EL-12-1342Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 176124 Permit Number: EL -7 -12 -1342
Scheduled Inspection Date: October 03, 2012
Inspector: Devaney, Michael
Owner: SEATON, DOUGLAS
Job Address: 1201 NE 97 Street
Miami Shores, FL 33138 -2559
Project: <NONE>
Contractor: BARRETT ELECTRIC CO
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number 305/758-1145
Parcel Number 1132050090370
Phone: (305)552 -6611
Building Department Comments
ADD OUTLETS, SWITCHES, AND LIGHTS FOR GARAGE
CONVERSION.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Commends
c:5'c/ ///'
October 02, 2012
For Inspections please call: (305)762 -4949
Page 5 of 25
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fa= (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
JUL 1 2®1
-
.1� . 0
FBC 2010
BUILDING Permit No. EL- 12 1342
PERMIT APPLICATION Master Permit No. lie- 12- (091
Permit Type: Electrical
JOB ADDRESS:
S�
City: Miami Shores County: Miami Dade
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO
Dle,N LL)
Flood . Zone:
se- 610 '11/
ON-7 Phone#:36
OWNER: Name (Fee Simple Titllder): �
Address: 1 �'
City: m \C vr% , SIT s
State:
Zip: 3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR Company Name:
Address:
Phone#: W%e .-7,
C i t y : %' 47.6. State: ` Zip: 33®63
Qualifier N , „' 8,4A.1 v'/4 /5,fiRe/ Phone#: ".5y:- 2%e ° 717
State Certification or Registration #: frse %goo /f /? Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Arehitect/Enginee - Phone#:
e.t®
Value of Work for this Permit: $ K O4O. Square/Linear Footage of Work:
Type of Work: OAddress OAlteration ONew ORepair/Replace
Description
ODemolition
e******* * ***** * * * * * * * * * * * * * * * * * * *** * * ** gees************* * *** * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 2 mo 3e� CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ an .0H--
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 F► ECTRICAL 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 1
The fo
day o
who is
Owner or Agent
instrumen
201 .,by
natty known
1•
me or who has produced
ratification and who did take an oath.
Contractor
The foregoing instrument was acknowledged before me this 41
day of �� , 2011 by Zan v I f+
who . - . nall known to me or who has produced
as identification an
NOTARY PUBLIC: .
NOTAR ' PUBLIC:
Sign:
Print
My Commission
oaAc
s se 9
0
j PUB ,;c opeE 9 P
so t . ° # N a N a
G °°
rs/2.
Plans Examiner Zoning
My Commission Expires: A p. i i a 2• I L.D
APPROVED BY
Structural Review
(Revised 3/12/2012)(Revised 07 /10/07)(Revised 0611022009)(Revised 3/15/09)
Clerk
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399 -0783
BARRETT, BANVILLE
BARRETT ELECTRIC INC
6826 NW 32ND CT
MARGATE FL 33063
Congratulations! With this license you become one of the nearly one million
Floridians licensed by the Department of Business and Professional Regulation.
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order to serve you better
For information about our services, please log onto www.myfloridalicense.com.
There you can find more information about our divisions and the regulations that
impact you, subscribe to department newsletters and learn more about the
Departments initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly. We
constantly strive to serve you better so that you can serve your customers.
Thank you for doing business in Florida, and congratulations on your new license!
1300
DETACH HERE
osI
I& CERTXF3ED snider provieta. a of ri 4-S a 8s
ration -date AUK t31 2012., 3OQ"]16Q]1 " "
„u
115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000
VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012
DBA:
Business Name: BARRETT ELECTRIC INC
Owner Name: BARRETT BANV I LLE
Business Location: 6826 NW 32 CT
MARGATE
Business Phone: 954 - 255 - 9157
Receipt #:181 -16 2 8
Business Type :ELECTRICAL /ALARMS /CONT
(ELECTRICAL CONTR)
Business Opened:i2/08/1982
State /County /Cert/Reg:EC13 00194 9
Exemption Code:NONEXEMPT
Rooms
Seats
•
Employees
2
Machines
Professionals
For Vending Business Only
In g Type:
Tax Amount
INY111V01 VI MOM/
Transfer Fee
IIII /7••
NSF Fee
Penalty
Prior Years
Collodion Cost
Total Paid
27.00
0.00
0.00
0.00
0.00
0.00
27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT
WHEN VALIDATED
Mailing Address:
BARRETT ELECTRIC INC
6826 NW 32 CT
MARGATE, FL 33063
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.
2011 - 2012
Receipt #032 -10- 00006234
Paid 08/24/2011 27.00
05/09/2012 09:50 9545839802 JW INSURANCE PAUL b1/111
Aiwow�' CERTIFICATE OF LIABILITY INSURANCE DATE 1
PRODUCER c _._•.9._.__..- ._..... THIS CERTIF'CATE IS ISSUED AS A MATTER OF INFORMATION
! PRDDUC� »JYOf Insane= Sen�Ces ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
100 North State Road 7, 1 106 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Margate, FL 33053 L!: .. - ,iii. -.:.J. C{- 7- 0.lDIRAY THE P.OL CI- - -. 3 1i .
f--- Phone (954) S83 -7213 Fax (954) 583 -2045 INSURED AFFORDING COVERAGE
tJEIRyi Canal Indemnity
INSURED Barrett Electric, Inc. INSUR£�, 6: Fobs
8828 NW 32nd Court I S R C:
Margate. FL 33063 INSURER D:
INSURER E:
NAIC 0
COVERAGES INSURER F:
THE POLICIES OF INSURANCE LISTED HAVE BEEN IZSUED 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.
AWL POLICY NUMBER POLICY EPPECTIVE
aKR
TYPE OF INSURANCE
GENERAL LIABILITY
® COMMERCIAL GENERAL LIABILITY
00 CLAIMS MADE ® OCCUR
0
GEN'L AGGREGATE LAST APPLIES PER:
POKY ❑ PROJECT ❑ LOC
AUTOMOBILE LIABILITY
❑ ANY AUTO
❑ AU. OWNED AUTOS
❑ SCHEDULED AUTOS
FA HIRED AUTOS
® NON OWNED AUTOS
D
GARAGE LIABILITY
❑ 0 ANY AUTO
EX LIABLTY
❑ ❑ OCCUR ❑ CLAIMS MADE
❑ DEDUCTIBLE
O RETENTION 8
WORKERS COMPENSAFO,!
EMPLOYERS' LIABILITY
B ANY PROPRIETOR /PARTNER / EXECUTIVE
OFFICER / MEMBER EXCLUDED?
If tlesaire under
Qy1810N,helow
OTHER
DESCRIPTION OF OPERATIONS r LOCATE / VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
`**ELECTRICAL WORK - WITHIN BUILDINGS***
GL102480 01/01/12
GL102480
WITH EXPIRATION
LIMITS
EACH OCCURRENCE
rinkrrallEFITEIT
01/01/13 (Ea OCOurivica
AI=D EXP (Any one Pew)
PERSONAL &ACV INJURY
1,000,000
01/01/12 01/01/13
10846373
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGO
Fire Liability
COMBINED SINGLE MT
,SEa,..ena
BODILY INJURY
Ter penal
BODILY INJURY
accident)
5,000
1,000.000
2,000,000
2,000,000
50,000
1,000,000
PROPERTY DAMAGE
..tom! 1S •
ALTO ONLY - EA ACCIENENT
OTHER THAN EA ACC
AUTO ONLY: AOQ
EACH OCCURRENCE
AGGREGATE
03/01/12 01/01/13 21 MI 0
ILL EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L DISEASE - POLICY LIMIT
1.000,000
1,000,000
1.000.E
CERTIFICATE HOLDER _.._
Miami Shores Village
10050 NE 2nd Avenue
Miami Shores, FL 33138
ACORP 21 (2001/08) OF
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING CURER WILL ENDEAVOR TO NAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
Tii'EtEPr, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 1988
Miami Shores Village
Building Department
Permit No: 12- l"?
Job Name: 5'0E/0- i ®A'
Date: z
ELECTRIC Critique Sheet
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
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_a_z2:_p 5/y G'/r'E /C " .072
5, 30, pz,
Plan review is not complete, when all tems above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Review Complete by: Michael A. Devaney SR.
Chief Electrical Inspector
PERMIT # R(-\2-- fl‘2--
CONTRACTOR:
SUBMITTAL DATE: 14 I IE
_
ADDRESS: 1 'AO' 011 5 (
NAME:
RESUBMITAL DATES:
PROJECT TYPE:
CIO / //z
ZONING
FIRE
/.1(1 OAk tli
STRUCTU' ._
IMPACT FEES ./1/1/1
z3 Ay (z-
ELECTRICAL .� t,. OW /9-,0-0.0,
HRSIDERM il°1
i
• `'� .
PLUMBING ?,@1" ti-72,41—
1Ve MECHANIC P /
1 �l 1 •r•1,
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e