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EL-13-2406Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 209387 Permit Number: EL -10 -13 -2406 Scheduled Inspection Date: March 24, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MERA, RODRIGO & ADRIANA Work Classification: Pool - Private Job Address: 225 NE 96 Street Miami Shores, FL 33138 -2715 Phone Number Parcel Number 1132060134091 Project <NONE> Contractor: ON CALL ELECTRICAL CONTRACTORS INC Phone: (786)388 -5880 Building Department Comments NEW SWIMMING POOL ELECTRICAL WORK • --�- -- __......_.._ INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 208899. CREATED AS REINSPECTION FOR INSP- 208770. CREATED AS REINSPECTION FOR INSP- 201781. Add 120 volt tp /wp gfi receptacle 6 to 20 feet from waters edge. Failed 13 mar. 4 19 mar 20101 4 Same as 13 mar 2014 no work has ben done. Receptacle at the back fence not complete. No wire in conduit or Correction receptacle installed. Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 21, 2014 For Inspections please call: (305)762 -4949 Page 17 of 27 Miami Shores village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: Electrical FBC 20 CC 2 2 2013 Permit No.'a Master Permit No.!' o.! JOB ADDRESS: 4d 5 A19- 2� 5T City: Miami Shores County: Miami Dade Zip: 3 3 Folio/Parcel#:.. / 1 - 3,R D/ -0/ 3 - 5(0 j / Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder):, NO i/ Flood Zone: / ] a 11'Elz /1 Address: �2a S %lam !'4 S % City: ` ,f7w / s /,�P R C S State: 1L Zip: _ d33 / 3 J Tenant/Lessee Name: Email: CONTRACTOR: Company Name: 6 N CA L I P— ` 64XI e. Phone#: ? (A(L • .O 7-7 -'E7 Address: Z 1: Z ® A+%&j 2 '1,1' City: � Zip: 331:27- Ci �a /� d state: Qualifier Name: W& KP 1.5 Phone#::/ 3A- -4, YS' SO State Certification or Registration #: C e- 0,* 0 ® 2 5�? Certificate of Competency #: Contact Phone#: % 9 re, S-q 7 7,,'!;'7q � >- Email Address: _ �� 1�� "fig � �,.►e ®(� l�r�,c„ •e•� DESIGNER: Architect/Engineer: I/tc -e4la- r/°aNco Phone#: ,/ 3,05 ° -,6 at Value of Work for this Permit: $ v2-5,0 ® Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew O� Rep air/Replace ODemolition Description of Work: -.5 w i rn m i d i py L F I& [ I�uC Submittal Fee $. Permit Fee $ j;'A� 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) /V/w Boring 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 SianaturBF' / ��_ Signature , _ Owner or Agent Contractor The foregoing instrument was acknowledged before this day of , 2�, by '` U �%R /b 0 ��' d , who is personally known to me or who has produced NOTARY Pq Sign: Print: G my Commission APPROVED Bx As identification and who did take an oath. The foregoing instrument was acknowledged before me thiso7j day of O9 20 Z, by V &J to. <1 l [ �S , who is personally known to me or who has produced as identification and who did take an oath. ._ ea* is Plans Examiner NOTARY i �J ,. r�� ff��TJ�r -flr!!►� f�!� V Zoning Structural Review Clerk (Revised 3 /1212012)(Revised 07 110107)(Revissd 061102009)(Revised 3/15/09) FROM (MON)OCT 21 2013 20:07/ST.20:03/No.7537538077 P 1 _! • • • • ■ w • ■ �r v ■ �.. ��Y i ` i 1 \ V V i \/11 \ V V 10/22/13 PRODUCER JVS Insurance Ageriq THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 8500 SW 8th St, Suits 27 ONLY AND CONFERS NO RIGHT'S UPON THE CERTIFICATE Miami, FL 33174 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Phone (305) 552 -5250 - a-TER THE COVERAGE AFFpJ. AD BY THE POLie] Es REWW. Fax (305) 552.5292 - INSURERS AFFORDING COVERAGE NAIC 9 INSURED -ON CALL ELECTRICAL CONTRACTORS, INC INSURERA; NOVA CASUALTY INSURANCE 7640 NW 25th Street #105 INSURER B- [ Miami. FL 33122• INSURER G INSURER E• . COVERAGES INSURER R THE POLICIES OF INSURANCE LISTED 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADD'L ITR INSR TYPE OF INSURANCE POLICY NUMBER �LIC EFFECTrvE POLICY � TION LIMITS DATE bIMID DATE GENERAL LIABILfTY EACH OCCURRENCE 7 ,000,000 0 COMMERCIAL GENERAL LIABILITY 09069921 UAE TO RENTED 01 /19/13 01 /10/14 I�REMI ES,(Ea oce mane) 100,000 A f J U CLAIMS MADE 6A OCCUR MED EXP (Arty one pergpn) 5.000 J ❑ - _ PERSONAL Li ADV INJURY 1.000,000 GCN'L AGGREGATE LIMIT APPLIES P Cl POLICY D PROJECT L] LOC AUTOMOBILE LIABILITY L] ANY AUTO ❑ ALL OWNED AUTOS ❑ ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS Li GARAGE LIABILITY — CI J ANY AUTO EXCE88NMBREU.A LIABILITY ❑ CI OCCUR CLAIMS MADE ❑ DEDUCTIBLE CI RETENTION S ViIORKERS COMPENSATION AND—' EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER I MEMBER EXCLUOED? If Yee, deSCfte under SPECIAL PROVISIONS_Delow OTHER DESCRIPTION OF OPFJai_* S / LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED CERTIFICATE HOLDER MIAMI SHORES VILLAGES 150 NE 2ND AVE MIAMI SHORES, FL 33138 ACORD 25 {2041/08) GF " GENERAL AGGREGATE PRODUCTS • COMP/OP AGG COMBINED SINGLE LIMIT (Ea 0OddBnt) BODILY INJURY BODILY INJURY (Per amident) PROPERTY DAMAGE AUTO ONLY - CA ACCIDENT OT HER THAN EA aCC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE E.L. EACH ACCIDENT EL. DISEASE • EA EMPLOYEE E.L. DISEASE - POLICY LIMIT ENDORSEMENT 1 SPECIAL PA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPI;.N N THEREOF, THE ISSUING gdBURER Wtl1 ENDEAVOR TO MAO. S EN NOTICE TO T1iE CET Aie, TO DO SO SHALL IMOF A U E INa MR, ITS AGENTS OR REPRESENTA17YE3. E.