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ELC-14-555Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 210138 Permit Number: ELC -3 -14 -555 Scheduled Inspection Date: April 02, 2014 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Owner: , TROPICAL CHEVROLET Job Address: 8910 NE 6 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: AJL ELECTRIC INC comments Inspection Type. Final Work Classification: Addition /Alteration Phone Number (305)754 -7551 Parcel Number 1132060200820 Phone: 305 - 895 -4971 REPAIR EXISTING LIGHTING AND INSTALL 10 NEW FIXTURES INSPECTOR COMMENTS False Inspector Comments Passed iz_ Failed Correction ❑ Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 01, 2014 For Inspections please call: (305)762 -4949 page 36 of 42 31Z611-19 L.M on BUILDING 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 PERMIT APPLICATION FBC 20« Permit Type: Electrical OWNER: Name (Fee Simple city: �a/ A,, Tenant/Lessee Name: Email: y JOB ADDRESS: City: Miami Shores County: Miami Dade zip: Od',( rfe L/ Permit No. Master Permit No. eu 4 _515S Innr it• r.o• State: �G� zip: ';�p Folio/Parcelk Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Address: City: Qualifier Name: ;?�L Zip: State Certification or Registration #: (:Z I y Contact Phone #: e� ®� Email Address: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ " 7 ®49 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New, , — PWRepair/Replace Description of Work: 7 77 Submittal Fee $ Permit Fee $ R V- 3, ^0 < CCF $ CO /CC $ DBPR $ Bond $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ ❑Demolition Z7 7 Bonding Company's Name (if applicable) T / Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip - Lwd" 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. Signature Signature Owner or Agent ntractor The foregoing instrument was acknowledged before me this f q The foregoing instrument was acknowledged before me this / 9 day of 20/x, by day of f�'RGdd , 20, by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: 0 Sign: Sign: Print: Y pll& CWMNE kL UIP0 Print' >4 KIM ECKHARDT a ' MY COMMISSION # EE 1320 MY My Commission Expiry ' * EXPIRES: Octob8t 3.2015 My Commiss � JWHW: Jammy 26, 2015 dl N° iNY 1003 ROTARY FI. Nom' DltaWnt Anna. Co. ��OFP�� sk sk M sk a1: H+ da ap $a $z sk gs gs gs gs ,k sg sh ,$ ak Hi Hi =k Lk =k YF 9F =k n& +k sg nk =k 3a nk ak'k ak nk s3 sg �k da ais ak ak a1a a1s � �a ik Hagz ak � gs ik a1s s1: s3 �a $a $s ak :F ak $s $: =k ak 9k =k ak 9k 9k =k 9k zk $e sk a$ �k �k sk $a �k'k sk =k n$ ds a$ ik'k ak ak ap sIa ap sk ak $a ais ga $t � a1s sF APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) AC# 6161777 STATE OF FLORIDA DEPARTMENT OF BUSZNESS.AND PROFESSIONAL REGULATION. ELECTRICAL CaN- RACTORS LICENSING BOA-RD c�n�. v4. V�Tr LiL YO 1JUIVY. • LICENSE NBR� 06/13/2012 118201527 EC3,30 _02,101 The ELECTRICAL CONTRACTOR s? Under the Expiration provisions of date: Chapter ?:' AUG 31, 2014 LUPO, ANTHONY J JR A J L ELECTRIC INC - r 12555 BISCAYNE BLVD #826` "" NORTH MIAMI FL 33181 RICK SCOTT GOVERNOR N Issued Date: 10/1/2013 Expiration Date: 9/30/2014 Business Tax Receipt #: BT- 002364 A J L ELECTRIC, INC. 12555 BISCAYNE BLVD BOX 826 NORTH MIAMI, FL 33181 KEN LAWSON DISPLAY AS REQUIRED BY LAW SECRETARY City of North Miami 776 N.E.125 Street • North Miami, FL 33161 • 305 - 893 -6511 Business Tax Receipt/Certificate of Use ELECTRICAL CONTRACTOR Business Name I Address: A J L ELECTRIC, INC. 12555 BISCAYNE BLVD, BOX 826 NORTH MIAMI, FL 33181 Michael A. Etienne, Esquire, City Clerk NON - TRANSFERABLE • POST IN A CONSPICUOUS PLACE • NON - TRANSFERABLE Doom Local Business fle Miami -Dade C'Duntyr State ©f Florida THIS IS" NOT &BILL -DO NOT PAY 1929745 BUSINESS NAIVIE/LQCATrON AIL ELECTRIC :INC 1;2408N BAYSHORE OR NORTH MIAMI FL 33181 s iLBT RECMVT lA o. E tRE$ IR1MMAL SOITEMBER 30, 2014 2WOW l4trat to d'jsPlaYed at place of business Pu`suartt to County Code Chapter '&A- Art, 9`& 10 OWNER SEC TYPE OF BUSINESS PAYMEWRECEIVED AJL ELECTRIC INC 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 1 EC13002089 $45.00 09/30/2013 FPPU05 -13- 004504 This Local Business Tax Receipt only confirms psymentolthe local Business Tax, The Receipt is not a license, -4.k. 1,.w..,. to do hniaes& Holder mast compivwith any govemmental or A LEL -1 OP ID: TR CERTIFICATE OF LIABILITY INSURANCE DA THE EXPIRATION DATE THEREOF, NOTICE ACCORDANCE WITH THE POLICY PROVISIONS. 05/07113 05I07N 3 3 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 AFFOF DIED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN URER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCLr- IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATI N IS WANED, 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). •a PRODUCER 954_616_1800 Roebuck Associates Insurance NAME: nl PHONE c No E c Ax NG Exchange LLC 954 -616 -188 5599 S University Drive, # 301 �t&L Davie, FL 33328 ADDRESS S 2,000,00 INSURER(S) AFFORDING COVERAGE i NAIC i Roebuck Associates INSURERA. Nova Casual Insurance Co. S INSURED Electric Inc. 124 12408 N. B Drive INSURER B: Guarantee Insurance Company LIABILITY AN, %.TV L 'NNED SCHE::ULEC ALrTCS AUTOS HIRE-- AUTOS NOPwO'r /!•:EZ AI,RC.. 1 SURERC:Mount Vernon Fire Ins. Com an N. Miami Beach, F L 33181 F INSURER D . �e- INSURER E . , ('°()VFRd(:GS . _— _ - -"''" '—"' ^� ^' RCV10IUN NUM DICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT [INSR HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AUUL SUBR tK: FOR THE POLICY PERIOD RESPECT TO WHICH THIS TO ALL THE TERMS, BE CANCELLED BEFORE TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE ACCORDANCE WITH THE POLICY PROVISIONS. MILL BE DELIVERED IN PO ICYN MB I POLICY EFF P EACH OCCURRENCE LIMITS $ 1,000,00 A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCLr- I I 09AL072566 05115/13 I 05N5/14 7MA7,E H=' .. PREdScS IEe ccc •a S 100,00 MED ✓G F,ny ,rep nl $ 5,00 PERSOt -=c a -- :v na UR, S 1,000,00 GEr:ERA- .4 R; . S 2,000,00 3EN,- �rE3ATE Ludt? %.PPL:ES PRO X P:': (I .IFr`T Rc- -;- S 2,000,00 S AUTOMOBILE LIABILITY AN, %.TV L 'NNED SCHE::ULEC ALrTCS AUTOS HIRE-- AUTOS NOPwO'r /!•:EZ AI,RC.. - _ :: �e- _ PR.= - S C X UMBRELLA LIAB EXCESS V OCCLR CLAVMS- 4 -'1Z'= XL2118431 05/18/13 05/18/14 E..c- e��_.:RREr.c� s 2,000,00 2,000,00 CIED RETENT I N S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AN ^rPROPRIE?ORIPARTNEREX,ECUP.vE Cw- FICEPAIEMBER EXCLLOED? (Mandatory in NH) It yyes, deserve antler CESCRIPTICN OF OPERATION'S Dek,, NIA GWIC301005602113 05/15/13 05/15/14 c-A-.__ X � ��� .. -' cR E.. E -% _CIDE.- S 100,00 v -_- - -A c.;- - - - �. v - c - ,. `' S 100,00 E'. D SE -,= °C_' _ _MIT 3 500,00 I DESCRIPTION OF OPERATIONS 1 LOCATIONS; VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) Electrical Contractor l�cOTICle'ATC U ni nCD !`Akif -CI 1 ATInKI I U lyt$k$ -ZULU AUUKU UUKI'UKA I I N. All rights reservea. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE ACCORDANCE WITH THE POLICY PROVISIONS. MILL BE DELIVERED IN Building Dept. 10050 NE 2 Avenue AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 •--T U lyt$k$ -ZULU AUUKU UUKI'UKA I I N. All rights reservea. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD