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EL-13-940Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-195744 Permit Number: EL -5-13-940 Scheduled'Inspection Date: July 24, 2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: ANDRES GATTI, LUCIANO Work Classification: Alteration Job Address: 67 NW 97 Street Miami Shores, FL Phone Number (305)796-8477 Parcel Number 1131010330270 Project: <NONE> Contractor: URBAN KO Phone: (786)251,5607 Building Department Comments KITCHEN AND BATH REMODEL INSPECTOR COMMENTS False Inspector Comments = Passed El C C/ l Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. July 24, 2013 For Inspections please call: (305)762-4949 Page 27 of 28 Inspection Worksheet Miami Shores Village �[� 10050 N.E. 2nd Avenue Miami Shores, FL i Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-195813 Permit Number: EL -5-13-940 Scheduled Inspection Date: July 26, 2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Owner: ANDRES GATTI, LUCIANO Job Address: 67 NW 97 Street Miami Shores, FL Project <NONE> Inspection Type. Final Work Classification: Alteration Phone Number (305)796-8477 Parcel Number 1131010330270 Contractor: URBAN KO Phone: (786)251-5607 comments KITCHEN AND BATH REMODEL INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSPA95744. Need access to jacuzzi ER" motor. Install receptacle for disch washer and disposal. Failed Correction Needed ❑ Re -Inspection a Fee No Additional Inspections can be scheduled until re -inspection fee is paid. July 26, 2013 For Inspections please call: (305)762.4949 Page 12 of 17 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 PERNHT APPLICATION Permit Type: Electrical JOB ADDRESS: City: 9Miami Shores Folio/Parcel#: _ 1 a° Is the Building Historically Designated: Yes _ FBC 20 1CO Permit No. cL, I �; / Ll Master Permit No. qC 1 County: Miami Dade Zip: 33138. Zone: (FSimple) G�1�/u9 } OWNER: Name (Fee Titleholder): � � . Phone#: Address:.44 AIR) 14 J-p— City: State: Tenant/I.essee Name: Phone#: Email: CONTR Address: L City: j O&Ar 1 State:�L Zip: Qualifier Name: I I C j Phone#: �8(O r2 SP, o State Certification or Registration #: Co2 /30 12 3 h Certificate of Competency #: 01 000 2 Contact Phone#: 4 & 2 5 Email Address: �= �� u t � o K, DESIGNER: Architect/Engineer. Phone#: Value of Work for this Permit: $ ® Xbo . Square/Linear Footage of Work: Type of Word C� ditss .. Deri flu of Woxk _jca �,pAIteration ONew a D� ORepair/Repl a ODemolition C , Submittal Fee $ Permit Fee $ A�,,O CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 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 PAYINGTWICE 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and areiWection fee will be charged. Signature The foregoing instrumentr;owledged before me this day of 20v�l'e- ► who i ersonallykno a or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: NA= M0W, M MY COMMIS Print: * " 14 My CommissionExpir°V Si ,�7.!::ontractor i The foregoing instrument was acknowledged befor e t slp� day of /d(✓/!/L , 20 a, by who is person y i own2--!!!3VFho has produced I --- as identification and who did take an oath. NOTARY PUBLIC: Print: My Commission PABLO EIMM DE SM NYS 8 EE Qin EXPIRES: Febomy 8, 2015 BMW Tine Notary Puha W"*m APPROVED BY "�— Plans Examiner Zoning Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Clerk 05/14/2013 11:06AM FAX 3055327681 URBAN KO 00001/0001 A CERTIFICATE OF LIABILITY INSURANCEIf (w 02/2013 THIS CER1 ACATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND Oil ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($)/ AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the Certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may retlUlre an enasorsement. A statement on this certificate does not confer rights to the certificate hOldW In lieu Of Such endorS@nt s . PwimuCIIR CONTACT USA INSURANCENET CORP 770158 PHO PN 786-283-3637 FAX 786283-3669 AfG. R Rltt)l WG. Nox MI MI, MIAMI, FL 33177 Aa Ro 90 -SERVICE uQUSAINSURANCENF-T,COM •----•-••— GENERA. AGGREGATE ; S 2,000,000 PRODUCTS - COMPIOP AM $ 1,000.000 INSURSpIS� A�I!ORDING COVspAGR NAIL f ...— -- ... Irl9urtsn a •. INTERNRTIONI4L IfVS,�Cc{�OF ±•IA�VN(�V�R�:.... atsurtm URBAN KO INC �tsvpRle s l 220 WASHINGTON AVE DIBURCHCI APT. 3D arsvgea o; . MIAMI BEACH, FL 33139 INsuReR a l 1 r�t/eDnt►ce a� rt � • I -- - — YGM urlGY I M Iv"Mml "- ,bC•a•M.A.. . �-v W.V. s�V.Y14Gni THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THC INSURCO NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM 09 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PKRTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL YHE TCRMS, 1;XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAvp OCr_N REDUCED BY PAID CLAIMS. _ 1 TMPR OF 11MRAN L OV"nLi11I" vpLICv — - C w" I POuCY R:P lumov416A9 j i 1my LO/In9 eeNeRAe LIABILITY IGOI 1000719-01 104/12/2013 04/12/2014 �AOH oecuRReNce s 1,000,000 A X COMMERCIAL GENERAL LIABILITY I DAMAGL TO I i CLANS-MADC ; X ; OCCUR i i RENTED PReMISEs tl:A ocxwrorlao).... IS •---- 100,000 MED EXP tMy opo p rson) S 5,000 r "—" -- ----- II PER$ONALAADV INJURY S 1.0 GOA AGGREGATE LIMIT AP14ni, LK -w i GENERA. AGGREGATE ; S 2,000,000 PRODUCTS - COMPIOP AM $ 1,000.000 • PR I I �; A{/TpmQaL�LIASAITY OOm I) UWTANYAj UlE -i I S BODILY KJURY IPOpaCon)AUTOS ALL OVMEO DULFD �O -- 1 I DODILY INJURY aa�lNOYN-0VOEDHIREDAUTOS Sy 1 OS 1~ eKTYDA-MA-Pt-a3rr (40' WORM" LIM ; OCCUR � ^� mIU LIAO { EACH OCGURltENGC I S I CLAIMS.MADC I IR I I ! AGCREOATE S pan N I vl►o"c"ComP""waN I AND ISbRLDYM' LW�IYY j ANY PROPRICTOR1PARTNLA&Xt�Curnu YIN I I od�'IOt•RAeFmNFRPXCLUDeD9 --11 I I IS I yy� GT. n1U.S 1 IorN I TORY I,arnT 1 t t tnrrN AGpInw! y �— — q_ It�lba davy in � �_-- I C.L. DISEASE . CA EMPLOYEE S I E.L. OLSEA.Cii . POLICY LIA IY j $ PTtttrl OPCpATIQN jILOCATw /y �S (ARM& ACORD 101• AddMlarml Romarka adwdula. N ajam I& pgylrypl ELECTRICAL CONTRACTOR, PAINTING INTERIOR,FURNITURE MFTG OFFICE LOCATION: 429 LENOX AVE SUITE 504 MIAMI BEACH FL 33139 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED P0Ij=5 BE CANCELLED BEFORE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF. NOTICE NRLL- 6E DMIYURED IN ACCORDANCE WfYM TME PDuGy PROVISIONS. 10050 NE 2ND AVE MIAMI SHORES. FL 33138 AUTIID1 MwwjtpvAWwTATnM FX: 305-755.8972 AL ACORD 2612010/M ®1988-2010 ACORID CORPORATION. All rights reserved. The ACORD name and loco aro roolstered masks of ACORO 06/18/2013 9:40 AN FAX 3055327681 URBAN KO 1@0003/0003 STATE OF FLORIDA-.\ DEPARTMENT OF F--jINESS AND PROFESSIONAL RE%,.-LATION CONSTRUCTION INDUSTRY LICENSING BOARD (858) 487-1395 1940 NORTR MONROE STREET TALLAXASSEE FL 32399-0783 SCARFO, WALTER G URBAN ICO, INC. 220 WASHINGTON AVE XXANI BEACH FLE33139 Congratuiationsi With this license�srartooA'"' you become one Of the nearly one minion-1EP.Zi►>,tTftNT ; QFie Floridians licensed by the Department of Business and Professional Regulation, Our proiessionats and businesses ran go from architects to yacht brokars, fromROESS,ON ' ] boxers to berbeque restaurants, and the keep Florida's,Tj' y p economy strong. : «•., Every day we work to improve the way we do business In order to serve you better. For Information about our services lease t onto www.m orldallcense.corm p o9 yti ..:CERT•Zlt'jEA:_ • ... .....•� There you can find more information about our divisions and the regulations that ..-SCA"p;.' i Impact you, subscribe to department newsletters and loam more about the Kpra, I?epertment's initiatives. V y p �C�'�wb��:.i4'�:9•.5.•5 i gip: ii'sz9A�,��•' �C7t;OR't�. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers, ,..,,.. Thank you for doing business in Florida, and congratulations on your new license! j -'' �s: x� +�4�s::bR• t�xovsrieiu� •ixt'•CbL�89 �; :. �id�itioln a�tdi.hQ(i::3'1'•;•�Z0T:4 L1Z0.6��.Q,tif33 . 'M DETACH HERE b$ox prbva.si'ogs of=�432a0 Expi rati' date;: A03- 3'1, . ' 2014 ~°"•'";• �` ::: ' ' ' w �, H LlRS A►N KO,.SNC " ,. N �� „',y, r„ .� • „ ,� 220 inTASNZNGr0,N: AVE. •-SxE 3D ''`"•'�'~; `w1q.�;' �a'�►, !v Hi;:ACI3• ''•�<. S,•�ps\ ,•�t'a.,�,�;• ,. •FL'•'3313'9 RXCX SCOTT. .. ..�. .'�•-�•;,� ••....►fix.•' , ,.• DISPLAY•AS RE6LJIRFf) AVI AW rc •• SEWL 2a6oZo3.633 `'� 06/18/2013 9: X10002/0003 RIRST CLASS U.S. POSTAGE..: PAID MLIIm, RL PERMrr NO. 231 69SMU4 THIS IS NOTA $ILL — DO NOT PAY RENEWAL IIUWIWV61 MMON SYATEV (9'20299 23124-4 429 LENOX AVE 4CUO 33139 MIAMI BEACH '"SWAN KO INC sQ MC MEWAL BUI LDYN© CONTRACTOR WORKER/S rNi>; �. Qa1 r A I nCAl bU01 TAX RGCEPT. IT gnrs Nnr Prounr nor .MOLDER TO VIOLATE ANY CX16M REGULATORY OR . COMM Y OlJ GT10 NOM DO NOT FORWARD NOoloaCG sR lTti:FaoM ANY oTNXCMPT i. ¢R URBAN KO INC tiwrNalir�o.aK ucrr.Jc R DY Jr. SCARFO WALTER PRES ' NbY A GERTIFICA7{DN °F CA ON 220 WASHINGTON AVE # 3D '�6°LoeRsouall�°A_ MIAMI BEACH FL 33139 ,.Mr,IT Racelvsa wuLADtntBuwn/twx coLlXCT4'10/10/2012 022SO011001 000049.50 1►�Iir..11.,,,i�,r11.1.1„i.„lurHi1,1,1,.,1.rIl��ln�ilA�1 06/18/2013 9: 1 URBAN KO 110003FMW.c I U, STAG [ F 653341-9 THIS IS NOT A SILL _ Do NOT PAY eos,s/�not� RENEWAL ; 429 LENOX AVE CC BR'Dz6$ 6803929 33139 MIAMI BEAM4C06 OWN UITHAN Ko INC �'WM Cal TAXmw3 CONTRACTOR WQRKERlS 1op 0l cmm X00 mx4mgray °'►' '� DO NOT FORWARD r moo, WALTER KSCARFFO PRES 220 'PAmMW A '@I"o.p�p�Tia MIAMIAON AVE BEACHTFL s3139#3D 10/03/2012 09010055001 tt • _ 000049.50 )003 Miami -Dade County - Building and neighborhood Compliance Office Page 1 of 1 Home I Product Control I Contractors I Building Officials I Contact us Contractor Restriction Codes Contractor Number: 09E000268 Page: 1 Contractor Name: URBAN KO INC INQUIRY SUCCESSFUL... NO ADDITIONAL RESTRICTIONS TO DISPLAY Contractor inouiry and Complaint Search I Home Pao e I State Ucanse Search Menu Home I Using Our Site I About I Phone Directory I Prhaw I P. lm E -map your comments or questions to BLOGDeo gmiamidade.cov © 2001 Miami -Dade County. AN rights reserved. http://egvsys.metro-dade.com:1608/W W WSERV/ggvtBNZAW942.DIA?CNTR=09E000... 6/18/2013