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EL-12-307Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 t3 P P _ l 2_ 3 C�5 Inspection Number: INSP-176597 Permit Number: EL -2-12-307 Inspection Date: October 16, 2012 Inspector: Devaney, Michael Owner: BAES, JAMES AND JACQUELINE Job Address: 941 NE 91 Terrace Miami Shores, FL 33138-3219 Project: <NONE> Contractor: ABLE ELECTRIC OF SO FLORIDA INC Building Department Comments Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number (305)762-6122 Parcel Number 1132060030050 Phone: (305)778-8340 SWIMMING POOL ELECTRIC Passed I vl Inspector Comments CREATED AS REINSPECTION FOR INSP-170271. Pump needs G. F. I. breaker. Doors and windows that lead to pool area need to be alarmed. Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. For Inspections please call: (305)762-4949 October 16, 2012 Page 1 of 1 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 PERMIT APPLICATION FBC 2001 Permit Type: Electrical OWNER: Name (Fee Simple Tit] Address: %� V//% City: 12491)151_9_k�9 F7R.-RCEIVED B Y8 2U1 : Permit No. Master Permit No. 131-11?L.%41Q,0 r - State• FCX1 Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 004 ( J U t F. 9 1*_ To- c( - City: MiamiShores County: Miami Dade Zip: 3 3 139 Folio/parcel# a_ 32®6 - co3- U' a S o Is the Building Historically Designated: Yes NO JZ' Flood Zone: CONTRACTOR: Company Name: _ `mid Address: 2010 813f� City: \'/X'f LYiIfa Qualifier Name: State Certification or Registration #: 1AL167 RECD-' i e_ 30 455 p Phone#: of Competency #: Contact Phone#: �^ Email Address: :] DESIGNER: Architect/Engineer: Q m&�vqa o Ab. 27`16'- Phone#: '15 kt�00 Value of Work for this Permit: $0 0 a 05 Squ juWLinew Footage of Work: Type of Work: []Address DAlteration ORepaidReplace ODemolition Description of Work: %AS49 11aiLft%A5491 O7C S ca3rn tnn t ra _(W I P G`fiC I G Submittal Fee $_450 Permit Fee $,�?Pm °fib CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) /f I Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address zip City State zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work orin'stallation 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 COMMENCEAEKNT MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEM ENTS 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 roust 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 Feisft� of the recorded notice of commencement must be posted at the job site for the first inspection which occurs sev (7) dfter t building permit is issued In the absence of such posted notice, the inspection will not ov and a r p ction will a char Signature Sigtature -;i�g-, , Owner or Agent The foregoing instrument was acknowledged before me this day of I fiwa , p 1A by iSe !l!'1CpC° T�S� who i_—rso- own to me who has roduced = Y —�' P As identification and who did take an oath. NOTARY PL Sign: Print: n My Commission Expires JULIA AMOg®YA •"c MY COMMISSION # DD913804 APPROVED BY6� (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/150 Contractor The foregoing instrument was ackno ledged fore me this day of (�l . 20 �� by V�.S who is personally known to >q or who has produced ' �'1' /Z. Plans Examiner as NOTARY,PU Sign: Print: My Commission and who did take an oath. m, �1pES. 08, 20' Zoning Structural Review Clerk STATE OF FLORIDA Se DEPARTMENT OF BUSINESSNA APROFESSIONAL RL"GULATZON ELECTRICAL CONTRACTORS LIC9NSING BOARD 1940 MOUTH MONROE STREET Awa* TALLAHASSEE FL 32399-0783 AYALA LUIS ABLE hLECTRIC OF 2010 SW 83 COURT MIAMI SOUTH FLORIDA INC FL 33155 igratulationel With this license you become one of the nearly one million idians licensed by the Department of Business and Professional Regulation. professionals and businesses ars to arbeque restaurants. nd they keep Florida's ece from architects to onomy strong. from try day we work to improve the way we do business In order to serve you better, information about our services, please log onto wwwjnyfloridalicanse.com. -re you can find more information about our divisions and the regulations that tact you, subscribe to department newsletters and learn more about the zartment's initiatives. r mission at the Department is: License Efficiently, Regulate Fairly. We sstantiy strive to serve you better so that you can serve your customers. ink you for doing business In Florida, and congratulations on your new license! DETACH HERE (950) 467-1395 STATE OF F (XWA AC# _5 5 2 6,38 DEPARTM2NT OV BUSINESS %= PROFESSIONAL EXMMATION ER13012554 03/18/11 108006230 REG SLECTRICAXa CONTRACTOR AYALA, LUIS ABLE ELECTRIC OF SOW= FLORIDA Y LIMGAL Q IR MBZT PCAL CNSINRETSRIOR TO COETECACTING IN ANY AREA) EAs REGISTEM uadgr the grovl.riQnv of ct►•499 v.,4ratiau data+ Alla 31, 2012 L11031601111 ? STATE OF FLORIDA DEPARTMENT 010 BUSINESg AND PROFESSIONAL REGM ATION ELECTRICAL CON"CR.ACTORS LICONSING BOARD SEQ#LI103180113.7 /18(2011 1108006230 ISR13012554 e ELECTRICAL CONTRACTOR rated below HAS REGISTERED der the provis3.a113e of Chapter 489 FS. piration date: AUG 310 2012 [3DIV'IDUAL MUST MEET ALL LOCAL LICENSING QUIRM ENTS PRIOR TO CONTRACTING IN ANY AREA) AYALA, LUIS ABL1E ELECTRICSW 83 OF souTH FLORIDA INC RT MIAMI FL 33155 CHARLIE LISM RICX SCOTT 00/00 39Vd S31dalS 99OLLVZGOE 9C:E1 ZTOZ/t?T/Z0 MIAM1,0A02 COIjNTy Zb11 TAX W. F COLLECTOR MUNICIPAL. CONTIRAC'TOR-S 2012 y'� W. FEApLER ST. TAX RECEIPT let FLOOR MIAMI -DAD ADE COUNTY - STATE OF FLORIDA -8- POSTAGE MIAMI. FL $3130 PURSUANT TO COUNTY CODE SEC. 10-24 U•S. PAID EXPIRES yEPT, 30.2012 PAI, MfAn+lf, FL !'h115 IS P-10 rt 1111.1. t.>t ] NOT PAY PERMIT No, $31 RECEIPT NO. 30-3340965 CC NO: BUSINESS NAME / LOCATION 02EO00436 ABLE ELECTRIC OF SOECFIPTHOLI7ERMAY 00 2010 LE X13 CT FLORIDALORIDA INC f1USINESS AS A CONTRACTOR As SPEC1PIFp HEREON,OWNER .;ABLE ELECTRIC OF SO FLORIDA INC AULEE ISTCOFONON PARYiCIPATING ELECTRICAL CONTRACTOR MUNICIPALITIES Receipt holder mlrgt��^ ~ register in the city DO NOT FORWARD where work Is to 00 cone. ABLE ELECTRIC OF SO FLORIDA INC ABLE RAMIREZ 2010 SW 83 CT PAYMENT RECEIVED MIAMI FL 33155 MtAMI•DADE CoLpi7y TAx CULL'6030/2011 02240070001 000200.00 yy f,,ll,►�lr,,,,11,1.r,rl�l, Ito ll#Iliallfll11llill11if 00/60 39Vd S3-ldG1S 99OLLPZSOE 9E:61 Z10z/bT/Z0l+ 1 320694-3: THIS IS NOT A B14L - 00 NOT PAY- HUSIN NA�IM •LOCATION ABLE ELE-TRIG OF Sp FLORIDA INC 2010- SW 63 CT 3.31.15• LININ. DADE COUNTY • OWNEfi• ABLE ELECTRIC OF SO FLORIDA -INC Spm. Ty of SgrJ+iasa 19 .ELECTRICAL CONTRACTOR TM(; is ONLY A. waAL - S tY FIMT-PLASS U.B. �� me U"I, FL PERMIT NO. 231 RENEWAL. A>:CEP[ o. 334096-5 GC #- O E 00436 WORKER/S' 2 c a lain tion DO NOT FORWARD am Ir' EXEMPT • TUR. PON on {JCENB fl 8r IA% TNi81 WA eTjIFA'fmoF ABLE ELECTRIC OF SO FLORIDA INC ew+Au�ica' ABLE RAMIREZ 2010 SW 83 CT P=A� i'Vat00%pTAX MIAMI FL 33155 42240070002 aaoo�.s. oa 1►iii��EiliFi�ll�i�t,�i�1►,I111ii=il�iilli►l�isF,lii11I11��11 i SEE OTHER SIDE i b0/Z0 39Vd S3-ldVIS 99OLLVZGOE 96:61 ZIOZ/bt/Z0— --- CERTIFICATE OF LIABILITY INSURANCEDATE(IypOp> TFIfS CEIiT1FICAIM IS iSS[tED AS A *A ATTER Ol= INFORMATION ONLY AND CONFERS NO RIGHTS UPON TRE CERTIFICATE HOLDER THIS U211 M2 C):RTtF1CATE DOES NOT AFFIRMATIVELY OR NEGATWELY AMEND. BELOW. THIS CERTIFICATE OF ilucURANcE DOES NOT � c EXTEND OR ALTER T M COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOIDER A CONTRACT BETWEEN THE ISSiJMfG INSURER(S), AUTHORIZEti IMPORTANT: N the tertitlCate holder is an ADDI7TQNAt INSURE" -p, t1�e FO�1�) must be er►doraeo. it St1B the terms and corldtHons of lite Trolley, rtPrtaln peDelaa ►tQr;ATION IS WWVEp, subleet 1O cerUticate hOlaer U flea of aueh erulorsement(s). � requlrr: an Rndursement A 3f.7remCnt On this Cettlfiesle tla� Itpt cplUer rights t0 the PRooucER Tammy lnsuranoe /lgcutoy OONTAGT JessiCat Fiechra�lrris 9821 S.W. 40th Street FWONE ( 5 39� F �c�--4A�-3944 Miami, FL 33185 D.°��Yahoorcm INSURED INSURER A AftWO Qatr ►ISUr1 arx:a Able E1SWC Of South Fladrda Inc INSURER e: 2010 SW 83 St I" ENSURER D MIRml, FL 33155. nuSVRER E: Ira rT I v VN TIPY THAT THE POLICIES OF INSURANI� LISTED l3EL OW E BEEN ISSUED TO THE IPLSIIRED REVISION NUMBER,' ClI I�'-AT� Na' �STANDIN® ANY Rt'QUIRENLEW, I LW OR C0NDtTICN QF ANY CO NAMED neCVr: FORT 050GY PERIGu cr:RiiF7CATE MAY BE ISSUEp OR MAY PERTAAV, THE INSURANCE AFFORDED 8Y THE POLI DESCRIBEDORR OTHER' WITH RESPECT TO WHICH TMS EXCLUSIONS AND COND IMNS OF SUCHHEREIN IS SUBJECT TO ALL THE TERMS, POLICIES. 11MITS SHOWN MAY ItKYE BEEN REDUCED BY PAID Ct.AnULS_ R ennl ... QhNERAL LUMLrry POLICY NUMBER Y LJMCrs D COMMERCIALGENERALLvUMrry EACH CURRENCI; ❑ Elump4s MADE � OCC�.IR '4 DAMA TO RE �' ❑ I.04000167g ❑ E><P one " e 12!1212011 12/12/2012& PER+' ONAL 8 ADy INJURY 8 G WL AGGREOATE L WjgppLnM pEk ❑ PDUCY ❑ ❑LOG Nl4KA1. AQGREGATE $ O' AUTQMO91LE I.IAINLrrY PRODUCT$ - CQMPIOP AGG $ ❑ ANY AUTO S E+ C] AU &rNED ❑ WHEDULED BODIAUTOSLY NJURY (Par pe ,) $ ❑ KRW AUTOS ❑ NA � � SODILY INJURY–t DAMAQ $ ❑ UMBRGU A L IAB ❑ OCCUR $ EXCESS LIAR ❑ c wms-woo EACH O GURRENCE _ S DED RETENRON S AWNEGATE g WORkma SATION ANLr —MOYMM LIANUjy YIN PROPRI R/PA T $ -OTFM MWAAqNNp��Y LUDED7 NIA ❑ ELL EACH ACCII W $ yg'�datelyiCEMnp �NIS LW6d.�PTiONm6DArKm bdew EL DUMACm eA Etro m= m DEORIPnON OF OPERA'RONS I LDCATiONS / vWr.LEs (Afhtch ACORD 101. Adelilmml RMe is SWMdUln, M mere (a I s r>ad) ".[*&offal Work %ERTIFICATE "OLDER CITY OF MIAMI SHORES 10050 NE 2 AVE MIAMI SNORES FL 33100 1 1 SHOULD ANY OF THE ABOVE DESCRIBED ESCBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THMEOFr NOTICE WDLL BE DELI1fERED W ACCORDANCE WITH THE POLICY PROVISIONS. Fa>c 305.715&07 & 788-3$8.1289`� Jessica Heohavarria (� ti (CORD 25 (2010105) CF c0 88 2010 ACORRPORATION. All rigittx reserved The RD name and Logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATEMUMOD/"M THIS FICAT iCAiE IS ISSUED AS A MATTER OF WFORAgAT1oN ONLY AND CONFERS NO RIGKS UPON THE CERTIFICATE HOLDER, THIS02tl 5A 2 CER'nFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, MEND OR ALTER THE COVERAGE AFFORDED By THE pat.leln BELOW, THIS CERTIFICATE OF INSURANCE DOLS NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCE=R, AND THE CERTIFICATE= HOLDER, fMPORTANT: IF the cergllCaM holder Is all ADDETjOj�At INSURED, the popcy(fes) must bR endorsed. It SUBROGATION I8 WANED, sybJeet to the tcrntc and eendttiona er tlfe Poticy, certul�� poltcles may reQulre an endorsehlent. A Stltefhent on tllfs cerHflratC does not taoafer rights t0 the tertifiaate holder In Ileo 01` such endorSetnent{S). PRODUCER Tammy msara1102 Agency Cot �ncT ��+ FtBakavarrle PNONE 485 AX 005)486-3944 9821 S.W. 40th StreEt at tammyinsurance�{ Miami, FL 33165 MG.com INSURED Able Blaatric of south nalida Inc 2010 SW SS St Miaml, FL malss- (" 007-SWO THIS IS TO CERTIFY THAT THE POLICIES OF WSURAt INDICATED. NOTW1 I IYSTANDNNG ANY REQUIREMENI L�4EXC IPICATE MAY USIONS AND CONI3iTlOA1S © ISSUED OR F SUCHRPOLICIES.PEE 61 kR TYPE aP Its' vRANGc ADD BR GENERAL UABILURY MV CCMMEMIAL GWERAL LIAB.nY A ❑ ❑ CLAMS -MADE ® o=IJR OWL AGGRIWATE Lffiff APPLIES PER: A11TOM MI -e uAmuTv ❑ ANYAUrO ❑ AA''IUTOS NED ❑ GCHMLLD ❑ KRM AUTO$ ❑ AUQ NEv ❑ UMBRMJ.A LIAR ❑ acem ❑_ xam& LIM ❑ CLAIMSMADE ,❑ DED ❑ RO—WONS VJnRKFRR rnMPENSA-nFN AND EMPLOYERS' LIABILRY Y t N ANY PROPRIET0R1pARTNMfflAcunvE OMUDED7 r----tj N IA Affiylltio Casualty lnrjmncs M QR GONDITION OF ANY CONTRACT OR OTHER DOCUMENT yylTFl RESPEOT TO VUjiiGH THIS OME AFFORDED BY THE pOUC ES OESCROM HERMN IS SUBJECT 70 ALL THE WHtCTgRNm, SHOWN MAY HAVE BEEN REDUCED BY PAID CLA�WLS_ EACFIO�URRENCE Is 1 C SEa�IE NT rDivsc �B T 1-040001679 121122011 12/12/2012 Mm W (Any eft ) 5 Peso dAL R ADV INJURY $ 1 vENOi I AGGREGATE S 2 PR M-COMPMPAGG $ 1 S 80my NJURY (par per) g BODILY WL RY PeracadenS a MAGE S - S - E.L. owsQAsS EA EMPLOYE S EL DISEASE-POUCYLIMIT S DESCRIPTION OP OPERATIONS I: LOCATIONS 1 VENICLrA (Aeaol ACORO 101, Addid nal RwaNa fthedule, If mom gmae p; nerlulrod) Eloatrclal Work L nvLwr-c% CITY OF MIAMI SHORES 10050 NE 2 AVE MIAMI SHUNh,5 I -L 33138 FOX 305-75&eM & 5 X-895-3$88 ACORD 25 (2010105) QF . SHOULD ANY OP TM ABOW DE%CwBED pGLICDES BE CANCELLED BIpORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DE LIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOk® 1 Jessica HechavarriaJ$MOACORD ® CORPORATI N. All rights reserved.TheD name and logo arc tegistered marks of ACORD