EL-13-1137i
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 191983 Permit Number: EL -5 -13 -1137
Scheduled Inspection Date: December 20, 2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: VALDES JR JTRS, ALFREDO Work Classification: Addition /Alteration
Job Address: 151 NE 93 Street
Miami Shores, FL 33138- Phone Number (305)975 -6413
Parcel Number 1132060133040
Project: <NONE>
Contractor: INDUSTRIAL ELECTRICAL SYSTEM CORP Phone: 3051228 -1384
comments
ELECTRICAL WORK FOR NEW POOL AND SPA
INSPECTOR COMMENTS False
Inspector Comments
Passed 2
Failed ov
Ci
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- Inspection fee is paid.
December 19, 2013 For Inspections please call: (305)762 -4949 Page 2 of 27
Miami Shores village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
MAY 222013
i
Permit No. 'F-,l 15 1)5-�
Master Permit No. fff ) ?) 1) 6(a
JOB ADDRESS: �S' q 3 L
City: Miami Shores County: Miami Dade Zip: O
Folio/Parcel# 11 _3 90 f. E 0� o
Is the Building Historically Designated: Yes NO Float Zone:
OWNER: Name (Fee Simple Titleholder) N C J! () N to i Ct Phone#: 8 `q -? S- - 6 Y/ 3
city: 0%o n 5 State:
Tenant/I.essee Name: Phone#:
Email:
CONTRACTOR: Company Name: = +v& &4C T CA 1 G 1 e C , CG Z-(—, T Phone#. 3 %0- -3 & 6
Address: 1 ®c-)-S-� k) Q Y+. . C) (e `14° aUS
City: 'ft,*N\ �Y�,> State: (, r Zip: 3 D
Qualifier Name: c o evCm - _ Phone#.
State Certification or Registration #: EC 1 300 l � a Certificate of Competency #.
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ .2, C)o Square/Linear Footage of Work: ) 37 S
Type of Work: OAddress DAlteration ONew ORepair/Replace ODemolition
Description of Work:
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Sunning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Stmctmml Review $
DBPR $ Bond $.
Technology Fee $
TOTAL FEE NOW DUE $
r
Bonding Company's Name (if applicable)
• Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
zip
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 reinspechon fee will charged
Signature Signature'
Owner or nt Contractor -�
The foregoing instrument was owledged before me this r i The foregoing instrument was acknowledged before me this
day of , 20 , by day of 0%4) 20 BB 5, by C2Q CD -/v i C ,
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.
NOTARY PUBLIC:
Sign:
Print: I
My Commission E
APPROVED BY
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: `` ` " ' �,✓
m Print � \ a o,^ 1 j J)
DAVID M DIPUGLIA My Co *AVID M DIPUGLIA
MY COMMISSION # DD935808 �so
=•� •" MY COMMISSION # DD835608
EXPIRES October 25, 2013 .`'` EXPIRES October 25, 2013
0/0'2 Z -r14-e& V Plans Examiner
Structural Review
(Revised 3 /1=012)(Revised 07/10 /07)(Revised 06I10/M)(Revised 3/15/09)
Zoning
Clerk
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399 -0783
CORVEA, NESTOR I
INDUSTRIAL ELECTRICAL SYSTEMS CORP
1MO NW 9TH ST CIR F233
IA L
172
Congratulations! With this license you become one of the nearly one million
Floridians licensed by the Department of Business and Professional Regulation.
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep Florida's economy strong. i
Every day we work to improve the way we do business in order to serve you better.
For information about our services, please log onto www.myflorldalicense com
There you can find more information about our divisions and the regulations that
impact you, subscribe to department newsletters and learn more about the
Department's initiatives.
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!
STATE OF FLOFUDA AC# r= L & ? 2 Q 9
DEPARTMENT ' OF BUSINESS AND
PROFESSIONAL,_ REGULATION
EfC13002182 ;' 0.6�19j]2 118190668
CERTIFIED .- LECTRICAL.. CONTRACTOR
CORVEA, NESTOR.'I
INDUSTRIAL :ELECTRICAL 9YST=SS Co
IS CERTIFIED under the provisions of ch.489 Fe
Sspiratica dates AUG 31, 2014 L12061901266
DETACH HERE
R " :- is GQCUIrIENT fI S O RED e "AC)SGf�O,iltl �,1sGFi�' Ri Ti G L'I Eh#fARK R TEN £(3'PAPER � � a "
AC#6167209 STATE OF ^! 1
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD SE[�flr.i2naion���G
� LICENSE NBR - - --- -- ------ - - - - -
06 19 2012 118190668 EC13002182
mi.. w ta4 tlAen..rs.a �.
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Named below IS CERTIFIED
Under the provisions of Chapter 4:89 FS..
Expiration date: AUG 31, 2014
CORVEA, NESTOR
INDUSTRIAL ELECTRICAL SYSTEM$ CORP
10257 NW 9TH ST CIR # 205
MIAMI FL 33172
RICK SCOTT KEN LAWSON
GOVERNOR SECRETARY
DISPLAY AS REQUIRED BY LAW
FIRST - CLASS
U.S. POSTAGE
PAID
MIAMI, FL
PERMIT NO. 931
611585 -1 THIS IS NOT A BILL - DO NOT PAY RENEWAL
euTIMMO+ TO&RICAL SYSTEM STATEFTEN02182637878 -0
CORP
10257 NW 9 ST CIR 205
33172 UNIN DADE COUNTY
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CERTIFICATE OF LIABILITY INSURANCE 055 -17 -201 '
L EFMFICATEIS ISSUED AS A MATTER0F INFORMATION ONLY AND CONFERS NO RIGM UPON THE CERTIF)CATE HOLDM THIS CATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
THIS CERTIFlCATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUN G WSURERISI. AUTHORIZED
ENTATIVE OR PRODUCER, AND THE CEImRCATE HOLDER.
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PAYCHEX INSURANCE AGENCY INC
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P O BOX 33015
SAN ANTONIO TX 78265
ALMSURED, the poftyp") MUM be Wised. If SUBROGATIONIS WAIVED, submit to
row requke an endwsonent A oaf tft cuff m" does Fm confer dg m to the
INDUSTRIAL ELECTRICAL SYSTEMS CORP INSURER B
10257 N.W. 9TH STREET CIR. APT. 205 INSURER C:
MIAMI FL 33172 tNs� n
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T1416 IS O L'NOTWI THAT THE ('OUy QF J. RANCE 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
CEFMRCATE MAY bE ISSUED OR- MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIE8
EXCWSIONS AND CONDITIONS OF SUCH DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
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SION Of OMATIONS I LOCATIONS I V1 (Aftwh ACORD WIL, A"ftfw Remaft Sat wullL U mma 161096401 ,
"hose usual to the Insured's Operations.
MMFICATF WM nFff
Miami Shores Village
10050 NE 2 Ave
Miami Shores F133138
SHOULD ANY OF THE ABOVE DESCRIBED POUCMs BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE iroUCY PROVOONS.
r7mmwllo -
CORD 25 (2009109) The ACORD name tft►d.9wgo are registeaot ntad w of ACORD
rkgft reainved.
D INDUSTRIAL ELECTRICAL Sl(STEMS CORD
18237 N.W. 9 Sr CIRCLE #M B:
M411% FLORIDA, 33172 t nisigm �