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ELC-11-1847
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 165291 Scheduled Inspection Date: November 22, 2011 Inspector: Devaney, Michael Owner: RICHARD CAVA, TODD LEON! Job Address: 9534 NE 2 Avenue Miami Shores, FL 33138- Permit Number: ELC -10 -11 -1847 Project: <NONE> Contractor: SOUTHERN COAST ELECTRICAL SERVICES INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132630 Phone: (561)584 -8455 Building Department Comments CHANGE OF SERIVCE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Co /r/,‘,51‘,7- Be2r r/c(1 /1/"-i/ >4f): ie November 21, 2011 For Inspections please call: (305)762 -4949 Page 19 of 46 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 V4■ ‘6444 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILD G PERMIT APPLICATION FBC 20 Permit No. L4 1 1 M. Master Permit No. Permit Type:1VIECIIANICAL /� / 4.e OWNER: Name (Fee Simple Titleholder): ®'v �`` �` C"C_ Phone#: Address: 15- 3 Li /lye- City: /11 um ; State: Zip: Tenant/Lessee Name: L Loaf VtL L LL Phone#: Email: rr JOB ADDRESS: J (P City: Miami Shores County: Miami Dade Zip: 931 36 FoliolParcel #: I1— 20(to `° 0/3 1(03° Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 5 ©" 4' d' aeC-1-1-Zil 217 ZePhone#: Address: %3° E 1'irf a- So City: °(40L &AP" State: 32_, Zip: 33'7 3 Qualifier Name: Leon c! 3-- 4. pike- Phone#: Pik yqr- efeDYa State Certification or Registration #: E � -p 3o 0 ` �ad Certificate of Competency #: Contact Phone#: 5W 5H-8145-5- l "8 Email Address: 9 (fl GoAI i-de 4,9 mail- A', DESIGNER: Architect/Engineer: Phone#: 581 -81/&'5 Value of Work for this Permit: $ d Square/Linear Footage of Work: Type of Work: OAddresss� OAlteration UNew ORepair/Replace ODemolition Description of Work: 1, j -Pit/l 0 4- C, .J I M. * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *p ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ `-Pcs--19 Permit Fee $ 11--1-4'/4'0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1 12 0 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip fr 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. 0 er or Agent The foregoing instrument was acknowledged before me this C day of /6 ,20// , by L .eo ..,c ��a /4 T, who is personally known to me or who has produced ' As identification and who did take an oath. NOTARY PUBLIC: zoo ;a•:::%, ANNE M. DOW * MY COMMISSION # DD 992731 �� 1= EXPIRES: May 17, 2014 " of r 1! Bonded Thru Budged Notary Services Sign: Ott4u-e--tk 04V) Print: ill rI 1\k. My Commission Expires: 51 1'71944 Contractor The foregoing instrument was acknowledged before me this C day of ib ,20IL, by who is personally known to me or who has produced as identificati",cvho di 0th. NOTARY PUBLIC: * � f.; * MY COMMISSION May I17, 0231 �'9TF „ BOilded Thtu Budget Notary Services d"l Sign: Print: My Commission Expires: l / zA, ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** APPROVED BY Structural Review (Revised 07 /10/07)(Revised 06/10i2009)(Revised 3115/09) Zoning Clerk PRODUCER CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 10/5/2011 SOUTH FLORIDA CASUALTY 415 North 4th Street Lantana FL, 33462 (561) 533 -6144 INSURED Southern Coast Electrical Services, Inc. 1730 Avenida Del Sol Boca Raton, F1 33432 1 THIS CERTIFICATE 1S 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. INSURERS AFFORDING COVERAGE NAIC 0 INSURER A Scottsdale Insurance Company 41297 INSURER B: FCB & I Fund INSURER C: Integon National Insurance Co INSURER D: 29742 INSURER E: COVERAGES THE POUCIES 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. MR LIR NS D TYPE OF INSURANCE POLICY NUMBER EME114A4WYW D C(NIENYYYY) UMITS A GENERAL UABIUTY CPS1311065 02/05/11 02/05/12 EACH OCCURRENCE $ 1 000,000 COMMERCIAL GENERAL LIABILITY upanAGE PREMISES (Ea oc r PREMISES (Ea omtur�ce) , $ 100, 000 i ICLAIMS MADE [] OCCUR MED EXP (Any onepeson) $ 5,000 $ 1,000,000 $ 2,000,000 $ 2 , 000 , 000 PERSONAL &ADVINJURY GENERA- AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: —1 PRODUCTS - COMPNDP AGO POLICY f PRO JECT LOC C AUTOMOBILE LIABILITY FLC3342348 06/03/11 06/03/12 COMBINED SINGLE UMIT (Ea accident) $ ANYAUTO SCHEDULED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BOGILY INJURY (Per person) $ 100,000 BODILY INJURY (Per accident) $ 300,000 PROPERTY (Per acddein) AMAGE $ 100,000 GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY OCCUR fJ CLAMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ 1 AGGREGATE 5 $ $ $ B WORKERS AND ANY (Mandatory as SPECIAL COMPENSATION EMPLOYERS LIABILITY Y/N 10645860 09/23/11 09/23/12 y g �} T� x ITUKY UIaTIITS 1 PER EXCLUDED? fl describe PROVISIONS below E.L EACH ACCIDENT $ 100,000 $ 100,000 $ 500,000 E. DISEASE - EA EMPLOYEE E.L DISEASE - POLICY UMIT OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Electrical Contractor CERTIFICATE HOLDER Miami Shores Village 10050 NE 2nd Ave Miami Shores, FL 33138 Fax- 305 - 756 -8972 1 SHOULD ANY OF THE ABOVE DESCRIBED POUC1ES BE CANCBJ.E D BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KIT FAILURE TO DO SO SEAL. IMPOSE NO OBLIt3ATION OR LABI TTY OF KIND UPON THE INSURER ITS AGENTS OR REPRESENT AUTHOR . , - i A CORD25 (2009101) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Ac# 5067469 STATE OF FLORIDA DEPART PROFESSIONAL REGULATION ELEurRICBUSINESS L ACTOR ENSNBD ,S►EQit L10080301885. LICENSE NBR 08/03/2010 100052024 EC13004083.. The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter Expiration date: AUG 31, 2012 ,E, CIPOLLA, LEONARD SALVATORE II SOUTHERN.. COAST ELECTRICAL SERVICE 1730 AVENIDA DEL SOL BOCA RATON FL 33432 CHARLIE CRIST GOVERNOR DISPLAY AS REQUIRED BY LAW CHARLIE ' LIEM SECRETARY �f i 7 • I B 'A N N. 0 r P.O. Box 3353, West Palm Beach, FL 33402 -3353 CflNSTITUTIn NAI TAX www.taxcollectorpbc.com Tel: (561) 355 -2272 ti, n h.' P.J!Pt 11,4,-h Cr u:'PG * *LOCATED AT 1730 AVENDIA DEL SOL BOCA RATON, FL 33432 TYPE OF BUSINESS OWNER CERTIFICATION R RECEIPT 4/DATE PAID AMT PAID 81116 23 -0160 ELECTRICAL CONTRACTOR CIPOLLA LEONARD S II ( EC130040B1 U11.381461 - 07!19/11 $27.50 840135823 This document is valid only when receipted by the Tax Collector's Office. SOUTHERN COAST ELECTRICAL SERVICES INC SOUTHERN COAST ELECTRICAL SERVICES INC 1730 AVENDIA DEL SOL BOCA RATON, FL 33432 nll.ulln ,1I ,IJ1 ,L I STATE OF FLORIDA PALM BEACH COUNTY 2011/2012 LOCAL BUSINESS TAX RECEIPT LBTR Number: 200911665 EXPIRES: SEPTEMBER 30, 2012 This receipt does not constitute a franchise, agreement, permission of authority to perform the services or operate the business described herein when a franchise, agreement or other county commission, state or federal permission of authority is required by county, state of federal law. 1 3- Z t0�4' ' �6 L ` ktJ Z g.►-jaiN SUE3JECT TO COMPLIANCE WITH ALL F[DERAL AND J N T Y J I A U ,UI ATIONS NNE M. DOW .;' * 000E12131 EXPIAE8: May 11, 2014 ono ,� amkii pfrz.,J k.-"ty° EC13004081 Southern Coast Electrical Services, Inc. Leonard S. Cipolla II JOB A ,rob Marne Li 11044jA LLC Job AddressUt' L 5�- Property Information Report Page 1 of 1 My Home Property Information Report Summary Details: MIAM,•DADE :;i - Folio No.: 11- 3206 -013 -2630 Property: 9534 NE 2 AVE Mailing Address: LEOCAVA LLC PO BOX 381703 MIAMI FL 33238- Property Information: Primary Zone: 6100 RESTRICTED COMMERCIAL CLUC: 0019 AUTOMOTIVE OR MARINE Beds/Baths: 0/0 Floors: 2 Living Units: 0 Adj Sq Footage: 19,229 Lot Size: 19,500 SQ FT Year Built: 1925 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 1 TO 3 INC BLK 20 LOT SIZE 19500 SQUARE FEET OR 21000 -1079 0203 2 (3) OR 21000 -1079 0203 02 Assessment Information: Year: 2011 2010 Land Value: $429,000 $429,000 Building Value: $1,045,334 $1,046,805 Market Value: $1,474,334 $1,475,805 Assessed Value: $1,474,334 $1,475,805 Taxable Value Information: ear: 2011 2010 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: 00/01,474,334 $01$1,475,805 County: $0/$1,474,334 $0/$1,475,805 City: $0/01,474,334 $01$1,475,805 Sc School Board: $0 /$1,474,334 $0/$1,475,805 Sale Information: Sale Date: 2/2003 Sale Amount $1,370,000 Sale O/R: 21000 -1079 Sales Quallfcatlon Description: Deeds which indude more than one parcel View Additional Sales [Close window]. !Click here to Printl This report was created on 10/5/2011 5:40:33 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. http: / /gisims2. miamidade .gov /myhome /proptextjrint .asp ?folio= 1132060132630 &cmd = 10/5/2011