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ELC-12-2251Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 182163 Permit Number: ELC -11 -12 -2251 Scheduled Inspection Date: December 05, 2012 Inspector: Devaney, Michael Owner: Job Address: 9710 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: IEI ELECTRICAL CONTRACTORS INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (954)553 -0553 Parcel Number 1132060132350 Phone: (786)621 -5215 Building Department Comments INSTALL 10 LIGHT FIXTURES, 2 EXIT COMBO AND 2 NEW CIRCUIT Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 04, 2012 For Inspections please call: (305)762 -4949 Page 22 of 37 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 300U'I6INGTh4Nr PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: F-ZZ N - 2"°' ,AN XCIERVIE NOV 2 8 2012 Bvomosa_sossmo FBC 20 Permit No. d2' 12 C7s, Master Permit No. City: Miami Shores County: Miami Dade Zip: 331 Folio/Parcel #: l 1— ZZO —. 0 I 3 — 3 3 it Is the Building Historically Designated: Yes NO 1 Flood Zone: OWNER: Name (Fee Simple Titleholder): S (-ioiic 5 4WD • P1 Address: Ztr0 1 N = 2"-D Ay= City: fl r r n e i+- ea�Z`_�) State: Tenant/Lessee Name: No - .77 -0 a 4 l =skr- Email: Phone#: (18() 2'i 0 —88 /5 zip: 313i3 �� •�4rZ T` Phone#: C31sc) -I `9 014C, ) f 7 iG Phone #: ( )-11,a)60/ CONTRACTOR: Company Name: Address: /%l City: /23 /4451... State: Qualifier Name: H/ .0 A bh /"5°?=.3 State Certification or Registration #: Eve 00 107 8`/ Contact Phone #: k £'_ `15/ Email Address: DESIGNER: Architect/Engineer: 0�. Zip: 320 /' Phone # 7/(4 r9 k "99 el Certificate of Competency #: 00061/Y99/ /Y99/ Phone #: Value of Work for this Permit: $ e � Square/Linear Footage-of Work: Type o or f Oress. -ration P3 UNew ORepair/Replace ODemolition Descri • a on ii Work: 'v C - S i;e i /24, • ** * **+x***** ** **** x * ********* **** ** *x *** Fees*s: ***** ********* **** ***************** **** * ** Submittal Fee $ Permit Fee $ / 6-49/ ®e-' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOWDUE4 10 r7 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 rreirlspection fee will be charged. 14.0ier or A The foregoing instrument was ac owledged before day of tU 0 ;.20, by who is sonally known e this t llii or who has produc gnaturet -:r4 Contractor The foregoing instrument was acknowledged before me this e: day of stab ,20�� ,by tdc 6 10,' , 0 who is personally known to me or who has produced £— As identification and w '4 as identification and who did take an oath. • � ust9,2F�°i V ' `n Cdr . •* • • • "T— a NOTARY PUBLIC: Sign: Print: My Commission xpires: o0 eSt /C,•STA��dv �� P /l /tf 11 #lt @9 @1�` NOTARY PUBLIC: Sign: Prins! My C Mary Public - State 1 Flortda ;ate �„ „� �$11�9eCbmm. Expires Apr 19, 2014 01. Commission # DD 983134 ,.; of co;.• ",,,,,,,` Bonded Through National Notary Assn. * * * * * ** *** * * **** ************************ * * *** ****** *** *** ****** * * * * * * ** * ** ** * * ** 22 cl Plans Examiner Structural Review (Revised 3/12/2012)( Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk Folio 11- 3206 -013 -2350 Property A.ddress 9710 NE 2 AVE Owner Name(s) SHORES LANDING LLC 714NE59ST MIAMI FL 33137 -2326 Primary Zone 6100 COMMERCIAL - NEIGHBORHOOD Use, 0013 OFFICE BUILDING Beds/Baths/Half 0 /0 /0 Floors 1 Living Units 0 F 13,544 Lot Size 19,500 SQ FT Year it 1946 Legal Description 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3-4 & 5 BLK 18 LOT SIZE 150 X 130 OR 23462 -2095 06 20051 OR 23462 -2095 0605 00 Current Previous Year 2012 2011 Land Value $429,000 $429,000 Building Value $620,826 $620,961 rket Value $1,049,826 $1,049,961 Assessed Value $1,049,826 $1,049,961 Current Previous Year 2012 2011 Homestead $0 $0 2nd Homestead $0 $0 Senior $0 $0 Veteran Disabili y $0 Civilian Disability $0 $0 $0 $0 Disclaimer. MIAMI -DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Honorable Pedro J. Garcia Property Appraiser Aerial Photography 2012 Current Previous Year 2012 2011 Exemption/Taxable Exemption/Taxable $0 / $1,049,826 $0 / $1,049,961 School Board $0 / $1,049,826 $0 / $1,049,961 City $0 / $1,049,826 $0 / $1,049,961 Regional $0 / $1,049,826 $0 / $1,049,961 Date Amount Recording Book -Page Qualification Code 6/2005 $2,165,000 23462 -2095 Sales which are qualified 2/2001 $1,035,000 20224 -2435 Sales which are qualified 7/1985 $788,000 12574 -1861 Sales which are qualified 6/1976 $230,000 00000 -0000 Sales which are qualified The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, its use, or its interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade County's systems of record. The Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provided regardless of the cause of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dade County full disclaimer and User Agreement at http://www.miamidade.goviinfoidisclaimer.asp. Property information inquiries, comments, and suggestions email: pawebmail @miamidade.gov GIS inquiries, comments, and suggestions email: gis @miamidade.gov Generated on: Wednesday, November 28, 2012 AC R CERTIFICATE OF LIABILITY INSURANCE DATE (11MMIDD/YYYY) 11/13/2012 PRODUCER SAFEGUARD CASUALTY INSURANCE 9996 PINES BLVD PEMBROKE PINES FL 33024 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 1 E 1 ELECTRICAL CONTRACTORS INC. 19150 S ST ANDREWS DR MIAMI FL 33015 INSURER A: CYPRESS INSURER B: INFINITY INSURER C: INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 I5 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADM INSRD TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE DATE /MMIDD/YYYYI POLICY EXPIRATION £ATE IMM/DDIYYYYI STS A GENERAL UABIJTY COMMERCIAL GENERAL LIABILITY GFL- 1025463 -00 07/18/2012 07/1812013STO(Ea EACH OCCURRENCE $ 1,000,000 X nil $ 100,000 CLAIMS MADE x OCCUR MED EXP (Any are person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPUES PER PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY — ETj' — LOC B AUTOMOBILE UAEIUilf ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS 509-80000-5108-001 07/06/2012 07/06/2013 COMBINED SINGLE LIMIT (Ea ) $ BODILY INJURY (Per ) $ 255 ,000 X X BODILY INJURY (Per ) $ 50,000 PROPERTY DAMAGE (Per accident) $ 255,000 GARAGE LIABILITY ANY AUTO AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABIJIY Y / N WC TS TH ER E.L EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER (Mandatory If yes, describe SPECIAL EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ In NH) under PROVISIONS below E.L DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Villaoe of Miami Shores Buildino Dept. 1050 NE 2 Ave. Miami Shores. FL. 33138 Fax: 305 - 756 -8972 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 IOND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) m 1988-2009 ACORD CORPORATION. AO Nights reserved. The ACORD name and logo are registered marks of ACORD Bala Rib LOCAnoN ggNEWAL IEI ELECTRICAL CONTRACTORS INC CC • 000018971 673949 -5 33015 UNIN DADEECOUNTY THIS IS NOT A BILL — DO NOT PAY U FIRST-CLASS I PAID PERMIT MIAMI, OWNER Soo. IEI ELECTRICAL CONTRACTORS INC me to 4. 6A JS�u.CTRICAL CONTRACTOR TAX RECEIPT. IT H8 NOT PERMIT TER VIOLATE HOLDER TO EDWIN Z �lp REGULATORY 7NE DOSUPErTOR Cm NOR POROTi1@i "'TwN P�YI�Nr COUNTY TAX 80071008253 000075..00 SEE OTHER SIDE WORKER /S 7 DO NOT FORWARD IEI ELECTRICAL CONTRACTORS INC PENY ES DR. NIANI FL 33015 l,lll/l,ll, ill, I MILL 11M1T►leSIIHI11,alI,I,!811111111 find IEIELEC-01 BISH CERTIFICATE OF LIABILITY INSURANCE I RATEpauotweT"'r' 11M3J2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMARVELY OR NEGATIVELY AI M% EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE =ONG INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 11W0ORTAN : ff the certfficate holder Is an ADDITIONAL SOURED, to policyles) must be endorsed. If SUBROGATION IS WAIVED, subject to the tonne and condition of the fir, certain policles may require an endorsement A statement on this certificate ate does not confer rights to the certificate holder in tin ofeuch en ). PRODUCER Automatic Data Processing [ileum= Age cy, km 1 ADP Boulevard Roseland, NJ 07060 gairT muumuu AFFORDING COVERAGE NNC eassarit:NorGuard insurance Company "RED 1E1 Electrical Contractors Inc. 19150 S. St. Andrews Drive Hialeah, FL 33015- INSURMI 6: INSURER C: D: INSURER E: RARER F : COVERAGES CERTIFICATE REVISION NUMBER THIS IS TO CERTIFY THAT THE PODS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTIMTHSTANDNG 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. Lams SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. VISR LTR TYPE OF INSURANCE ADDLSUBR IwD INEIR POLICY NUS POLICY EFF (NUNIANYYTTI POLICY SIP imanoWtrYI TARTS GENERAL LIABILITY COMMERCIAL GENERAL h1Al RY iCLAIMGMADE 1 1 OCCUR GEM AGGREGATE mur APPLES Pet T1 POLICY n & nLoc EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea o ) $ S MED EcP (Any one pelson) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE PRODUCTS - COMPIOPAGG $ $ AUTOMOBILE VAIN nY ANY AUTO — ALL OWNED — PULED - AUTOS AUTOS HIRED AUTOS _ AUTOS COMBINED SINGLE TART (Eaten BODILY IALRETT (Perperson) $ BODILY INJURY (Per aoddeR) $ PROPERTY DAMAGE War accIdatin $ $ MUMMA UAB OCCUR MESS MAR CLAIMS-MADE A OED I RETENTION $ INDIUMS ,ION AND EAMPLOYERS uAOIUTY I N ANY PINPRIETOMPARTNEREXECLMVE y EXCUSED? Mandatary In NIO UDEEGRIPrI° ON OF OPERATIONS EACH OCCIATRENCE AGGREGATE $ $ $ NIA IEWC311155 9/2612012 9128!2013 x1 Yr sI Ica E.L. EACH ACCIDENT $ 100,000 EL DISEASE - EAIMPLOYEE $ 100,000 EL. DISEASE - POLICY Lear $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Addfflonal Remelts SchedWe imese space Is aspired) CERTIF[CA7E HOLDER CANCELLATION Village of Miami Shores Building Dept. 1050NE2Ave Miami Shores, FL 33138- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 15 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REIsRESIDITATIVE ®1988-2010 ACORD CORPORATION. AN rights reserved, ACORD Z5 (2010105) The ACORD name and logo are reghtered marks of ACORD THIS DOCUMENT HAS A COLORED BACKGROUND • MICROPRINTING • LINEMARK PATENTED PAPER STATE.DF.FLORIDA, .-PEPARTIONTOO'BUSINEMAND PROFESSIONAL REGULATION - BLEOTHWAL CONTH4CTORSIZCENSING BOARD SEQ# L12111400977 LICENSE NBR 11/14/2012 128052769 EY120002 ' -- The ALARM SYSTEM CONTRACTOR 1 Named below HAS REGISTERED Under the provisions of Chapte Expiration date: AUG 31, 2014-, (INDIVIDUAL MUST MEET ALL LOCAL REQUIREMENTS PRIOR TO CONTRAC1/ o ROBBINS, MARK +- I E I ELECTRICAL CONTRACTORS 19150 S SAINT ANDREWS DR. MIAMI FL 33015 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY RCS- Jos ,c. Dc ' r-l®aj 97.2.2 N&-" aA•Y. M 4 Nt t S 6 deEs, FL.. . —AI- ;2 6 del "MS, ///;1A: k- -So 6-.7-, ,.. . j,1,(. -) 6 .r-ca -d lcc e)0 /4171 a — ��- SANDRA PENNY, Notary Pab �ti#at of aide 1dY Con1014 fpi _ r 1 , 2014 .C„ , ,.,.,;,,' 134 8 , s'' .+ ugh National a Assn. 1 'i FRolv-r W tit/ Joe LOC41-104): 9 7,9,P NE Nik VOA RES, FL, • REA IQ 7 66 pEit fyit ir„10- .fr`. 111 ete- 0000 / J7 pr 4p DRA PENNY Public - State of Florida m. Expires Apr 19, 2014 Is DD '983134 ono! Notary Assn 4, PERM T#:,./f-xe Miami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT j,W 2 $24,t>e,d- Zeo SUBJECT 10 CUIPLIANGE Wi rd ALL FEDERAL 7F, C.C.. ON (dLLES AND REGULATIONS