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EL-14-606Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-213513 Scheduled Inspection Date: August 05, 2014 Inspector: Devaney, Michael Owner: FRONTAL, RAUL Job Address: 585 NE 93 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: ZONE ELECTRIC CORP tiuuamg uepanment comments REPLACE OLD OUTLETS Permit Number: EL -3-14-606 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)609-6700 Parcel Number 1132060141030 INSPECTOR COMMENTS False Phone: (786)333-8244 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-213341. Seal all openings and ER label panel. Add arc fault breaker. Failed Correction ❑ � �� Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 04, 2014 For Inspections please call: (305)762-4949 Page 7 of 32 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �1 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (3057 762.4949 N BUILDING PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: 'SEs- Aj 6 C,?3 4 'gl' FBC 20 00 MAR 27 Permit No. Master Permit NoPr' I '-A P 4 City: Miami Shores County: Miami Dade Zip: a �>/ Folio/Parcel#: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): e,4-lft Address, &'�; A-)& city: iib ° S6 r ¢:6 State: Tenant/Lessee Name: Email: .4N� . C& NO Flood Zone: 7- ,) 605-0 CONTRACTOR: Company Name: =® CVP . c- u- Phone#: 8Z q q , .'r__ _ — _.., hl Addri City: Quali State Conta DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ C)o Square/Linear Footag of Work: Alteration {I SON` e`w� epair/Replace Des¢rinhon of Work Yo Submittal Fee $ S Permit Fee $ `23 a 00 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ ODemolition TOTAL FEE NOW DUE Bonding Company's Name (if applicable) _ Bonding Corilpany's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 poste notice, the inspection will not be approved and a reinspection fee will be charged. Si Si Owner or Agent Contractor �y The foregoing instrument was acknowledged before me thisRS The fore oing ins ent was �acknowledged before me this day of 1 AGz4q , 201'( , by day of Oil" 20 1 1 by �t ;�� 'f,"CW' Fwho is personally known to me or who has produced 4A—A fZ_ who is personally known to me or who has produced /" L A L. As identification and who did take an oath. NOTARY PUBLIC: ��uniiirrr Sign: = �� QS\ Print: = My Commission Expires: 11 ��9 I� r ,,:. keliy APPROVED BY j ? 0Cf,®/2- Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission;` = Notary Public - State of-" p:, My Commission E4draS Afty 17 2017 Commission 0 a SAW Zoning Clerk 3/24/2014 CAM 00943.j pg GOnstfLICtion Trades Q ualifymg Board 'BUSINESS CERTIFICATE OF COMPETENCY' ZONE ELECTRIC CORP D.D.Q.: LTA REY G ` STATE OF FLORIDA AC# � .:3 .:� �� ` DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ER1,3.014760 05/18/12 118185426 REG ELECTRICAL CONTRACTOR' REYNALDO REV"UELTA, REY G 'LONE ELECTRIC CORP (INDIVIDUAL 14JST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) "AS REGISTE;RED under the provisions of C!-,.488 Exp`ration date; AUG 31, 2014 L120 1800439 https://mail.goog le.corrVmail/W1//#*nbox/144ealfe6aca8cab?projector=1 3/26/2014 879.j pg Local Business Tax Receipt I` f I I Miami-OAde C ou ity !�.t )f Il<- H I UTr y967fl�q a FSi NAMEl4tl'�A'1"AOry .: ! Ato wia: PI .. — ... _ IIIALrA:f rL 33013 s n�a u owNeN cs-.arHr.Ecuveu S'' yv atlun urt4 reran, .. _'^' 4t1h4.4� • •7M .. .. iCNE ELEC7UC CCi- rn t ^roa f�EMS:l3 Wgiyris) i 'S.OU 0fil ./7015 t ry krRN'a wwT iYrp I{�C'rt Oon +CtNi n�z in tP fl lnelwvee. yrTM1 ua[r��fimlN'• EoYN qua ili.YAa1.N7p bulYne l4 4 • ueptr wn eNCxemvm'cr ZCN£ �LEc. wWwsm...,«Try.r.loy�ru.[Yparnee,vn:y,eppirw mr P,.inNa� .30 W 38 ...-.-, iLp{C[?i Mlt•Sn. arNb LNpixrsd enlMcaneaci wl,kkz-MFsz-0e:n tNa ix Y -:F. Pi RONigI0Torloe..+ifaytlq�� 1 b.=.5.ac<�«rx [!^Gi.rplfr - City of lAnduall 2013-14 Business Tax Receipt t. 2�a21u 3.PD � '� qv"t � �, ': rclrcrsq�s.r rrronry.I ¢ u h p�J3 6 �.r ailWinl ut�tb'rµ+,wn rPr�ofhM his .�r„rIr 1. hfr inllu- :� p11h>7t1r7 Ww %T wn•. h C ti( I h 11 H1u. Y) ,..I_Y lr 7+Z fN WOR tell 1, Y.. Oi]i..v. WI -i— I I.... r"..----..___- https:Hmai I.g oog Ie.corrVmai I/L /1/#sent/l44f9el65abf6ba5?projector=1 1/1 STATE OF FL NJ. DEPARTMENT OF FINANCIAL SERVIC ANOAL I OFFICER DIVISION OF WOHKERS' COMPENSATI,,, � V l'CVTlrlrATf: OF ELECTION TO HE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LA CONSTRUCTION INDUSTRY EXEMPTION This certihes that the individ(Ul listed bel(Av has elv(ltt�d to e (-,-xflmijt tram Flonla W EFFECTIVE DATE: 06101121012 EXPIRATION DATE- 06101/2014', PERSON: REYNAL DO REVUELTA REY, G4 FEIN: 45495050 - BUSINESS NAME ZONE ELECTRIC COR O- 430 W 38TH PLACE HIALEAH FL 33012 SCOPES, OF SUSINEtt OF'TRAD' I— REGISIEKED ELECT;iiCAL NTRACT a!AK'P7-13T 41jr-Aalli 1,4 n;l! to oftirer ufr a rarporwao who eiecri tApavotion tr :mnpowider c4larar. Pursuant ro chaptir 447.� 1L, F_s .2f 14 le jr jily jjqjfx ab°r*r tai ITJ,hjq t -2:f rEt motle's lF:jj,!l#- IL L ers' Compensation I i'l AKW bj fogniq a l,hw% ficateel; of C'Scri4a rz jen ex%"nat qql WE$ of thile 5*lrm: 4.3-me'l all It lir ' Til arl 1f A B ACC> O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 111..� _ _ 03/28/14 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 AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, 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). PRODUCER NAME; ` --- Estrella Insurance #102 PHONE � (305)883-2003--::— 305 ( ) 883-8865 t(AfC Nol: 415 West 29th Street Suite "A" Aos. managerlD2®estreltainsurance.com Hialeah, FL 33012 NSURER(S)APFORDNGCOVERAGE N=9 Phone (305)883-2003 Fax (305)883-8865 INSURER A: ASCENDANT COMMERCIAL INSURANCE INSURED INSURER B : ZONE ELECTRIC CORP INSURER C: 430 W 38 PI INSURER 0: Hialeah, FL 33012- INSURER E: COVERAGES CERTIFICATE NUMBER: 20128 REVISION NUMBER: _ 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR 1 _ _ TYPE OF INSURANCE I NSR I W VD LISUB I POLICY NUMBER I IM�OIYYM I (MMu )IYYYY) I LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE U OCCUR GL -39950-1 i GEML AGGREGrA—T�E LIMIT APPLIES PER: r - L_ J POLICY U_ EST ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO LJ AALL OWNED UTOS ❑ SCHEDULED HIRED AUTOS ❑ AUTOS TOS NED 1 UMBRELLA LIAR U OCCUR - f❑ EXCESS UA13 [JCLAIMS-MADE— - I 1 DED 1 RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUT ❑NIA OFFICERIMEMBER EXCLUDED? (Mandatary in NH) j 05/1 21201 3 105/12/2014 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AMM*" Remarks Schedule, H more space is required) MIAMI SHORES VILLAGES ARE LISTED AS ADDITIONAL INSURED ELECTRIC CONTRACTOR 12E000223 CERTIFICATE HOLDER MIAMI SHORES VILLAGES 10050 NE 2ND AVE MIAMI SHORES FL 33138 CANCELLATION JOCCURRENCE $ 1,000,000.00 AGE TO RENTED AMES(Ea o urence $ 100,000.00 EXP (Anyone person) $ 5,000.00 >ONAL&ADV INJURY $ 1,000,000.00 :RAL AGGREGATE $ 1,000,000.00 :)UCTS - COMP/OP AGG $ 1,000,000.00 $ - BODILY INJURY (Per person) -Fs BODILY INJURY (Per accidenll $ PR (PeOPeERTY cidenDAMAGE ran_ EACH OCCURRENCE $ ----- - - $ AGGREGATE $ WC STATU- 0TH• TORY LIMITS ❑ ER — — ___ .._ E.L. EACH ACCIDENT $ EL OISEASE - EA EMPLOYE $_ E.L DISEASE - POLICY LIMIT $ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MARIA ©1988-2010 ACORD CORPORATION. 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