EL-13-788 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-189461 Permit Number: EL-4-13-788
Scheduled Inspection Date:August 28,2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , MIAMI PROPERTY SOLUTIONS Work Classification: Addition/Alteration
Job Address: 1026 NE 91 Terrace
Miami Shores, FL 33138- Phone Number
Parcel Number 1132050010310
Project: <NONE>
Contractor: DEVELOPMENT ELECTRICAL CONTRACTORS INC Phone: (786)273-0025
Building Department Comments
ELECTRICAL WORK FOR KITCHEN AND BATHROOM Infractio Passed Comments
INSPECTOR COMMENTS
REMODEL False
REVISION TO REPLACE 8 HIGH-HATS,AND
INSTALLATION OF 10 MORE FOR DINNING AND LIVING
ROOM
Inspector Comments
Passed
Failed / ?
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 27,2013 For Inspections please call: (305)762-4949 Page 4 of 45
I
Miami Shores Village
g JUN a 5 ?Qty
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
BUILD
ING Permit No. A4
PERMIT APPLICATION Master Permit No. 3 — I
FBC 20
Permit Type: Electrical
OWNER:Name(Fee Simple Titleholder): � ��!rU Pho Se#: �� �dX-r
Address: M !Q e,e t-
/ /
City: l d44 0 )// Ae,5 State: - - Zip: -3 3 Z(o/
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: A19' TPIP
City: Miami Shores County: Miami Dade Zip: 3
Folio/Parcel#:
Is the Building Historically Desi ated:Yes NO Flood`Zone: Z>
CONTRACTOR:Company zo T g r hone#: 92 Z23 002,
Address:
s'
City: l(if-A 0--t t 1,95347 , State: L Zip: -_3(q 3
Qualifier Name: Phone#: ?86 2 9 3 0025
State Certificatio
�'� "' �. % /�/ 'Certificate of Competency#: If C--0000 D 2
o n#: ` ..a
Contact Phon /® L�6,6 Email Address:
DESIGNS I gineer: Phone#: ---
Value of Wor Permit:$ ���® Square/Linear Foote a of Work:
Type of Work DAddress DAlteration ONew t air/Re lace ®Demolition
y,
Descriptiow,of' 'arli ` o.` i S7 a �P��► o M ti
+ n
S ".
Submittal Fee$ Permit Fee$ /.f'�v®` 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be a an a .ns ec twill be charged.Signature Signature Z�4�
Owner r Agent Contractor
The foregoing instrument was acknowledged before me this—L The foregoing instrument was acknowledged before me this—$—/
day of !11hbLr 20 L ,by ®g x ��.1 - day of ,20 ,by -J®S G
who is personally known to me or who has produced who is personally known to me or who has produced,
As identification and who did take an oath. 1 as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
ry
Print: P -4-*b ` Print:
My Co ss� irMiEapkes 07M312016 My My CEJo
mission EE112/02
pires 0711 312 0 1 6
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
It Miami Shores Village
Building Department Ap R 16 2a"13
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY- °°°°°®®
Tel: (305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20
BUILDING
Permit No. l ✓
PERMIT APPLICATION Master Permit Nof:�Cz Ap
Permit Type: Electrical G� /
JOB ADDRESS: 106;1(0 *e
City: Miami Shores County: Miami Dade Zip: l
Folio/Parcel#:
Is the Building Historically Designated:Yes NO / ( Flood Zone: p
Q10$ �P/c� �6fv / ib15 �a�—O�
OWNER:Name(Fee Simple Titleholder):. 0. ® Phone#:
Address: �® O� 11 -e
City: ` -t,l �1 r S State: x- Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: QOJ61Ot71`CCIUUX E 8r_taicAL 41#0RAWTO(Z Phone#: Z?3 0025
Address: /G? l( S W 51 Tel A
City: /Y,`A 1141 i State: Zip: '5.'�1 3
Qualifier Name: 6 u Q s E H V j b 2 Phone#:
State Certification or Registration#: 6a Q z®P, Certificate of Competency#: l tC'_Q05T 0 b
Contact Phone#: '30S 510 /3 6 6 Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ la O 0 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration / ❑New epair/Repla ❑Demolition
Description of Work: ®� l �C3 6d Psdl ` i^P
Ptf eel,,cs ew ceog - l &e n0
Submittal Fee$ Permit Fee$ �-��®��� CCF$ MCC$
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.
11WARNING 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 e� Contractor
The foregoing instrument was acknowledged befo me this this���r The foregoing instrument was acknowledged before me this
day of ,20�,by— - ; e' (C� day of R.r ,20 C3,by (�d /1�
who is personally known to me or who has produced who is personally known to me or who has produced
m
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARYr �c.+wn�
Notary Public St J�� a
v a° se
I LU
Sign: i ^P
X02 aF
' bn 6102 � of po a M
Print: Print:
o►a _
My Co My Commission Expires:
I
APPROVED BY
;W44 z
/ Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06 110/2009)(Revised 3/15/09)
i
Apr, 8, 2013 3: 51 PM No, 6687 P. 2
Ac°® CERTIFICATE OF LIABILITY INSURANCE OATE(MWODNYYY)
Q4108/2013
THIS CERTIFICATE IS ISSUI_D AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENT]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 pollcy(les)must be endorsed. If SUBROUATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an 9n+dorsement. A Statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRopucFA Roxana Soto Insurance Agency,Inc. CONTACT
8230 Coral Way PHONE 306-563-6006 I Nek 305-553-_60_07 _
Miami,FL 33155 E' L a0198s7Qalisfate.com
INWK045i AFFORD9(i COVERAGE NAIL M
_ INSURERA:WESTERN WORLD INS GO _
INSURED 019VELOPMENT ELECTRICAL CONTRACTOR INC. INSURERS:THE HARTFORD
15711 SW 59 TERRACE INSURERCi — - -
INS o;
MIAMI,FL 33193 INSURER a:
.Hi3URERF: . .. __. ....--
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE:POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE=D 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 SEEN REDUCED BY PAID CLAIMS.
IL SCR I YFE OF�� ADD SUBR POLICY F POL IC Y w
INSR WvD POLICY NIJUOEA M1VlID MMIO LIMITS
A cENERALL1A9fuTY MPP1345578 0111412013 01/14/2014 EACH OCCURRENCE $300000
✓ COMMERCIAL GENERAL LIABILITY l a d
4100.000
GLAIMSALADE M OCCUR MED EXP An ono n s 5,000 -
-•-�-- PERSQNAL&ADVINJURY $300,000
j
GENERAL AGGREGATE $60Q 000
E L A 0 G R Jq A U M I T A PTP L0 E-S PER; PRODUCTS-COMPlOPAGLS S 300-001)
✓ POLICY J PRO- LOC g
AUTOMOBILE LIABILITY COMBINEDS
E9 80M A
ALL AUTO -A
ALL $
AUTOS OMM AGUTHOF ULBD
BODILY INJURY(Per aocldeng $
HIREaAUDS AUTOS QED PROPER aAMAGE S
UMBRELLA LIAR OCCUR i EACH MICMRMB CE $
EXcrwa tJAa HJCLAIIASMADG ...
AGGRRGATE S
MO I I Rr-7F.WION$ s
B WOR90%COMFEN$A71ON LJ 01WECDS2624 06/11/2012 08/11/2013 PACI TATY-FITF
AND EMIPLOYER$'u4MLrI Y YIN
Al FROPRIBTOMPARTN E W21�CU'�1YE
OF CER/MEr19RR EMLUDED7 Y❑ N/A E,L EACHACGOE?NT 5100,000
(Mmulataly gaze b Nnd E.L.DISEASE.FA E7.1p40YE~ $100,000
D 0®ERATIONSbalwv OU E.L 11I$EASE-POLICY LIMIT $500,000
oQ
4Q�� I
DIE-ECTR G IAIYOPERATIONS t LOCATIONS/VEH1CLEs(AHach ACORD 101.Addldonal Remark&Schadule,frmaro gpaaq li re9u1reoI
CERTIFICATE HOLDER CANCELLATION
City of Miami Shores SHOULD ANY OF THE ABOVE DESORIBEb POLICI $13E CANCELLED BEFORE
Building Department THE EXPIRATION DATE THEREOF, NOTI LL 6E DELIVERED IN
10050 HE 2 AV ACCOhbA WFTfI POLICY PROVISIO
Miami Shores Village,FL 33138 Au ORIZED RFPM99NYAYW
®1988-2010 ACpRD CORPORATION. All rights reserved.
ACpRD 25(2010/05) The ACpRD name and logo are registered marks of ACORD
Produced uelay Forme Beee Web*611mra.Wmv.F0nMT1 sa.cam;0 Impresslva Publishing 80G."I.19'rr
0410812013 15:27 Yuiet Agtl�ar TAX} P.0021003
rem I 111111 RVITno G� C �
�''1rT./T,•�»`�.l�.rw,..„�,rR,o f `'�:;K�i•..,�t ,. .�, >;i+C „�••, s';,'. T�•'•:�li`�I��.Q� �'tK'. ,.`• �;f'€f' �� .
C, ,. a:; ! r.;�: 4° le v "t Y Y k° ti+ +; 3'.., J
'•-;,;�,.i,�• �., :.,ar •.; ;a�'< r
Ln. .°,/1 �:��_�:i.�'i" Uf+1:'if�il. l'x't4r:,,...Y•<:i il l t i /4��•rs � 'T�'S...rx.ar'. �u:. ��. . •+� '�:d•i. •� �+�
• Y?,C .
Sd�L1.a
472001099
�' .STS .NSR � •....
ey, �r"y•+•'% �y'�y� gyp' !�,'s:��j- ,�efi•. y�'y �t�•c:• !,.
•`•tiyy'/`} 1:1," �:i:4.•�'r,•.`1r-8li'��[.�Ai9�%.� +• 9 •VS6
! C 't ,6t ✓, T'f•f� .s _ .:L C`4_ '• 1, .oy� '•..�.� .• �� �.61' ?Les"'tom{>rl' ovisiu'�.s oVi0th��i,
ix`f9 t�.� m'• I, ; t�: A'8'G. 31 F 2014
''n;'
lovu �y r �•'tom'�6�• �.'
p+
MXA
•...�:.� i�: iJ:' r'i,'•1r,:Mj<: -:a. 1=Y�A eA. �`,i••'x1 r�y+ j� ZiCZiz!'z lt�*•,r, „'�'^•E'
�' '�,• >x! Y' 4� <•' t'. V.:1: �•v Y•' i . ?• '• �:.. a J• t• ,Ly :�.
t��• •' f�exs '' L.�'• / t' i> r\1 ib?• �r71v N J!b {•�• aJ•+ tri ♦ f .�!'•!•�yp•.
v gIiY r• ). : �' + i� t ••. \ d• .�'t6 4D �'sy 't '4• +JC 4Pi f,% !� s• .'3 �` T.A
XEN
`�` 'i(f'�+j'Y �� : ���OT +' 2 } x:�•,.•y�t a t' i 1T, ,�f i 1 i 3�►r„�� i,•• : ti �
s=;;v.°r.Yi w��� '' 7RN'OR �•� l ml�'.� � �' 'r C`+,1 � ..
�.•x..t• '; {�..' •' �:• _ j:T- • r� , '!',rr'. S ECRETAR
DISPL'A AS RE t WED"SfLAVI/'
FIFIST-CLASS
U.S.POSTAGE
PAID
A :E
N PL
PERMIT CO.231
THIS IS NOT A BILL-�DO NOT PAY
684268-7 RENEWAL
BUSINESS NAME I LOOAMON RECEIPT Na 711668-4
DEVELOPMENT ELECTRICAL CONTRACTOR 'CC # 11E000008
155711 SW 59 TERR
33193 UNIN DADL COUNTY
OWNER '
DEVELOPMENT ELECTRICAL CONTRA'CTO
Sm of Business WORKER/S
19 ELECTRICAL CONTRACTOR 1
7ws ro QWY A LO"�
aoi Pa`vaan°�s° rr
70 v .
y �� A DO NOT FORWARD
Doss R
Nom ` DEVELOPMENT ELECTRICAL CONTRACTOR
AP
BY LAW. w
Tm LUIS E MUNOZ PRES
15711 SW 59 TERR
E TAX MIAMI FL 33193
08/15/2012
09010148001 )„H,��I IfYFYIiLi},,:ii.:l Yt4Y)Y�}f1:�lt�aiYi1�J{+»i13t,� 1
000075.00
SRS OTHER SIDE
0
0410812013 15:27 Yulet Agog fm P.0031003
y
• CT
Caroftuctlon Trades Qei1Wo Board .
BUSINESS CE MATE OF COMPETENCY
I I EOQ,00.08•. �
1 ORVO.OPif}I m MLLtt i'AL',ctmrr�pcTCiR INC
• J f i}••tiN`ti••i,Tt.♦��' k' j{.Y.' .1•
i
MUN z LUIS E
IS•I lfl�un�derfl»s, of qf*
� � ..ptir<',Q of Mama-
I
' I
s