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DS-06-2246Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 204418 Scheduled Inspection Date: January 23, 2014 Inspector: Rodriguez, Jorge Owner: PERLBERG, ARNOLD Job Address: 1411 NE 101 Street Miami Shores, FL Project: <NONE> Permit Number: DS -9 -06 -2246 Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: New Phone Number (305)754 -6976 Parcel Number 1132050240300 Contractor: ALL QUALITY ELECTRICAL SERVICES, INC Phone: (305)968 -7832 comments CONCRETE PAD FOR GENERATOR INSPECTOR COMMENTS False Inspector Comments Passed / CREATED AS REINSPECTION FOR INSP- 197520. CREATED AS REINSPECTION FOR INSP- 196592. CREATED AS REINSPECTION FOR INSP- 25883. No access no one home Need electrical final Failed ❑ No permit posted, no access Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 22, 2014 For Inspections please call: (305)762 -4949 Page 10 of 22 , r Miami Shores Village Building Department pa,� �,� 1"10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 SEP 0 1 2006 Master Permit No. Permit No. ) "�P` ' Permit Type (circle): Building,/' Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City State Zip Tenant/Lessee Name Jj Phone # Job Address (where the work is being done) city Miami Shores Village County Miami-Dade —Zip S �-�� FOLIO / PARCEL # /I J .t- 0 0 2- 7 - /i /,) n Is Building Historically Designated YES NO Contractor's Company Name -f C�,i_'," J�-��'r /.- .> ! Phone # Contractor's Address -_ _ A/,� 0 'A�) (J City ' w ) State Qualifier Name State Certificate or Registration No.�y�6 Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition ❑Alteration Describe Work: (- Zip ,5 . S / 6 % _. Phone # r �.- i Certificate of Competency No. Phone # Square / Linear Footage Of Work: tew ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ U CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ ( Radon $ DPBR $ Zoning $ Bond $ Structural Review. $ Code Enforcement $ Double Fee $ Total Fee Now Due $ l( See Reverse side -� 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 issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature "� _��. ' � � °`.��-t Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this f day of w , 20DC , by who is p all known me or who has produced As identification and who did take an oath. NOTARY ,PUB,LICV Sign: Print: My Commission Expires: The foregoing instrument was acknowledged before me this day of , 20 06, by who is persQ y known to me r who has produced NOT Sigh ..�;� Print: My as identification and who did take an oath. UBLIC: i 1��}45EYJYs�i 3 r' ee � ryp=�T` APPLICATION APPROVED BY: (Revised 02108/06) C• Plans Examiner Engineer Zoning w� Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 911212006 Expires: 03111/2007 Permit Number: DS -9 -06 -2246 Owner's Name: ARNOLD PERLBERG one: 0754 -0976 Permit Type: Driveways /Sidewalks /Slabs Parcel #: 1132050240300 Work Classification: New Block: Lot: Job Address: 1411 101 Street NE Section: PB: Miami Shores Village, FL Contractor(s) Phone Primary Contractor ALL QUALITY ELECTRICAL SERVIC (305)968 -7832 Yes Comments: CONCRETE PAD FOR GENERATOR Additional Information Type of Work: SLAB FOR GENERATOR Bond Return: to me Additional Info: Classification: Residential agree coverea nereunaer in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $106.30 Building Department File Copy Applicant Signature Total Square Feet: 0 Total Valuation: $ 1,000.00 Invoice Number Amt Due Amt Pjdd DS -9 -06 -26046 $106.30 Total: O NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. ELI Job. Address Job DesCri tion: Contractor Information 1411 NE 101 St Miami Shores, Fl. 33138 Pour Concrete Pad for All Quality Electric _ �lon 6Icw— fired rGenerator - - - - -- 14500 NW 16 Ct - -- - - -- – - - -- ___, Owner - -Infor at Pad weight = 1,200 lbs or greater Miami, Fl. 33167 305- 968 -7832 Residence of Arnold Perlber• Notes: "Combined height of generator and stab will be 54" �► a 1 sa 0 a �► Z � � r G i r n Z Z It J % .r t In 7/30/2006 25" height (poured to interior 64" long living space floor level) f l • 7 1 ' INt HEREIN DESCRIBED N TO BE .� W"TED IN ZONE — 0. AAk x. pI� _ `' (1 l' •� .,.r ,3 `.lei. %s . �f 1•. ''t.t • Q s - '% -.. ' I r. P. t r• •1 .;4v..•p �1 .�• r •. iA J!I 0 t/ �. 0 .r I�✓ / /!� '� yn Hti i lr r' r 'rr.I r��% ��/ l� t �✓t• 3 ' ,, i '�'' !rte \I \j {�` _�i��. � � � � `' �t.. •t e. fit" t►' b A M IN A-Tn V. �\ 4 b 0 1 *w lot, - .. %x..10 j TIN ';rte,,, G _ . :' `U `� 0 L. s` 1c o '° _ I t� is � fib /,r v1 ' �'. 4 Nis I gel , r -` �••.. j !' � 69jr s ,�¢•( � . _ , : s ' property. describOd a:s Lot Block 3 A Or .MIAMI RLPI1I UP !r�Cl , ! SHORES BAY P,'�ItK l'yb'�'�1'i'1:5, according. to the Plat �,.x� �•..- �o,r:,H�,;►�— tl•tereof, as recorded in Plat Book 56, Page- 86 ►. NOTE: thu: Public Rluc:tw.ds cif. NOTE: UIId rc round encroachments, D. -Lade County, P'1Urida. if any not located. .PROPERTY OF: Pcerlbe q, Arnold N. '1'rutli, 141.1 N LJ '. 101st: Strout, ,,iirun.i -�;}idl -r!:, 'Nvt_yal �! unlosi embossed L` . .�..._ A BOUNDARY LAtVNES end Ci4RCIA, IN� SUkt'EY wtth_ ..4. I hereby cerGiy that the survey repre- ~" a "' '.•r°� sensed -hereon meets the minimum ENGINEERS. = LAND SURVEYORS LAND PLIINKCRS technical standards set forth by the Board of tand )tirveypca pursuant to Office address':: -1080 S. W..tl 4th Avenue, tili:,tni;.Florida 33155 S.K'ttun 472.027 • Ia. )tatutr . There are }' d r-. , •� � r,oencro nts.overI �rasrme its t > . -° ^-•-';. Mailing address: P.O. Rox 561131; Midmi: Florida 33156 5.,.•rs ✓ ..� �ppeur on the Pt other than as show �hcrrta. 'Ha, kcy, ,tai;�}'Suni:w Ott �–=r� rE SC ALE I. ?R -Nk-- e D1%, L, NO • 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 FBC 20 Permit T et BUILDING OWNER: Name Permit No.Das N 2z 7 6 Master Permit No. &1A ROOFING ;&--46 - 2t) 4Ct,1 3®�;- ,7 JOB ADDRESS: / 7/ l "C-- r 0 O S City: Miami Shores County: Miami Dade Zip: 331 Folio/Parcel #: -3d-Q`— ` 0 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: XU '�j ut5, tkc 7�f-1 C, Phone #: J Address: -3 9 City: t State: �q f Qualifier Name: t Phone #: SOS- f 4 P l r3 Z State Certification or Registration #: k 3cq j 3 5,36 Certificate of Competency #: 6 �` -Goo Contact Phone #: 32S—!2 /,4? 7 ✓3 2- Email Address: a&q ut A A ..le- oV a A DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 100 S uare/Linear Footage of Work: Type of Work: DAddition ❑Alteration 6Tew ❑Repair/Replace ❑Demolition Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ /Ci'o . 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 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 Contra for The foregoing instrument was acknowledged before me this day of�N�- , 20 a, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUfl IC: Sign: '�� Print: W O � a cx m The foregoing instrument was acknowledged before me this AV day of 20 L'�_, by j l who is personally own to me or who has produced as identification and who did take an oath. NOT LIC: Sign: �b •.j ��, Print: My Commission Expires: WUMMQM0=A My Commission W00WOMItEEESM APPROVED BY d Plans Examiner Structural Review (Revised 07/10/07 )(Revised 06 /10/2009 )(Revised 3/15/09) X11 Zoning Clerk B Ij 1 .. 11 Kit' !� •i l.q� o ►17' 1'" r:1i ';! it -�..Il •' ALL QUALITY ELECTRICAL SERVICES, INC AND SAMUEL LIGHTBOURNE 14750 SOUTH RIVERS DRIVE 1 MUM, FL 3316! I INSURER B: I'Itc uKh-USIVE EXPRESS INS CO 1 11760 111dSURER F: 11 1 ft1E POLtC>E50F LIED HAVE BEEN TO THE MSURED NAM ABOVE FOR THE POLEY PERIOD MDICATED. NOTIMTHSTAM= ANY REQUAMMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOC►1MENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE MOMHOE AFFORDED BY THE POLICES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERIM EICLUSIONAN� COAD1TlOdS StCH POLLIE& AGGREGlTE ILMaTS curuam uau LSA %= e ..&..,...._ _.. -- \— h..= - ■ ■ ■ 2• r. ,1. ■ tMM I'. ■ M V1 all I „_.e, ■ ❑ DEmwa E ❑ RETENTION S ANY PROPRIETOR PARTNER I EXECUTIVE OFFICER/ EXCLUDED? If”. dew Bader UM EXP (ArW outs persm) SAC PERSONAL &ADVKWRY 1,m').� GENERALAGGREGATE zmoc PRODUCTS - COlIII'IOPAGG 1.�oc 11t29112 11rM13 (Ea acdftM COMBINEDSIMAELUT BODILYMAIRY My mm) BODILY INJURY (Par PROPERTY DAMAGE (Per AUTO ONLY -EA ACCIDENT OTHER THAN EAACC AUTO ONLY- EACH OCCURRENCE AGGREGATE EJ- EACH ACCIDENT EJ- DWEASE - EA EMPLOYEE E.L. DID - POLICY UNT 100,00 SHOULDMVOF7MAWVEDEBCNMMPOLgmMBECpSICELLEDBEFCOETHE EXPIRAT= DATE THEREOF. THE OMM 991MIER UM.L ENTIIEMM TOMM CITY OF NORTH BAY VILLAGE 30 DAYS 18RR M WflCE TO THE CERTIFTCAM FTOiMER NAB TO 1700 KENNEDY CAUSEWAY SUITE 132 Ti �r BUT FALuRBTo Do so sHALLmuowNOaRm7=ORLL4qLny NORTH BAY VILLAGE, FL 33141 OF ANY Its WON THE , 11rI3At OR REPRESSMUMM SAMUEL LIOWBOURNE PRES 14750'S RIVER DR MIAMI FL 33167 556799 -6 THIS IS NOT A SILL — DO NOT-PAY RENEWAL NAM IUMAT NO. 580797 -0 ALL QUALITY ELECTRICAL SERVICES CC 8 OSE008478 INC 14750 S RIVER DR 33167 UNIN DADE COUNTY OWNER ALL QUALITY ELECTRICAL SVCS INC CONTRACTOR PAV r C0IIK17TAX . 01/24/2013 02220018001 008093.75 SEE OTHER SSE WORKER /S 1 ►_. +,. X11' %�t�'] ALL QUALITY ELECTRICAL SERVICES INC SAMUEL LIBHTROURNE PRES 14750 S RIVER DR MIAMI FL 33167 list ii:' III ills t'iililI t till Is Iji:i1 Report Viewer G a l m i Q11 P r: ®• DFS+7 -0�= CER7WATE OF ELEMO1 TO BE EXEWT 07 12 QMM MSO)"s -16" Page 1 of 1 a b tpsd /apps8.fldfs com/=ePOrMewer /rePOrtViewer.aspx ?data— =kftgmc9D7Q3Ri6M6... 7/12/2013