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EL-12-724Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 175354 Permit Number: EL -4 -12 -724 Scheduled Inspection Date: July 03, 2012 Inspector: Devaney, Michael Owner: RIVAS, REBECCA & RODOLFO Job Address: 145 NE 110 Street Miami Shores, FL 33161- Project: <NONE> Contractor: LANGER ELECTRIC COMPANY Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)458 -1933 Parcel Number 1121360040190 Phone: (786)251 -8585 Building Department Comments INSTALL 150 AMP SERVICE Passed Hf Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 175283. Not ready. 2 1Z July 02, 2012 For Inspections please call: (305)762 -4949 Page 18 of 19 412 —V0-4 BUILDING PERMIT APPLICATION FBC 20 VED APR 232012 ,t. Miami. ► . oir = r= �- e Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Telt (305) 795.2204 Fax; (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 ed \7-erk l e Lt- CL -?•t4 o-tov► -e)z'� EL- I— 11- Ig, .\/N45 Permit No. e L I t.„ `211 Master Permit No. Permit Type: Electrical ��++ OWNER: Name (Fee Simple' Titleholder): 8016 TD 4 L'1LI Phone #: (IOC S l933 Atklrnsti: 1 11: 5 r City: Ottatou S iakt)t2i a State: Pt_ - Zip: 23 !tot Temuu/1,es.see Name: Phone#: Email: JOIt ADDRESS: kg e 110 5r City: Miami Shores County: Miami t3ade Ziit: 23 to 1 Folio /Parcel -#: _ 11 z!„21 tkpc 4j 4j Is the J uiiding Historically Designated: Yes NO v' Flood Zone: CONTRACTOR: Company Name: LAMS arv:"-riat C. Co ' Phone # :_tJ4 Cf.-1 g4tS9 Address: • ► a t '{' AN/ r ii i'"a t City: ThitT UK/ DGfLIDA:L . State: V Zip; 23304 Qualifier Name: Rale P.... LA"Pi&1 r Phone#: '(S{ a g V 8q State Certification or Registration #: Ec 0 0 ©O el 1 Certificate of Competency #: Contact Phone #: CtS14 iS 4 t4t' Email Address: 1(1ED6)(C1 342r t iE. V edit' Ce DESIGNER: ArchitectEngineer: Phone #: Value of Work for this Permit: $_1 q , , Square/Linear Footage or Work: Type of Work: °Address ❑A/itteer -ation ❑New �liepair /Replace °Demolition Description or Work: Jf' 7-4, 11 J$O 4 t4lo 65411/1 C 5 Submittal Fee $ �A Permit Fee $ 447°' d'4" CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ „Bond $ Notary $ 1'rainingfEducation Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAI.. FEE NOW DUE $ ta✓� f'D Bonding Company's Name (if applicable) Bonding Company's Address City ..... State .... _._.� ,_ Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Slate 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 he 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 CONDIPIONE1ts, ETC OWNER'S AFFIDAVIT: 1 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 attaCluneun. Also, ri certified GOpy of the recorded notice trf 8ncement must be posted ht the fah Nile for the first Inspection which occurs seven (7) days after the building permit is isst -r1 the ab,• ence of such posted notice, the Inspection will not be approved and a reinspection fee will be charged. Signature \ V 0.J Owr r or Agent The for' oing instrument was acknowledged before me thisb 7 tL•iyof,r 6�'Pl 1 ,20L ,2 , by' j► 'Via MS , who i rsontdly kilo to me or who has produced, __ As identification and who did take an oath. NOTARY P LTC: Sign: Print: My Commissi Signature /Conlrlttor The foregoing instrument was acknowledged before me this ®f day of 1; , 20 LL, by k..06 A, , who is. personally knoyrn to mtuar.who has produced,_..., as identification and who acid take an oath. NOTARY PUBLIC; Sign: �n Print: 776 My Commission Expires: T. B. PLYLER Commies on # EE 114295 &Ores August 16, 2015 bonded fiN 1ivflah I 800.385ri919 C4,, 7-O/ic a * * *ssumaa** **:teams*ss *sxs**** * ******sr: **** ** **** **********m** ****** ** ******* ****SAM ** *** *********** ***** ** ,� 2�%L iP 2 5 ,4"/" Plans Examiner Zoning APPROVE[) BY (Revised 07 /tO/O7)(Revised 0eII0/20O9)(Rsviscd 3115109) Stnictural Review Clerk Miami -Dade County. Real Estate Tax Information http : / /egvsys.miamidade.gov:1608/ wwwserv/ggvt/txcaw01.dia ?foli... Show Me: Property Taxis Search By: ISelect Item Detail Tax Information: Real Estate Tax Info 2011 Taxes Prior Years Taxes Due 2011 Ad Valorem 2011 Non-Ad Valorem 2011 Back Assessments 2011 Enterprise Folio 2011 Historical Abatements 2012 Quarterly Payments 2011 Tax Notice /Memorandum © 2002 Miami -Dade County. All rights reserved. Real Estate Tax Information Today's Date: 04/16/2012 Last Update: 04/12/2012 Tax Year: 2011 Folio Number: 11 21360040190 MIAMI SHORES Owner's Name: RODOLFO VIVAS REBECCA VIVAS Property Address: 145 NE 110 ST Mailing Information : RODOLFO VIVAS REBECCA VIVAS 145 NE 110 ST MIAMI FL 33161 Legal Description : COLLEGE HEIGHTS PB 42 -8 LOT 20 BLK 1 LOT SQE 75.000 X 121 OR 20267 -4132 -33-34 02 2002 1 To view 2011 Tax Notice /Memorandum click here 2011 Taxes are in paid status. Paid by mortgage company: CHASE HOME FINANCE LLC Amounts due are subject to change without notice. Contact Information E -Mail: proptaxA miamidade.gov (305) 270-4916 Downtown Office: 140 W Flagler St., Room 101 Miami, FL 33130 Office Hours: Mon - Fri 8:00 AM - 4:30 PM Related Links: Tax Collector Property Appraiser Florida State Dept of Revenue 0 Property Tax Home 1 Real Estate Tax Info 1 2011 Taxes 1 Prior Years 1 2011 Non -Ad Valorem 2011 Back Assessments 12011 Enterprise Folio 12011 Historical Abatements 12012 Quarterly Payments 1 2011 Tax Notice/Memorandum Miami -Dade Home I Using Our Site I About 1 Phone Directory I Privacy I Disclaimer E -mail your comments, questions and suggestions to Webmaster 1 of 1 4/16/2012 2:11 PM LANGE -2 OP ID: J3 iztC-C,RtY CERTIFICATE LIABILITY INSURANCE 03 /07 DATD/YYYY) 03/07/12 THIS CERTIFICATE IS 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 —=LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. r- 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 endorsement(s). PRODUCER 954 - 776 -2222 Brown & Brown of Florida, Inc. 1201 W Cypress Creek Rd # 130 954 - 776 -4446 P.O. Box 5727 Ft. Lauderdale, FL 33310 -5727 Andrew Noye, CIC, CRIS CONTACT NAME: (acNNo, Ext): FAX No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hanover American Insurance Co+ 36064 INSURED Langer Electric Company dba Langer Electrical Services Co 6500 NW 21st Ave, Suite #1 Fort Lauderdale, FL 33309 INSURER B : *Hanover Insurance Co.+ 22292 INSURER C : *FFVA Mutual Insurance Co.+ 10385 INSURER D: 03/10/13 INSURER E : $ 1,000,000 INSURER F : 100,000 $ r COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PERIOD THIS TERMS, INSR LTR TYPE OF INSURANCE ADDL INSR SAIBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X LIABIUTY COMMERCIAL GENERAL LIABILITY ZZJ765636502 03/10/12 03/10/13 EACH OCCURRENCE $ 1,000,000 DAMAGES RENTED PREMISES ( (Ea occurrence) 100,000 $ r CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE POLICY X LIMIT APPLIES ECOT- PER: LOC PRODUCTS - COMP /OP AGG $ 2,000,000 Emp Ben. $ 1,000,000 B NUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS AHJ947590200 03/10/12 03/10/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE UHJ765636002 03/10/12 03/10/13 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED X RETENTION $ -0- $ C WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC84000183242012A 01/01/12 01/01/13 X WC STATU- TORY LIMITS X OTH ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A Equipment Floater ZZJ65636502 03/10/12 03/10/13 Leased / Rented Eq 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER MIAMI -1 Miami Shores Building & Zoning g g 10050 NE 2nd Ave Miami Shores, FL 33128 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 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD cn BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 DBA: Receipt #:181-3180 Business Name: LANGER ELECTRIC COMPANY ELECTRI CAL/ALARMS /CONTRACT Business Type:ICERT ELECTRICAL CONTRACTOR Business Opened:o9 /o6/2007 State /County /Cert/Reg:EC 0 0 01959 Exemption Code :NONEXEMPT Owner Name: ROGER EDWARD JR LANGER Business Location: 6500 NW 21 AVE 1 FT LAUDERDALE Business Phone: Rooms Seats Employees 20 Machines Professionals Number of Machines: For Vending Business Only • Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 54.00 0.00 0.00 0.00 0.00 0.00 54.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and /or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: ROGER EDWARD JR LANGER 6500 NW 21 AVE STE #1 FORT LAUDERDALE, FL 33309 2011 - 2012 ..... ....._... Receipt #05A- 10- 00009418 Paid 07/25/2011 54.00