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EL-14-1456Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-217200 Scheduled Inspection Date: August 05, 2014 Inspector: Devaney, Michael Owner: ELMCHARAFIE, SBAK Job Address: 39 NW 100 Street Miami Shores, FL 33150 - Project: <NONE> Contractor: TOP ELECTRIC SERVICE CORP Bunciing Department comments Permit Number: EL -7-14-1456 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)934-2374 Parcel Number 1131010180391 Phone: (305)303-6960 REWIRING 3 BEDROOMS LIVING, DINNING, KITCHEN, Infractio Passed Comments HALL, AND GARAGE AREAS. 11 SWITCHES 25 INSPECTOR COMMENTS False RECEPTACLES 6 RECEPTACLES G.FYS STOVE 9 SMOKE DETECTORS Inspector Comments Passed E�r_ Failed 0e;,�%� 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 31 of 32 �. Miami Shores Village:-� Building Department JUL 08 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201® BUILDING Master Permit No. S7 4 PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS [:]CHANGE CONTRACTOR CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 331 S Folio/Parcel#: It 3 [ C ( n (® t Is the Building Historically Designated: Yes NO Occupancy Type: Load: Co/p-�nnstru�(ction Type: � F}loy�od Zone:_ BFE: FFE: OWNER: Name (Fee Simple Titleholder): _ Phone#: 305 Address: .3 cA iQ 1k) City: N& L �,, ,� �� C State: ` Zip: 3 3 1 S 0 Tenant/Lessee Name: Phone#: Email: (.� CONTRACTOR: Company Name: �O E- l , S FE�/iC j { t�7 � Phone#:1�uS� Address: kOI .fin !S L 1 2k (o s - City: `I -A vV� State: Zip: Qualifier Name: yo _5,jCdd.,X lk� Phone#k Ml State Certification or Registration #: A&4 I7 5_0 7 - Certificate of Competency #: CJ /OF 000 K�� DESIGNER: Architect/Engineer: Address: 1 _ �c-) SCQJ � 'hone#: a State: / Zip:'��" Value of Work for this Permit: $ `�00& . &9 Square/Linear Footage of Work: Type of Work: El Addition ❑ Alteration 1:1 New Lim Repalr/Replace, ❑ Demolition s Submittal Fee $ Scanning Fee $ Permit Fee $ a CCF $, CO/CC $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ , Y 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 nd a reinspectiaplfee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this+V1 day of �20 IJ by :5 1.a K E. E c PiPday of JA Y P2014,by L0.5va tig LQ -15q. who is personally known tome or who has produced who is personally known tom or who has produced nQW-z) As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: Robertls j effift'ESE 27138a APPROVED BY ��Li�� Plans Examiner Structural Review Sign: Print: MyCommission E . Smdeof%me %1 H8 222384 (Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) Zoning Clerk NN L` STATE OF . rte:. 813. X1:30-40 31, 20 4 r -isZV� L Y� _ jaa ,•� _< 10130 MZ14MT " FL 3�I63 MW, s .it'\ -.e. ,Y ��n� r k ODA.. �F$3 � f • TIQ�I' . u SEQ#raaoeo�a: -►#; 61 2 9 4- .STAGE OF: FLORIDA f NTRACTORS Li a5b513 0 SE, 20. s' l 81 QHS 641, t0a► r t� • c i.ai o a40 gfe. '8 ft piration date. AUG 31, 20.14 g Jis Q& ss _ t4 -1RJ.- .:� �33165` v; ' > r�. .r• r Yll R - gr t ,�:�.. _ . . tit -..a M"��<F _.. � a.�%; =i�- ��1, ; �" _ _ < �," v QUAI.IFYIN©TRADE{Sj 10001 ELECTRICAL :02 ' BURGLAR ALARM 0004 FIRE ALARM SPECLT ypt814Bord an municipal Contractefs Tax Receipt Miami—Dade County, Stale of Florida TM1SNDTABML-WNCYrPAY CCIVO:109M5I BUSMIEWAY RECEWFTND. EXPIRES MP BECINC SBWES MW NEWBUSBUESS 10130SW46Sr SHP I EMBER 309 2044 7436M AFL 33165 Mug be SWWW at Ph= of WON= OWMER TM RECHUCISOMB ODW I oto �m+coae MwpWr8A-A3rL9&10 TYPE OF 8418066M PAVAHM INUMVED ELECrRICAL CONTRACTOR WIFTAXOOLLEWOR 20 00 08/090DU 0221-13.000762 hrmni I 6dift * * SATE OF MCM TO K EX P' FRW FLORA WORKEW CMVMATM LAW This certifies that the Wividtfal listed below has elected to be exempt from Florida Workers' Compensation lava. EFFECTIVE DATE: 10/1812/2 PERSON: LORI" FEIN: 27214404 BUSINESS NAME AND ADDiRESS: TOP ELECTRIC SERVICES CORP 10130 SW 46ST NEANI FL 33165 SCOPES OF BMINESS OR TRADE: 1- BURGLAR ALARM INSTALLATION EXPIRATION DATE: 10/18/2014 YOSVANI 2- ELECTRIC LIGHT OR POWER LINE C MVMW-. Palseant to (Impan 440 . 01114, F.S.. an tdfiter a1 a Corporation who alerts examptien flora tits ckowr by " • caltifhate of eta under this e spy not Meow bandits or anagnaisadmi arm dry ft=30 to Chapter 440.6rd12). F.S., Cadlicelas of electlan to be exempt apply ashy Wimtn to SCM of We basiness ar trade fish = So eadce of etecuan to be exp Pose to CRmper 440.05(131. F.S., e1 deca" to be eroe m and comics of eleWOa W be exempt shall be subject to mocafie f, at any tiro after de filing of ffie aetice or tis isswce of *a cent itaa, the posen afflaeA on the mice or earditcate no taager amps tie re"Iremove of Ibis section for issuance of a cet0icae. The department shall reaahe a cartitiode at Say rims it failure of the pesos gaud as the Cowie," W am da r of WS SeNiea O.1)€5'110NSf (850) 413-1609 OWC-252 CSTI ICATE OF EUEM TO BE E>tBIPT REVISED 01-11 . PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA • DEPARTNUM OF FOMMICIAL SERWOMS DMISM110FWORKERWCOMPENSAIM CONSTRUCTION INDUSTRY CE RTIFiCATEGFELBCTIM TO BE EKBWT FROM FLORIDA YItMS CONIPENSK71011 LAW 9 EFFECTIVE 10/18/2012 EWIRATION DATE: 10/18/2014 PERSON: YOSVANI LO RIGA FEK 273014404 BUS99W NAME AND ADDRESS - TW E.ECTIUC SENNCEs C01W 10130 SW 4857 t8Aa1L FL 33185 SCOPE OF BUSMESS OR TRADE 1- BURGIAR AUM SMAL1.ATM 2- simIntic LKair OR POWER L0UE C INfPORTANT F Purlosind to litter 440.05114), F.S., an officer of a copoiation Win O elms exemption from this t by filing a corti%tate of election L utter this swum nom► not rem benefits or mon uta this D Pura to Chapter 440.051121. FS., Certifies of election to be H exempt- apoy.odl+ Within the scope of the bins or tie listed on E the notice of diction to be exen1L R E Pursuant to Chi 440.051131. F.S., Notim of election to be exempt and certificates of election to be exempt shall be subpect to revocation if, at any time after the filing of the notice or the bmia ce of the certificate, the person named an the notice or cersifieate so WW meets the reiguireniom of tht section for im of a certificam The departnent shall revoke a certificate at any title for failure of the perm nanted on the certificate to num the redrenerm of Oft section. (RESTOW (851) 413-16M iii l ■i-,: $ Carry bottom portion on the job, km* upper portion for yow reewrchL OWC-252 CBiMCATE OF BJMnObi TO BE EXIT FISM 01-11 W 01-M 4n3 07/0812014 02:51 3052636641 BARBARA INSURANCE PAGE 01/01 .r''� CERTIFICATE OF LIABILITY INSURANCEDA= (MWWWM TYPE OP INSURANCE 07/08/2014 THIS CERTIFICATE 13 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 policyges) must be endorsed, If SUBROGATIO 1S 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). PRODUCER INSURANCE INC. NAMBARBARA PHONE 305-283.8640 Ne . 305 -263 -6641F 7105 SW 8 ST -MAIL MIAMI,FLAM44 GENE RALAGGREGATE $ 2,000,000 9NG AFFORDING GCWERAGE NAICF INSURER A INSURED INSURERS, GRANADA INSURANCE COMP, TOP ELECTRIC SERVICES CORPORATION PRODUOTS - COMP/OP AGO S 2,000,000 10130 SW 46 ST INSURFAC; AUTOMOBILE LIABILITY MIAMI,FL.33165 INSURER D INSURER E; INSURER P r_nva=oer.>=c ,.tee,.•.,.............._.___ 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 Wt11H 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. LTR TYPE OP INSURANCE AUUL POLICY NUMBER MMlU EP M50FNM LIMBS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F1 OC --UR 0186FLOOD29155 09/16/2013 09/16/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE U-- PRMSgA:!;:"4m $ 100,000 MED EXP (Any one pgmcn) $ 55.000 PERSONAL a ADV INJURY $ 500,000 GENE RALAGGREGATE $ 2,000,000 GWL AGGREGATE UMIY APPLIES PER: 77 POLICY UPPROT LOO PRODUOTS - COMP/OP AGO S 2,000,000 $ AUTOMOBILE LIABILITY IT ANY AUTO 5 OB ED AUTODULED HIRED AUTOS HON -OWNED AUTOS ea a�ldem BODILY INJURY (Per p =w) $ BODILY INJURY (Per accldeq $ OP DAMAt3E S $ UMBRELLA UAa EXCESS LIAB OCCUR CLAIMS -MADE N/A EACH OCCU rAC" CCU OCCURRENCE B GATE $ orm RETENTIONS WORKERS COMPENSATION AND MPLOYEW IJANLITY ANY PROPRIETOR/PARTNER)EXE=N6 YIN OFFICEWIi1EEMPgR EXCLUDED? 9yyaa� deadstoly rl NH� De RIPTI N OF OPERATIONS bobw $ B A- OTFM E.L. EACH ACCIDENT $ F.L. DISEASE -EA EM8L0 $ E,L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aortal, ACORD 1011, Additional Remmka Sohadutc, N mom spice IS required) ELECTRICAL WORK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ED BEFORE MIAMI SHORE VILLAGE BUILDING DEPARMENT THE EWIRATION DATE THEREOF, NOTICE WILL BE DMJVERW IN 10050 NE 2 AVE ACCORDANCE WITH Tf4E POLICY PROVISIONS, MIAMI SHORES,FL.33138 AMD R=r-XTATIVE 25 (2010/08) 0ISM-2610 ACORD RPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JUL 16 20% � I w ��, 8 A-tq A-t°I I w OFFmIC�L. 4zw A_ Ail S0PYG-✓�---- G w h-za E APPROVED BY DATE > - N Z ZONING STRU TUBAL ELECTRICAL � 06 ®� 421 PLUMBING401 f D yy�� .... . .. .. A lot .3S, •�7 • • • • • • • • MECHANICALCA s _ Y1 & BLDG VJ / ' e !�: . • SUBJECT TO COMPLIANCE WITH ALL FEDERAL, � N � � � �cA0 OP � � � � � �•� � � STATE AND COUNTY RULES AND REGULATIONS. 14" N , -*� w .w r Fade- L of 3 4141•. • • 4141•• 41..41•. ...... .. ...... fe v l s-ro %&T C* ao© T-5 T(O.p Eler-f�ic �@ tot ao sw b®s 3© 3 re Ct UO �aX s®s s 14 cod t®e �=Lt-S Yvs va v%% (-o x,,,g ,®�a 3q Aj(v 33 i 5® -_ _..ELE T rCX,E:: 5 - D! AG CJI _ ,..... .4100•. T .. ]. �+.00 v.i � fr�... .... • • _ 0000 00 000 4141•••• 0 •0••• - • 00000 ..-.. ' .«.. •. ..� -.. :0 � 0 {►��.��7A 0-6 /• • • • • • • owl ... 4141, i° --i 0 mW%�. • • • kuQ W�0000 �...• • • 00 • • • i••• •0000 • �o' tag �8�, -a �� -ro `��►�� air Go�e Z0o�_�. _ Im fe v l s-ro %&T C* ao© T-5 T(O.p Eler-f�ic �@ tot ao sw b®s 3© 3 re Ct UO �aX s®s s 14 cod t®e �=Lt-S Yvs va v%% (-o x,,,g ,®�a 3q Aj(v 33 i 5® ...�...A owl lip Im i N; • .-11�.M�� -E n ?qT, a o 3 .. 6080.. 6 6 . ... 6666.. 6666.. 6666. ... 6666. 6666.. 80888• 6666.. . ; A- oCG'[l.�'TS St' AL%- $�t:14�Gt TAMfte.I%IS WW A6 OP -7 9W- 210.12 � OW. ;4q -boyOil ILAWS 5411►L4M* HIM t ftctl: (As em 'Fi (e) 4o+ SoHo AA re s -s 3q. NJ w k oo S -�- %-k. oC,�, 5 t,t o y�qs IFl 53 (5 c July 14, 2014 EL14-1456 Need plans showing work that will be done, along with riser diagram, panel schedule and load calculation.