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EL-13-2629Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 205138 Permit Number: EL -11 -13 -2629 Scheduled Inspection Date: December 31, 2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Owner: BALMORI, ALEXANDRA Job Address: 242 NW 93 Street Miami Shores, FL 33150- Project: <NONE> Contractor: FARINA ELECTRICAL CONTRACTORS INC tsuilla comments nspection Type. Final Work Classification: Repair Phone Number (786)206 -1516 Parcel Number 1131010331090 Phone: (954)967 -9568 METER CAN REPAIR AND REMOVE AND REPLACE " "' - - -- BURNED UP B PHASE CONDUCTOR RE- TORQUE ALL INSPECTOR COMMENTS False LUGS TO SPECIFIED FT IBS Passed lkf Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments r x Ax- 5T Gam, December 30, 2013 For Inspections please call: (305)762 -4949 Page 13 of 21 .: d.. T- TRK0 d a l� A 9- RIM UO� • DORIS POLANCO Notary Public - State of Florida '• , my Comm. Expires Nov 12. 2016 Commission # EE 632983 '••+ .° ;; t •• BORM TWoMH4ellawL" Assn. d fE- ,,, id �� 1 t hPV�cuc.� W ►K �r g=L^� n� _ P .1— .... A IA . Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOVEMBER 20, 2013 Permit No: EL13 -2629 ELECTRICAL REVIEWER COMMENTS NEED DRAWINGS SHOWING THE NEW PARTS Plan review is not complete, when all Items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. : 41-13, �c Co��r- Ue' Ricc�A- p395 Miami Shores Village Building Department 0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Faz: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: Electrical , BY: FBC 20 NOV 202013 Permit No. master Permit No —' Z 6 2 e JOB ADDRESS:�Z. t 3 City: Miami Shores County: Miami Dade zV: Folio/Parcel#: Is the Building Hlstorlcally Designated: Yes NO Flood Zane. OWNER: Name (Fee Simple City: State: _ 1 Zip: Tenant/Lessee Name: U n t2 is 6K Phone#• �' of . e if it Email: CONTRACTOR: Company Name: 61VA j� f F 1 C, Phond#: J4. C 41 • 5b 8 Address: A/-. City: State: �. �� ;] / 3� /3� 2 Qualifier Name: ( �, ,1 `t Phone*. —7 PAt 44 State Certification or Registration #• Certificate of Competency #• Contact Phone#: Email Address: Chjb P f SA R1 Q Co N U ST" N DESIGNER: eer: ArchiteoVEngin 1. ° Phone#. - -Value of Work for-thk Permit: nare/d inear• Foo 1 tie of Work: Type of Work: O ONew /Replaee.:. UDemolition 61 .aaeee. Descri onof A jl_r_. A�nAr�vc tee 33 e a�a, �***, �e, �aa�, �, �r+ wr+ r�a�r�a�r�aktiwe* a�x�► wr, �r, �F�* a, �*, �, �** �a**, �+ r��, uxaa ,�► *,rr,r��a..�.�..�....,... Submittal Fee Permit Fee $ Scanning Fee $ Radon Fee $ CCF $ COXC $ . DBPR $ Bond $ Notary $ TraiuiugtEdacation Fee $ _ __ Technology Fee $ Double Fee $ Structural Review $ , Bonding Company's Name (if applicable) Bonding Company's Address f ' City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 0 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 KCAL 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 prop" is subject to attachment. Also, a cerftfted 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 such posted notice, the inspection will not be ap roved and a reinspection fee will be charged. Signature Signature owner or Agent Contractor The foregoing instrument was acknowledged before ,me this � The foregoing instrument was acknowledged before me this 1 �� day of J 20 L, by ice' 9 (0I day of _ fly WUP" 20 13, by CWICK , who is personally kno ©o me or who has produced who is personally known to me or who !bas produced As identification and who did take an oath. f �& U ` •. as identification and who did take an oath. NOTARY PUBLIC: Print: My Commission Expires: ,�m13 Plans Examiner Structural Review Clerk (Revised 3 /1=012)(Reviwd 07/10/07XRevised 06tio/2ONXRrAsed 3ns/o9) 13 11/15/2613 _14:48 9549560555 COVER ALL INSURANCE PAGE 01/01 ACS-1m,10. CERTIFICATE OF LIASIL.ITY INSURANCE *ATfh4WDDrfYii THIS CERTIFICATE IS l3SUED AS A MATTER OF (NFORNWTI�IN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE4HOp E THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EX'PE'ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BLCiW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTA T: If the cerf3'tiQabg ho der Is an ACIMMONAL INSURED, the policy( the berms and conditions of the policy, certain policies may requir® an ena n,l, A "Dee nuo n this ertl�icate does notoonfer rights e e certifil holder In lien 4 such andorsembn . PRODUCER C TtSCT REEL INSURANCE DBA COVERALL INSURANCE PNDN@ 5600 W ATLANI BLVp '954.956 -0006 PAX g54956 -0555 MARGATE FL 33063 IL INSURED FARINA ELECTRICL CONSTRUCTORS INC 11B N 32NDAVE HOLLYWOOD FL 33021 '""i' lt'Y THAT THE POLICIES OF INSURANCE LISTED $FLOW HAVE BEEN ISSUED TO 1 HE INSURED NANt 0 /dBOvME FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT To ALL THE TERMS, REXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN 11EDUCi2D BY PAID GLAlMs TileC Pic nom. s......, QQL as _ GENERAL LIAMILITY nu — �•+w ter UMIt'$ X COMMERCIAL G L LIABILITY EAC CCU RR NCE DAMAGE TO RE E1 CLAIM54MOE LX J OCCUR OL- 004011130.OD 09/05/2013 09/05/2014 MED �a I PERSONAL & A V NJURY 8 (3EN7 A TELIMIT APPL IRS PER GENE GGR6 TE X POLICY LOC PRODU TS - COMPI P AGG AUTOMOBILE LIABII S ANYAUTo CMBINE0 SING IMIT O SCHEDULED �S 90DILY INJUY (PelAUro i HIRED AUTQS ANVPIOWNED BODILY INJURY (Par accica l S PROPERTY CAMAGC $ UMBRELLA LIAR OCCUR S EXCII;58LiAB .....---.-- -- cerun......;.�..�_ AND EMPLOYERS' ilAgjLinf ELECTRICAL li I FAFL130266 091092013 109106/2014 tL C TR ICN L OPERAT10W9 f LOCATIONS 1 vwCLw (A}Jach ACOR01111. Adiff4ic l RUMUNG, Bahadule, If mar* apace Is raquiri =�cTRICaL Village of PAiand Shores 10060 NE 2nd Ave Miami Shores, FL 33138 CORD 25 (2010/06) SHOULD ANY OF THE Aul DE8CR7 THE EXPIRATiia • DATE YWERgll ACCORDANCE one �P...,...... The ACORD name and I W 9,709-z�TU Al logo are reglstered marks of ACORD ICIES BE CANCELLED BEFORE WILL BE DELMiliai O IN tATION. All rights reserved. 115 S. Andrews Ave., Rm. A:100, Ft_ Lauderdale, FL 3$301-1895 — grA-831_4000. VALID OCTOBER 1, 2013 THROUGH SEPTEMBER 30,2014 DEWL- BmInam SM9. FARINA ELECTRICAL CONSTRUCTORS INC Receipt #-. 101 -3291 suel ELZCTR1ChL/ALaRM/C Business lype*- imm-m =A-c-MICIM Owner Nakne-, aMUU-W A •ARUM/QUAL ' Business Location: 7.3. 8 X 32 JLVE Business Opefted:02/15/�008 HOLLYWOOD 8t3WC0Unty1C*i1)Re9:08 -CME- 3.4770 -R Business Phone: 786-444-6954 ExemPtlon•Code: Rooms 36ats Emplayea Maahlnes Number of machines: Fbr veruiing s only Vending - Tax Amount Transfer Fee NSF Mse Penalty ding - 27.00 0.00 0.06 - 0 — Prior years L-901Wetion C—*Nt —T—ofti �Paw li�tu -001 0-00 0.00 27.0o i THIS RECEIPT MUST 13E POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS 89COMES A TAX'RECEIP-r This tax IS levied for the privilege of doing business Within Bmward a ON Is nor ounly I-regUIStory in naturm You must meet all County and/or Municipality planrkhV MEN VALIDATED and zoning requirements. This Business Tax Receipt must be bernbrred when the business is add, business name has changed or you have moved the business location. This receipt does not indicate that the basin=s is legal CW that it IS In compliance with State or local laws and regulations. Mailing Address: CHARLES A FARXXA/QLIAL 118 N 32 AVII HOLLYWOOD, FL 33021 2013 -2014 V AC.# 0 -.3178• N • IM3014074 12-A 1210i1124 RM =Cm. R FARINA RZ TO CIDBITRACTIN AREA) 4 !, ALM TO/TO 3E)Vd JiVNEG.LNI 30AON A6061pt •028 -12-00002649 Paid 09/30/2013 27.00 CTQB Con*Mdw n-a" 009ft Board ,.':'BUSINESS CERMICATE OF COMPETENCY 08E000664. ARM ELECTIMALCOMITRM On-*ft 1AM A F JNA -CRARLES AWHONY 98OZ996V96 LV:61 EIOZ/91/TT