EL-12-1898 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 h '
Inspection Number: INSP-179770 Permit Number: EL-10-12-1898
Scheduled Inspection Date:June 19,2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: CHIARELLA,ANTONIO Work Classification: Addition/Alteration
Job Address:10666 NE 10 Place
Miami Shores, FL Phone Number
Parcel Number 1122320280890
Project: <NONE>
Contractor: HI TECH ELECTRIC&FIRE CORP Phone: (786)543-5216
Building Department Comments
ELECTRICAL WORK AS OUTLET. SMOKE DETECTOR Infractio Passed comments
AND SWITC H
INSPECTOR COMMENTS False
Inspector Comments
Passed E�'_ "o
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-Inspection fee is paid.
June 19,2013 For Inspections please call: (305)762-4949 Page 1 of 38
Miami Shores Village
J
Building Department
AN � 9 Q9
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.
PERMIT APPLICATION Master Permit No. G
Permit Type: Electrical C/� C�g /
JOB ADDRESS: ! C� /� � A® PL
City: Miami Shores County: Miami Dade Zip: 33(//-1 6
Folio/Parcel#: l f- 12- 3 2 ^.9 2 9 - O B !?v
Is the Building Historically Designated:Yes NO bC Flood Zone: 'K
OWNER:Name(Fee Simple Titleholder): ozelf)1-01V O ek ,4 k (.G 4 Phone#:,� s"613 303
Address: &4 lzg &-
ICI
City: AFL 09%; fir✓ s State: L Zip: 3 3
Tenant/Lessee Name: .- L oc-- Phone#: A-z" E
Email:
d
CONTRACTOR:Company Name: C Phone#: 3 Z6-0 9'3
Address/"S2 e' °'�►�
City: & P State i� Zip: , f7�
Qualifier Name: ,�.� Phone#: 7W 3Z6-&�f
State Certification or Registration#: �° Certificate of Competency#:AFAa f,3(7jLW 6 '2eP
Contact Phone#: Ailr 9 Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$�/ � �` a Square/Linear Footage of Work:
Type of Work: ❑Address Iteration ONew ORepair/Replace ODemolition
Description of Work:
•�- 'rxe-� -
.�S/gym
Submittal Fee$ 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$ Pb"'
l
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 reinspection fee will be charged.
a
a
Signature Signature
Owner or Agent �.j�' Contractor °°��
The foregoing instrument was acknowledged befo a me this Jpq The foregoing instrument was acknowledged before me this- �
day of 17 ,20 -,by C�r�S4i C l i(�rt I I A day of ,20wC ,by IL4MIft
who is<EEnally kno o me or who has produced who is onally kno to me or who has produced
As identification and who did take an oath. r"' as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: ELGADO Sign:
`(COMMISSION#EE108490 MY OMMISSION#EE108490
Print: e9 Print:
My Commission E 153 FbfldaN0Wyg�w•� My Commission 153 FwrwaaowryServtne.com
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
1
Miami Shores Village
I'll
Building Department
OCT 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
• Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
Yo
BUILDING Permit No. 112--����
PERMIT APPLICATION Master Permit No.
FBC 201k)
Permit Type: Electdcal
OWNER:Name(Fee Si _CVrlssie C�tAre( /A —Phone#:-30 57- r7 W 1 530
Address:_j_0(0(a(0 (4-0 ""4
City: r-A� A 0A t Zip: 331-3,9
tj
e
Tenant/Ussee Name: e- Phone#: _ik v_
Email: r_a" a ire 10 e so dIx ri e✓ -
JOB ADDRESS: 10 C2C-P6 t-j E 10 e I CAX e-
City: Miami Shores County: Miami Dade --zip: 3-3 13 9
Folio/Parcel#: 11 ~ 7-2:3 2- 02- Q 9 9 0
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company'Name: D -Te dy d z4 ( Phone#:
Address:
City: 1) State:
Zip: .
Qualifier Name: Phone#:
State Certification or Registration c') Certificate of Competency#:
,
Contact Phone#: ; Cil Address:
_) (j � " - � I I.
DESIGNER:Architect/Engineer: Po #:
-
Value of Work for this Permit:$ 6oc
Square/Linear Footage of Work:
Type of Work: UAddress UAlteration UNew URepair/Replace L313emolition
Description of Work: G`7 tL e &4 4-S .0 W
- - -r- '
6f
Submittal Fee$ 'Permit Fee$ 1,!0 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
1jr-f I -
TOTAL FEE NOW DUE$ 1 6z
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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature / Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The fore me this&�
day of C ,20 7 Z-,by day of !S L PE IJMO
*° �'�C1641 > I
who is personally known to me or who has oduced who is p rs - ow&YBN E$atAotO R&W&Iuc d
As identificatio an did take an oath. I407>39"153 rd' aM9i9aV'; e an oath.
NOTARY PUBLIC: ro „os`^ N m►y P cState�Flarlda NOTARY PUBLIC:
M •a
ar MY EE045215
or OExpi 2014 Sign: a
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Print Print: YU P EftW,*J A®
My Commission Expires: My Co ssion :'= MY COMMISSION#p
EXPIRES March 23.2014
Fioddallotaryservice.com
(401)395-0153
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APPROVED BY �� � �� Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
ACORD,. ,CERTIFICATE OF LIABILITY' INSURANCE DATE
PRODUCER 89dal# B1158 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MUTUAL INTEREST ASSURANCE INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
9295 CORAL WAY SUITE 3 HOLDEN. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MWMI, FLORIDA 331"
305-860-2003 FAX 306460-0907 INSURERS AFFORDING COVERAGE NAIL#
INSURED INSURER A: ASCENDANT UNDERWRITERS,LLC
HI TECH ELECTRIC AND FIRE CORP INBUR81R B: ASCENDANT UNDERWRITEERS,LLC
1500 SW 101 AVE INSURER C:
MIAMI FLORIDA 33174 INSII D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LIST9D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREM9NT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED 13Y THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
.; TYPE OF WSURANO9 POLICY NUMBLR PdLI EFFECTIVE 6YION LIMITS DATEt
GENERAL.LIABILITY EACH OCCURRENCE S 1,000,000
A X COMMERCIAL GENERAL LIABILITY GL 35915 0WS12012 9/23/2013 -MV R�nrur 100 000
CLAIMS MADE M OCCUR MED EXP M ono ..an S 51000
PERSONAL aADVINJURY S 1,000,000
GENERAL AGGREGATE 16 11000,000
GEITL AGGREGATE LIMIT APPLIES PFt PRODUCTS•COMPIOP AGO es 1,000,000
X POLICY Fl PRO. LOO
AIITOM MILE LIABIUYY COMBINED SINGLE LIMIT
ANY AUTO (Ea udderA
ALL OWNED AUTOS L3oDILY INJURY
SCHEDULED AUTOS (P". . ')
HIRED AUTOS BODILY INJURY S
NON-OWNED AUTOS (Per accident)
(P a o'Q?AMACE
GARAGE LIABILITY AUTO ONLY-IA ACCIDENT $
ANY AUTO r6l THAN EA ACC S
AUTO O&V,
AGO G
EXCESS MBRELLALMWILMY EACH OCCURRENCE S
OCCUR rl CLAIMS MADE AGGREGATE 8
B
DEDUCTIBLE S
RETENTION I
ORKE 'LIABILITY ION AND WC-60808-2 8P23/2012 9/23/2013 X IT
B B1 c��,�iP 11 '"'
ARTN Q EACH ACCDENT s 100,000
oFF CFEDRlPMEMBER EX
LL E EL DISEASE•EA EMPLOYEE `J 100,000
!f yyp^.desorll0 ISIO C-L DISEASE.POLICY LIMIT S 500,000
SPECIAL pROV11,dor 6e,law
OTHER
DESLOZIPT1oN oP opMATIONSII oOATIONWEitCLESIEXCLUMNS ADDBD BY ENDORSEMENTISS l5GM PROVISIONS
ELECTRICAL WORK.
i
C€RTIFICATE.HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE D88ORSED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
CITY OF MIAMI SHORES%ALLAGE NOTICE TO THECiRilrICjL HOLDER NAMEDTOTHEL C09 TO DO 80 SHALL
e '100.50 N E2 AVE IMPOSE NO OBLIGATION � KI PON THE INSURER,ITS AGENTS OR
MIAMI SHORE,FL REPREWNTATNES.
AUTHORIZED mPRgsmNTATM6'ffMMZPENDXq INSURANCE AGENCY
ACORD 25(2004108) 0 ACORD CORPORATION 1988
C:IFMPROICERTPROS.FPS
10/10 3E)Vd 1S3�BiNIlvniIIW L060098506 6T:0T ETOZ/81/10
Jan 18 13 11:07a p,1
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rm. A-100. Ft. Lauderdale, FL 33301-1895—954-831-4000
VALID OCTOBER 1,2012 THROUGH SEPTEMBER 30,2013
i DBA:HI TECH ELECTRIC & FIRE CORD Receipt#:ELECTRIICAL/ALARMS/CONTRAC R
Business Name: Business Type:(ELECTRICAL CONTRACTOR)
Owner Name:ammmDo I JARcluim Business Opened:12/20/2004
Business location:1500 SW 101 Ava State/County/CetttReg•EC13002608
MIAMI DADE COUNTY Exemption Code:
Business Phone:786-543-5216
Rooms Seats Employees Machines Professionals
3
For Vending Buelness Only
� Number of Machines: Vending Type:
Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid
27.Co 0.00 0.00 0.00 0.00 0.00 27.00
1
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT 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
WHEN VALIDATED 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.
Mailing Address:
EDMUNDO I JARQUIN Receipt #01C-11-00011340
i 1500 SW 101 AVE
MIAMI, FL 33174
Paid 08/24/2012 27.00
2012 - 2013
.Qt..A-■_._-__Gf IIIIIUr JOb—�IC.a��' ■+L�7R.' __._—__..-.......-�,...-..�.
■
AC# 6237481 S.TATE OF FLORIDA
DEPARTMENT Q1:r B S.XNESS, L
AND PROFESSIONA 'R33GQLATION
r` ELECTR.X_CA CONTRACTORS LICENSING- BOARD
a .;. SECW3r.1207 3 102 7 5 9
_ LICENSE NBR....: ..
07/31/2012' 1 128024843 .• 02606'
The The ELECTRICAL CONTRACTOR°`;
Named below IS CERTIFIED"`°
UrLder the- prova.si.oas of-= dha , er 4'89 FS:.
Expiration dates AIIG •31, 2014
J'ARQUIN, ED'MUNOO 2 < <
HI-TECH ELECTRIC' & •�'IItE 'CORP-
1500 SW 101 AVE
MIAMI FL;..3 317 4
RICK SCOTT >;. ;..
GOVERNOR
...• E WSON
SECRETARY
BY LAW_._._