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EL-14-184Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 206590 Scheduled Inspection Date: February 04, 2014 Inspector: Devaney, Michael Owner: GONZALEZ, CLAUDIO Job Address: 1178 NE 98 Street Miami Shores, FL 33138 -2508 Project: <NONE> Contractor: CAYAMAS ELECTRIC CORP Building Department Comments INSTALL MINI SPLIT A/C UNIT Permit Number: EL -1 -14 -184 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132050180400 Phone: (305)227 -4222 Infractio Passed Comments INSPECTOR COMMENTS False Inspector C nerlts•., Passed Failed'G Correction ❑ Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 04, 2014 For Inspections please call: (305)7624949 Page 26 of 26 .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 Permit Type: Electrical JOB ADDRESS: f I -7e 9C. 18 6 7 Bel(.._ -- - ----- FBC 20 1 Lk-.) Permit No. Master Permit No. Y-hcl 9 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO '� Flood Zone: OWNER: Name (Fee Simple Titleholder): 4A(j lac Y ot le Phone #. 7 L Address: 11 7V C 9 5 C ' City: P- f 4A-to S -1W-'Le State. Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: �` �"�° F_ �2�� Phone #: Address: 622-5 �✓ l City: A ! °"-/ / Qualifier Name: _� t..1 /•.� t;�' . e: F;!� Zip: 55 1 5z s C-..J 0 6 -Z Phone #: -3 A' -12/6 - C3' Z: State Certification or Registration #: 4EC C) c� G e . `� Certificate of Competency #: Contact Phonem -3 f)l" ' ZX-G 2'6 Email Address:. -.0& �� 7 5& `l `�S ..kJ c'_1 IDESIGNER:. Architect/Engineer: Phone #: Value of Work for this Permit: Square/Linear Footage of Work: Type of Work: DAddress DAlteration ONew ORepair/Replace ODemolition Description of Work: - ;4/6 7462 A 11A1.1 ' 7' AA;.1 r Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ 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 ' ed. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Con;; Cr The foregoing instrument was acknowledged before me this day of nPM:-3C3 , 20 LA_, by 6,fObiD A a®O� who is personally known to me or who has produced rL J i t e As idea ' c t'o b NOTARY PUB C: o� tart' Public Stele of Florida Gina M Menendez n ca My Commission EE017466 Expires 08/18/2014 Pr`i llY\�.t iYl t Y lEai*t My Commission Expires: &\k(44-0\4 M The foregoing instrument was acknowledged before me this day of JA1,1 01) , 20 14 , by 21 NOTARY P ZOt°� E"p�os�lenol4 Print: � °7'r My Commission Expires: JB1110120 � APPROVED BY �G J �-.� Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) aCVR Ir CERTIFICATE OF LIABILITY INSURANCE o�r� 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 AM eW. EXTEND OR ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERft AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: It the ogee holder Is an ADDITIONAL INSURED. the poliay(fes) must be endorsed. If SUBROGATION IS WAIVED, subject to the teems and conditiaw of the poky. cwwn Policies may require an mWorsement. A stdomod on this cordiieate does not canter rights to the hcNw in M w of such erniaraewm{s NkTic--h Insurance Aaonty. Um. I .. - -_- P.O. Box 441748 Miami, FL 33144 8225 S. W. 41 Tor Miami. F133155 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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TVPEOPIN9tRMM UIBTB NIAMIRCALGIMML LIABILM Emm occu Bum s 1 0w �• A ©Oar GL.1S842� 0812312013 osl/z312g14 s s 1Q0.�0 IA lLOQAT10W f VMOCLES tOt, A��nN sdbQtte. may bawl a npNe aPaoe 1s nil Miami Shot" vulasp SHOULD ANY OF THE ABOVE OMMBED PCU= BE CANCELLED BEFORE 10050 N E 2nd Ave THE EXPIRATM DATE THEREOF, NOTICE MOLL W DELIVERED IN Miami Shores, Fl. 331311 ACCORDANCE WITH THE POLICY mm AFORD 25 (2014101) The AFORD name and logo are mgkb r W nwft of ACORD PteMoul oft f w BmWelasolham wMftMdIow=M0WWMWaft0Mft 0"049" QrLAG1BREOA7EUWTARpl.1E8PEIt �M=Ela❑ Lac 004WALAST@ $ 2,000.000 PRDI>lA;'18- CM9MISAW $1,000,000 AUT011lO1111LE UASU Y ANYAum p" Maw sommmim An= AUTOS FBREpAUTOg AUMS ColowlewslowLtIff $ wMYRJ.ew(pwPffiwi S 80DILY maim ow ea# S i S UM MIE LA Uu UA6 am= ee a env mmoccup1whm i ervauspf=' m a IA lLOQAT10W f VMOCLES tOt, A��nN sdbQtte. may bawl a npNe aPaoe 1s nil Miami Shot" vulasp SHOULD ANY OF THE ABOVE OMMBED PCU= BE CANCELLED BEFORE 10050 N E 2nd Ave THE EXPIRATM DATE THEREOF, NOTICE MOLL W DELIVERED IN Miami Shores, Fl. 331311 ACCORDANCE WITH THE POLICY mm AFORD 25 (2014101) The AFORD name and logo are mgkb r W nwft of ACORD PteMoul oft f w BmWelasolham wMftMdIow=M0WWMWaft0Mft 0"049" n Local Business Tax Receipt Miami -Dade County, State of Florida THIS IS NOT A BU.L- 00 NOT PAY 403634 SUSMMS NAMMOCATiON CAYAMAS ELECTRIC CARP 8225 SW 41 TERR MIAMI FL 33155 RECFJPT NO RIENEWAL 403634 Chapter SA — Art: 9 & lu OWNER SEC. TYPE OF SUSINE88 PAYMENT RECEcIVED CAYAMAS ELEaPJC CORP 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 10 ECOMOB07 $75.00 x/05/2013 CREDn ARD -13- 007301 nb of ft Low ea iMSS lm Tw any 9e PM" BusinessTaosReceipt� 1 or are certiRcetica lithe holder s tprelRt o�.mdobwInass. Roldarc�Y �R' ami're�renoams wdacU a�p1y to Ure bnma�s. ids BECEIPM ANS abbe' displace on aU commercial vehlalas Sac rtes For mare itdarmon,elsit