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EL-11-1719
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 171320 Permit Number: EL -9 -11 -1719 Scheduled Inspection Date: March 21, 2012 Inspector: Devaney, Michael Owner: KING, KEVIN Job Address: 390 NE 97 Street Miami Shores, FL 33138 -2046 Project: <NONE> Contractor: BRINCO ELECTRICAL CONTRACTOR INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)962 -7105 Parcel Number 1132060135810 Phone: (305)275 -6084 Building Department Comments ELECTRICAL SERIVCE UPGRAADE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Commentt March 20, 2012 For Inspections please call: (305)762 -4949 Page 22 of 23 4)44 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. RECEI\TED SEP 2 1.1011 BY: fuLt Master Permit No. Permit Type: Electrical OWNER: Name (Fee Simple Tjtleholder): Ji/ ;+r 11 (I Cl 141013 Address: 39'0 / ' 17 SkT&CI' �/ City: 160'11 s1 *J State: (1 /d ✓+ 0% Zip: 33138' Tenant/Lessee Name: Phone #: Email: ky1411 { /� , 03 ('gi9 .l . Gorn JOB ADDRESS: 3 Ito Ail /141° S iv.,..-6,tr City: Miami Shores County: Miami Dade Zip: 3313 8 Folio/Parcel #: Phone #: 3vS WV 7/0S— Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 'BY' In C.G Ek-GG'Tr 1co t Con4 • Phone #: 805 2756084 Address: 11013i5 SV.) 66 415C City: Nl1 COM 1 . ' State: 'FL Zip: 33 MO Qualifier Name: JoNtly ' • i.© :ica Phone #: a05 2.756084 State Certification or Registration #: OCCA82, Certificate of Competency #: Contact Phone #: Email Address: :Npr a'% IOY inanec.. C.cwv, DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 9th. 00 Square/Linear Footage of Work: Type of Work: Address ❑Alteration ONew 02Repair/Replace ❑Demolition Description of Work: Elc41r1 cm1 sEaX V Ie.E to r c_ *****�,x^x�x*** ****** �u�a****x��x�x�x�x�xx:****** *** Fees**** x��:**** x�**** �n�rx+ �xa�a� ****�x****�x�x�x�x****�x�x� *** Submittal Fee $ 0 i ,.;. t1 Permit Fee $ 3 /5 ('P CCF $ CO /CC $ Scanning Fee $ l Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ a TOTAL FEE NOW DUE $ L/!� GT' `! jCf 0 • 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 posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature e Amer or gen The fore ment was acknowledged before me this at day of ;. , 20 l.� , by �iC� d r it 11-1, who is personally known to me • oing ins r who has produced As ides ti icAtIgn NOTARY RUB ote 06 St d leak. Amy Lopez My Commission DD780430 Expires 04/20/2012 _Air )110 _ 4;4, tractor The foregoing instrument w. acknowledged before me this ti day of . 920 (,by -5-1V 1 4°At.A-II� 0Nt 1`,I,,p�IJJ�� who is personally known to me or who has pr � :Ss /i as identification and v c �•t°ak Oath. Sr, NOTARY PUBLIC: `4 t,% • 3° d/ -..--..c.'*' a\�� ,f'0+ +''kn1100- Sign" Sign: Print: 'ti"!� ►� Z Print: My Commissi , ... s: 41201 Z O I L My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * *... . *** k********** ** *********sk*sksk**ffi****Hss k***+ k*sk+ k******** **+ k**********> Ta*****+k*****si: * ** APPROVED BY 742 Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Clerk 09/21/2011 07:59 3052749994 WAM INSURANCE PAGE 01/01 eb CERTIFICATE OF LIABILITY INSURANCE I DATE /2 1/'''r) PRODUCER WAM Insurance Agency 10837 SW 88th St. Ste 7 -1 Miami, FL 33176 Phone {305)274.4353 Fax (305)274 -9994 INSURED Brinco Electrical Contractors, Inc. 10975 SW 56th Street Miami, FL 33105 L305- 275 -6084 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 NAIL # INSURER A ASCENDANT COMMERCIAL INSURAN INSURER B; INSURER 0: 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 CONDTflON 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. INSR iTR. AbbI. INSRD TYPE OF 1NSURANCE POLICY NUMBER GENERAL. uABILITY 22 COMMERCIAL GENERAL LIABILITY ❑❑ CLAIMS MADE ❑/ OCCUR ED GENT. AGGREGATE LIMIT APPLIES PER POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS [a HIRED AUTOS NON OWNED AUTOS ❑ —_ GARAGE LIABILITY 01 ANY AUTO EXCESS/UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ® DEDUCTIBLE El RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A ANY PROPRIETOR / PARTNER 1 EXECUTIVE OFFICER /MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER GL- 37838 -0 POLICY TEE frmBI iYY 07/13/11 CA- 30061-0 07/13/11 WC- 63418 -0 09/04/11 POLICY EXFIkAT10N bAIEJMMIDDIYY) LIMITS EACH OCCURRENCE PEMS (a re07/13/12 PREMISES Eoocunc e) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS • COMP /OP AGG 07/13/12 COMBINED SINGLE LIMIT Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per acaldent) PROPERTY DAMAGE (Par acrddent) AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY; AGG EACH OCCURRENCE AGGREGATE $1,000,000 $ 100,000 $ 5,000 $1,:000,000 $2,000,000 $1,000,000 50,000 09/04/12 D WC STATU- QI OTH- ... -TO_EttLIMLT-S-.... E.L. EACH ACCIDENT E,L DISEASE • EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2 AVE MIAMI SHORES, FL 33138 J 305- 756 -8972 ACORD 25 (2001 /08) OF CANCELLATION $1'000,000 $1'000,000 $1'000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO tie LEFT, 8U7 FAILURE TO DO SO SHALL IMPOSE NO OELIGATION oR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTA WILVER ALMARALES ACOR CORPORATIt N 1988 DATE DATCH NUMBER' L A .4!:, 2412 FiRsT4LAss U.S. P0STAGE YEO` 14' < AVALIA. FL T'Y PEAL/41T NC) 231 418802-5 THIS IS NOT A SILL 00 NOT .PAY RENEWAL SUSIISESS NAME/ LOCATES'S mxmwrml 437319-7 BRINCO ELECTRICAL CONTRACTOR INC STATER EC0001826 10975 SW 56 ST 33165 UNIN DADE COUNTY owtteN RINCO ELECTRICAL CONTRACTOR INC Set, Tweet SustnesA • : WORKER/S 196 ELECTRICAL CONTRACTOR . USD .4 OM A LOCAS MEMOS TAX SWAPL fr DOES EMT PERM Th SW= W.1 VIOLA= ASV- E3SSIMS ASOULATODY DA ; MEAD LAW 4E ThE .wtrwa,.10Jrattpii: Roamomor,.. SOSSASS WY, TM IS Mr DEDESFEESSED 714:4141444 4044t4 7/07/291 9 lOOSSO I DO NOT FORWAR BRINCO ELECTRICAL CONTRACTOR INC JAVIER P ROJAS PRES 10975 SW 56 ST MIAMI FL 33165 115 iYD 59 • • , \ 4 0. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 1/ —1 dY' Job Name (A/61- CRITIQUE SHEET rA/v / /7/ ,,e0 / /---e ir/e (/`-,/- 7 �' `/2 6 YY / -,t A, / lL Th Peer' �`/t (7/9A- 6 t /& (2.69A, ›y- c 4'a' f 7 Zee // SET \/ CE UP cus:DE FOC=I NG QE \DEk\ICG 3g0 N °:7 -'7_37" 0 M \ A\'•/t 1 S - \0 , 3\ GS 8Y 0 'E3� i �, CO '�1.._.EC T\ \ C L _ CO L T TDB, LNC. (09-7 SW . M \ A. M' ' = �:... 33' 65 30s 275 6 084 I_ic EC 000182.6 0 o� 400A 2 tOOA 120/20 v FPL 3* 3, IVA c X1/0 cu 1%3E 97 sr 6/5 n i0 frOv 01,7 34r 0 , k %c PAi.1EL A 30611/47c. cidry =cau �e p AZ, . p\.6,Q te.A N Miami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT l r.. / R2- X 7 SUBJECT TO COMPLIANCE WITH ALL FEDERAL it*T AaapOUNTY RULES AND REGULATIONS k-oCtlg,d;,, Lk U - 1119 NEw s.QV,c SE E '" oR7t -o fl SEP 2 1 2011 � -t X 91 / D I,< t ti...)G O ) S7 Er 0 6 S`(t ? 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