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EL-12-149Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 169291 Permit Number: EL -1 -12 -149 Scheduled Inspection Date: February 13, 2012 Inspector: Bruhn, Norman Owner: STOBS, DONALD Job Address: 9505 NE 5 Avenue Miami Shores, FL Project: <NONE> Contractor: ABCO POWER TECHNOLOGY INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)757 -0950 Parcel Number 1132060140710 Phone: (786)469 -8072 Building Department Comments service repair Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments February 10, 2012 For Inspections please call: (305)762 -4949 Page 7 of 19 TAW ELECTRICAL CONTRACTORS Residential - Commercial - Industrial Fl 33174 9441 S.W. 4 Street, Suite 307 • Miami, Office: 786 -469 -8072 • Fax: 305400 -0494 Licensed & Insured HELIODORO SOLANO Vice - President Secretary Cell: (305) 803 -4016 info@abcopowertech.com com www_abcopowertech.com heliodoro.solano@nbcopowertec 113o 117,- 1040 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. Master Permit No. JAN 2.7 Lii2 BY: TH Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): TINJA4Z1 (144 Phone#: Address: 4.Ci>,6-- 4'711 HOC City: YVVI CietstA-1 State: (35 aSicb Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: City: L) Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: ;41 ce,, Address: 77'11 City: /t1/4 IP.. State: Qualifier Name: _ye) e•-i *yr State Certification or Registration #: Etkt3cs Lffie NO Flood Zone: Te-c-44e/rr Phone*: (F.SU) C1,ff_ Contact Phonet 1794.) cf 3? -7 9.7c, Email Address: Zip: 33 /77 Phone#: po4205-7 o 'Z Certificate of Competency #: /C) C)45G 3 .3 ..6olleaz,e DESIGNER: Architect/Engineer: Phone#: nr\ Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ClAddress - CIAlteration , CINew Descriptism of Work: KVoi 0Repair/Replace 4Demolition ***************************************Fees******************************************** Submittal Fee $ Permit Fee $ 744-2, , ics*e) 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 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, WF.T.T.S, 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 YOIJR 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 a 'sence of such posted notice, the inspection will not be approved and a reinspection fee will be charged: Signature ta.._.4z)kiNt Signature Owner or Agent The foregoing instrument was acknowledged before me this a The foreg day of , 201t, b 8-' && ? S-ros5 Contrac rL ent was acknowledged before me this '/ yof 3 ,20tZ,by Gufiar z- who is personally known to me r who has produ ed A3 tit- who is p rsonally known to mer w o has produced 10 f 14— I') ( As identification and who di ¥ke an oath. P 1f as identification and wh• di , ake an oath. Pri My R LIC: /.4e.,,,,,/ r i_.,(.6tri,d1rffixrff!,„__Iriali, )c-.4r,..srmiwfol viirl.,.p.k. ,JNI id • E ' omm. xp res May 30, 2015 "4440"‘ ,Exmission 0 EE 79436 Bonded Through National Notary Assn. NO Sign: Print: B IC: i r / „ % Notary Public - State of Florida t3 h "•?j'��` • _ My Comm. Expires May 30. 2015 0,1 Commission Ar EE 79436 '• •li ��`r Bonded Through National Notary Assn My C ommissi • n**x• *x•• x****• xe<• x• xx• x• *x• *a•+ x• x***** *+ x******• x*• r*• x• x*x•• xx• x• x • *****x•*a•*** ** **** *•xe<*+ • x*• x• xm e: *+ x+ x**** x: **• x• x****•x*x•************* h s ' "Plans Examiner APPROVED BY Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 0 AA Ca tr -i _Q R-w-b / 6 co Pc) ge -Q c___ 64 S-P C_ ER_ 1170 b /3 e.,sc 9505 NE 54-A 40Q t k i -c'i � ofe.. 33 133 -J w LL y JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 01 -26 -2011 * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS" COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 08/26/2010 EXPIRATION DATE: 08/25/2012 GUTIERREZ 272419756 BUSINESS NAME AND ADDRESS: ABCO POWER TECHNOLOGY INC 9441 SW 4TH STREET SUITE 307 MIAMI FL 33174 SCOPES OF BUSINESS OR TRADE: 1- REGISTERED ALARM SYSTEM CONTRA YOAN 2- REGISTERED ELECTRICAL CONTRACT IMPORTANT: Pursuant to Chapter 440 . 05(14)1 F.S., an officer of 0 corporation who elects exemption from this chapter by tiling a certificate of election under this section may not recover benefits or compensation under'. this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only Within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation If, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 STATE OF FLORIDA DEPARTMENT OF FINA DIVISION OF WORKERS CONSTRUCTION Ii CERTIFICATE OF ELEC' WORKERS'COMPENSA EFFECTIVE: 08/26, PERSON: MOAN 1 FEIN: 27241! MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 2011 LOCAL BUSINESS TAX RECEIPT 2012 MIAMI -DADE COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 2012 MUST BE DISPLAYED AT PLACE OF BUSINES$ PURSUANT TO COUNTY CODE CHAPTER 8A.- ART. 9 & 10 THIS IS NOT A BILL — DO NOT PAY RENEW AL RECEIPT NO. • 693211-6 CC # 10E000338 . 307 666087 -3 BUSINESS NAME / LOCATION ABCO POWER TECHNOLOGY INC 9441 SW 4 ST 33174 UNIN DADE COUNTY OWNER ABCO POWER TECHNOLOGY INC BUSINESS NAME A, Sec Ty � of Business 19 SPEC EL ABCO POWER TECHNOLOC ECTRICAL CONTRACTOR 9441 SW 4TH STREET SI MIAMI, FL 33174 SCOPE OF BUSINES 1- REGISTERED ALARM s' THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CmES. 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 MIAMI-DADE COUNTY TAX COLLECTOR: 09/22/2011 02250019001 000075.00 SEE OTHER SIDE QUESTIONS? (850) 413 -1609 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 WORKER /S 1 DO NOT FORWARD ABCO POWER TECHNOLOGY INC MOAN GUTIERREZ PRES 9441 SW 4 ST 307 MIAMI FL 33174 ittlltttII it) tllit , titittit , !sill Ittsi, Mulls t sit itlgtl DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 ation who f election i under this to be ide listed on be exempt o revocation e of the longer meets e. The of the f this )) 413-1609 f•‘isoi....,-- _KL• CERTIFICATE OF LIABILITY INSURANCE DA1E(MM/DD1YYYY) THIS CERTIFICATE 1S 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 POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such eodorsement(s }. PRODUCER MONTERINY INSURANCE GROUP 10251 SW 72 ST SUITE 104 MIAMI, FL 33173 — YOAN GUTIERREZ M Icy MX. No. Esti: 7$6- 285 -2062 PAx C in. No): ess: yoan.gu1errez@abcopowertech.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A: GRANADA INSURANCE COMPANY GENERAL INSURED ABCO POWER TECHNOLOGY 9441 SW 4 ST # 307 MIAMI, FL 33174 CtIVERAIIIM INSURER B : INSURER C : 08/02/2011 INSURER D EACH OCCURRENCE MSURER E : DAMAGE TO REIJTED PREMISES (Ea occurrence) INSURER P: THIS INDICATED. CERTIFICATE EXCLUSIONS [NSR IS V101V1@ I111JIrr10Cr[: IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W1TH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDRIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY.PAID CLAIMS. LTR TYPE OF INSURANCE IADDL INSR SUER VIVO POLICY NUMBER IMOLIC�n (MSC LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIAEILITY 0185FL00028437 08/02/2011 08/02/2012 EACH OCCURRENCE It 500,000.00 DAMAGE TO REIJTED PREMISES (Ea occurrence) 1130,000.00 CLAIMS -MADE l OCCUR MED EXP (Any one person) $ 5,000.00 PERSONAL &ADVINJURY s 500,000.00 GENERAL AGGREGATE $ 500,000.00 GGEEN L AGGREGATE LIMIT ` APPLIES PER 1 POLICY .78-- I ( LOC PRODUCTS - COMP /OP AGO $ 500,000.00 $ AUTOMOBILE LIABILITY a D SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NUT OVNVED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per gaddertt) $ 3 UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED 1 RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBERE(CLUDED? I • I (Mandatory In NH) DESCRIPTION under OPERATIONS below NIA I TO YTLIAMT117S I !OER £.l EACHACClDENT $ E. DISEASE • EA EMPLOYEE $ E.L. DISEASE - POLlCY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more apace le required) ■=fgerirr• 6 rr LI SI I,,m CANCELLATION City of Miami Shores Village 1050 NE 2nd AVE Miami Shores ACORO 25 (2010/05) FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD