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ELC-11-1229
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 161820 Permit Number: ELC -7 -11 -1229 Scheduled Inspection Date: August 03, 2011 Inspector: Devaney, Michael Owner: Job Address: 9475 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ARO ELECTRICAL CONTRACTOR Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060133760 Phone: (786)873 -3555 Building Department Comments LIGHTING Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 02, 2011 For Inspections please call: (305)762 -4949 Page 28 of 47 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 JUL 1 i 2011 Permit No. tl Master Permit No. MG 11-- 5 13 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Bank of America Phone #: Address: 525 North Tryon City: Charlotte State: North Carolina zip: 28202 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 9475 NE 2nd Ave (Also referenced as 9499 NE 2nd Ave) City: Miami Shores County: Folio/Parcel #: 11-3206-013-3760 Miami Dade Zip: 33138 Is the Building Historically Designated: Yes NO x Flood Zone: CONTRACTOR: Company Name: ARO Electrical Contractor Phone #: 786- 873 -3555 Address: 16540 SW 97 St. City: Miami State: FL Zip: 33196 Qualifier Name: Volker Stenkewitz Phone #: 786 - 873 -3555 State Certification or Registration #: EC13004264 Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 11)500-W-- Square/Linear Footage of Work: Type of Work: DAddress DAlteration UNew ORepair/Replace ❑Demolition Description of Work: Lighting *• x******** ***. x+ x* **+ x***********.x**** * * ** Fees** *** *+ x***************** ** * * * * * * * *w + * * * * * *** Submittal Fee $ Permit Fee $ 0/ 7 ' J' © CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ t"70% �� 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 A}FLDAVIT: 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 rei pection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this .14s. day of °L1 , 20 it , by W.Optokri KarJo n-to day of who is personally known to me or.whe has- produee& who i Signature %Z Contractor The foregoing instrument was acknowledged before me this 20 (I , by V011�r S+e(► k41u oti- NOTARY PUBLIC: My Commission Expires: vv-x.„4 °2 axii 3 APPROVED B omeorwhoh.s' o.uc-d l/ Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY Sign: Print: My Commission Expires: Zoning Clerk minim A WA WM to MN oft* I, .G! gni +sr q .ournA3 1(RI ePbi@(yf 9 ♦ aoi3 n Sands Gerieral Cottkactors, 39 4Fireet Slaw 104 3M42 to: mmeetattal contractor tem tliti 97 Sttnadt NtittnlFt. Mae Subcontract Contact* 1651487 ozetract Cam on9i2oti Ptojecta 1E51 tht t4tting awes Wage NE 2nd Awl (dont Shores Ft Furnishattitjtkits‘mtitnolly ompliont labor, equipment and mated-01s in cnnigtanthefoliwingt: Notes fellAW SNORES UG UMW* PRGJECT 1st Nom* 18.160 Lighting l6100 Lighting 16.450 -Lighting PRCNIMAND -WIRE CEiLING MOUNTED OCCUPANCY SENSORS . 2) DEMOVOSTING H1G4 FtN 1.089Y.MEA. 4quantitr-18) katantity VittRE ANO1MTALI. NEW 2X2ty"souc LAY IN PixTURES, (cotrittly=413) Wige AND ltrALL NEW ROA STANDARD MON MT ON CEILINtl OVER THE ewnwicE igtarititr pRovi:tmo (WALL Z TWO LAMP 91MP-tie HT FtXTURBS, ONIENIEUERETATIONS„ Nitantib)=-- 12) '1_ • , . - • - : „ , . ,1*-Wpgt,tftootwoortetih-if.i,00:00istittiulo 1,144 toms OttittatftpOtroct ow* *togorttrivin tghtottitht p-fjyoefntht*unttttttaoihttioo*ftop,,toott-horotn:Ftotvyolttg, oneatotvo:%***tortettiroao tonAtokitti. Ottoint.thiththito 1. 2. OW0 StgoK „. thoctentnottrolaptoh.:SontkOoppottphyttrqtttp40000holitoonttiohro, iiki0401*.etatitiostor*AgriteworiAirbitittieret, eeeeunef mit,i00.1410,4)110 1.104i0A.0 poy.t*ittail0,:404****:- ffioyoneoi-t#Aiopnnsigopotpnnpho#oiotslnofiintkngtninitrient:nii:isr-ni*teinintfndini- OSGC printawne Su"- phrd Oka Signattre Sigrobire CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDINYYYY) 06117/11 THIS CERTIFICATE tS ISSUED AS A MATTER OF IIFORMATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE HOLDER. THIS CERTIFICATE DOES NOT AFFJRMATIVELY OR NEGATIVELY Ate, EXTEIND OR ALTER THE COVERAGE AFFORDED BY THE POUC!ES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIRCATE HOLDER. IMPORTANT: lithe certificate holder Is an ADDmoNAL, INSURED, the motes) must be endorsee. ff SUBROGATION IS WAIVED, subject to the terns and conditions the policy, cedtsln potties may napdre ear endrsemen2 A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsernent(s). PRODUCER Frases & Frases insurance 5900 West 161h Ave. Hialeah„ FL 33012 Phone (305)558- 1333 Fax (3 ACT NNAAMME: nibIkt3 SENDS Park, exv (M5)558-1333- 1 use. Not (3) 558-4385 EMAIL ADDRESS: PRODUCER CUSTOMER ID INSURED ARO Electrical Contractor Inc 18540SW97St Miam 1, FL 33196- )259-5739 COVERAGES INSURER(S)AFFORDING COVERAGE resume A: ASCENDANT INSURANCE CO NAIL INSURER 0 : INSURER C : INSURER D : INSURER E' CERTIFICATE INSURER F: THIS INDICATED. CERTIFICATE EXCLUSIONS I TYPE IS TOCERTiFYYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NM ED FOR THE PCLICY PERIOD NOTWITHSTANDING ANY TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED ELY THE POLICES DESCREED FEREg4IS SUBJECT TO ALL THE TERM, AND CONDii(ONS OF SUCH POLICIES. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S OF INSURANCE IADDL'SU9R INSR N WWI POLICY NUMBER GL-10-S38 POLICY EPF 09(1412010 POLICY EXP aW1492011 LIMITS EACH OCCURRENCE $ 1.000,000 A GENERAL LIABILITY ® CC'OMMERCIAL GENERAL LIABILTRY ❑ I_1 LAIMS-4lADE .� OCCUR DAMAGE TO a occurrence RENTED PR£iasss(Ea4xurre ) $ i�,>m0 MED EXP (Any one person) $ 5,000 PERSONAL & ADV DIJURY $ 1,030,000 ■ GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 1,000,000 • P O L I C Y E l • Lac $ AUTOMOBILE LIABILITY ❑ ANY AUTO - COMBINED SINGLE OMIT $ ALL OWNED AUTOS • SCHEDULED AUTOS El AUTOS ❑ NON -OWNED AUTOS 0 BODILY 6 BODI.YIdJURY(Peraccidentj $ PROPERTY DAMAGE (Peraccklent) $ $ $ ■ UMBRELLA MB ■ OCCUR EACH OCCURRENCE $ ❑ EXCESS .LAB ❑ CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ I� 1 1 RETENTION $ 5 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AN,PR��YIN OFF:CERMIEMBER EXCLUDED? ` N f A I I WC STALAd1- • �- ACCIDENT 5 (Mandatory M NH) Hges describe under DESCRIPTION OF OPERATIONS betow EL DISEASE -EA EMPLOYE 6 Ei. DISEASE - POIICYLIiAIT $ DESCRIPTION OF OPERATIONS !LOCATIONS r VEHICLES Mach ACORDIBI, Addithenal Remarks Scheduie, If more space is required) nae-ncanATIM urn n,.. ANCELIJ4TON alarm Shores Vile Mang Department 10050 NE 2nd AVE Miami Shores, FL 33138 ACORD 25 (2009108) QF SHOULD ANY OVINE ABOV€ : .' i BED BEFORE THE EXPIRATION DATE THEREOF, NOT. « MIL BE DELIVERED IN ACCORDANCE WTI HTHE POLICY PROVISIONS. AUTHOREED REPRESENT ^"`AGORD TON. AI rights reserved. and logo are registered marks of ACORD