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EL-12-1589Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 177707 Permit Number: EL -8 -12 -1589 Scheduled Inspection Date: November 01, 2012 Inspector: Rodriguez, Jorge Owner: PACHECO, MANUEL Job Address: 9080 NE 2 Avenue Miami Shores, FL Project <NONE> Contractor: METPLANET ELECTRICAL Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)336 -4908 Parcel Number 1131010190090 Phone: (754)214 -1695 Building Department Comments KITCHEN AND BATHROOMS REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments November 01, 2012 For Inspections please call: (305)762 -4949 Page 3 of 15 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 ' e: Electrical OWNER: Name Simple Title der): 1444 el 1 p,4 C Phone #:30 5-62,g45.0 63, Address: 6(2 ,2 ,4 - City: /6,4- 7 - 07-ed !/r State: e/. Zip:$3 /3-e Tenant/Lessee Name: Phone#: Email: A A 1 - ;�wyti a ■:_ L , Permit No. Master Permit No. JOB ADDRESS: "10 1p Ala 2 Ile - County: 244° Miami Dade City: 5 Miami Shores Folio/1arcel #: Zip: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: L/ 1IN E eel x'e/ ee Phone #: 761i4 r9- / ^ /6 9 S Address: 2 i City: s�1/ J 6 Stat Qualifier Name: 4/ef , " / State Certification or Registration #: /- /3 0/.3 Certificate of Com, et ncy #- Contact Phone #: p l LK/to. 9f Email Address: l eV z �.`Z �� DESIGNER: Architect/Engineer: Phone#: Zip: c73z Phone#:'%S7C PO Value of Work for this Permit: $ ?PO Square/Linear Footage of Work: Type of Work: Address _OAlteration UNew BRepair/Replace ODemolition r// ./ Description of Work: y - ***************************************Fees* ' * * *****t** x******* * ** Submittal Fee $ Permit Fee $ /f2't O CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ f Q� TOTAL FEE NOW DUE $ LO' L `10 e + 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 At Ih'IDAVIT: 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 a hment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection wh• ' o curs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ap oved and a reinspection fee will be charged. Signature / I� Signature or Agent / Contractor I The foregoing instrument was acknowledged before me this /6 The fore; orng i ment was acknorledged bef ire - e thii l day of 171/ 5 , 20 12', by l �M /O Pa Ct'1((J , day of ►7 , 20.1. by who is erp sonally known to me or who has produced w or, • ersonally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: a Sign: vv Print: >g ification and who did take an oath. OTARY PUBLIC: .�pPV PV6'' B. SALVER My Commission Expir Notary Public - State of Florida • My Comm. Expires Dec 3, 2014 Commission # EE 36175 * * * * * * * * * * * * * * * * ** Sign: Print: My Comm. °'PGd'''' (AO P pblic ,files Se9 2 g10 * * * * * * * * * * * * * * * * * ** APPROVED BY E,' /L /�`� � Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk 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 BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS IS NOT A BILL— DO NOT PAY 605640 -2 RENEWAL BUSINESS NAME / LOCATION RECEIPT NO. 631787-9 METPLANET ELECTRICAL CONTRACTOR CC B 07E000659 INC DOING BUS IN DADE CO OWNER 1 METPLANET ELECTRICAL CONTRACTOP Sec. Type of Business '- THIS Is # a UCTRICAL CONTRACTOR 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: 10/06/2011 02220002001 000082.50. SEE OTHER SIDE WORKER /S 1 DO NOT FORWARD METPLANET ELECTRICAL CONTRACTOR INC JEAN LESLIE TELFORT PRES 6231 GRANT CT HOLLYWOOD FL 33024 111111 I 1 111111 I I1 I II 11111 I I II II 11i111,11I�Il1Ltll4,1 CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 07E000659 METPLANET ELECTRICAL CONTRACTOR INC ELF 'T JEAN LESLIE Is certified under the provisions of Chapter 10 of Miami -Dade County r �" l`I 1 `•} e(-5,1-41 R4-1( 'V1XI,' i ,I g3; t2 iv i, Sep 12 12 03:13p CO•® JAEL ORTOLA 9549656941 p.1 It1JDD/YY) CERTIFICATE OF LIABILITY INSURANCE l DATE ( 09/12/12 PRODUCER Sllva and Jael Insurance Agency 811 N. State Road 7 Hollywood, FL 33021 (954)965 -6940 Fax (954)965-5941 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 NAIC 11 INSURED (METPLANET) ELECTRICAL CONTRACTOR INC. 6231 Grant Court HOLLYWOOD, FL 33024 L.. _ • INSURER A: Ascendant Insurance INSURER B: INSURER C: INSURER 0: 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 CONDITION 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. POLICY DTE (MM /D DATE EXPIRATION TYPE OF INSURANCE GENERAL LIABILITY 0 COMMERCIAL GENERAL LIABILITY ❑ D CLAIMS MADE D OCCUR POLICY NUMBER GEN'L AGGREGATE LIMIT APPLIES PER D POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS • NON OWNED AUTOS ❑ GARAGE LIABILITY C ❑ ANY AUTO 0 GL- 40715 -0 EXCESS/UMBRELLA LIABILITY ❑ ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION 3 WORKERS COMPENSATION AND EMPLOYERS' LABILITY ANY PROPRIETOR / PARTNER 1 EXECUTIVE OFFICER / MEMBER EXCLUDED? II yes„ describe under SPECIAL PROVISIONS below OTHER 09/12/12 09/12/13 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea o curence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP /OP AGG $1,000,000.00 $100,000.00 $5,000.00 $1,000,000.00 $2,000,000.00 $1,000,000.00 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURRENCE_ AGGREGATE ❑ TORY LIMITS 0 ER" E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE EL. DISEASE - POUCY UMrr JEAN TELFORT DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSLONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CITY OF MIAMI SHORES 10050 NE 2 AVE MIAMI SHORES,FL 33037 FAX# 305 - 756 -8972 ACORD 25 (2001108) CIF CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE LEYNNI MARRERO ©ACORD CORPORATION 1988