EL-11-2338Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756 -8972
Inspection Number. INSP - 168054
Scheduled Inspection Date: December 28, 2011
Inspector. Devaney, Michael
Owner: SAINTIL, MARIE
Job Address: 126 NE 103 Street
Miami Shores, FL
Project <NONE>
Contractor. PRO ELECTRICAL SOLUTIONS INC
Permit Number: EL-12-11-2338
Permit Type: Electrical - Residential
inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060131760
Phone: (954)274 -7465
Building Department Comments
REPLACE MENTER CAN AND UPGRADE SERVICE
frfrk
Passed
Failed
Correction
Needed
f
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee Is paid.
Inspector Comments
December 28, 2011
900 /Z00IEI
For Inspections please call: (305)762 -4949 Page 21 of 28
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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
BUILDING
PERMIT APPLICATION
FBC 20
Permit No. t0.1 11 —Z 3
Master Permit No.
Permit Type: Electrical n
OWNER: Name (Fee Simple Titleholder): /l e gaUf DeALt Phone#:
Address: 126 NE-
/03 S TRr_-r T
City: M t 14114
State: FL
Zip: 33/ 3R
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: /24 N f✓ 6 a3 s -rite T
City:
Miami Shores County:
Folio/Parcel #: // —32O(, —013 —1 AO
Is the Building Historically Designated: Yes
Miami Dade
Zip: 73/3W
Flood Zone: NO
CONTRACTOR: Company Name: PA E/eduel ca b t��lOI7$ I/tPhone#: 5p-
Address: SOO /1% GtJ f 81 Teigitfice,
City: m fiti- &. j State: V-LViZfp ft, Zip: 3 3/6 i
Qualifier Name: 1Z 1 le ` 1 C (a Vl. 1/t -t,JLS Phone#: 6) S 4G" 27p, - 6 S°
State Certification or Registration #: E/- /30/ 9-4::055 Certificate of Competency #: / / EiVO V. is
Contact Phone #: 47.5-(4 - 27p- —7 c4 5 Email Address:
DESIGNER: Architect/Engineer: /1/7/9 Phone #:
Value of Work for this Permit: $ 2...� oa tip Square/Linear Footage of Work:
Type of Work: DAddress OAlteration ONew $tepair/Replace ODemolition
Description of Work: 1Q/9 ei me c,9
*+ x************* *+ x+ x*+ x+ x*****+x*****,x****** Fees+ x*************** ****** * *** *** ************* **
Submittal Fee $ Permit Fee $ / ,,, CCF $ CO /CC $ •
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
NAP
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
NM'
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 to , 4 Z o, we L. Signature .r
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this _242 The foregoing instrument was acknowledged before me this
day of 7G , 20 ( (, by M# R C. t+ tr (ken{ , day of e-G Q , 20 /L, by gi lr L 4-,V b Le- 1)4 —r,,
who i ersona y no to me or who has produced who is ersonally kno to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
a‘i
NOTARY PUBLIC:
Sign:
Print: R e'i
My Commission Expires:
'"-' 9E17Y
• '^�wER
Sign:
Print: UE�
My Commission Expires:
14-01-44- le-
1294,9
`op EXPIRES: September25
as�oP BondedT, 2014 +poF
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4311 /t.. 4.
• BETIY HOLDER
* MYC �IONIEE012949
EXPIRES:
September 25,Z14
Bonded ihr IWO
Plans Examiner
APPROVED BY iii ! Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
SEP- 14- 2011(WED) 12:42
P. 001/001
A CERTIFICATE OF LIABILITY INSURANCE DATE 11pMID°PYYYT)
09/14/11
THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY,AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES
BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CQNSTCPUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER:
IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and condition of the policy, certain policies may require an endorsement. A statement on this certificate does not confer right to the
certificate holder In lieu of such endomement(s),
PRODUCER
Accredited Insurance
6099 Hollywood Blvd
Hollywood, FL 33024
Phone (954)954-5444
INSURGO
Pro Electrical Solutions, Inc
500 NW 189 Terr
Fax (964)9644772
. CONTACT
NAME:
• +.', E.t):
ADDRESS:
(954)964 -5444 Erg Nol; (954)964 -0772
InsureycuthontoGISol.cam
INSURERS) AFFORDING COVERArfQ MICA
INSURER A: GRANADA
INSURER B ;
INSURER C :
, .INSURER D :
Miami, FL 33169- (954) 274 -7465 'INSURER C:
INSURER F :
..... - G. .. CERTIFICATE
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FQR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF.ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY 88 ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I3 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS.
INSR I ADDLSUaR
LTR TYPE OF INSURANCE ,INSR WVD
OCNERAL UAtifun'
( COMMI RCIAL GENERAL LIABILITY
A El CLASMA ADS WI OCCUR
OENL AGGREGATE LIMIT APPLIES PCR
• El POLICY ❑ PjER• D LDc
I AUTOMObILE LIN:NUTT
ANY AUTO
❑ AAILLITOOVrE0 ❑ AUTOSULED
❑ HIRED AUTos 1.11 p p
_471 0
UMBRELLA LIAR
U ❑ occuR
❑ EXCESS LIAB ❑ CLAIMS-MADE
❑ QED p_BETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' UAMIIUUTY YIN .
FFIIC. RI NHRwt$LUDF1 0? C Y N undo
�0[SGIRIPTId� N OF OPERATIONS Wow
•
215887
POLICY NUMBER
UMW; (%) LUSTS
EACH OCCURRENCE $ 1,000,000.00
DAMAGE PREMISES RENTED
oc:WITI S . $ 100,DOOAO —�
MEDexrlAfatonep&s�, -_s 5.000.00
PERSONAL a NW INJURY • __$ 1,000,000,00
GENERA(. AGGREGATE $ 2,000,000.00
PRO0UCTS • COMPIOP AGO s 2,000,000.00
09/13/2011 09/13/2012
DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Anson ACORD 101, Additional Rm larks Schedule, if more space Is required)
•
CERTIFICATE HOLDER
Miami Dade Building Neighborhood Compliance
11806 SW 26 Street
Mieml,Florida 33175
ACORD 25 (2010105) CIF
CANCELLATION
1
Fa lid
D>B GLE 61MI7
BODILY INJURY (Pet person)
$
BODILY INJURY (PEP analdantj $
OPaTSI reDAMAGE $
• dell • _. $
• EACH OCCURRENCE_M r $
AOORECATt...
WC STA77� 0TH•
❑ TORY LIM��,��ITS ❑ ER
E.L EACH ACCIDENT__ $,
E.L D19EA$E - EA EMPLOYEE $
G L DtseA$E - POLICY LIMIT, $
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCEWITh 8_• CY PROVISIONS.
AUTHORIZED REPR ATIVE
1988.2010 ACORD CORPORATION. All rights reserved.
e ACORD name and logo are registered marks of ACORD
FIRST-CLASS
U.S. POSTAGE' $.
PAS
AAIAMI, FL
PERMIT-NO.-281
688984-5 THIS IS NOT A "BILL — 00 NOT PAY,
BUSINESS NAME ( LOCATION
PRO ELECTRICAL SOLUTIONS I'
500 NW 189 TERR
33169 MIAMI GARDENS
OWNER
PRO ELECTRICAL SOLUTIONS INC
Sec. Type of Business
196 SPEC ELECTRICAL CONTRACTOR
THIS IS ONLY A LOCAL
amass TAX RECEIPT. IT
DOES NOT PERMIT THE
HOLDER TO VIOLATE ANY
EXISTING REGULATORY OR
ZONING LAWS OF THE
COUNTY OR CITIES. NOR
DOES IT EXEMPT THE
HOLDER FROM ANY OTHER
PERMIT OR LICENSE
REQUIRED BY LAW. THIS IS
NOT A CERTIFICATION OF
THE HOLDER'S QUALIFICA-
TIONS:
PAYMENT RECEIVED
.Dqp COUNTY TAX
coLl.E:C70ER2
10/20/2011
0220012001
000045.00
SEE OTHER SIDE
DO NOT FORWARD
PRO ELECTRICAL SOLUTIONS INC
KIRKLAND A LEWIS
500 NW 189 TER
MIAMI GARDENS FL 33169
II,HhII IJIIIIIIIIII ILIIIIIIltIIIII IIIIIII�IIiII IIIII16�III
STATE OF FLORIDA
DEPARTMENT OF 'FINANCIAL. SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
s QERS' COMPENSATION LAW
EFFECTIVE: 09/16/2011 EXPIRATION DATE : 09/15/2013
PERSON: KIRKLAND A LEWI S
FEIN: 8007 465 1, 9
BUSINESS NAME AND ADDRESS:
PRO ELECTRICAL SOLUTIONS INC
500 NW 189TH TERRACE
MIAMI, FL 33169
SCOPE OF BUSINESS OR TRADE:
1- ELECTRICAL MAINTENANCE
3- REGISTERED ELECTRICAL CONTRACT
2- REPAIR SERVICE
4- LIGHTING FIXTURES-INSTALL/REP
1 azre,
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OOP
Electric Riser Diagram
Scale: N.T.S
New
SUBJECT 10 CCMPI 1ANCE \M IH AIL FEDERAL
STATE AND Cr iA,yriLLES AND REGULATIONS
sso Amp
Panel
ORD ROD
Electrical Riser Diagram Key Notes
1
BBD ROD
I- (3) 0 I/o TENN in an Cond
Tr Branch Circuit In 1.1/2 Cond
3.5 4 Cu Ground In 3/4 Cond To CWP fS Tr 5/8 Ground Rod b' Apart
4- (3) 91/0 THIN In 8" Cond
5- Intersystem gounding bar
Electrical Riser Diagram
Scale: N.T.S
Exiting
too Amp