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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 ' rP 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 $aa�$z$a$s$askHsdasksk sksksks#8ssk$asIa sIsakaksk=kakakkkskHeikHaHakikakiknkknkH=slssksksksls skik sRBasls skHa ikNsHHaHankakH=Iss Ias$sIssRsIsiklsakskdsak�skEsHaskakHask HaNaknkakIsskskik sksksIssksIsksks�sIask�sksk 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_._._