The URL can be used to link to this page

EL-13-2020Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL I Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 185087 Scheduled Inspection Date: July 16, 2013 Inspector: Devaney, Michael Owner: FLEITES, DANNELLE Job Address: 131 NE 110 Street Miami Shores, FL 33161- Project: <NONE> p) I'D 13-,)(0) Permit Number: EL -2 -13 -202 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1121360040200 Contractor: MCKENZIE CONSTRUCTION CORP Phone: (305)245 -2700 tiuuamg uepartment comments POOL EQUIPMENT 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 15, 2013 For Inspections please call: (305)762 -4949 Page 5 of 30 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 FBC 20 i3 BUILDING Permit No. f ('15 --A -A PERMIT APPLICATION Master Permit No. f 3m 3 l Permit Type: Electrical JOB ADDRESS: /__31 A 1 ` Z) City: Miami Shores ounty: Miami Dade Zip: �J 1 Folio/Parcel #: / l �;L I'�> 6 0& f E"-�_ 6 Is the Building Historically Designated: Yes OWNER: Name (Fee Simple r2 /eve city: 'Ca- Tenant/I.essee Name: Email: State: NO Flood Zone: P1 0k Phone #: 5'71 .95'1!r' ,!r ; q'91 Cam] CONTRACTOR: Company Name: . / id 4tS 6 (!rer (c 00M V Phone #: 30(; °7 �� 3096 Address: -74 55 C_: W—k Avg city: "I C:1 k (' Stater— Zip: `� -3i 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 coed' to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a o of e notice of commencement and construction lien law brochure will be delivered to the person whose property is subject t a ac ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection is o urs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be pr a nd a reinspection fee will be charged. Signature or Agent Contractor The foregeidly t was acknowledged before me this The foregoing instrument was acknowledged before me this d day of 1�, by � ® a- �✓y�++•M a4@ day of �� ` , 20 B by who is pe to me or who has produced who is personally known to me or who has produced s identification and who did take an oath. as identification and who did take an oath. NOT 46(y PUBLIC: NOTARY PUBLIC: y k _ NIL Sign: 1- Sign: Print: Print: kA-G-Rcl S My Commission Expires: !WNP, ;;: ty�, ��STA My Commission Expires: . '' . I '• '.�. viSSION # EE 141764. ;':r ":i MARIA ACOIS • -:f y ES. �7ecember 10, 2015 W COWSSION # EE 1417N *,'hru Pub U�ervwitws ° - ; EXPIRES: December 10, 2�,'�. APPROVED B Plans Examiner Zoning Structural Review (Revised 3 11212012�(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Clerk C TQ Co gualifying nstruction Trades Board BUSINESS CERTIFICATE OF COMPETENCY 13EO00012 x LLANES ELECTRIC CORP D.B.A.: LLANES RENE Is certified under the proviisiom of Chapter 10 of Minn *Dade STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS- COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW I I 0.0 EFFECTIVE: 01/15/2013 EXPIRATION DATE: 01/15/2015 PERSON: RENE M LLANES FEIN: 460892496 BUSINESS NAME AND ADDRESS: LLANES ELECTRIC CORP 7495 SW 109TH AVE MIAMI, FL 33173 SCOPE OF BUSINESS OR TRADE: 1 - ELECTRIC LIGHT OR POWER LINE C 2- ELECTRICAL WIRING WITHIN U11L Jan,30. 2013 3:36PM Eagle Insurance Agency, Inc. No, 9496 P. 1/1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 101/30/2013 TYPE OF INSURANCE ADDL 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($), 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 CONTACT NAME Eagle Insurance Agency, Inc. PHONE 813 968 -2886 FAx 813 968 -2887 10424 N. Dale Mabry Hwy EL S. www.eaglefl.com Tampa FL 33618 INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Federated National Insurance Company $1,000,000 A INSURED INSURER B INSURER C: 1210612012 Llanes Electric Corp 7495 sW 101 Ave INSURER D : MED EXP (Any one erson Miami FL 33973 INSURER E: $1,000,000 INSURER F 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. IL SR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR GL0000014673 -00 1210612012 1210612013 DAMAGE TO RENTED P E cc $100,000 MED EXP (Any one erson $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMP /OP AGG $1,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS qgWNED PROPERTY DAMAGE (E!er accident, $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under n NIA WC STATU- OTH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) nCSTIP!Ii+E Tr 1Iw• wow Miami Shores Village Building Department 10050 NE 2nd Ave Miami, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE MITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rk <AH> f OO 1988 -2010 ACORD CORPORATION_ All rinhtz rataarvarl ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD