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EL-13-1674Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP- 195934 Permit Number: EL -7 -13 -1674 Inspection Date: July 19, 2013 Inspector: Devaney, Michael Owner: ARRONTE, MIGUEL & CARLINA Job Address: 890 NE 92 Street Miami Shores, FL Project: <NONE> Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Temp for Construction Phone Number Parcel Number 1132060050130 Contractor: ALL PHASE ELECTRIC CORP Phone: 305 - 345 -6480 rsuuai TEMPORARY FOR CONSTRUCTION INSPECTOR COMMENTS False Inspector Comments Passed f. Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspectins please call: (305)762 -4949 July 26, 2013 Page 1 of 1 O NOT """"WE AGE D SKORES �L MIAMI UUMDING DE �SSOxEs 10050 NE 2 Ate' X2204 TION CAUL 305.795 FOR �O�A srfo D RK pENDE SUS ALL NOTICE UN TIL permit #� it Solder % perm C Violation F.s. Address By Builaang offi�i� Date Miami Shores Village Buildin g Department artment 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 Permit Type: Electrical JOB ADDRESS: P �,PW A4�5=_ eY FBC 20 JUL 2 6 cv i3 ` U BY.- ........ Permit No. fj:� 1 1wn4— Master Permit No. A// City. Miami Shores County. Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple' Address: ep�940 AV City! State: Zip: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Address: City! State Certification or Registration #: Contact Phone#: Email Address: of Competency #: DESIGNER: Architect/Engineer. Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddress Wlteration ONew ORepair/Replace ODemolition Description of Work: .��.��' ®i?41 -� Submittal Fee $ Permit Fee $ Z ® ® < o 61 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 111. 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 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 EMPROVEVIENTS 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 The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature ude�w —7 Contractor The foregoing instrument was acknowl ged before me this�� day of �— 20 /_3 b3 le , fp who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Ism= Print: S' 4 cI D c,2�,r My Commission Expires: ao� o FRS SAJOUS s * MY COMMISSION # FF 000048 EXPIRES: Apil 23, 2017 -rA c, r,00O Bold Thm Buda Nowy Sol= & drdr, 84r& �Y�dra�xaF�Ydr�ev4ier�& �rirsk9rrlr�* tY�1r�e, xakxaY3rieak�YaHra��i�rvY�trsYaYaF, t& sk& �YaYdF�trtt, rnt, YcY& �Tr, Ysinrstrx�lraYttdr, u& da8r9rx�TCaY+ kde, Hr�t�rde�rk�tn4 ,k+kdrsk�4�aYd� &d�k* APPROVED .BY %%Z Plans Examiner Zoning Structural Review (Revised 3 /122012)(Revised 07 /10 /07XRevised 06 /10/2009XRmised 3/15/09) Clerk � ��... CERTIFICATE OF LIABILITY 1 N E DATE(TUMINYYYYI PRpDucER I 05114!2013 305 - 556-7399 THIS CERTIFICATE IS ISSUED AS A FATTER OF INFORMATION SOUTHWESTERN INSURANCE SERVICES, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4375 PALM AVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HIALEAH FL 33012 ALTER THE COVERAGE AFFORDED BY THE POLICIES BFI nW , FAX: 305 - 555489 INSURERS AFFORDING COVERAGE INSURED NAIC S ALL PHASE ELECTRIC CORP INSURER A: ASCENDANT COMMERCIAL INSURANCE 10233 11899 NW 91 AVE BAY E INSURER e: PROGRESSIVE EXPRESS INSURANCE 10193 INSURER c: ASCENDANT COMMERCIAL INSURANCE 10233 I HIALEAH GARDENS FL 33018 INSURER D. THE POLICIES OF IPiSURANCE ANY REQUIRE LISTED MOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING MENT, 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, RAL LIABILITY :OMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR 500 DED PER. IRRENCE S 1,00'000 Ea acctiare iml S 100,000 ny one Pars=) $ 5,000 a AOV NJURY S 1,000, 000 GGREGATE $ 2,000,000 - COMROP AGG I S 1.000.000 B AUT019OBILELIABILITY 08314488 -1 11109/12 11/09/13 ANY AUTO COMBINED SINGLE LIMIT (Ea accalent) S 50,000 ALL OWNED AUTOS ' SCHEDULED AUTOS BODILY INJURY (PerPeraon) S HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) S x PIP 10,000 PROPERTY DAMAGE g GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO R F� ACC S OTHER THAN S AUTO ONLY: AGG EXCESS I UCLA LIABILITY EACH OCCURRENCE $ AGGREGATE S F_j OCCUR CLAIMS MADE S S DEDUCTIBLE $ RETENTION S C WORKERS COMPENSATION WC STATU- OTH- ANY PROPRIE OT R/PLARTNERIEXECUTIVE Y IN WC$08572 -0 02/27/13 02/27/14 �F-LEACH ACCIDENT S 500,000 OFFICERIMEMBER EXCLUDED? /6&lndafnv in 111471 inn nnn OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VENUS i EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2nd Ave. Miami, FL 33138 ACORD 25 (2009101) E.L. DISEASE - F_i DISEASE - SHOULD ANY OF THE ABOVE DESCRIBED POLUUES BE CANCIILEO BMMTHE EXPIRATION DATE THEREOF, THE ISSUMIG DISWIRER WILL ENDEAVOR TO NAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE W1111M HAMM TO THIS LEFT, BUT FM9lQAE70 DO SO SHALL IMPOSE NO OHUSATM OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR The ACORD name and logo are registered marks of ACORD a THIS IS NOT A BILL - DO NOT PAY 057351 -0 BUSINESS NAME / LOCATION ALL PHASE ELECTRIC CORP 11899 NW 91 AVE 33018 HIALEAH GARDENS FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 RENEWAL RECEIPT NO. 057351-0 STATE# EC13003152 BAY- OWNER ALL PHASE ELECTRIC CORP Sm. Type of Business WORKER /S ,1 IS M16A Jr &C ELECTRICAL CONTRACTOR 10 USINESS TAX RECEIPL IT on NOT PERERT THE CUM TO VIOLATE ANY X lS=Q REGULATORY OR 7NING LAWS OF THE DO NOT FORWARD OUNTY OR CR7E& NOR OE8 IT EXEMPT THE OLDER FROM ANY OTHER ERW OR LICENSE EQUFRED BY LAW. THIS IS OT A CERTIFICATUM OF ALL PHASE ELECTRIC CORP IIONSHO. LDERSQI,auFtca PEDRO LOPEZ PRES 11899 NW 91 AVE BAY -E AYMM D � TAX HIALEAH GARDENS FL 33018 09/25/2012 02260001001 000045.00 SEE OTHER SIDE �r O N P r \ o� O uj . a O i<' o o G1 W (� Do P 05 C4 0 9% � rQ m l Rao 68 O a � "' " Z 3:tiw m LL V) W °' MI1 0 ffi Mu z = 75 0 V3 w d u_ m _ Q (r m 0 z Z z m3 L� 0 W X000 KOSMVI MX >. b a BAY. 16 m 66$It asQ Og I ' i ,t�TOZ lZ£ � x1 dxg a:, CCI3I2iS0 SI AOtaQ peure :. Am 4 A 2'iOnu00 I1roI�t[t , 'C£OQ£'�ZZ6900Z'� ZD i£ >$b> El fdom go 0 Ul 0 L---] � ` ƒ2 »? ,...� . . .. y! © 7 ®§ \I \ �\?2 �.. \/ � \\ \ \� � : IkL 2 o� i 2 OFFICE COPY Permit Holder L r/',�`� Permit #14—� y F.B.0 Violation /tJ G 1 /C7 �l Z - �� /�� /t- l��zf; h�,�'•�� ° 1L1AI-111-1 &i2, A-10- Address Q a C/m,A- ,,7Mzl earl ' Date BY Building Official