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EL-12-1035Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 �C —(2 I03 4-1- Inspection Number: INSP - 174496 Permit Number: EL -6 -12 -1035 Scheduled Inspection Date: December 03, 2012 Inspector: Devaney, Michael Owner: RODRIGUES, MARIANA Job Address: 141 NW 96 Street Miami Shores, FL 33150- Project: <NONE> Contractor: J&P ELECTRICAL CONCEPTS INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010250110 Phone: (954)345 -4050 Building Department Comments INSTALLATION OF GFI SWITCHES, INSTALL VENTS, SWITCHES FOR KITCHEN REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments November 30, 2012 For Inspections please call: (305)762 -4949 Page 2 of 29 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 Permit Type: Electrical JOB ADDRESS: 141 NW 96th Street FBC 20 Permit No. , Master Permit No. 1'6-G V-7 1 1g- ICM City: Miami Shores County: Miami Dade gip; 33150 Folio/Parcel #: 11- 3101- 025 -0110 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Daniel Freitas Phone #: Address: 141 NW 96th Street City: Miami Shores State: Florida Zip: 33150 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: J & P Electrical Concepts, Inc. Phone#: 954 -345 -4050 Address: 4613 N. University Drive #463 City: Coral Springs State: Florida Zip: 33067 Qualifier Name: John Vignola phone#: 954 - 345 -4050 State Certification or Registration #: ER13012924 Certificate of Competency #: 07E000949 Contact Phone#: 954 - 3454050 Email Address: info @jp- electric.com DESIGNER: Architect/Engineer: Charette International Architecture Phone#: 561 - 756 -6094 Value of Work for this Permit: $ 000 , 90 Square/Linear Footage of Work: Type of Work: ClAddress OAlteration ONew ORepair/Replace ODemolition Description of Work: See Attached Plans bLt crf21 C4L W02 x 14/ .K /7c }Z -,1O ,4 4'b . -frPoo44 Submittal Fee $ Permit Fee $ / ®F 4" CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ l 10 . CU 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 ELRCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOTT.FRS, 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, r plicant must promise in good faith that a copy of the notice of commencement and construction lien law br, Kure will be delive j' d - o the person whose property is subject to attachment. Also, a certified copy of the recorded notice of co ement m t be pos at the job site for the first inspection which occurs seven (7) days after the budding permit is issi In ab we of such ' o'ted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent Co ., tor The foregoing instrument was acknowledged before me this The foregoing instrument was ac . wledged before me this day of , 20 , by , day of B I , 20 ± ach LgrDI 4 who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Co My Commission Expires: ********* **, **** *+x <_...; -_r.,: _r ;;._ *** ***** **u * ** * **** x****+ *** * * *** * * ** * f zev s4 APPROVED BY .716 Pions Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09) 1 MIAMI -DADS COUNTY TAX COLLECTOR 140 W. FLAGLER ST. let 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 THIS IS NOT A BILL - DO NOT PAY RENEWAL RECEIPT NO. 656363-0 CC # 07E000949 629768 -3 BUSINESS NAME / LOCATION J & P ELECTRICAL CONCEPTS INC DOING BUS IN DADE CO OWNER J & P ELECTRICAL CONCEPTS INC Sec. Type of Business A �,,,li fCTRICAL CONTRACTOR BUSINESS E BUSESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER PERMIT F OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI•DADE COUNTY TAX COLLECTOR: 09/28/2011 09010436001 000075.00 SEE OTHER SIDE FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 WORKER /S 1 DO NOT FORWARD J & P ELECTRICAL CONCEPTS INC JOHN M VIGNOLA PRES 4613 N UNIVERSITY DR #463 CORAL SPRINGS FL 33067 A :OW ti CERTIFICATE OF LIABILITY INSURANCE 9/12(M( T> /2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poltcyges) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the polity, 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 CORAL FINANCIAL GROUP 10176 W Sample Rd Coral Springs, FL 33065 -3942 CONTACT NAMME' TGNwEd) (954)345 -2600 ADDRESS coralfinl @aol. com (plc No) (954) 345 -2614 INSURERS) APPORDING COVERAGE INSURER A MT. VERNON INSURED J & P ELECTRICAL CONCEPTS, INC 4613 N. UNIVERSITY DR 4613 N. UNIVERSITY DR CORAL SPRINGS, FL 33065 954- 345 -4050 INSURER e INSURER C INSURER 0 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, tAV W SIUNS HAW VUNUI1 IUNJ Ur JUI•n rtJLIUCS. LUAU I S JIAIVAN IDW T trout DCCIM RCUU V GV O r rruv aivumo. MISR TYPE OF INSURANCE LTR AGM INSR SUER WAD [ POLICY NUMBER ppUCY EFF (NQvWD /YWY) POLICY EXP ! (MM1DOrvYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY OCCUR : '. CL2586449 '11/18/1111/18/12 ; EACH OCCURRENCE $ 1 X000', 000 $ '100,000 DAMAGETO RENTED PREMISES (Ea acurrerrca) !CLAIMS-MADE j MED EXP (Any One a 1) $ 5,000 _ GENT_ PERSONAL II ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2x000,000 AGGREGATE LIMIT APPLIES PER. POLICY I 1 JECT -i LOC.. 1 PRODUCTS - .COMP/OPAGG $ 1 r�000 , 000 I I $ 'r— AUUTOMOBILE I— �-- I LIABILITY ANYAUTO ALL AUTOS ED i— HIRED AUTOS $G1IEGDLED NON -OWNED I AUTO$ COMBINED SINGLE OMIT $ : BODILY INJURY (Per person) $ : BODILY INJURY (Peracadant) $ 1 PROPERTY DAMAGE (Peraccelent) UMBRELLA LAD I OCCUR EXCESS LIAB ,� CLAIMS -MADE lEACH OCCURRENCE $: AGGREGATE $ DED I 1 RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORNARTNEWEXECUTIVE [ OFFICERJM00BER EXCLUDED? I iMmrmtary In MO U desonbe under DESCRIPTION OF.OPERATIONS below NIA � WCSTATU- f IOTN- I TORY LRAR6 ER 4 EL EACH ACCIDENT $ - ( E L DISEASE - EA EMPLOYEE $ I E.L DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 707, Additienel'Remerks Schedule i1 more space is required) CERTIFICATE HOLDER CANCEL MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 ACORD25(2010 /05) SHO NY OF THE ABOVE DESCRI ED POLICIES BE CANCELLED BEFORE THE -IRATION DATE THEREOF ' NOTICE WILL BE DELIVERED JN I AC ''.ANCE VdITH THE POLICY PR1 SIONS. AUT ,„ IZED REPRESENTATIVE 988 -jOACO lCORPORA • Alt ,'h'reselved. The ACORD name and logo = `registered ma ;f of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM IDDIYYYY) 0W11/2012 PRODUCER Warren Insurance Corporation Peninsula Corporate Circle Slice 1012 Boca Raton FL 33487 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 # INSURED J&P Oedrical Concepts, Inc. 4513 N Urliverslty Dr. Ste Cord Swings FL 33067 INSURER A: CastlePdnt Flonkkr Insuraxs INSURER B: Old Donirllan Insrraroe INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW 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. INSR LTR ADD'L NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE tMIMIDDIYYYYI POLICY EXPIRATION DATE (MMIDDIYYYYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PREM S (RENTED PREMISES (Ea occurence) $ CLAIMS MADE 1 OCCUR MED EXP (Arty one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGO .$ POLICY Ti JFCTT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY OCCUR 1 l CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ A WORKERS AND EMPLOYERS ANY PROPRIETOR/PARTNER/EXECUTIVE�j OFFICER/MEMBER (Mandatory If yes, describe SPECIAL COMPENSATION LIABILITY EXCLUDED? I l 2 3 X 1 OCRYTI AT - I I OTH- ER E.L. EACH ACCIDENT $ 100 EL. DISEASE - EA EMPL(YEE $ MOM In NH) under PROVISIONS below E.L. DISEASE - POUCY LIMIT $ 1A= B OTHER 5-N OWMI2011 OW3W2013 $2000 DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Mani SIMS Ong Ceixstrnent 11 I. 1 NE 2ind Ave Mani Sims, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 REPRESENTA , _ jk+ ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD eserved. 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 Permit Type: Electrical JOB ADDRESS: 14 / NA/ � . City: Miami Shores Folio/Parcel #: County: JUI a 6 2.12 BY: FBC 20 Permit No. EA - 1 2x 7 Master Permit No. V-0 19,731— Miami lade' Zip: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): �f t A/ i LPL, FR E/ Phone #: 3 D —" Cra 3 96 (7 Address: /4! City: /t/fi A o S IOR eS State: FL Zip: ?*3 /.-O Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: 6-4 G t r 7 , / D L'O (C/'i✓ —S //L¢i%ne#: 9531 44- Ai" 4j5"7 Address: /0 0 i 7 C L6 ,4 ' 7T 2 9- L,, , City: p e.A %'t T A%/ 2 Al State: f. L., Zip: 3.33. Qualifier Name: S <- Pts 1 C2 Lt) PEE /ii-E---4 Phone #: 9 «% (P .7 State Certification or Registration #: �. 0 Ot.,,:9 Oaca Certificate of Competency #: Contact Phone#: 7.4> 6 _ 0290; 6 78 Email Address: DESIGNER: Architect/Engineer: f" Phone #: Value of Work for this Permit: $ x C., a Square/Linear Footage of Work: Type of Work: DAddress OAlteration DNew XRepair/Replace ❑Demolition Description of Work: 14/4 t4 Li & F i o'!/ � cu fr-C -0 -s D 1/41444 105-' '91/4-, r ') 3 A6 T9L L ' 4444 O A4'.b si "/ rc/r ©ti roP or eavi 'Z QP ******** * *+x***** * * ****** *** * * * ********Fees *** * * ******* *, * * *** * *** * *** * ***** ** ***** *** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 scjch posted notice, the inspection will not be approved and a reinspection fee will be charged. � / _ n Signature /Signature The f day o wfiois Owner or Agent trument as ,20I'�i NOT Sign: Print: wledged known to me or who has produced cation and who did take an oath. Contractor Thie"fore4 in instrument was acknowledged before me this A c2,...ot day of , 20 .iv ., by, 4.9t9& 2 06.1: 7+ o is person y known to me or who has produced L � s' ,f as identification and who did take an oath. NOTARY PUBLIC: • My Commission Expires: ," "Y'P ''e!_, Public bt flotilla P otary I5tate' xp My Comm. .'q >Ita''o Commissio %' E 1 0 r; '''' F ,• Bonded Through National N' !� Sign: *******+ N****+ N***+ k********#+ k+ h*****w***+k******+k**+k * ° * APPROVED BY Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009XRevised 3/15/09) *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk