EL-10-1829Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
6A, AA./\
Inspection Number: INSP- 152362 Permit Number: EL -10 -10 -1829
Scheduled Inspection Date: March 02, 2011
Inspector: Devaney, Michael
Owner: PAZ, EMMANUEL
Job Address: 1291 NE 102 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: AJL ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (239)565 -3103
Parcel Number 1132050200050
Phone: 305 - 895 -4971
Building Department Comments
RELOCATE ELECTRICAL SERVICE TO NEW GARAGE
FROM MAIN HOUSE COORDINATE WIT FP &L (\MN)
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
March 01, 2011
For Inspections please call: (305)762 -4949
Page 11 of 44
10/21/2010 23:39 3058910937 10i`_i`_ti`_i`_tEti` PAGE 02
CERTIFICATE OF INSURANCE
This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois
❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois
insures the following policyholder for the coverages indicated below:
Name of policyholder A J L Electric, Inc.
Address of policyholder 12408 N. Bayshore Dr.
N. Miami Beach, FL 33181 -2431
Location of operations same as above
Description of operations Electrical Contractor - Anthony J Lupo Jr.
The policies listed below have been issued to the porcyholder for the policy periods shown. The insurance described in these policies Is
subject to all the terms exclusions, and conditions of moose policies The limits of liability shown may have been reduced by any paid rlasms
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
Effective Date Expiration Data
UMITS OF UABILiTY
(at beginning of policyperiad)
98BBF936 -7
Comprehensive
Business Liability
05/15/10
05/15/11
BODILY INJURY AND
PROPERTYDAMAGE
Each Occurrence 5 1,000,000
General Aggregate $2,000,000
Products - Completed
Operations Aggregate $ 2,000,000
This insurance includes: ►_, Products - Completed Operations
® Contractual Liability
• Underground Hazard Coverage
*5 Personal injury
[7 Advertising Injury
0 Explosion Hazard Coverage
• Collapse Hazard Coverage
❑ General Aggregate Limit applies to each project
0
■
EXCESS LIABILITY
❑ Umbrella
I Other
POLICY PERIOD
Effective Date Expiration Date
BODILY INJURY AND PROPERTY DAMAGE
(Combined Single Limit)
Each Occurrence $
Aerate $
98BFJ084 -2F
workers' Compensation
and Employers Liability
TYPE OF INSURANCE
05/15/10
POLICY
Effective Date Expiration
05/15/11
PERIOD
Date
Part 1 STATUTORY
Part 2 BODILY INJURY
Each Accident $100,000
Disease Each Employee $100,000
Disease - Policy Limit $ 500,000
UMITS OF LIABILITY
at beginning of policy period)
POLICY NUMBER
Name and Address of Certificate Holder
Miami Shores Village Bldg Dept
10050 NE 2nd Avenue
Miami Shores, FL 33138
558 -904 a 2 -90 Printed in U.S.A.
If any of the described policies are canceled before its
expiration date, State Farm will try to mail a written notice to
the certificate holder 30 days before cancellation. If,
however, we fail to mail such notice, no obligation or liability
will be imposed on State Farm or its agents or
representatives.
10/21/2010 23:39 3058910937
AC# 5.054877 .......,.."
10l`_ `ttl-`_tl-`-t`E`l-`-l-`-
STATE OF FLORIDA
MNO � �"��"DPART SN AULATION
SE4# L10072701454
PAGE 01
2010108015579 EC13002089
The ELECTRICAL CONTRACTOR •
Named below IS CERTIFIED
•t
Under the ons of Expiration provisi
AUG 31,C2012
LUPO ANTHONY J JR
A J L ELECTRIC INC
12555 BISCAYNE BLVD #824• . a
NORTH MIAMI FL 33181 ' -.!9t) wt.
4..;•q.
`Yon.'!• ?� ,��
CHARLIE CRIST
GOVERNOR
DISPLAY AS REQUIRED BY LAW •
CHARLIE • LIEM
INTERIM SECRETARY
s j.d
NORTH!MIAM1
1. 1.1 i; 1 I1 A
Issued Date: 10/1/2010
Expiration Date: 9/30/2011
Business Tax Receipt #: BT- 002364
A J L ELECTRIC, INC.
12555 BISCAYNE BLVD
BOX 826
NORTH MIAMI. FL 33181
City of North Miami
776 N.E.125 Street • North Miami, FL 33161 • 305 - 893 -6511
Business Tax Receipts
ELECTRICAL CONTRACTOR
Business Name / Address:
A J L ELECTRIC, INC.
12555 BISCAYNE BLVD, BOX 826
NORTH MIAMI, FL 33181
City Clerk
NOT /CE: BUSINESS TAX RECEIPT MUST BE
TRANSFERED WHEN BUSINESS is MOVED
NON - TRANSFERABLE • POST IN A CONSPICUOUS PLACE • NON- TRANSFERABLE �s
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� 1° ' ��`' LL19/1iami 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
OCT paritim -11.)
1 8 2010
BY:
Permit No. Et _ aoi
Master Permit No. _ l
-17
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) Pck Z Phone # 2'3 5a S — 3 (T3
Owner's Address
City State Zip
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done)
S`T
k2-ck
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO Flood Zone
Contractor's Compan)t Name A :11-- G Phone # 3 OS- 8 C1 S— (,pq -1
Contractor's Address '/ as S's- 8 I s C- 49 %-lWe- 3 L-L)E -�
City N. 1` 1 iA M t State Zip 3-11I
Qualifier Name ILO-TO 0134 L.. Lt. I0 v Zt< Phone # 3 Os- V'S C(, Ct - (
State Certificate or Registration No. E C_ 130 0 c9439 9 Certificate of Competency No.
Contact Phone 30 S g 1 O S —I 3 4 E -mail tR t— $' L ,( Ct. ii . Gown
Architect/Engineer's Name (if applicable) tA Gip Y`V Ce. Phone #
Value of Work For this Permit $ Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration :New ❑ Repair/Replace ❑ Demolition
Describe Work: 4e ka�,,Is. e (7cG t e „A S'= v v < .. e -t- o 1,,,_e
an. P AO 1■ ,& CA t •-■ k o .'s c c o o Vtlt er `I-_ cj1
******** * * ** * * ** * * * * * * ** * * * * * * * * * * * ** ** Fees************* ** ** * * * ** * * * * * ** * * * * * ** * * * ** * **
Submittal Fee $ Permit Fee $ / .. o' ° Ee' CCF $ CO /CC $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date: 9
Structural Review. $ Total Fee Now Due $ / 9 • 0
See Reverse side -->
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 re- inspection fee will be charged.
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or who ,has produced
As identific,• on and who did take an oath.
NO
Si
LICI*4
Aft
riot: ';f/
My Co ission Expires:
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
9::: PO9z, LAURA FARLEY
APPROVED .?t. y S' MY COMMISSION # DD 646761
a
E Bonded Dm Budget Notary Services
•
Co
The foregoing instrument was acknowledged before me this
day of t 4 C. f 20 Lo, by
who is sonally'kno me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
L ct ' -- c` Fcn k 'e‘."1
tP P
My Commission Expi ='sr . "•. .' LAURA FARLEY
MY COMMISSION # DD 646761
EXPIRES: March 16, 2011
T4 OF Fo Bonded fire Budget Notary Services
* * * * * ** *********************** ***************** * ****** *****k*
Plans Examiner
J44.0F F.0
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
Zoning
Clerk checked