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EL-14-214Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 207999 Permit Number: EL -2 -14 -214 Scheduled Inspection Date: February 28, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Owner: MACLEOD, COLLEEN Job Address: 113 NE 107 Street Miami Shores, FL 33161- Project: <NONE> Contractor: INDUSTRIAL ELECTRICAL SYSTEM CORP tiunamg uepartment comments REPLACE METER COMBO Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1121360070260 INSPECTOR COMMENTS False Inspector Comments Passed l Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 27, 2014 For Inspections please call: (305)762 -4949 Phone: 3051228 -1384 Page 22 of 27 .- Miami Shores village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972. INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING JI 77 PER AM APPLICATION Permit Type: Electrical JOB ADDRESS• 113 NE 107 St FBC 20 Permit No master Permit No. - City: Miami Shores County: Miami Dade TM.. 33161 F,D3io/Parc W 11-213&007-0260 Is .be Building HistorlcaBy Des4pated: Yes NO X Flood Zone: OWNER: Name (Fee Simple TidehoIder) Phone# Address: 113 NE 107 St City: Miami Shores Ste: FL Zip: 33161 Tenanta,essee Name• Phone#: Email! CONTRACTOR: Company Nom: Industrial Electrical Systems Corp phi 305 228 -1384 Address: 10257 NW 9th St Or #205 crty Miami, �. FL,: 33472 Qualifier Name: Nestor I. Corvea Phones 305 228-1384 state Certification or Registration #: EC 13002182 Certificate of Competency#: Contact Phone.#: 305 228 -1384 Email Address: iesflorida@00mcast.net DESIGNER: Architecffingkwer: Phone#: Value of Work for thk Permit: $ $1,200.00 Squarer Footage of Work: Type of Work: OAddress OAlteration ONew ORepaidReglace Olemolition Dawr#ean of Work: Replace meter combo L50 4 U9 ,. '% tBonding 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. 1 understand that a separate permit must be secured for ELECCRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all. work will be done in compliance with all applicable laws regulating motion 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 wida an estimated valrse exceeding $25M the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brachsre will be dedavered to die person whose property is subject to attachment Also, a certcfied copy of the recorded notice of commencement mamst be posted at the job site for the first inspecdon which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection wd t be appmved a rehmpecdon fee will be charged. gnadmre ignature Ar Owner or Agent The foregoing instrument was acknowledged before me this day of 204 by 0-P-jkaQ da d"d who i or who has produceda2�/ Z // 3 Z % 7 V:0 As idenfifcation and who did take an oath. NOTARY PUBLIC: .l. �M , _ f" ' My Comm�sion FF 0827'53 CommiSSi� Expite801f12I2018 *Fq The foregoing instrument was acknowledged before me this 04th day of February _ 2014 , by Nestor 1. Corvea yAm is personally k nnm to me or who has produced as identification and who did take an oath. Structural Review (Revised 311712D12)Wxvised 07nM7){Reviw i 061iotM)Wevised 311909) NOTARY PUBLIC: Sign: - o} F Print: Fmcism P. 00 0" 0"39M 17, 2017 My Commission Expires: Clerk 07/05/2010 14:36 3052252062 IND ELEC SYS PAGE 01/01 CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DDIYYYY) THIS CERl1FlCATEtS (SSUEDAS q MATTEROF 01 -27 -2014 CERTIFICATE DOES NOT AFFIRMATIVELYOR NEQ TIVELY AMEN Y AEX D oR gLTER�TG S UPON GTHAC -FOR CERTIFICATE HOLDER. DER. THIS BELOW. THIS CERTIFICATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING NSURERISI, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. MAPORTANT: If the c to i"dder Is an ADDMONALiNSUR ®,the the term and coadhions of tM popcV. aerglr pow P�cY(tes) must be endorsed. If SUBROGATIONIS WAIVED. �Ibject to claTtif mo- fielder in Neu of such eA"dolsemtarAt{s ;, � require On endorsement. A •statementon tfi[s to does not owderdghts to the PRODIKM PAYCHEX INSURANCE AGENCY INC 210705 P:()- F:(888)443 -6112 P 0 BOX 33015 SAN ANTONIO TX 78265 INDUSTRIAL ELECTRICAL, SYSTEMS CORE INSURIRa 10257 N.W. 9TH STREET CIR. APT, 205 HNSIRc MIAMI ,FL 33172 ,wa,eace., 888)•443 -6 NAIC THIS IS TO CERTIFY THAT THE POLICIES OF .INSURANCE REVISION ItSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERRA OR CONDITION OF ANY CONTRACT o)i OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS sulttcrT m et , ruc EXCLUSIONS AND CONDITIONS OF Ru[_td Pnr rrvc4 , ...�� _ . _ _ _ .... -- _ LTR -- TYPE OF BASURAW" ffla" RAL LIAB0.17'Y PAW IuN 1 a ar:vwty MAT HAVE BEEN POUav Numm REDUCED BY (""IgLcy- YY) PAID CLAIMS. IM1tMIOOIYYYY --� -_ � r.� • .. , `"•�~' LOOM EACH OCCURRENCE g COMMERCIAL GENERA!. UABILITY Pm MISES IER oc= 8 CLA►M9 -MADE U OCCUR MED E.XP lAnv we ooreon) Is PERSONAL & ADV INJURY It GENERAL AGGREGATE g L AGGI#� LIMIT ASH PER PRODUCTS - COMPIOP AGG s POLICY PfiO' LOC Li AMIAORU UA9AM $ ANYAUTO COMBINED SWOLE LIMIT Me aoekhno g ALL OWNED AUTOS $00ILY INJURY (Per Pereon) $ SCHEDULED AUTOS BODILY INJURY (Per e=lder#) $ HIRED AUTOS NO"WNEO AUTOS PROPERTY DAMAGE Ww aaa)derd) g $ 8 LIAAtSit�l A UAB U p, OCCUR EXCESS UAB CLAN84MDF N /A 76 WEG F06188 01/24/14 01/24/15 EACH OCCURRENCE $ AGGREGATE 9 DEDUCTIBLE RETENTION $ wofflumtAMFH1IBATWN AM 191"1 OYOu LVAU iY Y / N oANYFFICF BER�EXCLUDED7 q w D SeCs IPTI Ee DESCRIPTION OF OPERAT)ON9 holmr g �� X WCSTATU g E:L. EACH ACCIOL�IT s 1,000,000 E.L.DtsEAsE'- FAEMpLoY $ 1,000,000 F-L DISEASE - POLICY LIMrr 8 1,000,000 OEsQ"H IMIN or+OPEIt/1TION8 t WOA7'1b1111 Vt' wl IAateoF, AOOpo 104. AdiBa -w Reen<6r sct"Ao, ff mars spec= b regdradj ' •. Those usual to the Insured's Operations. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Village of Miami Shores BEFORE THE EXPIRATION DATE THElUEOF, NOTICE WILL BE 10050 NE 2ndAVe DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. Miami Shores, FL. 33138 AUTOO N 14TATIyt: Fax: 305 756 -8972 k",^ ""T 0 1988 -2009 ACORD CORPORATION. AS dghts reserved, IIVVRY iii .�,vv�rval A ne A ;UK0 name anti Iogo are registered me" of ACORD • . . INVOICE 3431 DATE svLD TO OA l� ; Ujaluu r 65 1 (0) Industrial Electrical Systems, Corp. State Unlimited Electrical- Contractor &. Consultants 10257 NW 9th St Cir #205 Miami FL 33172 O: 305 228 -1384 F: 305 225 -2062 iesflorida@comcast.net SHIPPED TO S D� OUR ORDER NO. YOUR ORDER NO. SALESMAN TERMS SHIPPED VIA PPD. OR LOLL T,cu, X&Ia u a&�"ecroe, 6)p !j- lbw tOl e-t- d- l &-w,,t c-Tcz. O Wkc [&e cbo& payable to Iausft a1 nftft al systems, Corp. Chase Bank, FEW 2313401 / ^� '., � .� , ~i» � ' / � ^� '., � .� , ~i» � '