ELC-10-799Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 163958 Permit Number: ELC -5 -10 -799
Scheduled Inspection Date: October 26, 2011
Inspector: Devaney, Michael
Owner: SYLVAIN, FRED
Job Address: 9100 NE 2 Avenue
Miami Shores, FL 33138-
Project <NONE>
Contractor: RYAC ELECTRIC COMPANY CORP
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)759 -6235
Parcel Number 1132060133200
Phone: (305)308 -5061
Building Department Comments
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- 142697. inspection re -open for
final inspection to be approved by fire. ok by MD
October 25, 2011
For Inspections please call: (305)762 -4949
Page 8 of 33
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
1,0-1
Inspection Number: INSP - 142697 Permit Number: ELC -5 -10 -799
Scheduled Inspection Date: April 13, 2011
Inspector: Devaney, Michael
Owner: SYLVAIN, FRED
Job Address: 9100 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: RYAC ELECTRIC COMPANY CORP
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)759 -6235
Parcel Number 1132060133200
Phone: (305)308 -5061
Building Department Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
April 12, 2011
For Inspections please call: (305)762 -4949
Page 2 of 21
4
Miami Shores Village v3n,
" `' B
MAY 072O10
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical �j�����,
Owner's Name (Fee Simple Titleholder) /�� t
Owner's Address Moo /tl G
City /�'( ( / State Zip
Tenant/Lessee Name
Permit No. « to — 113 16
1
Master Permit No. 'E L C. 10 —'�qq
E -MAIL:
;,/, .e,4 's 4//17 -4-
.4
38S - S - (o 7i r
Phone #
Phone #
Job Address (where the work is being done) 9( D ti
City
/ire ?Ave
Miami Shores Villa a County Miami -Dade Zip 33I
FOLIO / PARCEL # .;U I° 0/.3— 31i0-r)
Is Building Historically Designated YES NO )1
Contractor's Company Name 97r c-
f,.
Contractor's Address ' ,t 3 5 14/ 3 9 Av
Phone #
( 746)x5/ -31/
City r- t State r
,(
Qualifier Name 1' c a cr6 4- e os " Phone P # 5 / 4O" c
03e-od00 7t0
State Certificate or Registration No. r2_, / 3 o s Z 57 9 Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
%t Square / Linear Footage Of Work: ±a
Type of Work: ❑Addition j ['Alteration ['New ❑ Repair/Replace ❑ Demolition
Describe Work: tekei -&CAM V&A-0%4411-v% i KiA) /,t rrc 1
12- W,Itsfr I1
******** *f* *** ****************ssaaaarfr F ** **k***aaraas*** *****x**k*f*s*fr k * * ********
Submittal Fee $ Permit Fee $ ®d t' ew CCF $ 1' BC CO/CC
Notary $ Training/Education Fee $ 2' (.V yy-�� Technology Fee $ to .40
Scanning $ 3't�t7 Radon $ � DPBR $ V' Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ (. lS 3 •
See Reverse side
j
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 .: ted notice, the 4
inspection will not be approved a nspection fee will be charged
or Agent
The foregoin instrum as acknowledged before me this U
day of , 20 L, by 1 fPS44
who is personally known to me or who h
As
NOTARY P
Signature
Contractor
The foregoing
day of
who is
ent was acknowledged before me this
as identification and who did take an oath.
Sign: ` ° 95� l Sign:
1r u
Print: < ��, i/ %f Print: D8 oberte Ramos Nommission #DD839079
My Commission Expires: 3 _ My Commission
• DEC. 10, 2012
11t /AV' ' . E Mtn' ..^gr"nN r7^C.R.
Rieieitisis8isiriritir*j4i .**********fir ** iririrt&isisieiaitirkIrki * *kir it* lcft aft***iarkirlciejttcl trauma**** iait9s? nk*R 4rieisisiiicicds3s*****iijEiciclaiai@ic***
APPLICATION APPROVED BY:( /% /2 /e7 r0 Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
ALEX SINK
STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
fe * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW 9e
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE • 09/10/2009 EXPIRATION DATE: 09/10/2011
RICARDO J
09 -10 —2009
PERSON: ACOSTA
PEI N: 200554131
BUSINESS NAME AND ADDRESS:
RYAC ELECTRIC COMPANY CORP
2843 SW 34TH AVE
MIAMI FL 33133
SCOPES OF BUSINESS OR TRADE:
1- ELECTRICAL. CONTRACTOR
IMPORTANT: Pursuant to Chapter 440 . OEtt4), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
aeetien may nol recover benefits or compensation ender
this chapter. pursuant to Chapter 440.0502), F.S., Certificates of election to be exempt.,, apply only within the
scope of the Dullness or trade I ;sled on the entice of
election mope election to he :mess shall be snio to revocation If, m do to beaexe pt Pursuant to Chapter 440.05!13}, F.S., Notices of election to be exempt and certificates of
certificate no longer meets the requirements of this section for issuance al ae cartit sate tra The tldepartment shallnrevoketra certificate, the parson named ur me notice s or
named oa the 'certificate to meet the requirements of this section. certificate at any time for failure of the person
WC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 •
•
QUESTIONS? (850) 413 -1609
MIAMI -DADE
TE: 10/16/2009
IME: 11:43:50
�OUN T : 589783
:E/PT: 502140 -7
TATUSe
JSINESS ITEMS:
gTEO
F.NF'T --CD :
TY --ZONE a
MIJM►IWI - 6JA1JC .LJYII1 TI PLVIIIIJM
LOCAL BUSINESS TAX LB
PUBLIC LICENSE INCUIRY
RYAC ELECTRIC COMPANY CORP 2843
o v m v a m e . a . y m
RENEWAL COMMENCEMENT—DATE: 05/2002
BUSINESS DESCRIPTION:
ELECTRICAL CONTRACTOR
CC: Q3E000078
MUN —LBT:
SAL: WARNING At:
= V—YRS: YEAR: 2009 .00 YEAR 2008 .00
gNJJSF•- FROI`1: 481061 -1 TRANSF -TQ:
rINAMMucrausirammi
TAX COLLECTION DIVISION
140 W. FLAGLER STREET 1
MIAMI, FLORIDA 33130
T YEAR 2010 OCLM910S
SW 34 AVE
c m ENTRY — DATE: 05/14/2002
ENTRY —TYPE: W
PRV —YRS:
CURRENT
PENALTY:
DELOPEN:
SVC —CHG:
TR?;NSFR:
PROCFEE:
ADJUST a
EXEMPT
TOTAL
Y PAID
DUE
=MENU CLEAR =PREY SCR F2 FI 'iHIST F3 =PYMTS . F4 =M RE RECEIPTS
=MUN I NO
IMPORTANT: THE INFORMATION HEREIN DOES NOT NECrSSARILY CONTAIN ALL PERTINENT FACTS WITH REGARDS TO
REAL ESTATE CLOSINGS AND OTHER SIMILAR ACTIVITIES.
4 ;L. Gij :Y w} V ? 2( t 7
.00
45.00
4.50
.00
.00
.00
.00
45.00
45.00
.00
3 S ce:9
s,r� �w �
t�S�� .�.� .� C ".�iyy'+'cllk *:�'n•.•'t \`�':: "� °hi.. ': �. ... ?4.t��_`7.,,. :'!'�:�' %ie.�µ.; `��.
s.4.„..,4,4&. 1
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nt., qt �L;�o's' +'!s►
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ti.. <4 • <rj .......
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, �ti ti _ -r �•(!�C
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�!'+�
Construction Tradas Quinton 13ostri
T
eliSiNESS CERTIFICATE OF COMPETENCY
RY,agc
ti • 7.s j.T 7• G .�(7
AW TA tcARy O
. .s alined tinder the.piese{ ps 10
of f
VA"$ } FOR GOAT. R.ACTNG LJ.N7iL 09f30/2C; I i
0001 QvALrFyrNG TRADE(S)
ELEc7RlcAL
Resend05-25-10 ; 01 : 29PM;
AG��RI7
`� CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DO/YY)
05/25/10
PRODUCER Government Insurance Corp.
18501 Pines Blvd., Suite #205
Pembroke Pines, FL 33029
Phone (954)727 -2999 Fax (954)727 ..2as8
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 POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC #
INSURED Ryac Electric Company Corp.
2843 SW 34 Ave
Miami, FL 33133
• •.
INSURER A National Insurance Co.
INSURER e. •
INSURER C:
INSURER D:
INSURER E: •
COVERAGES
INSURER F:
THE POLICIES OF INSURANCE LISTED 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 uMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
igiAMY!.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/Y
POLICY EXPIRATION
DATE MIDDIY
LIMITS
A
■
GENERAL. LIABILITY
.T] COMMERCUU. GENERAL LIABILITY
CLAIMS MADE o OCCUR
■
CMG- 000000712
09/17/09
09/17/10
EACH OCCURRENCE
81.000.000
• 'l�r. • R N ED
PREMISES (Ea occurenCO
$100,000
85,000
MED EXP (Any one person)
PERSONAL &ADVINJURY
81,000,000
•
GENERAL AGGREGATE
82,000,000
EN'L AGGREGATE LIMIT APPLIES PER;
■ POLICY • PROJECT • LOC
PRODUCTS •COMP /OP AGG
$1.000,000
B„
❑
AUTOMOBILE LIABILITY
■ ANY AUTO
• ALL OWNED AUTOS
■ SCHEDULED AUTOS
■ HIRED AUTOS
■ NON OWNED AUTOS
• ... . ..
■ •
■
• . • ... • • .
•
-.
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
•
BODILY INJURY
(Per accident)
•
PROPERTY DAMAGE
(Per accident)
AUTO ONLY • EA ACCIDENT
.. . _...
C, •
❑
GARAGE LIABILITY
a ANY AUTO
OTHER THAN EA ACC
AUTO ONLY: AGG
■
EXCESSIUMBRELLA LIABILITY
■ OCCUR ❑ CLAIMS MADE
❑ DEDUCTIBLE
■ RETENTION S
.. ••• •• - • ••••• •• .
.. . .... .......... , ..
• - •
....... .... : ...,, .
.. • •••
. • . • • • •
—
EACH OCCURRENCE
AGGREGATE
WC STAT1I-
❑ OLJMIZ ■ 0TH-
EL EACH ACCIDENT
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER 1 MEMBER EXCLUDED? ' "' • '
If yes, describe under
SPECIAL PROVISIO S below
E.L DISEASE • EA EMPLOYEE
E.L DISEASE • POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
P_T:DTICl/+ATC NIn• more
ANCELLATION
MIAMI SHORES BUILDING DEPARTMENT
•
�___
AC�RO 25 /26nVels% na
SHOULD ANY OF THE
ErPIRAMON DATE
10 DAYS WRITTEN
ABOVE DESCRIBED POUCIE8 BE CANCELLED BEFORE THE `
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
NOTICE TO THE CERTIFICATE HOLDER NAMED TO
URE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY
HE INSURER, ITS AGENTS OR REPRESENTATIVES.
THE LEFT, BUT FAI
OF ANY KIND UPON
AUTHORIZED REPR
_
ATIVE
�.
"' • • • ' •
ACORD CORPORATION 19811
MtAMI•DADE
MIAMI ■ L7A17t W.:MINTY, FLORIDA FINANCE DEPARTMENT
TAX COLLECTION DIVISION
140 W. FLAGLER STREET
.,:s;�r� MIAMI, FLORIDA 33130
g; DATE: 10/1/2009 LOCAL BUSINESS TAX LET YEAR: 2010 OCLM91 s 18
: Tll a 11:43:50 PUBLIC LICENSE INQUIRY
o ACCOUNT: 569793• -5 RYAC ELECTRIC COMPANY CORP 3643 SW 34 AVE
i RECEIPT: 502140-7 RENEWAL COMMENCEMENT—DATER 05/2002 ENTRY —DATE: 05/14/2002
ga. STATUS: ENTRY —TYPE: W
BUSINESS ITEMS: BUSINESS DESCRIPTION: PRV —YRS: .00
1 1 ELECTRICAL CONTRACTOR CURRENT: 45.00
PENALTY: 4.50
DELOPEN: .00
STATE: CC: 03E000078 MIJM —LSTa SVC--•CHG: .00
EXEMPT —CD: TRANSFR: .00
CITY—ZONE: PROCFEE: .00
LEGAL: WARN I NS #: ADJUST : —4.50
PREP.' —YRSs YEAR: 2009 .00 YEAR 2008 .00 EXEMPT a .00
TRANSF -• -FROM: 491061-1 TRANSF—TOg Y P PATDPAID 4 : 45.0..x.4 0
DECALS:
DUE . .00
F1=MENU CLEAR =PREY SCR F2 =FM: l I ST F3= FYI1TS F4 =MORE RECEIPTS
e=6 =MJNINc
IMPORTANT: THE INFORMATION HEREIN DOES NOT NECESSARILY CONTAIN ALL PERTINENT FACTS WITH REGARDS TO
REAL ESTATE CLOSINGS AND OTHER SIMILAR ACTIVITIES.
Resend05-26-10; 02: 08PM;
;
'Aa, °dam° CERTIFICATE OF LIABILITY INSURANCE
DA 0 /26/10 '
PRODUCER Government Insurance Corp.
18501 Pines Blvd., Suite #205
Pembroke Pines, FL 33029
Phone (954)727-2999 Fax (954)727 -2888
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 POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC 11
INSURED Ryac Electric Company Corp.
2843 SW 34 Ave
Miami, FL 33133
I
INSURER National Insurance Co.
INSURER Bs
INSURER C:
INSURER D'
INSURER E
COVERAGES
INSURER F:
THE
ANY
MAY
POLICIES.
POLICIES
REQUIREMENT,
PERTAIN,
OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
!NOR
LTR
ADD L
imp
TYPE OF INSURANCE
POLICY NUMBER
POUCY EFFECTIVE
DATE (MMIDD!YYD
09/17/09
POUCY EXPIRATION
DATE (MMfDDIYY)
09/17/10
LIMITS
A
IN
GENERAL LIABILITY
GMG- 000000112
EACH OCCURRENCE
'DAMAGE
$1 ,000,000
!i
II
■
•
GEN'LAGGREGATE
•
COMMERCIAL
II
GENERAL LIABILITY
TO Rff't?I'ED
PREMISES (Ee occurence)
$100,000
CLAIMS MADE • OCCUR
MED EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
LIMIT APPLIES PER
PRODUCTS - COMP /OP AGG
$1,000,000
POUCY • PROJECT 0 LOC
8
•
AUTOMOBILE
•
•
•
•
•
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea sccldent)
BODILY INJURY
(Per person)
50D1LY INJURY
(Per accident)
PROPERTY DAMAGE
(Per occident)
AUTO ONLY - EA ACCIDENT
C
GARAGE LIABILITY
• ■ ANY AUTO
0
OTHER THAN -EA ACC
AUTO ONLY: AGG
D
—
EXCESS/UMBRELLA
•
I•
LIABILITY
OCCUR Q CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
AGGREGATE
•
■
E
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER / MEMBER EXCLUDED?
Eyes, describe under
SPECIAL PROVISIONS below
INC STATU- OTH -
• TORY ■ MIS FC 1
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L DISEASE- POLICY LIMIT
OTHER
F
DESCRIPTION
OF OPERATIONS 1 LOCATIONS / VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS
7 6(° 2; k — -3116
CERTIFICATC UM, nen
MIAMI SHORES VILLAGE
10050 NE 2 AVE
MIAMI SHORES FL 33138
FAX 305 756 -8972
IATTN ARLENE
ACORD 26 12001/081 (DF
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD CORPORATION 1988