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EL-11-1866Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 167472 Scheduled Inspection Date: December 13, 2011 Inspector: Devaney, Michael Owner: TORUNO, ANGELA Job Address: 1460 NE 101 Street Miami Shores, FL Permit Number: EL -10 -11 -1866 Project: <NONE> Contractor: ERTECH ENGINEERING SERVICES INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132050240050 Phone: (305)382 -8502 Building Department Comments REPLACE EXISTING ELECTRICAL PANEL 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- 167383. Remove cabinet from in frount of pan ,521z December 12, 2011 For Inspections please call: (305)762 -4949 Page 19 of 33 1C1et [lc (1 BUILDING PERMIT APPLICATION FBC 20 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 Permit No. 1'LA,t t RECEIVED OCT 182011 SY: Master Permit No. Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): /1 O,' f,L I/' 7 r 0 by Phone#: Address: /4 6o /YE /O i S city: #tl4 /41 SHORES State: L. Zip: 3135- Tenant/Lessee Name: ` Phone #: Email: JOB ADDRESS: Rib 10 1d, City: Miami Shores County: Miami Dade Zip: 3 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: GATE-al t/J6i il%i: )ii/6j (Oki )4i Phone #: a2� a Address: 14 7 9 3 S�J 8/ $')2 t'/ City: J1//t4 i State: FL Zip: 33/93 Qualifier Name: €lei E • 'if OA- Phone #: 70't ° /•) ^ 9 State Certification or Registration #:: E . - QO a i 707 l Certificate of Competency #: Contact Phone #: / �6 °' t1i " / q,Y) Email Address: E,ZTte-Ha.V Q l D' 1 t"1. VG -T . DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ C "� Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: 1 A(, °.■uS &/t �I' c f21cp4I g ® '4VA EICARRON MONOXIDE DETECTORS ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. ***************************************Fee s******************************************** Submittal Fee $ ' Permit Fee $ /6"'4)1 G' Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ �, V 0 1 to Bonding Company's Nanie f(if applicable) Bonding cpmpany'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 .fence o c po notice, the inspection will not be approved and a reinspection fee will be chased. Signature � 7 —i `w'l 7�JoZ lv' Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 0 2 The foregoing instrument was acknowledged before me this 1 z day of OGfobet , 20 (( , by Pi nA2kk ?efe2 (o(o rD , day of OC-4-0i3e ( , 20 l f , by 1=d q q ( 12 c7Q , who is personally known to me or who has produced D('vet'S Late e who is personally known to me or who has produced bf ' JeI IS L1.`-e'tSe *%60-01G°27411-0 As identification and who did take an oath. 0 O dos' 64-02-3 -Ps identification and who did take an oath. NOTARY PUBLIC: _ a da a a at .t PUB NOTARY LIC: MAHER NISR Notary Public - State of Florida r. • - ? My Comm. Expires Mar 15, 2013 11.571' Commission # DD 870086 Sign: ,n ........ Bonded Through National i9otary Assn. 3 Print: �' 1 o h e ( %lf 1 s t' Print: _ /�!�c he( My Commission ExpirCs: -. Of c h L ' i ZO I? My Commission Expires: 6-Au(Lh 1 S ZOI *********************** * * * * * * * * * * * ** *******m ** * ***** ** * * * ** *** * ** * * * ** ** APPROVED BY '' /27 Plans Examiner ,00"12,,, MAHER NISR • 4% Notary Public - State of Florida ,, 2• °1111etrIrtUretier*frletej .�., A Commission # DD 870086 '' r a• Bonded Through National Not* tia0 b • v IL, SW' r J11' Aar °r. vas .mr Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /I0/2009)(Revised 3/15/09) 10/12/2011 10:37 1 MCLAIN PIERCE PAGE 01/02 ACORD CERTIFICATE OF LIABILITY INSURANCE °ATE(MIW DIT) 1011 2/2011 ''"' LT, PRODUCER McLain Pierce & Associates P.O. Box 1419 Sanford, FL 32772 -1419 407- 323.8142 Fax 407. 321.4292 THIS CERTIFICATE IS ISSUED As A MATTER ONLY AND CONFERS NO RIGHTS UPON HOLDER. THIS CERTIFICATE DOES NOT AMEND THE COVERAGE AFFORDED BY THE OF THE POLICIES INFORMATION CERTIFICATE EXTEND OR BELOW. NA1C 0 _ALTER INSURERS AFFORDING COVERAGE INSURED Erte0h Engineering Services, Inc. 14793 SW 81st Street PO Box 831388 Mimi FL 33283 -1388 INSURER A EVEREST NATIONAL INSURANCE COM GRIMM_ X INSURER D. TRAVELERS IND OF CT 860.58760255- TCT -10 I LERC: INSURER D' • $ 1,000,000 J 100,000 INSURER E DAMAGE A . THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PFRTAIN, 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. � MTPtl SR AD TYPP /PrNSufrANF ' ROL:CY NUMBER pAT n V FR B GRIMM_ X I]AEBJW COMMERCIAL GENERAL UAeturY ILa vet MADE © OCCUR CONTRACTURAL LIRE 860.58760255- TCT -10 11112110 EACH OCCURRENCE $ 1,000,000 J 100,000 11/12/11 DAMAGE A . MEOEj(P (Am anaomaan) $ 5,000 X PERSONAL aADVINJURY s 1,000,000 32,000,000 GENERAL AGGREGATE GEN'L Ti AGGREGATE UNIT APPLIES PER 1 POLICY El !Kg- El PRODUCTS - COMP/OP Audi $ ,000,000 B AVADMORILE X X LIABILITY ANY AUTO Au. OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 660.68766285- TCT -10 11/12/10 • 11/12111 COMBINED SINGLE LIMN' ClEn =octant) $1,000,000 BODILY INJURY per Pin) BODILY INJURY Gera (P GARAGE LIABILITY ANY AurO AUTO ONLY • PoAOCIDENT S EA ACC $ OTHER THAN AUTO ONLY: AGG, EACH OCCURRENCE $ $ W MMUy OCCUR ❑ CLAIMS MADE DEDUCTIBLE RETENTION $ AGGREGATE $ $ - $ • 93 A wERl(ENS COMPENSATION AND EMPLOYERS' ANY PROPRIETOR/PARTNERIDIECUTIVE OFFICER/NEMBER EXCLUDED? If tag SUNS Uebw .TWC32649S$ 01101/11 _ 01/01/12 l is - P 1 17 R EL EACH ACCIDENT $.100,000 E.L. Disease-EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY UftUT $ 5001000 OTHER oESCAunION OF OPERATIONS 1 LOCATRNNS I V940LES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SRAM. PROYIStONN • OFFICERS EXCLUDED: EDGAR ROA; SERGIO VIG1O WC: 10 DAYS FOR NON PAY 30 DAYS FOR NON RENEWAL OR OTHER CANCELLATIONS. GL: 10 DAYS FOR NON PAY 45 DAYS FOR NON RENEWAL. OR OTHER CANCELLATIONS. N —.....—. _ .._— MIAMI SHORES VILLAGE ATM/BUILDING & ZONING DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 sHommANyoFTHEAmovEDEseadEnPOLICIEBBSCAKEL.LBOBEFORETHEDIFRATION DATE THEREOF, THB I$BUIN0 INSURER,NL- ENDEAVOR TO F$AL '10 DAYS wRrr+EN NancE TO 7x6 CERTIFICATE HOLDER NAMED SO THE LEFT, BUT FAI ME TO DO SO SHALL Rpo6r, NO OBLIGATION OR LAMS`, OF ANY KIND UPON THE INSURER, ITS AGENTS OR REpRgasfrATIvEll. _ AUTMORT D REPRESE71TATME , gg C)M ' ACORD 25 (2001108) STATE OF FLORIDA • DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) -487 -1395 1940-NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 ROA, EDGAR ENRIQUE ERTECH ENGINEERING SERVICES INC PO BOX 831388 MIAMI FL 33283 -1388 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 bett For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We Thank constantly strive to serve you better so that you can serve your customers. you for doing business in Florida, and congratulations on your new license! • DETACH HERE '4Q erA, 141 06; 09fQ BATCH NUMBER i{> x047405 ° - Qo The 3sLEC` RI CON R t R Named` be]ow IS t=Pi Bader the pravieions €` Chap' Expiration date: AUG 31, 201 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 2011 LOCAL BUSINESS TAX RECEIPT 2012 FIRST -CLASS MIAMI -DADE COUNTY - STATE OF FLORIDA U.S. POSTAGE EXPIRES SEPT. 30, 2012 PAID MUST BE DISPLAYED AT PLACE OF BUSINESS MIAMI, FL PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 PERMIT NO. 231 495976 -4 THIS IS NOT A BILL — DO NOT PAY RENEWAL BUSINESS NAME 1 LOCATION RECEIPT NO. 285036 -1 ERTECH ENGINEERING SERVICES INC STATE# EC0002421 14793 SW 81 ST 33193 UNIN DADE COUNTY OWNER ERTECH ENGINEERING SERVICES INC Sec. Type of Business WORKER /S 196 ELECTRICAL CONTRACTOR 2 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE KNOT A CERTIFICATI N OF ERTECH ENGINEERING SERVICES INC O HOLDER'S OUAUFICA- EDGAR E ROA PRES 14793 SW 81 ST PAYMENT RECEIVED MIAMI FL 33193 MIAMI-DADE COUNTY TAX COLLECTOR: 07/06/2011 60010000225 000075.00 SEE OTHER SIDE �i, �iiil1i,it 11li it ii till milli!' lit, Hatt ti I,)iiti17ii91iI pg7,Mign OCT 1 111 CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self- performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: ++ /4 (1I rj (6. f R /d tY 0 PERMIT # \ `p ADDRESS: d q 7 ye: 6 . %i Ili / $ /oi? ��j F� 3 3 / 3 O FOLIO NUMBER: I -3(A0.5 -634 -at:ROOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and VALUE OF PRINCIPAL STRUCTURE (attach appraisal 3-70 f �1 j. 0 D idorie-ko OWNERS SIGNATURE: PLANREVIEWER: (DATE: (4121 /I PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 SUBSTANTIAL IMPROVEMENT / DAMAGE LIST (NOTE: THIS UST IS INTENDED FOR GUIDANCE ONLY, AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool Miami -Dade My Home My Home sa. Show Me: Property Information Search By: Select Item 0 Text only F! L+ Property Appraiser Tax Estimator 12 Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11- 3205 - 024 -0050 Property: 1460 NE 101 ST Mailing ANGELA DE TORUNO TRS Address: ANGELA DE TORUNO Living Units: 16191 NW 57 AVE MIAMI FL Adj Sq Footage: 33014- Property Information: Primary Zone: 1600 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 4/3 Floors: 1 Living Units: 1 Adj Sq Footage: 2,932 Lot Size: 12,351.60 SO FT Year Built: 1954 $50,000/ $531,265 MIAMI SHORES BAY PK City: ESTS AMD PB 56 -86 Legal LOT 9 BLK 1 LOT SIZE Description: 102.930 X 120 OR 14213 -353 0789 4 OR 26822 -0149 0309 19 Assessment Information: Year: 2011 2010 Land Value: $705,338 $742,356 Building Value: $370,816 $373,148 Market Value: $1,076,154$1,115,504 Value: Assessed Value: $581,265 $572,675 Exemption Information: Taxable Value Information: Year: 2011 2010 Q $25,000 $25,000 nd Homestead: ®® Exemption/ Taxable Taxable Value Information: Year: 2011 2010 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable Value: Value: Regional: $50,000/ $531,265 $50,000/ $522,675 County: $50,000/ $531,265 $50,000/ $522,675 City: $50,000/ $531,265 $50,000/ $522,675 School Board: $25,000/ $556,265 $25,000/ $547,675 Sale Information: Sale Date: Sale Amount: 3/2009 $100 Page 1 of 2 ACTIVE TOOL: SELECT' Aerial Photography - 2009 0 116 ft My Home 1 Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser Home' Using Our Site 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. N N Legend Property Boundary Selected Property Street Highway Miami -Dade County Water http: / /gisims2.miamidade .goy /MyHome /propmap.asp 10/12/2011