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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 �. "_•w �. s�.a.w —•• ..vi�1RlSLL J:VIC - - 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 0 1RUSTRIAL ELECTRICAL SYSTEM COR s ®l;rf 6TllCAL CONTRACTOR �10RKEII TIES IS ONLY A LOCAL OTXTR,ESS TAX RECEIPT: IT DOES NOT PERMIT THE HO UM TO VIOLATE ANY EXUMG TOAY LAWS ZONINO LAY/3 OP THE HE DO NOT FORWARD COUNTY OR arms. NOR DOES IT Emm" fl1E HOLOSRMWANYOT W INDUSTRIAL ELECTRICAL SYSTEM pow on MOUPISO BY LAW ME IS CORP NOT AWE CA N OP NESTOR I CORVEA PRES �' 10257 NW 9 ST CIR 205 MIAMI FL 33172 PAYMENTIMCMV90 NUTMDADE COUNTY TAX '``07/20/2012 09010073001 000075.00 )„!(„l i, T, I!l i,,, i, tl', 1 ,ii,,,il ►,il,,,,,i1 „!,! „i,l,P,I SEE OTHER SIDE 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. �•, • ......� .w...le maser Is an tau the tents tufd of the poNcy, cwt in PRODIMM PAYCHEX INSURANCE AGENCY INC 210705 P:( )— F:(888 )443 -6122 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 sss NAIC# 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 Iffm LTR 7M OF 1--c-5. U013 SHOWN MAY HAVE BEEN �� t REDUCED BY �rl PAID CLAIMS. tlluufs A eatttY COMMERCIAL GENERAL lABIUiY CI AIMS MADE u OCCUR MIA 76 WSG F06188 -01/24/13 - 01/24/14 EACH OCCURRENCE R 8 i oxmr w 8 I MEID EXP (Axw on* peraml Is PER SOMAI. & ADV INJURY Is rL AGt#tEC,ATE RD- ASS t� POLICY �- LOC auroerDMILE LlABtLIfY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS . UMBRELIA UAS U OCCUR OWNS LIAB DOE GENERAL AGQMGATE 8 �DDUCT"- COMPIOP AM 8 COM[II NEO SINGLE LIMIT MR aeeideno 8 s BODILY INJURY (Per pavan) 8 SOOILY INJURY {Par aeddwW 8 PiIOPEiiTY DAMAGE {Par aeddww 8 8 EACH EACH OCCURRENCE 8 8 DEDUCTME RETE:P(TION 8 COMPNYffiATION AND 1&fP10YA18't1fy YIN '°""` in NM o�sc�Pr oF°N T� s °,�' - 8 X A - 8 1,000,000 Ex.r�taT E(,.D -_EA �0 8 1,000 000 E-L DISEASE - POLICY LIMIT $1,000 00 0 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 �