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EL-13-1299Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 195419 Permit Number: EL -6 -13 -1299 Scheduled Inspection Date: July 18, 2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: R gh Owner:, STEUTEL, JOHN & HOPE Work Classification: Alteration Job Address: 399 NE 98 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060135660 Project: <NONE> Contractor: AJL ELECTRIC INC Phone: 305 - 8954971 Building Department Comments NEW SERVICE REPLACE DAMGE METER AND NEW 200 Infractio Passed Comments AMP SERVICE INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed � Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 18, 2013 For Inspections please call: (305)762 -4949 Page 15 of 20 Miami Shores Village 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 BUILDING PERMIT APPLICATION FBC 20 UZ Permit No. E f__ Master Permit No. JUN 1 o m3 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): `°{ �-� 1" u � n Phone #• Address: q ci 1V Gf '"1 -8 s` -f-t� City: Tenant/Lessee Name: Email: State: JOB ADDRESS: I ! ®�'t -° City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: �� s` ° ®� 3 0 Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: NO C%r Flood Zone: ■ r�r��ilr�ir��i City: fifam_ State rL Zip: 3�319 Qualifier Name: o A bw Lap Phone#: State Certification or Registration#: �'" (' �6 11o�(�dT_Certificate of Competency #: Contact Phone#: Email Address: C DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ , C7 4�7 Square/Linear Footage of Work: _ Tvue of Work: ❑Address DAlteration ONew I Okepair/Replace ❑Demolition Submittal Fee $ ,CO Permit Fee $ 1Y _er6W 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 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 not be approved and a reinspection fee will be charged. Signature Owner or Agent pp of The foregoing instrument was acknowledged before me this t0 day of nLA-'_ ,20 (3, by Signature ontr ctor (� Ct The foregoing instrument was acknowledged beore me this day of , 20 �, by 0"rti oa9 J 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: My Commission identification and who did take an oath. APPROVED BY y i �� ° i Plans Examiner (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Structural Review Clerk 3q 9 NE Gi 5'Fv-r.r- °r rx� S-f r n9a I �►.r LB Ao m �__- 1_ �1 Miami Shores Village !� APPROVED BY DATE a ZONING DEPT p9�'�el l N�r�.!'o rlE1 BLDG DEPT 1�v7�a a� / SUBJECT CO CC;h,iPL','NCE bbl r-H AI_! 2o©�1 �.�{�� l �� STtaTE4N,��'�,I_;N,��' LOAD CCH �C1, MAIN � } Or U. CDPPZ. Ub� �— f-- \d p - 2r�lSIDG ��A�E y I "'v' LS Aw Wilf 1/0 lior-j 3q9 Mr qi 4-- 1 "Is" C, *3 N zoo A 2oDA LOAD C04 -ICK MAIN FANtL I nu-rslbm wNt-L- 1 6' It lsine f AEAQ6 JUN 10 2013 AC# 6161777 STATE OF FLORIDA DEPART14ENT OF BUSINESS, ANT:? PROFfSSIONAL REGULATION ELECTRICAL CONTRACTORS LI , ENSING BOARD SEQ#L12061301043 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapte l Expiration date: AUG 31, 2014' LUPO, A J L 12555 NORTH ANTHONY J ELECTRIC BISCAYNE MIAMI RICK SCOTT GOVERNOR NORTHIMIAMI Issued Date: 10/1/2012 Expiration Date: 9/30/2013 Business Tax Receipt M BT- 002364 A J L ELECTRIC, INC. 12555 BISCAYNE BLVD BOX 826 NORTH MIAMI, FL 33181 #826 FL 33181 KEN LAWSON SECRETARY DISPLAY AS REQUIRED BY LAW City of North Miami 776 N.E.125 Street • North Miami, FL 33161 • 305 - 893 -6511 Business Tax Receipt/Certificate of Use NON- TRANSFERABLE • 192974 -5 BUSINESS NAME / LOCATION AJL ELECTRIC INC 12408 N BAYSHORE DR 33181 NORTH MIAMI ELECTRICAL CONTRACTOR Business Name / Address: A J L ELECTRIC, INC. 12555 BISCAYNE BLVD, BOX 826 NORTH MIAMI, FL 33181 Michael A. Etienne, Esquire, City Clerk NOTICE: BUSINESS TAX RECEIPT MUST BE TRANSFERED WHEN BUSINESS IS MOVED OR SOLD. .'OST INA CONSPICUOUS NON-TRANSFERABLE FIRST -CLASS U.S.YOSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS IS NOT A BILL — DO NOT PAY RENEWAL RECEIPT NO. 203700-0 STATE# EC13002089 R OWNER AJL ELECTRIC INC Sec. Type of Business ICAL CONTRACTOR PAYMMU ReCOM MuMHMM COUNTY TAX COLLECTOR: 08/17/2012 09010134001 nnnn45.nn WORKER /S 1 DO NOT FORWARD AJL ELECTRIC INC ANTHONY JAMES LUPO PRES 12555 BISCAYNE BLVD BOX 826 NORTH MIAMI FL 33181 1111111111111 1111„ 1, J.I -ILB7 J A -11 FI _4 np In- TR ACCJIRD` CERTIFICATE OF LIABILITY INSURANCE °05107, 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 Tkli ISSUING INSURER(S), AUTHORIZED REPRE$ENTATIVEOR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate 'holder Is an ADDITIONAL INSURED, the pollcylles) must be endorsed. tffSUBROGATION -S WAIVED, subject to 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). '0RODUCER E54 -fii8 -180 nE; ithe Roebuck Associates Insurance 954 =618 -188 Exchange LLC 5599 S University Drive, 9 301 Davle, FL 33328 Roebuck Associates H N o E FAX No ADDRESS: INSURE S:AFFORDINGCOVERAGE NAIC# IN.SURERA: Nova Casualty insur nce Co. EACH OCCURRENCE $ 1,OOOrt30 INSURED AJL Electric Inc. INSURERS :Guarantee insurance Company r�ED DP (Any one person) 12408 N. Bayshore Drive N. Miami Beach, FL 33181 INsuRER c: Mount Vernon Fire Ins. Company $ 1,000„00 WSURERD: INSURER E : $ 2,000-0 REGATE LIMIT APPLIES PER: POLICY PRO LOO I INSURER F! $ Z000 , 00 i+wc[cs'w n_ee CCDTICIPATC KII IRRMCD• RFVINIUM NI IRARFFN CERTIFY THAT THE POLICIES -OF INSURANCE LISTED BELOW` HAVE BEEN ISSUED TO THE INSURED'NAMED .ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS E MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, S AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE LIMITS LIABILITY RM GENERAL LIABILITY FAIER CLAIMS -MADE OCCUR 09AL072566 05/15H3 05/15114 EACH OCCURRENCE $ 1,OOOrt30 PREA91 s Ee oce arence $ 1 OO;pO. r�ED DP (Any one person) $ .5-100 PERSONAL & ADV INJURY $ 1,000„00 GENERAL AGGREGATE $ 2,000-0 REGATE LIMIT APPLIES PER: POLICY PRO LOO PRODUCTS - CONP /OP AGG $ Z000 , 00 $ -F-x] AUTOMOBILE LABILITY ANY AUTO ALL OWTED P AUTOS BOaULED HIRED AUrOSViD AUTOS Ea accIC 't BODILY INAlRY (Per person) $ BODILY INJURY (Perscoxw t) $ Per acd Alv(NGE $ $ C UMBRELLA L AB I EXCESS X OCCUR CLA XL2118431 05118113 05118!14 EACH OCCURRENCE X AGGREGATE $ 2,004,00 WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIEfOMPARTNERIEXECUTNE YIN j �FICt- RAvIEME :REXCLUDED'3 tJ (Mandatory In NH) yyees5 describe under DESERIPTION OF OPERATIONS below NIA GWIC3D10056D2113 05I15H3 05115114 X WA 0TH E.L.EACr+ACCIDENT $ 1QQ,00 �L DISEASE - FA EMPLOYEE $ 100,00.. E.L. DtSEASE - POLICY LIMIT $ 500,00 rIf 1DESCWTION OF OPERATIONS 'I LOOATTONS 1 VEIiIGLES (Attach AGORO 161, AddSlonal Remarks Schedule; S more span is required) Miami Shores Village Building Dept 10050 NE 2 Avenue Miami. Shores, FL 33138 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED OLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE NTH THE POLICE- PROVISIONS. ©1888 -2010 AC0 D'CORPORATION: All rights reserved. The ACORD name and logo are registered marks of ACORD