EL-13-595 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-189108 Permit Number: EL-3-13-595
Scheduled Inspection Date: April 11,2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Rough
Owner: CASTANEDA, DAVID$KARA Work Classification: Addition/Alteration
Job Address:68 NW 97 Street
Miami Shores, FL 33150- Phone Number (786)281-1825
Parcel Number 1131010330340
Project: <NONE>
Contractor: ATLANTIC COAST ELECTRIC&AC INC Phone: (954)461-8875
Building Department Comments
ELECTRICAL WIRING FOR TWO MINI SPLIT A/C Infractio Passed comments
INSTALLATION (1 1/2 TONS) (1 TON) INSPECTOR COMMENTS False
Inspector Comments
Passed zi
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
April 10,2013 For Inspections please call: (305)762-4949 Page 27 of 29
Miami Shores Village MAR 2 6 2013
a
Building Department BY._ ---------
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20
BUILDING Permit No. i
PERMIT APPLICATION Master Permit No. nnG Permit Type:Type: Electrical
JOB ADDRESS: 68 NW 97 ST
City: Miami Shores County: Miami Dade Zip: 33150
Folio/Parcel#: 11-3101-033-0340
Is the Building Historically Designated:Yes NO X Flood Zone: N/A
OWNER:Name(Fee Simple Titleholder):David and Kara CaStaneda Phone#.305-775-0872
Address:68 NW 97 ST
City: MIAMI SHORES State: FLORIDA Zip: 33150
Tenant/Ussee Name: Phone#:
Email:
CONT TOR:Company Name l4A(, COn St&FC, f /G Cs Phone#:
Address: V=�a�I
City: d M o ig�ly a' State: Fe , Zip: 3 3
�7 d
Qualifier Name:/ �✓ T C h(L 19-13 nj Phone#: 9 r f��61-��75
State Certification or Registration#: /-/`oc>b Certificate of Competency#: 19�E®b0)5 `7
Contact Phone#:9f Ll- 1-161—�Y2 5 Email Address:/J��` C 4 rig i7 01S (2 (3 t4 117-t
DESI(;NER:Architect/Engineer: Phone#:
CC)
Value of Work for this Permit:$ —0D Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ANew ❑Repair/Replace ` ❑Demolition
Description of Work: 471F—c,ill C L /R I n A Z IN G
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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspeclApri which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will nob ap oved qW a r inspection fee will be charged.'L'l Signature Signature
g g
r o Ag t Contractor
The foregoing instru�Pe
as ackn!lt d ed before me this� The foregoing instrument was acknowledged before me this
day of ,20 L,I day of ,20 L3,by
w s personally known or who has produced who is ersonally known t e or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Agy /G ^�P. �R Print: kv
c.Pa PUB so' 2 4 t v FESSER
My Commission Expires: t � .'_ My CO',�f;
construction CQB T aes QuaI1M�9 Beard
-_ BUSINESS CERTIFICATE OF COMPETENCY
02EO00259
ATLANTIC COAST ELECTW&AC INC
D.BA.:
CHRABAS BRIAN J
Is certified under the provisions of Chapter 10 of Miami-Dade Gity
WOUNKSK
VA
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'�ICT1�TSIT S E31t
TO G"QA�CT �' � RR$Aclt
z � ;
} �.-{R$ti�8� fete Psovt��tof' $89+
STATE OF FLORIDA
DEPARTMENT OF FwANCIAL SERME4
IMPORTANT
DIVISION OF WORKERS COMPENSATION ISTRY P Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA a elects exemption from this chapter by filing a certificate of election
WORKERS COMPENSATION LAW , under this section May not recover benefits or compensation under this
EFFECTNT= 01/14/2013 EXPIRATION DATE: 01/14/2015 D
PERSON: BRIAN CHRABAS H Pursuant to Chapter 440.05(12), FS., Certificates of election to be
exempt.. apply Only within the scope of the business or trade listed on
FEIN: 850855018 I R the notice of election to be exempt
BUSINESS NAME AND ADDRESS:
ATLANTIC COAST ELECTMIC & A/C we E Pursuant to Chapter 440,0503), F.S., Notices of election to be exempt
701 SE sTH TERRACE and certificates of election to be exempt shall be subject to revocation
POMPANO BEACH. FL 33060 if, at any time after the filing of the notice or the issuance of the
certificate, the person named an the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
SCOPE OF BUSINESS OR TRADE department shall revoke a certificate at any time for failure of the
1- ELECTRIC LIGHT OR POWER LIVE C 2- ELECTRICAL WIRING WITHIN BUI. Section the certificate t0 meet the requirements of this
I
QUESTIONS? (850) 413-1609
AASS
DFIRSN AGE
t1T � P AID D
MIMFL
PERMIT NO.231
NAM l
THIS IS NOT A BILL-Co NOT PAY
BUSNOM 665818 RENEWAL
NE 692932-8
ATLANTIC COAST ELECTRIC & AC INC CC #. 02EO00259
DOING BUS IN DADE CO
OWNER
ATLANTIC COAST ELECTRIC & AC INC
get-TAM`r Sushms WORKER/S
m j2,6A.FCTRICAL CONTRACTOR 1
1111111111M TAX
wr t r y
HOUM TO TM OR
ZMM
uWB OF WE IO NOT FORWARD
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KMA OF ATLANTIC COAST ELECTRIC a AC INC
TMW BRIAN J CHRABAS PRES.
PAVmwrmcmm PO BOX 2181
=Muftm POMPANO BEACH FL 33061
60030000149
000075.00 1t,11t7}11711}}}}J}
I}ttttliiIlilt lt111tIIMIlllt+ltttt1h1149
-—t SEE OTHER SIDE
AC40REN CERTIFICATE OF LIABILITY INSURANCE 3/25/2M 013
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
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 policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the teens and conditions of the policy,certain policies may require an endorsenterrt A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER =ACT Joseph Delsuro
Rick Gibbs, P.A. Insurance Agency PHOwE . (954)581-7740 Noll:(954)584-98 75
1000 S. State Road 7 joe @rickgihbspa.com
INSUIROM AFFORDING COVERAGE NAtC S
Plantation FL 33317 INSURERA:American Vehicle 33162
INSURED INSURER B:
Atlantic Coast Electric & A/C Inc. INSURERC:
PO Box 2181 INSURER D:
INSURER E:
Po ano Beach FL 33061 INSURER F:
COVERAGES CERTIFICATE NUMBEP CLI03800007 REVISION NUMBER:
THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LL R TYPE OF INSURANCE CY N 0RXN 1C-Y-EW POU Y EXP LIMITS YYYYI
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES Me $ 100,000
A I CLAIMS-MADE aOCCUR 0000010798-00 /7/2013 /7/2014 MEDEXP(Any onepereon) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 1,000,000
JFr
X POLICY PRO- Loc $
AUTOMOBILE LIABILITY I D NG LI IT
a
ANY AUTO BODILY INJURY(Per perm) $
ALLOSWNED SSCIIHEEDDULED BODILY INJURY(Per acciderM $
NON-OWNED PROPERTY
DAMAGE $
HIRED AUTOS AUTOS
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $
WO (PR I STATU- OTH-
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBEREXCWDED? El NIA
(Mandatory In NH) EL DISEASE-EA EMPLOYEE $
If yes describe wider
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Sche&te,If more apace Is re"IreM
CERTIFICATE HOLDER CANCELLATION
(305)756-8972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Miami shores village bldg department ACCORDANCE WITH THE POLICY PROVISIONS.
10050 NE 2th Ave
Miami shores, FL 33138 AUTHORIZED REPRESENTATIVE
Joseph Delauro/JOSEPH
ACORD 25(2010105) ®1988-2010 ACORD CORPORATION. All rights reserved.
INS025 ronimm m Tho Annran.tarn and Innn ow nania4ar A vrmdra of Af%'Wn
1,5�OR9E',S
Miami shores Village
Building Department - all
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204 �x0RID�
Fax: (305) 756.8972
March 27, 2013
Permit No: EL13-595
Electrical Critique— Michael Devaney
1. Need plan showing location of units, circuit numbers,
panel schedule and load calculation.
2. Add smoke/carbon monoxide detectors and service receptacles.
Plan review is not complete, when all items 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.