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EL-13-1877 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INS P-198842 Permit Number: EL-8-13-1877 Scheduled Inspection Date: September 13,2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: HOEFLINGER, MICHAEL&GIOVANNA Work Classification: Alteration Job Address:490 NE 96 Street Miami Shores, FL 33138- Phone Number (305)495-7694 Parcel Number 1132060140550 Project: <NONE> Contractor: TRUE POWER ELECTRIC CONTRACTOR INC Phone: (305)335-8496 Building Department Comments Infractio Passed Comments REPLACE METER CAN INSPECTOR COMMENTS False Inspector Comments Passed Efr Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 12,2013 For Inspections please call: (305)762-4949 Page 13 of 18 ' Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 r- INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 200 BUILDING Permit No. PERMIT APPLICATION Master Permit No. ELA Permit Type: Electrical JOB ADDRESS: q qO NC �� 5T40 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Nam (Fee Simple Titleholder): /w ,�� Phone#: SOS Address: I've- r city: �1/ u 5~ State: Zip: 351 Tenant/Lessee Name: Phone#: 361-tiff-70t . Email: CONTRACTOR:Company Name: u e-qo6Z n 9 ec�9.' C 1-_ Phone#:3 -335'19 C Address: %15a(o 3-1 S-� City: \v` State: Qualifier Name: LU1S �1 eAa� Phone#: 205'-3)9 113 f State Certification or Registration#: ee..i 9 Certificate of Competency#: Contact Phone#: .°311'%1 Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ �;10' Square/Linear Footage of Work: Type of Work: OAddress p DAlteration ❑New QRepair/Replace ODemolition Description of Work: Submittal Fee$ Permit Fee$ Z,::�O CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ I , Bonding Company's Name(if applicable) Bon'd`ing 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 Bence of such posted notice, the inspection will not be appr v d a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing in ent was acknowledged before me this day of ,20j3,byh'1` -aC._,. ay of �� ,20 L5—,by Lac; Q i oAk , who is personally known to me or who has produced—6!'i '�_ who is personally known rn_me or who has produced As identification and\` �� /�p�ath. as identification and who did take an oath. NOTARY PUBLIC: a�S ' q� % NOTARY PUBLIC. ca Sign: Sign- Print: p� °�` Print: �- My Commission Expires: '%,q �� My Commission ��'��y' PATRICIAI FF0 \� * * MY COMMS:Mad t FF 2017 EXPIRES:March 20,2017 Boni nm 6udg0 NcWy Svv m kHakk�skskskkkkmskHaskskskskkk�y sk�KaXsXXIaskskIsk�sskskskkskF+��skkskalaKask�s�skkKokxc�k�kIs�kkIwkkslaskskHs�kskkkS+aIak�BssIwkts�sskskR kkiaik�&k��c�kkstak�skaeskskkk APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) ... pm Miami Shores Village Building Department �lARU 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A$30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. V COPY OF QUALIFIER'S STATE LIC CARD B. y/ COPY OF LOCAL BUSINESS TAX RECEIPT C.��COPY OF LIABILITY INSURANCE(CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. ^� COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE(CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: True Power Electrical Contractor, Inc. BUSINESS ADDRESS: 8326 SW 37th Street CITY Miami STATE FL ZIP CODE 33155 BUSINESS PHONE: 3( 05 ) 335-8496 FAX NUMBER 7( 86 1 36-6432 CELL PHONE 05 318-8134 QUALIFIER'S NAME: Luis Viera QUALIFIER'S LIC NUMBER: EC 13004509 E-MAIL ADDRESS(IF APPLICABLE): Iviera @truepowercontractor.com Crested on 3119109 BY MLDV I RV 3126109 MLDV MIA t- Ci 01 t AL.81i 1 _SS,�"A R PT �(►t8 FIRST-CLASS A COLLECTOR ,17A1 COMM O7A 0 V. 1�5.POSTAGE #i4 T 6P1t 5I ,a1t - sPAiQ CE t MU6I OE OtSP:A�A 1A MIAMI,FL 16 9�{I L 13t? PU t1AM—TO COUNTS�� IiA�t3 8A A 17 ;1 t1 PERMIT NO.231 THIS IS NOT A @IUL 00 NOT PAY 666809-0 RENEWAL BUSINESS NAME J LOCATION RECEP1'NO. 694034-3 TRUE POWER ELECTRICAL CONTRACTOR STATE# EC13004509 INC - 8326 SW 37 ST 33155 UNIN DADE COUNTY OWNER TRUE POWER ELECTRICAL CONTRACTOR Sec.Type at Business WORKER/S 1s is ,�{iaEiLo_gCTRICAL CONTRACTOR 1 BUSNCSS TAX RECCWT (1 CtOV, NOT PERh17T TY.E HOLDEN TO o0'ATE-A IUN - - ;tOWJiar LAWS -Up fmF DO NOT FORWARD Cc+UN]'x per '-MEs: WR e a €+ CacmFv r.E RfP9.DH FRc:V ANN oyHr;R PEAPAlr c,a Ur-E SE diE(1a sA CEITg�SCAT N'ar TRUE POWER ELECTRICAL CONTRACTOR IHE + CRR39i QUAU A Tie 7Es } A FtC INC LUIS VERA PRES PAYMP44iRECEVFC 8326 SW 37 ST FMAR-DARE S-AA- CQUECTOW- (MIAMI Fl!Lj {33+155/ @ {{tt 07/24/201 11111,11 ill lIt1P/11 1111!111111 111/'Pt/11, 111 t1A1,It1f1llflit/ 60000000199 000075.00 309 4t`E OTC-iER SOLE r COLORED THIS DOCUME,NT HAS A BACKGROUND • A 6130852 STATE OF FLORIDA DEPARTL TCTRICALCOERACTORSRLICSNSING BOARD TION SEQ L12051701107 imam LIcW S MR 05 17 2012 118186088 EC13004509 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489;`F8. Expiration date: AUG 31, 2014 VIERA, LUIS TRUE POWER ELECTRICAL CONTRACTOR INC`'. 8326 SW 37TH STREET MIAMI FL 33155 RICK SCOTT KEN LAWSON GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW CERTIFICATE OF LIABILITY INSURANCE ° 114;3°"" ' 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. ANPORTANT. If the certificate,holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorse!. if SUBROGATION IS WAIVED,subject to the terms and conditions of the poNcy,certain policies may regldre an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such andorseme s. PRODUCER N0NTCT SUPER INSURANCE SERVICE INC Super Insurance Service,Inc. PHONE 3M 282-3443- No: (305)262-5946 7865 SW 40 St L superinsiaclaeftgrnalLrxm Miami,FL 33955 PRODUCER Phone (305)282-3443 Fax (305)262-5946 INSURMSI AFFORDING COVERAGE NAIC A INSURED INSURERA: GRANADA INSURANCE COMPANY True Power Electrical Contractor,Inc INSURERS: PROGRESSIVE EXPESS 8326 sw 37 st INSURPRC: Miami,FL 33155 INSURER D: ASCENDANT UNDERWRITERS (305)335-8496 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 CLAMS. IlTR TYPE OF INSURANCE S POLICY NUMBER PI pDnYYY LIMITS GENERALLIABILITY EACH OCCURRENCE $ 1,000,000.00 © COMMERCIAL GENERALLIABILIrY PREMISES Ma C=urenaa $ 100,000.00 A ❑ ❑ cLABGS-MADE ® OCCUR 0185FL00020507 07129=3 07129/2014 MEDEXP Agmepeeon) $ 5,000.00 ❑ PERSONAL&ADV INJURY $ 1,000.000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEIYL AGGREGATE LWT APPLES PER: PRODUCTS-COMPIOPAGO $ 2,000,000.00 ❑ POLICY ❑ PST ❑ LOC $ AUTOMOBILE UAB1LITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea acddw*) ® ANY AUTO BODILY INJURY(Par perawr) $ ❑ ALL OWNED AUTOS 07867645-2 BODILY INJURY(Per amWera $ B ❑ SCHEDULED AUTOS 0310412013 03/04/2014 PROPERTY DAMAGE $ ❑ HIREDAUros (Per accident) ❑ NON-OWNEDAUTOS $ ❑ UMBRELLALIAB ❑ OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAS ❑ CLASM4 ADE AGGREGATE $ ❑ DEDUCTIBLE $ El RETENTION s $ WORKERS COMPENSATION WC 8TATU- OTH- AND EMPLOYERS•LIABILITY ANY PROPRIETOWARTNER�EXECUTa/EY! WC-62330-2 E.L.EACH ACCIDENT $ 500,000 D OFFKE MEM13ER EXCLUDED? N NIA 07/30/2013 07/30/2014 (Mandatary In NH) E L DISEASE-FA EMPLOYE $ 500,000 Fyyaeae,dsacr uruler QESGRPWN OF OPERATIONS Mw E.L DISEASE-PRICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Alaoh ACORD 101,A"U man Remarks Schedule,if more sPaaa Is required) ELECTRICAL WORK CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELNERED IN MIAMI SHORES VILLAGE BLDG DEPT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE MIAMI SHORES,FL 33138 AUTHORRED REPRESENTATIVE X91988-2005 ACORD CORPORATION. All rights reserved. ACORD 26(2009109)OF The ACORD name and logo are registered marks of ACORD MR AW MR AV LAgo kk- `� 6 S�-( t nor mu AM 2 9 2-ow Ld)@*�Vp c u Shores ViHage O -�� BY DATE atiy� ISO . we oe r� L Iry ,�