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ELC-13-1370Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 193826 Permit Number: ELC -6 -13 -1370 Scheduled Inspection Date: November 07, 2013 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Owner: GIL, CRISTOBAL Job Address: 9050 NE 8 Avenue Miami Shores, FL 33138 -3283 Project: <NONE> Contractor: ABCO ELECTRIC INC comments REPLACE RESIDENTIAL PANEL Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060110020 INSPECTOR COMMENTS False Inspector Comments Passed Ez Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 06, 2013 For Inspections please call: (305)762 -4949 Page 7 of 40 RRST -CIA: U.S. POSTAL PAW MLa AAb FL PERlu rr WO. ; THIS 1S NOT A BILL — DO NOT PAY 479691 -9 RENEWAL BUSINESS NAME /LOCATION RECEPT NO. 432558 -7 ABCO ELECTRIC INC STATE# EC000Z077 •2150 NW 19 AVE 33142 MIAMI OWNER ABCO ELECTRIC INC • Sea Type of Ouelnesa -M.1ajjoiWTRlCAL CONTRACTOR, tiiYTAIC 08/10/2012• ` • b•0000000319 00.0045.00 815E OTHER SIDE WORKER /S 10 DO NOT FORWARD ARCO ELECTRIC INC ALBERTO BAGDADI PRES 21513 NW 19. AVE MIAMI EL 33142 •liti�tll•l�litt��l�It�Yt�si+ tiff llstftlrr�'ftt�tt�i�Yl��tt�f�tl r1 w Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 E Tel: (305) 795.2204 Fax: (305) 756.8972 �. INSPECTION'S PHONE NUMBER: (305) 762.4949 - FBC 201 BUILDING PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: q0q0jQ W � u Permit No. Master Permit No. I r X-C- 13 I 1-3-. 0 City: Miami Shdres County. Miami Dade Zip: Folio/Parcem 1 f ?) (o -- Is the Building Historically Designated: Yes NO Flood Zone: Value of Work for this Permit: $ s " ()® Square/Linear Foo a of Work: Type of Work: OAddress OAlteration ONew 1_ ` epair/Replace ODemohtion Description of Work: epto o ant r esid Q.�+d elm r a (a� l pane(. Submittal Fee $_ Permit Fee $ CCF $ MCC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ A s TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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 no be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contrac The foregoing instrument was acknowledged before me this The fore oin g _ g instrument was a owledged before me this day of ! le , 20 by ?� o Q day of (Ae 20 , ,by who is personally known to me or who has produced who is personally known to me As identification and who did take an oath. NOTARY PUBLIC: Sign. APPROVED BY as identification and who did take an oath. NOTARY PUBLIC: Sign , Print- (n1 ' %C, Gcck t My Commuision Exp'r MIGDALIA ACCIUS MY COMMISSION # EE659931 os a� EXPIRES: Felxuary 28, 2017 Structural Review Clerk (Revis IrIC: 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) OP ID: DT I,,,r. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY1� 06/18/13 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 305 - 270 -2100 FILER INSURANCE, INC. 305 - 270 -2195 9440 S.W. 77 Avenue Miami„ FL 33166 Mark A. Bluh NaNNE.cT �CNIJcExt; FAX No E-MAIL ADDRESS. PRODUCER ABCOE02 CUSTOMER ID #: INSU S AFFORDING COVERAGE NAIC # INSURED ABCO Electric, Inc 2150 N W 19 Ave Miami, FL 33142 INSURER A: FCCI Insurance Company 10178 INSURER B: 12101113 INSURER C $ 1,000,00 INSURER D: $ 100,00 INSURER E: $ 5,0 INSURER F: $ 1,000.00 rnVFRArSFC CPRTIFICATF NIIMRFR- 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. WTRR L TYPE OF INSURANCE ADDL SUB POLICY NUMBER MM1uDD EFF PLICY MM IDD EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR X Contractual GL0003922 12101/12 12101113 EACH OCCURRENCE $ 1,000,00 DAMAGE ED PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,0 PERSONAL & ADV INJURY $ 1,000.00 GENERALAGGREGATE $ 2.000.00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP /0P AGG $ 2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccident) $ $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UM60003663 12101112 12101113 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 X DEDUCTIBLE RETENTION $ 10,0w $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETORIPARTNER/EXECUTWE OFFICERIMEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 58360 09/19/12 09119113 WC STATUS OTH X RY X E E EACH ACCIDENT $ 500,00 E.L DISEASE - EA EM PLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) rcoricrrerc unt nco rAhlrm I ATInh1 MIAM106 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 N.E. 2 Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE t9 DARYL TORRES - A266851 ©1988 -2009 ACORD CORPORATION. All rights reserves. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD STATE OF FLORIDA IV.DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING-BOARD .(850) 487-1395 1940 NORTH MONROE STREET WS TALLAHASSEE FL 32399-0783 BAGDADI, ALBERTO ABCO ELECTRIC, INC. 2150 N W 19 AVE MIAMI FL 33142 4, AU ly Congratulations! With this license you become one of the nearly one million On- Im Floridians licensed by the Department of Business and Professional Regulation. .�'_Npj - I I Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you belt ei For information about our services, please log onto www.myfloridalloonse.com CT OR . There you can find more information about our divisions and the regulations that department newsletters and leam more about the O V impact you, subscribe to depart "­'� Departmenrs initiatives. GO Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! _4 L DETACH HERE T Won 5' S. X Ack the 6V zqp 4 _pzra 0 V 2150'[ W :L N� . . 4 WE AVE . .. .... ...... 31 ­64 4" W e. 'z 12" K �e OTT. >-� KM"Lxwso*.*. X & 7 ., 0