The URL can be used to link to this page

EL-14-1152Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 RC-, H — � 15 Inspection Number: INSP-216517 Permit Number: EL -6-14-1152 Scheduled Inspection Date: August 26, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Owner: DURINI, EDUARDO Job Address: 1085 NE 97 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: CARLY ELECTRICAL SERVICE tsuuat comments Inspection Type: Final Work Classification: Alteration Phone Number (305)906-2145 Parcel Number 1132050170080 Phone: 305-970-6345 ELECTRICAL OUTLETS FOR NEW KITCHEN 6 RECESS LAMPS INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-216452. Add breaker lock on [Er cook top and oven breakers. Add receptacle to end of counter. D/W receptacle to be 20 amp.. Failed Correction Needed V Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 25, 2014 For Inspections please call: (305)762-4949 Page 12 of 39 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ® ELECTRIC ❑ ROOFING 7NT JUN 03 2014 FBC 20 \C" Master Permit No. kcj�-t � X Sub Permit No. EL 14 1 V452- [—] REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING [—]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10E6 N E s l It' s' p pe: t' City: Miami Shores County: Miami Dade Zip: 16(a)b— Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): F—CAI-AC.OWL D of ,(11 Phone#: A05' que-a 1413 Address:__ 015 N E !q -41" E5jrgf`)' City: %Dum i Sho r' State: L_ Zip: 31 S f Tenant/Lessee Name: Uih Phone#: Email: LA -C, "A iii' 1O ! a i 1. com CONTRACTOR: Company Name: _ C�>X ��C-l. 1 J��V rcC Phone#: 3®s 0046) S Address: aRD C A G -AA �'1LU �y v City: AA A KA State: ` L. Zip: ��I ti Qualifier Name: State Certification or Registration #: �Z Phone 2 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: '' City: State: Zip: Value of Work for this Permit: $T ��-� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New BB Repair/RReplacce El Demolition Description of Work: gar -t non �� '�O� NIZ�A9 I%�C G -Wt S Specify color of color thru tike: Submittal Fee $ w �' ,. Eecrnif` Fee $ - l®� CCF $ CO/CC $ Scanning Fee $ Technology Fee Structural Reviews (Revised02/24/2014) Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee S Bond $ 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 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 OWNER or AGENT The foregoing instrument was acknowledged before me this day of "0\1 20 ) �4 by L U C 1,4 yb 00x 1.01 , who is personally known to me or who has produced -rL 1) 650 4y'45S-@as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: .•IL :a• APPROVED BY (Revised02/24/2014) Vol \he: The foregoing instrument was acknowledged before me this day of _ 20l by KdM. 17- , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as o vl� D9 V �® Sign: _ rel 'o z sr P. "rA`3o ANDREA FELIZARDO CRISTIAN COR8ACH0 Seal: $,:•... •.. I*' MY COMMISSIO N *FF10M25 MY COMMISSION EE882388 �,,''.` �.. EXPIRES March 19, 2018 xxxI1E3Jpnuaryp'**rx*ixa**�xuu* 40 0� ixesara** Plans Examiner Zoning Structural Review Clerk ''�' CERTIFICATE OF LIABILITY IMSURAIVCE DATE(MIbUDD/YYYY) 10/24/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sh AUTHOREZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: 9 the cerdlicate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to the term and conditiorm of the policy, certain policies nay require an endorsement A statement on this certificate does not confer rights to the certificate holder In Usu of such endorsemerrt(s . PRODUCER UT NA= INSURANCE INC P N (305)2670565 Ho.(305)266-3515 pfC 2138 SW 67 Avenue Miami., FL 33155 AD :NRxiOINSORA,NCE@ATT.NET &VORDING cWMnGE NAM EACH OCCURRENCE. $ 1,000,000 INSURER A: ATLANTIC CASUALTY INS CO INSURED CARLY ELECTRICAL SERVICES INC INSURER B':'WORKERS COMENSAVZON INSURER C: 680 FLAGAMI BLVD INSURER 0: MIAMI, FL 33144 INSURER E: AUTOMOBILE LIABILITY ANYAUTO OWNEDALL SCHEDULED AL1T08AUTOS WNED HIRED AUTOS AAUUTOS INSURER F: COVERAGES CERTIFICATE NUMBER 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, TERRA 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. MR LTR TYPE OF INSURANCE AUM MR M= V#VD POLICY NUMBER AUTHORIZED REPRESENTATIVE Lam A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY � ocuR L017000892-1 9/27/13 9/27/14 EACH OCCURRENCE. $ 1,000,000 DAIMBF: to KEN rEIr— MISE a ocaurerroe $ 50,000 1, 000cLA1MS-MADE n PERsoNALBADVINJURY S 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY PRG LAC PRODUCTS - COMPIOP AGG $ 1,060,000 $ AUTOMOBILE LIABILITY ANYAUTO OWNEDALL SCHEDULED AL1T08AUTOS WNED HIRED AUTOS AAUUTOS BODILY INJURY (Per Person) $ BODILY INJURY (Per aaddend) $ Per y—w—werAd$ S UMBRELLA LIAR EXCESS LIAB OCCUR CLANS -MADE EACH OCCURRENCE S AGGREGATE $ DED I I RETENTIONS S 5AM WORKERS COMPENSATION YINAND EMPLOYERS' LIABILITY PROPRIETORPARINERSECUTAM p (Nyyaeenssamory In NNL DESG�RIPTpN OF OPERATIONS betrnri NIA 57425048 10/10/13 10/10114 X. Y I E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPL S 100,000 EL DISEASE - POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Ansch ACORD 101, Alit onei Rem Scimdule, I more space is requite ELECTRICAL SERVICES CERTIFICATE FOLDER CANCFLIATION MIAMI SHORES VILLAGE BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCFU.ED _ BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROVISIONS. NIAMI SHORES FL 33138 AUTHORIZED REPRESENTATIVE ( 019IW20PlZORD CORPORATION. All rights reserved. ACORD25(2010V05) The ACORD name and logo are registered marks of ACORD HERNANDEZ, CARLOS ALBERTO CARLY ELECTRICAL SERVICE, INC. 680 FLAGAMi BOULEVARD MIAMI FL 33144 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. (850) 487-1395 G STATE OF FLORIDA DEPARTMENT OF BUSINESS AND 4.... - PROFESSIONAL REGULATION EC13005942 ISSUED: 03/0912014 CERTIFIED ELECTRICAL CONTRACTOR HERNANDEZ, CARLOS ALBERTO CARLY ELECTRICAL SERVICE, INC. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your IS CERTIFIED under the provisions of Ch.489 FS. customers. Thank you for doing business in Florida, mate : AUG 31.2m4 L1403090MOM and congratulations on your new license! 'z The Department of State is leading the commemoration of Florida's 500th anniversary in 2013. For more information, please go to www.VivaFlorida.org. I�111n RICK SCOTT, GOVERNOFc EC13005942 DETACH HERE KEN LAWSON. SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 HERNANDEZ, CARLOS ALBERTO CARLY ELECTRICAL SERVICE, INC. 680 FLAGAMI BOULEVARD MIAMI FL 33144 ISSUED: 03/09;2014 SEQ # L1403090001082 DISPLAY AS REQUIRED BY LAW Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY sM 111D.] Von BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES CARLY ELECTRICAL SERVICE INC RENEWAL SEPTEMBER 30, 2014 680 FIAGAMI BLVD 4366795 MIAMI, FL 33144 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OR BUSINESS CARLY ELECTRICAL SERVICE INC 196 ELECTRICAL CONTRACTOR PAYMENT COLLECTOR 45.00 07/31/2013 Worker(s) cot7llTaY , 2 99EO00310 0221-13-000651 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a Rcense, permit, or a codification of the holder's qualffications, to do business. Holder mast comply with any governmental or nongovemmemal regulatory laws and requirements which apply to the business. The RECEIPT N0. above must be displayed on a0 commercial vehicles -Miami-Dade Code Sec lia-ZIL For more information, visit www miamidade.govhexcollactar