commence) CLAIMS MADE 1W OCCUR MED EXP (Any oneper n) �RSONAL &ADVINJURY GENERAL AGGREGATE GENL —1 AGGREGATE UNIT APPLIESPER: POUCY [..,Ear: n LOC PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 $ COMBINED SINGLE UNIT (Ea accident) AUTOMOBILE LIABIUTY I ANYAUTO ALLOWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ — BODILY INJURY (Per accident) $ PROPERTY DAMAGE . (Per accident) $ GARAGE UABIUTY ANYAUTO AUTO ONLY - EA ACCIDENT $ 1 OTHER 11-IAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBREUA UABILITY —1 EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ 1 $ Bte WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIERRP VE EXCLUDED? SPECIAL PROVISIONS be MWC0013494 -01 09/20/11 09/20/12 x I TOR'TLIITS I rER EL EACH ACCIDENT $ 100 000 EL DISEASE -EAEMPLOYEE , $ 500,000 $ 100 000 EL DISEASE - POLICY UNIT OTHER , DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL. PROVISIONS Electrical Contractor CERTIFICATE HOLDER CANCELLATION Miami Shores 10 050 NE 2nd Ave Miami Shores, FL 33138 T: 305- 795 -2204 F:305- 756 -8972 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BERME THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRI I i rN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND THE INSURER, ITS AGENTS OR REPRESENTATIVE � AUTHORIZED R =I - , 0 f ■ ACORD25 (2001108) O ACORD CORPORATION 1988 RESIDENTIAL OVERHEAD OR UNDERGROUND SERVICE CHANGE JOB ADDRESS /U 11 C CONTRACTOR OR OWNER E/e 13 ex5.--7., TYPE OF SERVICE: UNDERGROUND X OVER \HEAD ,T7 77Z)701 OCT 1 4 2011 ALL CONDUCTORS SIZED PER NEC ARTICLE 220 ALL UNDERGROUND SERVICE CONDUCTORS MUST HAVE A WARNING RIBBON 12" ABOVE CONDUIT 300.5 (D) (3) SERVICE ENTRANCE CONDUIT AND WIRE aiiRAA 3 - e, C- OVERHEAD SERVICE CONDUCTORS SHALL COMPLY WITH NEC 230 PART II 0 METE OR METER MAIN COMBO SERVICE DISCONNECT W....wIrrrigur)TH R BRANCH CIRCUIT BREAKERS ZONING DEPT BLDG DEPT IRi 111,1FCT TO COMPLIANCE WITH ALL FEDERAL S 1 ATE AND COUNTY RULES AND REGULATIONS Fe'L SIZE CU OR ALUMINIUM SUB PANEL SIZE 2-171 6 VOLTAGE RATING 2.0.9 AMP RATING MLO MCB SERVICE RATED PANEL 1-410 VOLTAGE RATING 2-0 0 AMP RATING Z. OP MAIN BREAKER SIZE 21- Oa A.I.C. RATING rc, COLD WA R BOND SIZE NEC TABLt 250.66 250.94 AN EXTERNAL MEANS FOR INTERSYSTEM BONDING CONNECTIONS GROUNDING ELECTRODE, CONDUCTOR SIZE y NEC TABLE 250.66 -GROVPID ROD S1ZE_IN a. FT TYPE CU OR GALV APPROVED BY 1 ELECTRICAL D ISION SUB PANEL NEW OR EXISTING .- • - • - • - • _ • _ • - • - • _ • - • _ • - • - • - • _ • - • - APPROVED BY CONTRACTOR OR e APPROVED BY LICENSED E ECTRICAL S L HOME OWNER: NOTARY SEAL: DATE: